Drilling incident record
Worksheet version 1 — Blank working copy

Incident identity
Incident reference, timestamp and responsible person
[Not recorded]

Part, drawing revision, material lot and bore
[Not recorded]

Machine, tool/service history, fixture and program revision
[Not recorded]

Observed evidence
Last acceptable part, first deviation and intervening changes
[Not recorded]

Observed symptom, depth, sequence and alarms
[Not recorded]

Signals, units, measurement points and missing data
[Not recorded]

Chip/tool observations, photographs and inspection references
[Not recorded]

Investigation and closure
Proposed causes and the evidence needed for each
[Not recorded]

Authorized checks, responsible people and actual findings
[Not recorded]

Approved changes and documented trial conditions
[Not recorded]

Independent acceptance results and report references
[Not recorded]

Unresolved questions, disposition and follow-up
[Not recorded]