Skip to content
SafetyCulture
Template

Root Cause Analysis (RCA) Checklist

by Mesut Acar, from the Community

Downloads: 30+
Get this template

Use this Root Cause Analysis (RCA) checklist to investigate incidents and prevent recurrence. Capture an incident summary, interim containment, and analyze potential causes across human factors, materials, measurement, equipment, process, and environment. Choose 5 Whys or Ishikawa to determine direct and basic causes, then document corrective and preventive actions, completion status, and lessons learned. Verify effectiveness through risk assessment review, procedure updates, communication of improvements, and witnessed actions. Finish with sign-off to close the investigation.

With SafetyCulture you can

Digitize any process, procedure or policy
Eliminate mistakes made by paper-based processes
Create and share professional reports instantly
Confirm accountability and compliance with a digital log

With SafetyCulture you can

Digitize any process, procedure or policy
Eliminate mistakes made by paper-based processes
Create and share professional reports instantly
Confirm accountability and compliance with a digital log

About author

This community page makes available free workplace checklists and templates created by other users within the SafetyCulture community. SafetyCulture has re-published this content and where possible, has credited the original author. SafetyCulture has not verified the accuracy, reliability or suitability of any community content. You agree that your use of any of this content is in accordance with SafetyCulture’s Terms and Conditions.

Root Cause Analysis (RCA) Template for Incident Review | Free Template