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Root Cause Analysis Course - 5 Whys and Fishbone Diagram

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Book: Root Cause Analysis in Process-Based Industries

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Root Cause Analysis (Overview) – Lean Learning Revolution!

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Questions?

By gaining expertise in RCA it becomes a pro-active method. This means that RCA is able to forecast the possibility of an incident even before it could occur. Root cause analysis is not a single, sharply defined methodology; there are many different tools, processes, and philosophies of RCA in existence. Despite the seeming disparity in purpose and definition among the various schools of root cause analysis, there are some general principles that could be considered as universal. Similarly, it is possible to define a general process for performing RCA.

Root Cause Analysis (RCA)

Notice that RCA in steps 3, 4 and 5 forms the most critical part of successful corrective action, because it directs the corrective action at the true root cause of the problem. The root cause is secondary to the goal of prevention, but without knowing the root cause, we cannot determine what an effective corrective action for the defined problem will be. Goldratt in his theory of constraints that guides an investigator to identify and relate all root causes using a cause-effect tree whose elements are bound by rules of logic Categories of Legitimate Reservation.

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The CRT begins with a brief list of the undesirables things we see around us, and then guides us towards one or more root causes. This method is particularly powerful when the system is complex, there is no obvious link between the observed undesirable things, and a deep understanding of the root cause s is desired.

Failure mode and effects analysis Fault tree analysis 5 Whys Ishikawa diagram , also known as the fishbone diagram or cause-and-effect diagram. The Ishikawa diagram is the preferred method for project managers for conducting RCA, mainly due to its simplicity, and the complexity of the rest of the methods [1].