A printable delivery worksheet

Escalation Conversation Record

Use this when a delivery issue needs a clearer next conversation. It gives you one place to name the move, the decision, the owner, the timing and the evidence before the situation gets more urgent.

Your record

Prepare the next useful move.

Write only what will help the right person understand the issue and make the next decision.

1. What has changed?

State the delivery fact, not the whole history.

2. The move

Circle or mark one before you start the conversation.

HoldAct locally and review.
FlagMake the risk visible early.
RaiseAsk for a decision.

3. What changes if we wait?

Name the date, dependency, scope, expectation or risk that could move.

4. The decision or next action needed

For a flag, state what you will do next. For a raise, state the trade-off you need someone to decide.

5. Who needs to hear it?

Name the person who needs visibility or can make the decision.

6. By when?

Set the latest useful point for a decision, update or review.

7. Evidence to bring

Use the smallest set of facts that makes the impact and trade-off clear.

  • What has happened or changed
  • What is likely to happen next
  • What changes if no decision is made
  • The practical options, where they are known

A clear opening

“The issue is [fact]. It affects [impact]. I need [person] to [decision or next action] by [when].”

Keep the ask factual. If the owner or decision is unclear, ask for help finding the right owner rather than escalating broadly.

Need help turning this into wording?

Build a free Escalation Pack in your browser.

The pack helps you work through the decision ask, who should hear it first, evidence to bring and wording for the conversation. Your choices stay on the page.

Open the free Escalation Pack