Information
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Incident this audit relates to
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Supervisor
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Personnel
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Conducted on
Investigation
Incident that occurred
Events that lead up to accident
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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.
Why
Findings
Root Cause
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Corrective actions
CA
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Due by:
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Supervisor Responsible: