Title Page

  • Document No.

  • Conducted on

Process alert discovered

  • What Shift?

  • What area?

  • Probable responsible associate (Where to begin investigation)

  • Process Discovered - Need details of the process alert.

  • Enter any pictures as verification and validation

  • Initial Investigation on the event - Ask the 5 Whys What was found, order number, plate number

  • responsible person to complete POST INVESTIGATION (team leader?)


  • Is there a controlled standard for this process (WI, Verbal instruction, process map etc...)

  • List details of investigation need details again, Why Why Why Why Why

  • Associate responsible

  • Enter pictures of incident if different from initial investigation

  • Deviation or variation discovered

If variation or deviation is revealed in post investigation, COMPLETE the following

  • In there own words, what will the associate do differently to avoid repeat? OWNERSHIP of INCIDENT

  • Associate signature

  • Team Leader signature

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