Root Cause Analysis Template
Copy this template to create a new RCA document.
RCA-YYYY-MM-DD - Brief Title
Timeline
| Time | Event |
|---|---|
YYYY-MM-DD HH:MM |
Initial observation / symptom noticed |
YYYY-MM-DD HH:MM |
Investigation started |
YYYY-MM-DD HH:MM |
Root cause identified |
YYYY-MM-DD HH:MM |
Fix implemented |
YYYY-MM-DD HH:MM |
Verification complete |
Root Cause
5 Whys Analysis
| Why # | Question and Answer |
|---|---|
1 |
Why did [symptom] occur? |
2 |
Why did [immediate cause] occur? |
3 |
Why did [deeper cause] occur? |
4 |
Why did [even deeper cause] occur? |
5 |
Why did [systemic cause] occur? |
Contributing Factors
| Factor | Description | Preventable? |
|---|---|---|
Factor 1 |
How it contributed |
Yes/No |
Factor 2 |
How it contributed |
Yes/No |