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LNA 5 Why Worksheet
LNA 5 Why Worksheet
Asher Sweet

LNA 5 Why Worksheet

This is intended to be used as post accident follow-up for investigation and corrective action

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Free LNA 5 Why Worksheet Checklist

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Information

  • Accident this audit relates to

  • Facilitator

  • Personnel

  • Conducted on

Investigation

Accident that occurred

Events that lead up to accident

  • Using a why/because method, list the items that occurred to cause the accident to happen. Each step should tell why the last step occurred. Use a minimum of 5 whys but as many as necessary.

    • Why

Findings

Root Cause

  • Corrective actions

    • CA

  • Due by

LNA 5 Why Worksheet
Asher Sweet

LNA 5 Why Worksheet

This is intended to be used as post accident follow-up for investigation and corrective action

Use this Template
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.

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