[Full Exercise Name]

[Document Name][Exercise Name Continued]

Improvement Plan (IP) Matrix

Observation / Recommendation / Corrective Action Description / Capability Element / Primary Responsible Party / Responsible Party POC / Start Date / Completion Date
Capability 1: [Capability Name]
Observation 1.1.1: / 1.Recommendation / 1. Corrective Action / Element / Facility/Dept / Position / Date / Date
2. Corrective Action / Element / Facility/Dept / Position / Date / Date
2.Recommendation / 1. Corrective Action / Element / Facility/Dept / Position / Date / Date
2. Corrective Action / Element / Facility/Dept / Position / Date / Date
Observation 1.1.2: / 3.Recommendation / 1. Corrective Action / Element / Facility/Dept / Position / Date / Date
2. Corrective Action / Element / Facility/Dept / Position / Date / Date
Capability 2: [Capability Name]
Observation 2.1.1: / 1.Recommendation / 1. Corrective Action / Element / Facility/Dept / Position / Date / Date
2. Corrective Action / Element / Facility/Dept / Position / Date / Date
2.Recommendation / 1. Corrective Action / Element / Facility/Dept / Position / Date / Date
2. Corrective Action / Element / Facility/Dept / Position / Date / Date
Observation 2.1.2: / 3.Recommendation / 1. Corrective Action / Element / Facility/Dept / Position / Date / Date
2. Corrective Action / Element / Facility/Dept / Position / Date / Date
Capability 3: [Capability Name]
Observation 3.1.1: / 1.Recommendation / 1. Corrective Action / Element / Facility/Dept / Position / Date / Date
2. Corrective Action / Element / Facility/Dept / Position / Date / Date
2.Recommendation / 1. Corrective Action / Element / Facility/Dept / Position / Date / Date
2. Corrective Action / Element / Facility/Dept / Position / Date / Date
Observation 3.1.2: / 3.Recommendation / 1. Corrective Action / Element / Facility/Dept / Position / Date / Date
2. Corrective Action / Element / Facility/Dept / Position / Date / Date

Improvement Plan (IP) Matrix1[Facility]

[Protective Marking]