The 5 Why's of Accident Investigation - Sabre Industries

• Document No.

• Accident Investigation

• Audit Title

• Southbridge Location

• Conducted on

  Date

• Prepared by

• Personnel

5 Why's of Accident Investigation

• Date Completed:

  Date

• Department

  Select Metal Fab Production Maintenance Shipping Warehouse Administrative EH&S Galvanizer inventory Paint bldg. Blast bldg. Install Electrical Building Movement Mobile Products Welding SMA Contract Labor

  • Metal Fab
  • Production
  • Maintenance
  • Shipping
  • Warehouse
  • Administrative
  • EH&S
  • Galvanizer
  • inventory
  • Paint bldg.
  • Blast bldg.
  • Install
  • Electrical
  • Building Movement
  • Mobile Products
  • Welding
  • SMA
  • Contract Labor

• Supervisor:

  Select Todd Jasa Gary Hammer Lloyd Myers Mike Libke Leah Neff Tabrina Albertson Paula Peterson Chris Piaza James Hathaway john Pleiss Devon Ben Wolverton Jeremy Gunnels Jorge Matt Liston Andy Lutt Rick Rocha Ryan Dice Jeff Krafton Jesus Hernandez other

  • Todd Jasa
  • Gary Hammer
  • Lloyd Myers
  • Mike Libke
  • Leah Neff
  • Tabrina Albertson
  • Paula Peterson
  • Chris Piaza
  • James Hathaway
  • john Pleiss
  • Devon
  • Ben Wolverton
  • Jeremy Gunnels
  • Jorge
  • Matt Liston
  • Andy Lutt
  • Rick Rocha
  • Ryan Dice
  • Jeff Krafton
  • Jesus Hernandez
  • other

• Problem Solving

• Define (Problem Statement):

• Why's/Because - Finding the Root Cause

• Why?

• Because:

• Why?

• Because:

• Why?

• Because:

• Why?

• Because:

• Why?

• Because:

• Completed by(signature)

  Sign

• Select date

  Date

• Completed by(signature)

  Sign

• Select date

  Date

• Add media

  Media