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.

  • Why

Findings

Root Cause

  • Corrective actions

  • CA
  • Due by:

  • Supervisor Responsible:

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