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    Root Cause Analysis: Jeremy Jay Lim

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    sumit_waghmare
    This document provides an overview of root cause analysis (RCA) and tools that can be used for RCA, including the 5 Whys analysis, affinity diagram, and fishbone diagram. The 5 Whys involves repeatedly asking "why" to drill down to the root cause. Affinity diagrams group related causes to identify major causes. Fishbone diagrams map causes and their relationships to identify one or more root causes based on cause-and-effect. Examples are given of each tool. The document concludes with guidance on selecting the appropriate RCA tool based on the problem complexity.

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    Root Cause Analysis: Jeremy Jay Lim

    Uploaded by

    sumit_waghmare
    45 views20 pages
    This document provides an overview of root cause analysis (RCA) and tools that can be used for RCA, including the 5 Whys analysis, affinity diagram, and fishbone diagram. The 5 Whys involves repeatedly asking "why" to drill down to the root cause. Affinity diagrams group related causes to identify major causes. Fishbone diagrams map causes and their relationships to identify one or more root causes based on cause-and-effect. Examples are given of each tool. The document concludes with guidance on selecting the appropriate RCA tool based on the problem complexity.

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    rootcauseanalysispublic-130718052712-phpapp02.pdf

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    This document provides an overview of root cause analysis (RCA) and tools that can be used for RCA, including the 5 Whys analysis, affinity diagram, and fishbone diagram. The 5 Whys involves repeatedly asking "why" to drill down to the root cause. Affinity diagrams group related causes to identify major causes. Fishbone diagrams map causes and their relationships to identify one or more root causes based on cause-and-effect. Examples are given of each tool. The document concludes with guidance on selecting the appropriate RCA tool based on the problem complexity.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    45 views20 pages

    Root Cause Analysis: Jeremy Jay Lim

    Uploaded by

    sumit_waghmare
    This document provides an overview of root cause analysis (RCA) and tools that can be used for RCA, including the 5 Whys analysis, affinity diagram, and fishbone diagram. The 5 Whys involves repeatedly asking "why" to drill down to the root cause. Affinity diagrams group related causes to identify major causes. Fishbone diagrams map causes and their relationships to identify one or more root causes based on cause-and-effect. Examples are given of each tool. The document concludes with guidance on selecting the appropriate RCA tool based on the problem complexity.

    Copyright:

    © All Rights Reserved
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    Download as pdf or txt
    of 20

    RCA

    Root Cause Analysis


    Jeremy Jay Lim

    Certified Black Belt, PMP, BPM
    Learning objectives

    • Beable to identify the underlying root cause(s)


    out of the CPAR or SCPAR problem!

    • Beable to recommend an effective solution based


    on the identified root cause(s)
    CPAR / SCPAR Basic Process

    Determine
    Problem Determine
    Corrective Issue CPAR
    Occurs Root Cause
    Acton
    Deviation or Failure Corrective & Preventive

    Respondents
    Corrective Responses Identify CPAR
    write answers
    action starts approved Respondents
    to CPAR

    Respondents
    Effectiveness is
    sign-off when CAR Closed
    reviewed
    completed
    CPAR / SCPAR Solution Approach

    "Corrective Action & Preventive Action: 5 Step Approach", Tonya White-Salters, Avecia Consulting
    CPAR/SCPAR is not effective when

    Root Cause is
    not pointed out
    and addressed!
    "Corrective Action & Preventive Action: 5 Step Approach", Tonya White-Salters, Avecia Consulting
    Symptoms of Incorrect Root Cause

    "Corrective Action & Preventive Action: 5 Step Approach", Tonya White-Salters, Avecia Consulting
    RCA Tools

    •5 Why's Analysis

    • Fishbone Diagram

    • Affinity Diagram
    5 Why's Analysis

    Countermeasure

    A simple tool for drilling-


    down on the problem
    statement until the root
    cause is identified by
    Problem
    asking "WHY" 5 times
    Statement
    5 Why's Analysis

    Countermeasure

    Problem
    Statement TIPS:!
    Avoid intentional or unintentional bias while answering!
    Find the right person who can answer the 5Why's!
    Use other RCA Tools if you're getting misleading answers
    Example of 5 Why's Analysis
    Problem Statement: The pizza delivery personnel's motorbike stopped
    while on his way to deliver several orders of pizza resulting to delay!
    Cost Impact: All delayed pizza were given free of charge to the customers
    amounting to a total of Php4,000.00

    Why 1: Why did the motorbike stopped?!


    Answer 1: Because it ran out of gas while on its way to deliver pizzas!
    !
    Why 2: Why did then gas run out?!
    Answer 2: Because the delivery personnel did not gas up the motorbike that morning!
    !
    Why 3: Why didn't the personnel gas up the motorbike that morning?!
    Answer 3: Because the personnel did not have money to buy the gas!
    !
    Why 4: Why did the personnel not have money to buy the gas?!
    Answer 4: Because he was not able to ask money from his manager!
    !
    Why 5: Why was he not able to ask money from his manager?!
    Answer 5: Because he came in late and was not able to find the manager!

    Solution: The pizza delivery personnel should come to the office on time
    or earlier to find the manager and ask for gas money before the deliveries.
    Affinity Diagram

    A simple tool for putting


    together a big number of
    CAUSES
    detailed and inter-related
    causes and group them
    Major Causes according to broad topics.!
    !
    This helps in focusing on the
    bigger picture or Major root
    cause. !
    !
    Similar to Zooming Out.
    Example of Affinity Diagram 1/3

    Brainstorm on
    ideas about
    the causes
    Example of Affinity Diagram 2/3

    Group inter-
    related causes
    Example of Affinity Diagram 3/3

    Identify the
    Major Causes
    Fishbone Diagram

    A quality tool used for


    identifying the root
    cause based on the
    "Cause & Effect"
    relationships!
    !
    Useful for analysis of
    complex problems!
    !
    Grouping of causes can
    be according to 5Ms
    or by major causes
    Example of Fishbone Diagram 1/3

    State the
    problem
    Example of Fishbone Diagram 2/3

    Define the
    Major
    Groups of
    Causes
    Example of Fishbone Diagram 3/3

    Identify the
    root cause(s)
    Applicability of RCA Tools
    •5 Why's Analysis!

    When looking at one major cause and needs drill-down to arrive at


    one root cause!

    • Affinity Diagram!

    When looking at several inter-related and detailed causes which have


    some things in common and can be grouped together to see the Major
    Causes!

    • Fishbone Diagram!

    When looking at numerous major causes and needs drill-down probing


    to arrive at numerous root causes(s) based on their Cause and Effect
    Relationships
    Team Exercise on RCA Tools

    Form groups of 4 to 5 members


    Choose a problem coming from your past CPAR or SCPAR cases


    Use any of the RCA tools to identify the root cause and
    recommend a Corrective and/or Preventive Action
    Countermeasure

    Please ensure appropriateness of the selected RCA tool to the


    difficulty or complexity of the problem

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