Template

EEE 5 Why Investigation Template

by EEE DSO, from the Community

This EEE 5 Why Investigation template supports structured incident and near-miss analysis in academic environments. Capture location and room details, record team members present, and log incident date and time, affected persons and property, initial impact, and immediate response. Apply the 5 Whys method to explore contributing factors, identify the root cause, and summarise findings. Assign corrective and preventive actions to improve safety and reduce recurrence across labs, workshops, and facilities.

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

Community

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.

Template
EEE 5 Why Investigation
Use this structured 5 Whys investigation template from the EEE department to analyze accidents, injuries, damage incidents, and near misses. Record location, team members, date and time, affected persons and property, initial impact and response, ask successive Why questions to isolate the root cause, and define corrective and preventive actions to prevent recurrence.
by EEE DSO, from the Community
Downloads: 0
Get
Template
5 Why Incident Investigation Template
Use this 5 Why incident investigation template to examine workplace incidents and identify root causes. Capture key details such as team members, incident type, date and time, people and equipment involved, and injuries or damage. Record evidence including photos and statements, then progress through five iterative why questions to reveal the underlying cause. Classify the root cause across areas like risk assessment, procedures, design, quality control, maintenance, human factors, management, training, communication, or environmental factors. Assess hazards, contributing behaviors, and existing controls, and document practical recommendations and corrective actions to improve safety and prevent recurrence.
by Brianna Sanders, from the Community
Downloads: 0
Get
Template
5 Why Investigation Template
This 5 Why Investigation template helps teams analyze accidents, injuries, damage-causing incidents, and near misses. Capture key details such as location, team members, date and time, and a clear description of the incident. Document initial containment actions, the required standard or expected procedure, and the problem statement. Work through five Why prompts to uncover the root cause, then summarize findings. Define corrective and preventive actions that address the failure mechanism and modify systems to prevent recurrence, with guidance to create and assign actions for progress tracking.
by MEE Safety, from the Community
Downloads: 10+
Get
Template
Incident Investigation & Root Cause Analysis
Use this incident investigation and root cause analysis template to document incident details, classify type and location, record contributing behaviors and conditions, and perform Heinrich quick analysis. Guide your team through 5 Whys and fishbone categories (People, Machine, Method, Materials, Environment, Measurement) to identify root causes, then define corrective actions, PPE, training, and safety coaching with evidence photos to prevent recurrence.
by Jerome Stevenson, from the Community
Downloads: 20+
Get

EEE 5 Why Investigation

Use this structured 5 Whys investigation template from the EEE department to analyze accidents, injuries, damage incidents, and near misses. Record location, team members, date and time, affected persons and property, initial impact and response, ask successive Why questions to isolate the root cause, and define corrective and preventive actions to prevent recurrence.

by EEE DSO, from the Community

Get

Template

5 Why Incident Investigation Template

Use this 5 Why incident investigation template to examine workplace incidents and identify root causes. Capture key details such as team members, incident type, date and time, people and equipment involved, and injuries or damage. Record evidence including photos and statements, then progress through five iterative why questions to reveal the underlying cause. Classify the root cause across areas like risk assessment, procedures, design, quality control, maintenance, human factors, management, training, communication, or environmental factors. Assess hazards, contributing behaviors, and existing controls, and document practical recommendations and corrective actions to improve safety and prevent recurrence.

by Brianna Sanders, from the Community

Get

Template

5 Why Investigation Template

This 5 Why Investigation template helps teams analyze accidents, injuries, damage-causing incidents, and near misses. Capture key details such as location, team members, date and time, and a clear description of the incident. Document initial containment actions, the required standard or expected procedure, and the problem statement. Work through five Why prompts to uncover the root cause, then summarize findings. Define corrective and preventive actions that address the failure mechanism and modify systems to prevent recurrence, with guidance to create and assign actions for progress tracking.

by MEE Safety, from the Community

10+

Get

Template

Incident Investigation & Root Cause Analysis

Use this incident investigation and root cause analysis template to document incident details, classify type and location, record contributing behaviors and conditions, and perform Heinrich quick analysis. Guide your team through 5 Whys and fishbone categories (People, Machine, Method, Materials, Environment, Measurement) to identify root causes, then define corrective actions, PPE, training, and safety coaching with evidence photos to prevent recurrence.

by Jerome Stevenson, from the Community

20+

Get

EEE 5 Why Investigation Template

About author

You might also like

EEE 5 Why Investigation

5 Why Incident Investigation Template

5 Why Investigation Template

Incident Investigation & Root Cause Analysis

You might also like

EEE 5 Why Investigation

5 Why Incident Investigation Template

5 Why Investigation Template

Incident Investigation & Root Cause Analysis