SIPOC Template

Individual or group that supply the initial input to trigger a process

Sample of the Input Form

Process

Sample Output Form

1- Sample Output Report
2- Report Parameters
3- Report Layout (Page Orientation, Paper Size)
4- Report Data Sources (Field/Table/Process/Step)
5- Key Indicators (Data Summary such as totals, percentages, etc)
6- Brief description of how the report supports decision making
7- Authorized Users to run the report
8- Policy & Procedure

The system/database/table where the output is stored

Individual or group that receive the final output of the process

1- Data Elements recorded/processed/viewed in this step
2- Data Validation Rules
3- Step Duration (Min, AVG, Max)
4- Step Cost (Min, AVG, Max)
5- Step Controls
6- Step KPIs
7- System/Platoform used
8- Policy & Procedure

Step 2

Step 3

Step 4

Step 5

Condition

Step 6.1

Step 6.2

Step 7

Step 8

Yes

No