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Root Cause Analysis Checklist Template

by Sophie Langiri, from the Community

Downloads: 10+
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This root cause analysis template guides continuous improvement teams through a structured RCA process. It starts with capturing incident details and observing the problem, then runs basic containment and standards checks for safety and escalation. Teams define the problem across what, where, when, who, which, and how much. Root cause discovery is supported by fishbone categories including man, method, machine, measurement, material, and environment, plus behavior-based safety, PPE, communication, guarding, tools, calibration, and process change prompts. The template includes 5 Whys, action planning with owners and due dates, and 30 and 90 day verification checks to ensure corrective actions are effective. Final sign off occurs once actions are verified and standards are updated.

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.