Example RCA Report and Chart Templates
RCA program champions and facilitators often ask us for RCA report and chart templates or forms. Because every organization, situation and problem is unique, our clients are most successful at truly solving and preventing problems when they view root cause analysis as a knowledge-based process, rather than a software- or template-based process. Further, valuable solutions come from people through their ideas and process knowledge, and through the new information uncovered by the questions that are generated and answered when creating the cause and effect chart. So we offer the following example reports and charts to inspire their ability to thoroughly pinpoint causes, organize them in an accurate and logical fashion, and identify and prioritize effective solutions.
Because the example reports and charts posted on this page are based on real client situations, and because the investigations we perform for our clients are highly confidential, these examples are anonymous, and -- when needed – have been altered slightly to protect confidentiality and anonymity. To create these, we employed the Sologic® RCA method and Causelink® RCA software.
Dust Explosion
Report with 8.5 x 11 chart Report with 11 x 17 chart
Near-Miss Asphalt Drop
Report with 8.5 x 11 chart Report with 11 x 17 chart
Loss of Productivity - Virus Software
Report with 8.5 x 11 chart Report with 11 x 17 chart
Healthcare Crisis
Report with 8.5 x 11 chart Report with 11 x 17 chart
IT - Customer Complaints
Report with 8.5 x 11 chartReport with 11 x 17 chart
Manufacturing Non-Conformance
Report with 8.5 x 11 chart Report with 11 x 17 chart
Project Management: Delivered Late, Over Budget, Profit Lost
Shipments Missed - Supply Chain Problems
Customer Perception of Quality Problem
Contact us if you would like to see an example problem in your industry or if you have a unique problem that you would like to share.
