SlideShare a Scribd company logo

Root Cause Analysis Module Outline

•Download as PPS, PDF•
•
E
E&H Pacheco Consultoria e Assessoria Empresarial Ltda

The document discusses the differences between chronic and sporadic problems and the appropriate approaches to address each type. It defines chronic problems as existing for some time and requiring improvement projects to attain breakthroughs. Sporadic problems are deviations that require troubleshooting to restore normal performance. The document outlines the sequence for breakthrough analysis including diagnosis to find root causes and developing remedies. It also summarizes the key steps in troubleshooting sporadic problems and the link between root cause analysis and the management by fact approach.

EducationTechnology
1 of 35
Root Cause Analysis
Module Outline ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],?
Module Objectives ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Improvement vs. Fire Fighting Sporadic Chronic Gain Time Performance Good Bad
Chronic Problems ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Sporadic Problems ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Improvement vs. Troubleshooting ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Sequence for Breakthrough ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Focus Here Set-up Carry-out
Definitions ,[object Object],[object Object],[object Object],[object Object]
Definitions - Continued Cause: “Something” that happened to produce a deviation of the actual from the expected or desired. Proved reason for existence of problem. Often “multiple causes”. Dominant or Root Cause: a major contributor to existence of problem which must be fixed before there is an adequate solution. Remedy: a change that can successfully eliminate or neutralize the cause of a problem.
Definition - Diagnosis ,[object Object],[object Object],[object Object],[object Object],[object Object]
Diagnosis for Improvement Diagnostic Journey: 1. Study the symptoms surrounding the problem to serve as a basis for theorizing about causes. 2. Theorize the causes of these symptoms. 3. Collect data and do analysis to test the theories and determine the causes. When the problem can be switched on & off at will - the journey is over!
Studying Symptoms ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],Tools for Symptoms ,[object Object],[object Object],Check Sheet Example: Scratches IIII II II IIII I 15 Runs IIII IIII IIII IIII IIII I IIII IIII 34 Dirt IIII I IIII 11 Wrong Color IIII I I 7 Paint Peeling I I 2 Total 32 15 22 69 Problem Total Order 1 Order 2 Order 3
Theorizing Causes ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Tools for Theorizing Causes * Included in Memory Jogger II Pareto Chart Example:
Tool Example - Ask Why 5 Times Generate Theory: Follow with Remedy! Failures from Supplier A are 2X the industry average. There is excessive damage in transit. Packaging is insufficient. Packaging specifications are incomplete. Why? Why? Why? Why? Real Root Cause There are no technical specifications for packaging available. Why?
Tool Example - Cause & Effect Generate Theory: Follow with Test of Theories based on priorities Out of Date Not Manufacturable Part Problem Cutting oil Bar Stock Capability Scheduling cpk Tolerances Procedures Set-up Maintenance Cost Inaccurate Training Engineering Support Operator Errors Adjustments Materials Machinery Methods Manpower Wrong Material Over Sized Wrong Oil Packaging Print Inaccurate
Tool Example - Structure Tree Elbow Failures Problem Subproblems Theories Most Likely Root Causes Crimp makes inadequate contact Cross Thread Pin not fully seated Cable not fully seated Defective Elbow Operator Material Methods Tools & Equipment Guide Thread Lack of Verification for Alignment # of Revolutions not counted
Testing Theories to Find Cause ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Tools for Testing Theories * Included in Memory Jogger II
Tool Example - Histogram & Run Chart Test Theory: Follow with Remedy! Histograms: Run Charts:
Tool Example - Capability Test Theory: - Structured Experimentation Follow with Remedy! ,[object Object],[object Object],[object Object],= Total Machine Cavity Time Sample + + +
Diagnosis of Failures in Systems ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Diagnosis of Failures in Systems ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Diagnostic Journey Root Cause Analysis Begins with Collecting Data on Symptoms Ends with agreement on Cause(s)
Why Find the “Root Cause”?
What is MBF Used For? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Management by Fact (MBF) Remedies Root Cause Analysis Diagnosis Direction Setting Direction Deployment Management Process Policy Deployment & Management by Fact Policy Deployment Monitor Performance Gap Detected No Yes
2. Root Cause Categorization / Analysis (RCA ) Analyze Problem 2 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
MBF Form Root Cause Analysis/Diagnosis Remedies PROBLEM STATEMENT/OBJECTIVES & PERFORMANCE TRENDS: (indicate a brief statement of fact here) Insert graph of performance over time here (e.g., Pareto Chart / Current State vs. Goal) Insert graph of more detailed information here (Supportive Info. as necessary - e.g., Costs associated with the problem statement)
Troubleshooting ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Troubleshooting ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Summary ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
References ,[object Object],[object Object],[object Object],[object Object],[object Object]

