Root Cause/Corrective Action (RCCA) Worksheet

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Highlight the human factors that were considered in the analysis. Utilize the Dirty Dozen listed in the procedure. QAPG-QM58-FM1 Instructions (04/2018) UNCONTROLLED IF PRINTED. For each highlighted cause above, perform a 3x5 why analysis If more than one cause is highlighted, duplicate sections 4b and 4c for each

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