Root Cause Analysis (RCA) Report

1. Incident Summary

Incident ID
Incident Title
Priority ☐ P1 - Critical ☐ P2 - High ☐ P3 - Medium ☐ P4 - Low
Reported Date/Time
Detected By
Affected System(s)
Affected Users/Processes
Incident Owner

2. Impact Assessment

Business Impact

Describe the impact on business operations:

_________________________________________________________________________________

_________________________________________________________________________________

Technical Impact

Describe the technical symptoms observed:

_________________________________________________________________________________

_________________________________________________________________________________

Scope

Number of users affected: _____________

Systems affected: _____________

Duration of impact: _____________ (from _______ to _______)

3. Incident Timeline

Date/Time: _______________

Event: Incident first detected

Description: _________________________________________________________________

Date/Time: _______________

Event: Initial response and triage

Description: _________________________________________________________________

Date/Time: _______________

Event: Investigation activities

Description: _________________________________________________________________

Date/Time: _______________

Event: Workaround or fix implemented

Description: _________________________________________________________________

Date/Time: _______________

Event: Service restored / Incident resolved

Description: _________________________________________________________________

4. Root Cause Analysis

Immediate Cause

What directly caused the incident?

_________________________________________________________________________________

_________________________________________________________________________________

Root Cause

What underlying factors allowed the immediate cause to occur?

_________________________________________________________________________________

_________________________________________________________________________________

Contributing Factors

What other factors contributed to the incident?

_________________________________________________________________________________

_________________________________________________________________________________

Analysis Method Used

☐ 5 Whys ☐ Fishbone Diagram ☐ Timeline Analysis ☐ Other: _______________

5. Resolution Actions

Action Taken Date/Time Performed By Result

6. Corrective Actions (Short-term)

Actions taken to prevent immediate recurrence:

Action Owner Target Date Status

7. Preventive Actions (Long-term)

Actions to address root cause and prevent similar incidents:

Action Owner Target Date Status

8. Lessons Learned

What Went Well

_________________________________________________________________________________

_________________________________________________________________________________

What Could Be Improved

_________________________________________________________________________________

_________________________________________________________________________________

Knowledge Base Update

Has this solution been added to the knowledge base? ☐ Yes ☐ No

KB Article ID: _______________

9. Approvals

Prepared By Name: ____________________ Signature: ____________________ Date: __________
Reviewed By Name: ____________________ Signature: ____________________ Date: __________
Approved By Name: ____________________ Signature: ____________________ Date: __________

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This template is provided as a guide. Adapt as needed for your specific requirements.