Machine Downtime RCA Worksheet
General Information
Machine Name/ID
Date
Reported By
Location
Downtime Details
Start Time
End Time
Total Downtime
Description of Problem
Initial Actions Taken
Immediate Actions
Personnel Involved
Root Cause Analysis
Possible Cause
Evidence
Status (Confirmed/Eliminated)
Confirmed
Eliminated
Confirmed
Eliminated
Confirmed
Eliminated
Corrective Actions
Action
Responsible Person
Target Date
Status
Prevention / Lessons Learned
Preventive Actions
Notes / Lessons Learned
Review & Approval
Reviewed By
Date
Approval