Title Page
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Document No.
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Conducted on
Process alert discovered
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What Shift?
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What area?
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Probable responsible associate (Where to begin investigation)
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Process Discovered - Need details of the process alert.
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Enter any pictures as verification and validation
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Initial Investigation on the event - Ask the 5 Whys What was found, order number, plate number
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responsible person to complete POST INVESTIGATION (team leader?)
POST INVESTIGATION INFORMATION
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Is there a controlled standard for this process (WI, Verbal instruction, process map etc...)
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List details of investigation need details again, Why Why Why Why Why
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Associate responsible
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Enter pictures of incident if different from initial investigation
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Deviation or variation discovered
If variation or deviation is revealed in post investigation, COMPLETE the following
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In there own words, what will the associate do differently to avoid repeat? OWNERSHIP of INCIDENT
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Associate signature
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Team Leader signature
