Industrial Automation Process Investigation Form
Investigation Details
Investigator Name
Date
Time
Process/Location
Incident / Issue Description
Describe the process, incident, or anomaly:
Equipment & Controls
Equipment Involved
Controller/PLC Type
Key Operating Parameters
Initial Investigation
Action(s) Taken
Observations & Findings
Root Cause Analysis
Root Cause(s) Identified
Corrective Actions
Corrective / Preventive Action(s) Implemented
Follow-up & Verification
Follow-up Date
Verified By
Verification Notes