Recommended

Root cause analysis training
Root cause analysis trainingRoot cause analysis training
Root cause analysis trainingVISCAR INDUSTRIAL CAPACITY
 
Root Cause Analysis - Tools, Tips and Tricks to Get to the Bottom of Root Cause
Root Cause Analysis - Tools, Tips and Tricks to Get to the Bottom of Root CauseRoot Cause Analysis - Tools, Tips and Tricks to Get to the Bottom of Root Cause
Root Cause Analysis - Tools, Tips and Tricks to Get to the Bottom of Root CauseCraig Thornton
 
Root Cause Analysis
Root Cause AnalysisRoot Cause Analysis
Root Cause Analysisgatelyw396
 
5 Why Training Slides Oct 14, 2009
5 Why Training Slides Oct 14, 20095 Why Training Slides Oct 14, 2009
5 Why Training Slides Oct 14, 2009ExerciseLeanLLC
 
Mini-Training: Using root-cause analysis for problem management
Mini-Training: Using root-cause analysis for problem managementMini-Training: Using root-cause analysis for problem management
Mini-Training: Using root-cause analysis for problem managementBetclic Everest Group Tech Team
 
Root cause analysis - tools and process
Root cause analysis - tools and processRoot cause analysis - tools and process
Root cause analysis - tools and processCharles Cotter, PhD
 
5 why analysis training presentaion
5 why analysis training presentaion5 why analysis training presentaion
5 why analysis training presentaionDharmesh Panchal
 
#8 Root Cause Analysis
#8 Root Cause Analysis#8 Root Cause Analysis
#8 Root Cause Analysissuman_purumandla
 

Recommended

Root cause analysis training
Root cause analysis trainingRoot cause analysis training
Root cause analysis trainingVISCAR INDUSTRIAL CAPACITY
 
Root Cause Analysis - Tools, Tips and Tricks to Get to the Bottom of Root Cause
Root Cause Analysis - Tools, Tips and Tricks to Get to the Bottom of Root CauseRoot Cause Analysis - Tools, Tips and Tricks to Get to the Bottom of Root Cause
Root Cause Analysis - Tools, Tips and Tricks to Get to the Bottom of Root CauseCraig Thornton
 
Root Cause Analysis
Root Cause AnalysisRoot Cause Analysis
Root Cause Analysisgatelyw396
 
5 Why Training Slides Oct 14, 2009
5 Why Training Slides Oct 14, 20095 Why Training Slides Oct 14, 2009
5 Why Training Slides Oct 14, 2009ExerciseLeanLLC
 
Mini-Training: Using root-cause analysis for problem management
Mini-Training: Using root-cause analysis for problem managementMini-Training: Using root-cause analysis for problem management
Mini-Training: Using root-cause analysis for problem managementBetclic Everest Group Tech Team
 
Root cause analysis - tools and process
Root cause analysis - tools and processRoot cause analysis - tools and process
Root cause analysis - tools and processCharles Cotter, PhD
 
5 why analysis training presentaion
5 why analysis training presentaion5 why analysis training presentaion
5 why analysis training presentaionDharmesh Panchal
 
