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    Root Cause Analysis Template

    Uploaded by

    romee
    This document provides a template for conducting a root cause analysis with 3 steps: 1) Define the problem by describing what happened, when, where, and the impact. 2) Analyze the problem through a cause map identifying effects, causes and evidence. 3) Propose solutions by listing corrective actions that address each identified cause along with the action owner, due date, and verification.

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    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd

    Root Cause Analysis Template

    Uploaded by

    romee
    180 views3 pages
    This document provides a template for conducting a root cause analysis with 3 steps: 1) Define the problem by describing what happened, when, where, and the impact. 2) Analyze the problem through a cause map identifying effects, causes and evidence. 3) Propose solutions by listing corrective actions that address each identified cause along with the action owner, due date, and verification.

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    Root Cause Analysis Template

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    This document provides a template for conducting a root cause analysis with 3 steps: 1) Define the problem by describing what happened, when, where, and the impact. 2) Analyze the problem through a cause map identifying effects, causes and evidence. 3) Propose solutions by listing corrective actions that address each identified cause along with the action owner, due date, and verification.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Download as xlsx, pdf, or txt
    180 views3 pages

    Root Cause Analysis Template

    Uploaded by

    romee
    This document provides a template for conducting a root cause analysis with 3 steps: 1) Define the problem by describing what happened, when, where, and the impact. 2) Analyze the problem through a cause map identifying effects, causes and evidence. 3) Propose solutions by listing corrective actions that address each identified cause along with the action owner, due date, and verification.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Download as xlsx, pdf, or txt
    You are on page 1of 3

    Step 1: Define the Problem Or, Click Here to Create Your Root Cause Analysis in Smartsheet

    What Problem (s)

    When Date

    Time

    Where Facility, site,

    Unit, area, equipment

    Task being performed

    Impact to the Goals


    Safety

    Environmental

    Customer Services

    Regulatory

    Production / Schedule

    Property / Equipment

    Labor / Time

    Total this incident $ -

    Frequency

    Annualized Cost $ -
    Step 2: Analysis
    Why?
    Possible Solution:
    [Incident Title] Effect Cause

    Evidence:
    Cause Map Basic Cause-and-Effect Relationship

    Why? Why? Why? Why? Why?

    Goal Impacted

    Safety Goal
    Impacted

    Environmental
    Goal Impacted

    Customer Service
    Goal Impacted

    Regulatory Goal
    Impacted

    Production /
    Schedule Goal
    Impacted

    Property /
    Equipment Goal
    Impacted

    Labor / Time Goal


    Impacted
    Step 3: Solutions
    [Incident Title]
    Corrective Actions - One action (solution) per every cause from the Cause Map

    Status - Verification (Check


    No. Action Item Cause Owner(s) (Names) Date Due Notes
    Completed whether effective)

    1
    2
    3
    4
    5
    6
    7
    8
    9
    10

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