Root Cause Analysis Worksheet

Determining root cause worksheet

If agreement on the root cause(s) is not reached, an in-depth risk assessment may be required. See part 3B: MSD Prevention Toolbox – Beyond the Basics.

What is the MSD we are trying to control?

root cause analysis diagram

Download the fillable PDF document below.

Modified from Part3A: MSD Prevention Toolbox – Getting Started Developed by Occupation Health and Safety Council of Ontario (OHSCO)

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Root cause analysis worksheet (1 page PDF)
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