#8 Root Cause Analysis
#8 Root Cause Analysis#8 Root Cause Analysis
#8 Root Cause Analysissuman_purumandla
 
5-Why Training
5-Why Training5-Why Training
5-Why TrainingRanita Kaur
 
Root Cause Corrective Action
Root Cause Corrective ActionRoot Cause Corrective Action
Root Cause Corrective ActionUbersoldat
 
Root Cause And Corrective Action Workshop Cinci Asq 2009
Root Cause And Corrective Action Workshop Cinci Asq 2009Root Cause And Corrective Action Workshop Cinci Asq 2009
Root Cause And Corrective Action Workshop Cinci Asq 2009roycohen
 
Root Cause Analysis ( RCA )
Root Cause Analysis ( RCA )Root Cause Analysis ( RCA )
Root Cause Analysis ( RCA )Subhakar Rao Surapaneni
 
5 why training_presentation
5 why training_presentation5 why training_presentation
5 why training_presentationMd.Aminul Islam ,CMRP,CSSBB
 
Root Cause Analysis
Root Cause AnalysisRoot Cause Analysis
Root Cause AnalysisAnwarrChaudary
 
5 why analysis
5 why analysis5 why analysis
5 why analysisSaurabh Kumar
 
Root Cause Analysis
Root Cause AnalysisRoot Cause Analysis
Root Cause Analysistqmdoctor
 
Root cause analysis 1
Root cause analysis 1Root cause analysis 1
Root cause analysis 1Thandiwe Kgagabi
 
Root Cause Analysis (RCA) Tools
Root Cause Analysis (RCA) ToolsRoot Cause Analysis (RCA) Tools
Root Cause Analysis (RCA) ToolsJeremy Jay V. Lim, MBB, PMP
 
Root cause analysis
Root cause analysisRoot cause analysis
Root cause analysisKrishnan Lakshmi Narayanan
 
Root cause analysis
Root cause analysisRoot cause analysis
Root cause analysisSimmy Sharma
 
Root Cause Analysis (RCA) Tools
Root Cause Analysis (RCA) ToolsRoot Cause Analysis (RCA) Tools
Root Cause Analysis (RCA) ToolsJeremy Jay Lim
 
Fmea handout
Fmea handoutFmea handout
Fmea handoutMonchito Del Mundo
 
Root cause analysis
Root cause analysisRoot cause analysis
Root cause analysisWayne Ahlquist
 
Root Cause Analysis
Root Cause AnalysisRoot Cause Analysis
Root Cause Analysismtalhausmani
 
7 QC Tools Training
7 QC Tools Training7 QC Tools Training
7 QC Tools TrainingPRASHANT KSHIRSAGAR
 
Corrective & Preventive Action
Corrective & Preventive Action Corrective & Preventive Action
Corrective & Preventive Action Praneet Surti
 
Failure Mode & Effect Analysis
Failure Mode & Effect AnalysisFailure Mode & Effect Analysis
Failure Mode & Effect AnalysisECC International
 
Root Cause Analysis
Root Cause AnalysisRoot Cause Analysis
Root Cause AnalysisDavid Hanson
 
CAPA, Root Cause Analysis and Risk Management
CAPA, Root Cause Analysis and Risk ManagementCAPA, Root Cause Analysis and Risk Management
CAPA, Root Cause Analysis and Risk ManagementJoseph Tarsio
 
CAPA Training Presentation
CAPA Training PresentationCAPA Training Presentation
CAPA Training PresentationNancy Watts
 

More Related Content

What's hot

Root Cause Corrective Action
Root Cause Corrective ActionRoot Cause Corrective Action
Root Cause Corrective ActionUbersoldat
 
Root Cause And Corrective Action Workshop Cinci Asq 2009
Root Cause And Corrective Action Workshop Cinci Asq 2009Root Cause And Corrective Action Workshop Cinci Asq 2009
Root Cause And Corrective Action Workshop Cinci Asq 2009roycohen
 
