Root cause analysis checklist

Template Information

An investigation tool for accident::Incident analysis of the basic root cause. updated

Category: general

Template Questions

  • The root cause of any accident/incidents is the most basic cause that can reasonably be identified an
  • Once notification of an accident or incident is received you are ready to undertake an investigation,
  • Investigation Process Checklist
  • Collect Initial Data
  • Notes
  • Here you need to Depict Events using the five "W's" = (who, what, why, where, when) and identify the
  • Causal Factors
  • Factual Evidence
  • Add media if relevant.
  • Relationships
  • Develop an Events & Causation chart using recognised technique.eg - fish bone, fault tree, FMEA etc.
  • Get chart
  • Identify system which failed.
  • Examine the system for problems.
  • Policy
  • Was a Policy in place?
  • Planning
  • Was there a plan in place?
  • Control
  • Who is responsible for the standard?
  • Was the responsibility re-assigned?
  • Competence
  • Is there a required standard?
  • Implementation
  • Was the system specified?
  • Communication
  • Was the system communicated?
  • Cooperation
  • Was a standard specified?
  • Measuring
  • Was there a standard for measuring the system?
  • Reviewing
  • Was there a system for reviewing?
  • Root Cause The root cause is the most basic cause that can reasonably be identified and management ha
  • Root Cause
  • Conclusion
  • Investigation concluded. Date
  • Investigation conducted by: