SIX SIGMA DMAIC METHODOLOGY

ROOT CAUSE ANALYSIS REPORT TEMPLATE

EXPLAIN THE PROBLEM
DATE INCIDENT OCCURRED:
INCIDENT INVESTIGATOR:
RCA REPORT INITIATED BY:
DESCRIBE THE FULL INCIDENT DETAILS BELOW: INCLUDE THE DEFECT(S), NUMBER OF DEFECT(S), HOW OFTEN DEFECT(S) OCCURRED, ETC.
STEPS TAKEN (IF APPLICABLE)	DATE
D	1. Defined problem
2. Mapped out process (if applicable)
M	3. Gathered necessary data
4. Completed cause/effect analysis
A	5. Verified root cause with data
6. Developed steps for solutions & prevention
I	7. Pilot of implementation completed
8. Implementation completed
C	9. Completed control/monitoring plan
10. Documented any lessons learned

PROCESS MAPPING
See DMAIC Problem Solving (indicating the importance of finding root causes) example below:

Describe and gage the gap

Complete cause/effect investigation to classify root causes

Manage and maintain process improvement

Incident Investigation Process
See cause/effect example below:

ROOT CAUSE CONFIRMATION
Use data to confirm root cause below:

INVESTIGATION OF THE ROOT CAUSE
See resolution recommendations example below:

COST BENEFIT
See pricing breakdown below:
Total cost of issue broken down by year	$0.00
% of decreasing problem	0%
Total cost of potential resolution	$0.00
First year total savings	$0.00
EXECUTION PLAN
Indicated team members, timing, location and explain how below:

CONTROL SOLUTION
List control solution below (include procedure analytics):
KNOWLEDGE GAINED
List examples of gained knowledge below:

TEAM MEMBERS WHO COMPLETED INVESTIGATION
TEAM MEMBER TITLE	NAME	WORK NUMBER	CELL NUMBER

TASKS COMPLETED
DATE ASSIGNED	DATE DUE	DATE COMPLETED	TEAM MEMBER	TASK DETAILS