Root Cause Analysis
Root Cause AnalysisRoot Cause Analysis
Root Cause Analysistqmdoctor
 
Root cause analysis
Root cause analysisRoot cause analysis
Root cause analysisSimmy Sharma
 
Root Cause Analysis (RCA) Tools
Root Cause Analysis (RCA) ToolsRoot Cause Analysis (RCA) Tools
Root Cause Analysis (RCA) ToolsJeremy Jay Lim
 
Root Cause Analysis
Root Cause AnalysisRoot Cause Analysis
Root Cause Analysismtalhausmani
 
Corrective & Preventive Action
Corrective & Preventive Action Corrective & Preventive Action
Corrective & Preventive Action Praneet Surti
 
Failure Mode & Effect Analysis
Failure Mode & Effect AnalysisFailure Mode & Effect Analysis
Failure Mode & Effect AnalysisECC International
 
Root Cause Analysis
Root Cause AnalysisRoot Cause Analysis
Root Cause AnalysisDavid Hanson
 

What's hot (20)

5-Why Training
5-Why Training5-Why Training
5-Why Training
 
Root Cause Corrective Action
Root Cause Corrective ActionRoot Cause Corrective Action
Root Cause Corrective Action
 
Root Cause And Corrective Action Workshop Cinci Asq 2009
Root Cause And Corrective Action Workshop Cinci Asq 2009Root Cause And Corrective Action Workshop Cinci Asq 2009
Root Cause And Corrective Action Workshop Cinci Asq 2009
 
Root Cause Analysis ( RCA )
Root Cause Analysis ( RCA )Root Cause Analysis ( RCA )
Root Cause Analysis ( RCA )
 
5 why training_presentation
5 why training_presentation5 why training_presentation
5 why training_presentation
 
Root Cause Analysis
Root Cause AnalysisRoot Cause Analysis
Root Cause Analysis
 
5 why analysis
5 why analysis5 why analysis
5 why analysis
 
Root Cause Analysis
Root Cause AnalysisRoot Cause Analysis
Root Cause Analysis
 
Root cause analysis 1
Root cause analysis 1Root cause analysis 1
Root cause analysis 1
 
Root Cause Analysis (RCA) Tools
Root Cause Analysis (RCA) ToolsRoot Cause Analysis (RCA) Tools
Root Cause Analysis (RCA) Tools
 
Root cause analysis
Root cause analysisRoot cause analysis
Root cause analysis
 
Root cause analysis
Root cause analysisRoot cause analysis
Root cause analysis
 
Root Cause Analysis (RCA) Tools
Root Cause Analysis (RCA) ToolsRoot Cause Analysis (RCA) Tools
Root Cause Analysis (RCA) Tools
 
Fmea handout
Fmea handoutFmea handout
Fmea handout
 
Root cause analysis
Root cause analysisRoot cause analysis
Root cause analysis
 
Root Cause Analysis
Root Cause AnalysisRoot Cause Analysis
Root Cause Analysis
 
7 QC Tools Training
7 QC Tools Training7 QC Tools Training
7 QC Tools Training
 
Corrective & Preventive Action
Corrective & Preventive Action Corrective & Preventive Action
Corrective & Preventive Action
 
Failure Mode & Effect Analysis
Failure Mode & Effect AnalysisFailure Mode & Effect Analysis
Failure Mode & Effect Analysis
 
Root Cause Analysis
Root Cause AnalysisRoot Cause Analysis
Root Cause Analysis
 

Viewers also liked

CAPA, Root Cause Analysis and Risk Management
CAPA, Root Cause Analysis and Risk ManagementCAPA, Root Cause Analysis and Risk Management
CAPA, Root Cause Analysis and Risk ManagementJoseph Tarsio
 
CAPA Training Presentation
CAPA Training PresentationCAPA Training Presentation
CAPA Training PresentationNancy Watts
 
Root Cause Analysis - methods and best practice
Root Cause Analysis - methods and best practiceRoot Cause Analysis - methods and best practice
Root Cause Analysis - methods and best practiceMedgate Inc.
 
