Avery Dennison Template - Shmula



|Your Name: ___________ Date: ___________ |

|( Safety |

|( Quality |

|( Productivity |

|( Cost |

| |

|Describe the Problem (plain language & explain why others should care too): |

| |

| |

|5 Whys: |

|Why? ______________ |

|Why? ______________ |

|Why? ______________ |

|Why? ______________ |

|Countermeasure: |

| |

| |

| |

| |

| |

| |

|Your Name: ___________ Date: ___________ |

|( Safety |

|( Quality |

|( Productivity |

|( Cost |

| |

|Describe the Problem (plain language & explain why others should care too): |

| |

| |

|5 Whys: |

|Why? ______________ |

|Why? ______________ |

|Why? ______________ |

|Why? ______________ |

|Countermeasure: |

| |

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