Title Page
ROOT CAUSE ANALYSIS TOOL
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Facility Name
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Date of analysis
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Prepared by
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Department Impacted
- Operations
- Admin / Office
- Maintenance
- Human Resources
- Transportation
- Legal
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Does problem affect an external customer?
- YES
- NO
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Customer Name
Problem Solving
STEP 1: WHAT IS THE PROBLEM
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Enter simple description of the problem (do not include a solution).
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Take or select picture to show problem.
STEP 2: USE 5W2H TO DEFINE A PROBLEM IN DETAILS
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Answer below questions:
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WHO?
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WHAT?
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WHERE?
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WHEN?
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WHY?
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HOW?
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HOW MANY/ MUCH?
STEP 3: ASK WHY?
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Continue to ask "Why" until the Answer is something that can be controlled.
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WHY 1 - Ask "Why" the defect occurred.
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ANSWER 1 - Enter response to Why 1.
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Can you control this item?
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You have identified a Root Cause. Proceed to Step 5.
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WHY 2 - Ask "Why" the event in Answer 1 occurred.
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ANSWER 2 - Enter response to Why 2.
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Can you control this item?
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You have identified a Root Cause. Proceed to Step 5.
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WHY 3 - Ask "Why" the event in Answer 2 occurred.
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ANSWER 3 - Enter response to Why 3.
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Can you control this item?
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You have identified a Root Cause. Proceed to Step 5.
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WHY 4 - Ask "Why" the event in Answer 3 occurred.
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ANSWER 4 - Enter response to Why 4.
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Can you control this item?
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You have identified a Root Cause. Proceed to Step 5.
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WHY 5 - Ask "Why" the event in Answer 4 occurred.
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ANSWER 5 - Enter response to Why 5.
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Can you control this item?
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You have identified a Root Cause. Proceed to Step 5.
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WHY 6 - Ask "Why" the event in Answer 5 occurred.
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ANSWER 6 - Enter response to Why 6.
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Can you control this item?
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You have identified a Root Cause. Proceed to Step 5.
Root Cause Action
STEP 4: ROOT CAUSE - CORRECTIVE ACTION TO PREVENT RECURRENCE
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WHAT WAS THE ROOT CAUSE? (Controllable item(s) that started the problem)
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Indicate actions that will be taken to prevent reoccurrence.
(Plan to eliminate Root Cause). -
Corrective Action 1:
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Enter action taken:
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Who is responsible for action:
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When is action due.
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Select to add another ACTION.
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Corrective Action 2:
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Enter action taken:
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Who is responsible for action:
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When is action due.
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Select to add another ACTION.
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Corrective Action 3:
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Enter action taken:
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Who is responsible for action:
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When is action due.
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Select to add another ACTION.
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Corrective Action 4:
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Enter action taken:
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Who is responsible for action:
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When is action due.
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Select to add another ACTION.
STEP 5: Check action effectiveness
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ACTION 1: (What was implemented?)
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Who is responsible for implementing?
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When will implementation be complete?
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Select to add another ACTION.
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ACTION 2: (What was implemented?)
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Who is responsible for implementing?
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When will implementation be complete?
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Select to add another ACTION.
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ACTION 3: (What was implemented?)
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Who is responsible for implementing?
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When will implementation be complete?
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Select to add another ACTION.
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ACTION 4: (What was implemented?)
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Who is responsible for implementing?
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When will implementation be complete?
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Select to add another ACTION.
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BUSINESS IMPACT: (What was the impact to business in numerical value).
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RESULTS: (Did it work? Describe results)
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SPREAD LEARNINGS: (Where else should this be applied)
Review
ANALYSIS DONE BY
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Team members names
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Leader name
