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Project Health Checks: Taking the Pulse of Your Project

Every project, no matter how well-planned, has risks of going off track. A Project Health Check is essentially a diagnostic exam… like an annual medical check-up, but for projects. It provides an independent, structured view of whether a project is fit and healthy …or quietly sliding toward trouble.

So, what exactly do we look for when we say we are checking the health of a project? Let’s break it down.

1. Alignment to Objectives 🧩

  • The ‘Why’ test: Is the project still aligned to its original business case?
  • Benefit realization: Are the intended outcomes still valid, measurable, and achievable?
  • Projects can sometimes continue out of momentum rather than value. A health check helps ensure the project’s purpose has not drifted.

2. Stakeholder Engagement 🤝

  • Are key stakeholders informed and supportive?
  • Is there clarity on roles, responsibilities, and decision-making authority?
  • If stakeholders feel disengaged or left in the dark, you have got a ticking time bomb. Healthy projects thrive on trust and open communication.

3. Governance & Control 🏛️

  • Is there an effective Project Management Office (PMO) or governance structure?
  • Are risks, issues, and changes being tracked and managed?
  • Are decisions documented and escalations handled timely?
  • Good governance is the immune system of a project… it detects, responds, and prevents problems before they spread.

4. Schedule Health 📉

  • Is the project tracking to its key milestones?
  • Are delays realistic, explained, and recoverable?
  • Missed deadlines aren’t just a scheduling issue… they are symptoms of deeper planning, resourcing, or scope problems.

5. Budget & Financials 🪙

  • Is the project burning through money faster than planned?
  • Are cost forecasts credible?
  • Healthy projects have strong financial discipline. Even if costs rise, they should rise with justification and with control.

6. Risk & Issue Management ⚠️

  • Are risks identified, quantified, and actively mitigated?
  • Are issues addressed promptly rather than parked?
  • Projects that do not actively manage risks are like cars driving at night with the headlights off. Eventually, you will hit something.

7. Team Morale & Capability 🫂

  • Is the team motivated, skilled, and adequately resourced?
  • Are there hidden bottlenecks caused by overworked or under-skilled members?
  • A demotivated team is an early-warning indicator. Burnout, confusion, or lack of capacity often show up before delays and overruns.

8. Quality & Deliverables ☑️

  • Are deliverables meeting agreed standards and acceptance criteria?
  • Is quality being built-in or only inspected at the end?
  • If quality is compromised, rework and reputational damage follow quickly.

9. Communication & Transparency 📝

  • Is reporting consistent, timely, and honest?
  • Is bad news escalated early or buried until it is too late?
  • Healthy projects have clear, unvarnished visibility. Leaders need facts, not spin.

10. Early Warning Signs & Red Flags 🚩

  • Constant scope creep with no control
  • Repeated missed deadlines
  • Escalating budget without corresponding value
  • High staff turnover
  • Stakeholders losing interest

The Bottom Line 🩺

A Project Health Check is not about finding fault… it is about early detection and recovery. Think of it as preventive maintenance: cheaper and less painful than dealing with a breakdown.

A well-run health check gives project sponsors and leadership confidence that things are under control… or a reality check if they are not. More importantly, it provides a roadmap to corrective actions, ensuring the project delivers value, not just activity.

Tip: The best organizations embed periodic health checks into their project lifecycle: at initiation, mid-project, and pre-closeout… making them part of a culture of continuous improvement.