Templates
PDCA Template for Action Planning

PDCA Template for Action Planning

This template is based on the “PLAN-DO-CHECK-ACT” cycle. Use this template to establish OH&S objectives by identifying hazards and determining legal and other requirements.

Use this template
or download pdf
PDCA Template for Action Planning

This template is based on the “PLAN-DO-CHECK-ACT” cycle. Use this template to establish OH&S objectives by identifying hazards and determining legal and other requirements.

Use this template
or download pdf

Related categories

Preview of the template
Planning
Hazard Identification
Describe Hazard
Hazardous Condition
Unsafe Behavior
Possible Accident Types
Please specify
Risk probability
Risk severity
Recommended Corrective Action(s)
Engineering controls
Management controls
Personal Protective Equipment
Recommended System Improvement(s)
Specify recommended improvement(s)
Determination of Legal and other Requirements
Name of regulation/requirement
Reference #
Area of the organization it impacts
Interested parties
Document stipulating the requirement/compliance obligation
Responsible Person
Source of information (can be indicated in a hyperlink or description format)
Objective Planning
What is to be done?
Resources required (e.g., financial, human, equipment & infrastructure)
Responsible person
Target date of completion
Metrics for evaluation & indicators for monitoring
Priority Level
Completion
Approved by
This template, developed by Lumiform employees, serves as a starting point for businesses using the Lumiform platform and is intended as a hypothetical example only. It does not replace professional advice. Companies should consult qualified professionals to assess the suitability and legality of using this template in their specific workplace or jurisdiction. Lumiform is not liable for any errors or omissions in this template or for any actions taken based on its content.