Action Planning Submission Form

This form is utilized by all leaders to track and document their Employee Engagement actions done each week. Every week, from February 1-May 1, each leader will report out actions on the two goals below each week.

Coupled with your leader touchbase discussions, reporting out on Employee Engagement actions is:

Intended to provide you with support for your engagement actions and remove any blocks to your success.
Utilized for accountability to discussions as well as providing line of sight to higher level leaders on the status of employee engagement actions throughout their department and BU.

First name: *
Last name: *
Email: *
Title: *
Employee ID: *
Business Unit/Location: *
Department: *
Supervisor name: * DataSource: The requested DataSource f6c80776-1a45-4359-9ad5-ff00a3d4329b is not accessible.

Important: Each week, from February 1-May 1, when you enter information below for your weekly action report out you will select the same goal, however the actions under that goal can vary week to week. This will ensure consistency on action towards working on one of the statements. If you would like to switch goals during the engagement period, a conversation is required with your 1-up and description on why in the submission form.

Action Plan Goal 1: The organization does an effective job communicating with me.

PLEASE NOTE: Additional corresponding fields will be revealed as you proceed below based on your selections.

Choose your action step for this goal: *

Conduct purposeful rounding using best practices on each employee monthly

Hold weekly communication huddles with your staff and share department, BU and System updates

Develop communication plan with your 1-up for upcoming department, BU or System change

Work on action items from your most recent Stop Light report

Cascade a system wide message sharing the Know, Share, Do messaging

Which staff did you round with this week? *

What did you learn from rounding this week? *

What information did you share with your staff in rounding? *

When was your huddle this week? *

What information (Dept., BU, and System cascades) did you cascade with your staff? *

What change did you plan your communication around? *

Who are your stakeholders and what are their needs? *

What are your key messages: Why, Benefits, Resources, Timeline etc.? *

What action items did you work to implement? *

What progress did you make on each action item? *

What are your next steps to close the loop on these action items? *

What was the system message you shared and with whom? *

How did you directly connect this messaging to organizational communication for your team? *

Action Plan Goal 2

PLEASE NOTE: Additional corresponding fields will be revealed as you proceed below based on your selections.

Choose one of the below goals for which you are taking action steps and then complete the associated fields that get revealed based on your selection: *

1. I feel appreciated for what I do
2. I am able to do what I do best every day
3. There is a genuine interest in my well-being
4. I feel well supported

Important: Be sure only one of the boxes above is checked for Action Plan Goal #2 before proceeding to fill out any remaining fields that are revealed. If you initially selected more than one above, uncheck boxes as necessary and leave only the box checked next to the goal for which you are submitting information.

Goal Selected: I feel appreciated for what I do

Choose your action step for this goal: *

Build in staff recognition to your weekly staff huddle

Send out 2 appreciation notes each week

Send out 2 Rewards and Recognition submissions each week

Implement a Staff Recognition Board (Rewards and Recognition, Thank You notes, I Caught You Cards, etc.)

Which staff did you recognize this week and for what? * *This field is required

How are you ensuring ALL staff are being recognized equally? * *This field is required

Which staff did you send appreciation notes to and for what? * *This field is required

How are you ensuring ALL staff are being recognized equally? * *This field is required

Which staff did you send Rewards and Recognition notes to and for what actions? * *This field is required

How are you ensuring ALL staff are being recognized equally? * *This field is required

Which staff were added to the Staff Recognition Board? * *This field is required

What did you do this week to encourage a culture of peer recognition? How are you encouraging others to add to the board? * *This field is required

Goal Selected: I am able to do what I do best every day

Choose your action step for this goal: *

Each day ask your employees what they need to be successful

Execute one of the 8 wastes for process improvement

Engage 2 staff members a week in a conversation on what it means to do their best work

Build in your daily huddle a standing item for sharing a time staff were able to find work that they love. Be intentional in helping employees find love in something they do each day

Create a questionnaire to identify work that is meaningful for each employee (What are my favorite tasks? Least favorite? Which tasks make me feel like I am working at to the top of my license? Which tasks make me feel I am doing my best work?)

What did you do to help remove barriers to success for your employees? * *This field is required

What did you do to change or improve? * *This field is required

Which staff members did you meet with this week and what was shared? * *This field is required

How did you take the information they shared to change or improve their tasks/daily workload (as applicable)? * *This field is required

Which staff shared the work that they love? * *This field is required

What actions of yours are encouraging others to identify and share the work they love? * *This field is required

Which 2 employee responses did you review this week? * *This field is required

How did you take the information they shared to change or improve their tasks/daily workload (as applicable)? * *This field is required

Goal Selected: There is a genuine interest in my well-being

Choose your action step for this goal: *

Practice active listening during your daily huddle

Conduct purposeful rounding using best practices on each employee monthly. Follow up by asking a questions on a personal interest of each employee

Conduct 1 well-being check-in each week following the resource at the link below

How to Check in with a Staff Member About Their Well-Being

What did you learn about each staff member by actively listening? * *This field is required

How can that help build your relationship with the employee? * *This field is required

Which staff did you round with this week? How are you building relationships/connections with each employee? * *This field is required

What did you learn from rounding this week? * *This field is required

Which staff did you have a well-being check-in with each week? * *This field is required

What did you learn from each well-being check-in and what actions are you doing with that information? * *This field is required

Goal Selected: I feel well supported

Choose your action step for this goal: *

Each day ask your employees what they need to be successful

Conduct purposeful rounding using best practices on each employee monthly. Follow up by asking a questions on a personal interest of each employee

Conduct 1 well-being check-in each week following the resource at the link below

How to Check in with a Staff Member About Their Well-Being

What did you do to help remove barriers to success for your employees? * *This field is required

Which staff did you round with this week? How are you building relationships/connections with each employee? * *This field is required

What did you learn from rounding this week? * *This field is required

Which staff did you have a well-being check-in with each week? * *This field is required

What did you learn from each well-being check-in and what actions are you doing with that information? * *This field is required

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Action Planning Submission Form