5 Whys analysis, fishbone diagram, corrective actions and verification
PAGE 1 OF 2
| # | Name | Position / Role | Department |
|---|---|---|---|
| 1 | |||
| 2 | |||
| 3 | |||
| 4 |
| Date / Time | Event Description | Source / Evidence |
|---|---|---|
| Why | Question | Answer (supported by evidence) |
|---|---|---|
| 1 | Why did the incident / problem occur? | |
| 2 | Why did that happen? | |
| 3 | Why did that happen? | |
| 4 | Why did that happen? | |
| 5 | Why did that happen? |
Fishbone (Ishikawa) Diagram - Contributing Factors
People
Process
Equipment
Materials
Environment
Management
Corrective actions, preventive actions and verification
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| # | Corrective Action | Priority | Assigned To | Target Date | Completed |
|---|---|---|---|---|---|
| 1 | |||||
| 2 | |||||
| 3 | |||||
| 4 | |||||
| 5 | |||||
| 6 |
| # | Preventive Action (to avoid recurrence in other areas) | Assigned To | Target Date | Completed |
|---|---|---|---|---|
| 1 | ||||
| 2 | ||||
| 3 |
I confirm that this root cause analysis was conducted in accordance with the organisation investigation procedure. The findings recorded above are based on objective evidence gathered during the investigation. Corrective and preventive actions have been agreed with the relevant action owners and target completion dates have been set.