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Inspection

5 Whys

De ne the problem.

Enter text

To answer why this problem occured, tap add WHY.

WHY

Why did this problem occur?

Enter text
Is this the root cause of the problem?

Yes No

Completion

Additional Suggestions

Enter text

Full Name and Signature of Team Manager 

To list all the 5 whys participants, tap ADD TEAM MEMBER.

TEAM MEMBER

Full Name and Signature of Team Member 

Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health
and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such
checklist is permissible in your workplace or jurisdiction.