Title Page

  • CAP Titel

  • CAP Number

  • Reference Document (Audit, Inspection, Hazard, MOR, ect.)

  • Prepared by

  • Issued on

  • Effective Date:

  • Location

  • Contact & Titel

  • Signed by Reporter

Abstract & Scope

  • Abstract: Brief summary of the content and to what reference this CAP was written.

    Scope: What does this document address.

  • Abstract

  • Scope

  • FOCA Audit Finding?

  • Finding Reference?

  • Finding Level?

  • Legal Reference Statement:

  • Non-Conformity Statement (Excerpt from Audit)

Root Cause Analysis (RCA)

  • Step-by-Step Instructions :

    First state the problem you have identified as a strategic problem to work on.

    Second start asking “why” related to the problem. Like an inquisitive toddler, keep asking why in response to each suggested cause.

    Third ask as many whys as you need to get insight at a level that can be addressed (asking five times is typical). You will know you have reached your final „why“ because it does not make logical sense to ask why again.

    It is said that only by asking "Why?" five times successively, can you delve into a problem deeply enough to understand the ultimate root cause. By the time you get to the 4th or 5th why, you will likely be looking squarely at management practices. However, more than five whys may be required for complex
    problems.

  • What is the Issue / Problem?

  • Identification of the Root Cause

  • 1. Why?

  • 2. Why?

  • 3. Why?

  • 4. Why?

  • 5. Why?

  • State Root Cause

Initiation of Actions and Measures

  • Initiate corrective action and preventive action
    (Who does what, when and due date by adding a Action):
    • correction to eliminate problem
    • corrective action to eliminate root cause
    • preventive action to eliminate potential root cause
    • define measurement criteria to evaluate effectiveness

  • Corrective Actions?

  • What are the required Actions?

  • What is the Time Limit? Due Date?

  • Why not?

  • Why is it not applicable?

  • Preventive Actions?

  • What are the required Actions?

  • What is the Time Limit? Due Date?

  • Why not?

  • Why is it not applicable?

  • What are the Implemented Measures?

  • Have ad interim measures been introduced until the problem can be solved permanently (Quick fix)?

  • What are the ad interim measures?

  • What is the Time Limit? Due Date?

  • Why not?

  • Why is it not applicable?

Summary and Conclusion of CAP

  • Summary and Conclusion

Approval

  • Date and time of approval

  • Approver's 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. You should independently determine whether the template is suitable for your circumstances.