Action Plan for

version 1.0 draft1

Project: Date:

Goals:

Measures of Success:

Scope of Organizational Impact:

Staffing and Participants:

Name Role Time Commitment

Tracking and Reporting Process:

Dependencies, Risks, and Constraints:

Estimated Completion Date for All Activities:

[organization] Page 1
Project:

Action Items for

Action Item Number: Owner: Due Date:

Description of Activity:

Deliverable(s):

Resources Needed:

Action Item Number: Owner: Due Date:

Description of Activity:

Deliverable(s):

Resources Needed:

Action Item Number: Owner: Due Date:

Description of Activity:

Deliverable(s):

Resources Needed:

[organization] Page 2
Project:

Action Items for

Action Item Number: Owner: Due Date:

Description of Activity:

Deliverable(s):

Resources Needed:

Action Item Number: Owner: Due Date:

Description of Activity:

Deliverable(s):

Resources Needed:

Action Item Number: Owner: Due Date:

Description of Activity:

Deliverable(s):

Resources Needed:

[organization] Page 3
Project:

Action Items for

Action Item Number: Owner: Due Date:

Description of Activity:

Deliverable(s):

Resources Needed:

Action Item Number: Owner: Due Date:

Description of Activity:

Deliverable(s):

Resources Needed:

Action Item Number: Owner: Due Date:

Description of Activity:

Deliverable(s):

Resources Needed:

[organization] Page 4
Project:

Action Plan Tracking for

Action
Item Date Date
Number Started Completed Comments

[organization] Page 5