Title Page

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Personnel

Site and Incident

  • This is AP's Pre-RCA data capture tool.

  • Describe the incident.


  • Item of interest / Data capture

  • Issue
  • Description

  • Add photos

  • Are there any actions?

  • If there are any more issues or data capture points please add more using the Add button.

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.