Issues Note

Use this form to escalate issues that cannot be resolved through direct engagement or present broader risks.

You should use this form when you are:

providing information to keep the Director informed of potential risks
making a recommendation, where a decision or approval is required
seeking approval to escalate the Issues Note to an Issues Brief or CEO Minute.

All Issues Notes should be concise, factual, include details of what has already been done to address the issue, recommended actions and any supporting evidence or correspondence.

Submission details

Provide the key details to help identify where the issue sits and who is responsible for managing it.

Escalation type *

Manager name *

Manager email address *A copy of the submission will be emailed to this address.

Business unit name *

Manager email address *A copy of the submission will be emailed to this address

Business unit name *

Manager email address *A copy of the submission will be emailed to this address

Business unit name *

Manager email address *A copy of the submission will be emailed to this address

Business unit name *

Manager email address *A copy of the submission will be emailed to this address

Business unit name *

Manager email address *A copy of the submission will be emailed to this address

Business unit name *

Manager email address *A copy of the submission will be emailed to this address

Business unit name *

Manager email address *

Business unit name *

Organisation(s) involved *

Contract reference(s) *

Issue summary

Issue title *

Date first identified *

Category of issue *

Current status *

Category of issue Other *

Urgency

Select one *

Low - No immediate action required but should be noted. - No response required. Moderate - Recommended actions identified. No apparent or immediate risk. - Within 10 working days.High - Recommended actions require prompt decision. Delay may result in operational or reputational risk. - Within 5 working days.

Background and context

Summary of issue *

Impact or risk *

Previous actions taken *

Evidence / attachments *

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Escalation and oversight

Current management level *

Current management level for Other *

Who has been consulted *

Who has been informed *

Recommendation and action

Next steps

Recommendation

Decision required

Record keeping

Record where this Issues Note and related documents are stored in Content Manager (CM)

CM reference

Review and submit

Before submitting, check that the Issues Note:

clearly describes the issue and level of urgency
outlines what has already been done to manage or resolve the issue
includes any evidence, correspondence or supporting documents
identifies who has been informed or consulted
clearly states what action is required of the Director

Once this form is populated use the Save and Complete Later link at the bottom of the page to enable your manager to review the submision.

For Director use only

Approved DeclinedNoted

Comments

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