GMP Training: Handling of deviation
GMP Training: Handling of deviationGMP Training: Handling of deviation
GMP Training: Handling of deviationDr. Amsavel A
 
Pharmaceutical Deviation SOP
Pharmaceutical Deviation SOPPharmaceutical Deviation SOP
Pharmaceutical Deviation SOPMohamed Wallash
 
Fishbone analysis (edited)
Fishbone analysis (edited)Fishbone analysis (edited)
Fishbone analysis (edited)Izzah Ros
 
Corrective and preventive action plan CAPA report form
Corrective and preventive action plan CAPA report formCorrective and preventive action plan CAPA report form
Corrective and preventive action plan CAPA report formConnie Dello Buono
 
Causal Tree Analysis (Root Cause)
Causal Tree Analysis (Root Cause)Causal Tree Analysis (Root Cause)
Causal Tree Analysis (Root Cause)ferbor
 
Root Cause Analysis: Understand Why Electronic Parts Fail In Your Wind Turbine
Root Cause Analysis: Understand Why Electronic Parts Fail In Your Wind TurbineRoot Cause Analysis: Understand Why Electronic Parts Fail In Your Wind Turbine
Root Cause Analysis: Understand Why Electronic Parts Fail In Your Wind TurbineWindpower Engineering & Development
 
Fishbone style 2 powerpoint presentation templates
Fishbone style 2 powerpoint presentation templatesFishbone style 2 powerpoint presentation templates
Fishbone style 2 powerpoint presentation templatesSlideTeam.net
 
Capa A Five Step Action Plan
Capa A Five Step Action PlanCapa A Five Step Action Plan
Capa A Five Step Action PlanDigital-360
 
Cause and effect diagram
Cause and effect diagramCause and effect diagram
Cause and effect diagramLizzette Danan
 
Root Cause Analysis By Deepak
Root Cause Analysis By DeepakRoot Cause Analysis By Deepak
Root Cause Analysis By DeepakDEEPAK SAHOO
 
Root cause analysis common problems and solutions
Root cause analysis common problems and solutions Root cause analysis common problems and solutions
Root cause analysis common problems and solutions ASQ Reliability Division
 

Viewers also liked (17)

CAPA, Root Cause Analysis and Risk Management
CAPA, Root Cause Analysis and Risk ManagementCAPA, Root Cause Analysis and Risk Management
CAPA, Root Cause Analysis and Risk Management
 
CAPA Training Presentation
CAPA Training PresentationCAPA Training Presentation
CAPA Training Presentation
 
Root Cause Analysis - methods and best practice
Root Cause Analysis - methods and best practiceRoot Cause Analysis - methods and best practice
Root Cause Analysis - methods and best practice
 
GMP Training: Handling of deviation
GMP Training: Handling of deviationGMP Training: Handling of deviation
GMP Training: Handling of deviation
 
Corrective Action & Preventive Action
Corrective Action & Preventive ActionCorrective Action & Preventive Action
Corrective Action & Preventive Action
 
Pharmaceutical Deviation SOP
Pharmaceutical Deviation SOPPharmaceutical Deviation SOP
Pharmaceutical Deviation SOP
 
Fishbone analysis (edited)
Fishbone analysis (edited)Fishbone analysis (edited)
Fishbone analysis (edited)
 
Corrective and preventive action plan CAPA report form
Corrective and preventive action plan CAPA report formCorrective and preventive action plan CAPA report form
Corrective and preventive action plan CAPA report form
 
Causal Tree Analysis (Root Cause)
Causal Tree Analysis (Root Cause)Causal Tree Analysis (Root Cause)
Causal Tree Analysis (Root Cause)
 
Root Cause Analysis: Understand Why Electronic Parts Fail In Your Wind Turbine
Root Cause Analysis: Understand Why Electronic Parts Fail In Your Wind TurbineRoot Cause Analysis: Understand Why Electronic Parts Fail In Your Wind Turbine
Root Cause Analysis: Understand Why Electronic Parts Fail In Your Wind Turbine
 
