Title Page

  • Site conducted

  • Conducted on

  • Location

Issue Identification

  • Clearly define the problem or issue.

  • Confirm that the issue has been properly documented.

Root Cause Analysis

  • Does your team use appropriate analysis tools (5 Whys, Fishbone Diagram, etc.).

  • Is there a timeline with clear milestones for each action?

Action Plan

  • Are there specific action steps being implemented for the issue?

  • Are there assignments for affected stakeholders?

  • Are there other anticipated risks in resolving the reported issues?

Sign-Off

  • Audit conducted by:

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.