Findings-Based Recommendation Form
Use this form to record observed findings and provide actionable recommendations in a structured assessment format.
Finding Description
*
Finding Category
*
Please Select
Process
Compliance
Safety
Quality
Other
Severity Level
*
1
2
3
4
5
Evaluation Matrix
*
Rows
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
The finding is clearly documented
1
2
3
4
5
The finding has significant impact
6
7
8
9
10
The finding is actionable
11
12
13
14
15
Recommended Action
*
Priority of Recommendation
*
High
Medium
Low
Area or Department Responsible
Expected Completion Date
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Additional Notes
Summary Table of Findings (if applicable)
Rows
Finding
Category
Severity
Recommendation
1
2
3
Submit Recommendation
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