Step 1: Define the Problem Or, Click Here to Create Your Root Cause Analysis in Smartsheet
What Problem (s)
When Date
Time
Where Facility, site,
Unit, area, equipment
Task being performed
Impact to the Goals
Safety
Environmental
Customer Services
Regulatory
Production / Schedule
Property / Equipment
Labor / Time
Total this incident $ -
Frequency
Annualized Cost $ -
Step 2: Analysis
Why?
Possible Solution:
[Incident Title] Effect Cause
Evidence:
Cause Map Basic Cause-and-Effect Relationship
Why? Why? Why? Why? Why?
Goal Impacted
Safety Goal
Impacted
Environmental
Goal Impacted
Customer Service
Goal Impacted
Regulatory Goal
Impacted
Production /
Schedule Goal
Impacted
Property /
Equipment Goal
Impacted
Labor / Time Goal
Impacted
Step 3: Solutions
[Incident Title]
Corrective Actions - One action (solution) per every cause from the Cause Map
Status - Verification (Check
No. Action Item Cause Owner(s) (Names) Date Due Notes
Completed whether effective)
1
2
3
4
5
6
7
8
9
10