Equipment Failure Investigation Template
General Information
Date:
Investigator:
Department:
Equipment Name/ID:
Location:
Failure Description
Date & Time of Failure:
Description of Failure:
How was the failure detected?
Immediate Actions Taken
Actions Taken:
People Involved/Notified:
Investigation and Analysis
Investigation Summary:
Root Cause Analysis:
Contributing Factors:
Corrective and Preventive Actions
Corrective Actions:
Preventive Actions:
Follow-up Required:
Approvals
Reviewed By:
Date:
Approved By:
Date: