Dave Chase

Sysco St. Louis 5 Why Worksheet

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

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Use this Template

Information

Incident this audit relates to
Supervisor
Personnel
Conducted on

Investigation

Incident 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 Why's but as many as necessary.

Findings

Root Cause

Corrective actions
Due by:
Supervisor Responsible:

Dave Chase

Sysco St. Louis 5 Why Worksheet

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

Use this Template

Print as PDF

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