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    Root Cause Analysis

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    Mohd Nor Usop
    The document outlines the 5 Whys technique for root cause analysis. It presents an example of applying 5 Whys to understand why a kingdom was lost, with each subsequent why drilling down to the underlying cause. It then provides tips for effective use of 5 Whys including avoiding bias, finding the right person to answer the whys, and using other root cause analysis tools if needed. Finally, it discusses preparing for a 5 Whys analysis, including addressing why something was made defectively and why the defect was not detected, as well as following the thought process to identify the root cause rather than limiting to 5 whys.

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    Root Cause Analysis

    Uploaded by

    Mohd Nor Usop
    128 views8 pages
    The document outlines the 5 Whys technique for root cause analysis. It presents an example of applying 5 Whys to understand why a kingdom was lost, with each subsequent why drilling down to the underlying cause. It then provides tips for effective use of 5 Whys including avoiding bias, finding the right person to answer the whys, and using other root cause analysis tools if needed. Finally, it discusses preparing for a 5 Whys analysis, including addressing why something was made defectively and why the defect was not detected, as well as following the thought process to identify the root cause rather than limiting to 5 whys.

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    Root cause analysis using 5 Why's

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    The document outlines the 5 Whys technique for root cause analysis. It presents an example of applying 5 Whys to understand why a kingdom was lost, with each subsequent why drilling down to the underlying cause. It then provides tips for effective use of 5 Whys including avoiding bias, finding the right person to answer the whys, and using other root cause analysis tools if needed. Finally, it discusses preparing for a 5 Whys analysis, including addressing why something was made defectively and why the defect was not detected, as well as following the thought process to identify the root cause rather than limiting to 5 whys.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    128 views8 pages

    Root Cause Analysis

    Uploaded by

    Mohd Nor Usop
    The document outlines the 5 Whys technique for root cause analysis. It presents an example of applying 5 Whys to understand why a kingdom was lost, with each subsequent why drilling down to the underlying cause. It then provides tips for effective use of 5 Whys including avoiding bias, finding the right person to answer the whys, and using other root cause analysis tools if needed. Finally, it discusses preparing for a 5 Whys analysis, including addressing why something was made defectively and why the defect was not detected, as well as following the thought process to identify the root cause rather than limiting to 5 whys.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 8

    5 Why Questions

    1 Why was the Kingdom lost? Because the war was lost.

    2 Why was the war lost? Because the battle was lost.

    3 Why was the battle lost? Because the army was lost.

    4 Why was the army lost? Because the rider was lost.

    5 Why was the rider lost? Because the horse was lost.

    6 Why was the horse lost? Because the shoe was lost.

    7 Why was the shoe lost? Because the nail was lost

    8 Why was the nail of the shoe .............................?


    lost?

    1
    5 Why’s Analysis
    Countermeasure
    Why?
    Why?
    Why?
    Why? A simple tool for drilling-
    down on the problem
    Why? statement until the root
    cause is identified by
    asking “WHY” 5 times
    Problem Statement

    2
    5 Why’s Analysis
    Countermeasure

    Why?
    Why?
    Why?
    Why? TIPS:
    Why?  Avoid intentional or unintentional
    bias while answering.
     Find the right person who can
    Problem Statement answer the 5Why’s.
     Use other RCA Tools if you’re
    getting misleading answer

    3
    Five Why’s Preparation
    Five why’s is a Root Cause Analysis Tool. Not a problem solving technique.
    The outcome of a 5 Why’s analysis is one or several root causes that
    ultimately identify the reason why a problem was originated. There are other
    similar tools as the ones mentioned below that can be used simultaneously
    with the 5 Why’s to enhance the thought process and analysis.

    Corrective
    Problem Root Cause
    Actions

    Root Cause analysis Tools:


     Ishikawa Charts (Fish Bone)
     Design of Experiments
     Is / Is not Analysis
     5 Why’s
     Cause & Effect Diagram.
     Statistical Data Analysis (Cpk,
    Paretto Charts, Anova,etc…)
    Five Why’s Preparation
    • Any 5 Why’s must address two different problems at the same time.
    The first part is related to the process that made the defective part.

    (“Why made?”)

    • The second one must address the detection system that was not able
    to detect the defective part before it became a problem. The lack of
    detection of a defective product is a problem of its own and must be
    treated independently than the product problem itself.

    (“Why not detected?”)


    Five Why’s Preparation
    • Even though the discipline is called 5 Why’s is not always necessary
    to reach 5 before the root cause of a problem is fully explained; or it
    may take more than 5 why’s to get to the bottom of it. It will depend on
    the complexity of the process or the problem itself.

    • In any case, 5 has been determined, as a rule of thumb, as the number


    at which most root causes are clearly identified. Do not worry about
    not meeting or exceeding this number though. Just follow your
    thought process and let it decide how many Why’s you require to get
    to the point where the root cause is evident.
    For all the Five Why’s:
    Ask the full question including the problem or cause behind it. If there is
    a problem with labeling ask:
    • “Why the parts were labeled incorrectly?”
    If the answer is unreliable database ask:
    • “Why is the database unreliable?”

    If we do not follow this


    approach answers to the
    why’s tend to lose focus on
    the third or fourth why.
    Thank You

    [email protected]

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