Team members:

A P
A3 Problem Solving Report Start date:

Subject: Name Originator: Date Sign off:

C D Team leader: Signoff Team leader:
Process: Plant: Sponsor: Signoff Sponsor:
1. Clarify the Problem 4. Root Cause Analysis 5 Whys, Ishikawa/Fishbone, etc.

Standard /
ideal situation

Current
Situation

GAP:
(Problem
Statement)

Impact -
to the
business?

Short Term Containment: Action Responsible Due Date

1
2
3
4
2.Breakdown the Problem 5. Develop Counter Measures

Impact on next Level of Side Effects?

What (Brainstorm solutions) Safety Cost Score Overall
process Difficulty (If yes which)

1
2
3
4
5
6. Implementation of Counter Measures
Action: Responsible Due Date Completed
1
2
3
4
5
7. Monitor Results

3. Set Goal to Resolve Problem 8. Standardize & Share

How to share learnings with other facilities?

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