Root-Cause Analysis

Issue Details

  • Date issue reported

  • Brief description of the issue

  • Rate the impact to productivity

Possible Root Cause

  • List potential reasons why the issue happened

  • Brief description of a cause

  • Rate probability as the root cause

  • What is the root cause of the issue?

  • Categorize the root cause of the issue

  • Please specify

Prevention Strategy

  • Solution to be implemented

  • Estimated cost

  • Are there special considerations?

  • Please specify

  • Are there incidental findings to be reviewed for corrective action?

  • Please specify


  • Full Name and Signature of RCA Team Leader

  • List RCA Team Members

  • Full Name and Signature

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. Any ratings or scores displayed in our Public Library have not been verified by SafetyCulture for accuracy. Users of our platform may provide a rating or score that is incorrect or misleading. You should independently determine whether the template is suitable for your circumstances. You can use our Public Library to search based on criteria such as industry and subject matter. Search results are based on their relevance to your search and other criteria. We may feature checklists based on subject matters we think may be of interest to our customers.