Fishbone style 2 powerpoint presentation templates
Fishbone style 2 powerpoint presentation templatesFishbone style 2 powerpoint presentation templates
Fishbone style 2 powerpoint presentation templates
 
Capa A Five Step Action Plan
Capa A Five Step Action PlanCapa A Five Step Action Plan
Capa A Five Step Action Plan
 
Fish bone examples ppt
Fish bone examples pptFish bone examples ppt
Fish bone examples ppt
 
Cause and effect diagram
Cause and effect diagramCause and effect diagram
Cause and effect diagram
 
Root Cause Analysis By Deepak
Root Cause Analysis By DeepakRoot Cause Analysis By Deepak
Root Cause Analysis By Deepak
 
Fish Bone
Fish BoneFish Bone
Fish Bone
 
Root cause analysis common problems and solutions
Root cause analysis common problems and solutions Root cause analysis common problems and solutions
Root cause analysis common problems and solutions
 

Similar to Root Cause Analysis Module Outline

Operating Excellence is built on Corrective & Preventive Actions
Operating Excellence is built on Corrective & Preventive ActionsOperating Excellence is built on Corrective & Preventive Actions
Operating Excellence is built on Corrective & Preventive ActionsAtanu Dhar
 
Doe As Process Control Introduction
Doe As Process Control IntroductionDoe As Process Control Introduction
Doe As Process Control IntroductionKelly Brown
 
root cause analyse
root cause analyseroot cause analyse
root cause analyseAbdou El
 
ОКСАНА ГОРОЩУК «Improving Quality Through Root Cause Analysis»
ОКСАНА ГОРОЩУК «Improving Quality Through Root Cause Analysis»ОКСАНА ГОРОЩУК «Improving Quality Through Root Cause Analysis»
ОКСАНА ГОРОЩУК «Improving Quality Through Root Cause Analysis»GoQA
 
Iseb, ISTQB Static Testing
Iseb, ISTQB Static TestingIseb, ISTQB Static Testing
Iseb, ISTQB Static Testingonsoftwaretest
 
New 7QC tools for the quality person during RCa
New 7QC tools for the quality person during RCaNew 7QC tools for the quality person during RCa
New 7QC tools for the quality person during RCaAravindhNagaraj1
 
ISTQB / ISEB Foundation Exam Practice
ISTQB / ISEB Foundation Exam PracticeISTQB / ISEB Foundation Exam Practice
ISTQB / ISEB Foundation Exam PracticeYogindernath Gupta
 
ISTQB Foundation - Chapter 3
ISTQB Foundation - Chapter 3ISTQB Foundation - Chapter 3
ISTQB Foundation - Chapter 3Chandukar
 
Asq toronto10 jan2007effectcorraction
Asq toronto10 jan2007effectcorractionAsq toronto10 jan2007effectcorraction
Asq toronto10 jan2007effectcorractionOmnex Inc.
 
Use the Windshield, Not the Mirror Predictive Metrics that Drive Successful ...
Use the Windshield, Not the Mirror Predictive Metrics that Drive Successful ... Use the Windshield, Not the Mirror Predictive Metrics that Drive Successful ...
Use the Windshield, Not the Mirror Predictive Metrics that Drive Successful ...Seapine Software
 
8 D – Problem Solving Process
8 D – Problem Solving Process8 D – Problem Solving Process
8 D – Problem Solving ProcessAnand Subramaniam
 
Total Quality Management Principles
Total Quality Management PrinciplesTotal Quality Management Principles
Total Quality Management PrinciplesAmmar Mubarak
 
Cause and effect diagrams
Cause and effect diagramsCause and effect diagrams
Cause and effect diagramsRonald Bartels
 

Similar to Root Cause Analysis Module Outline (20)

Operating Excellence is built on Corrective & Preventive Actions
Operating Excellence is built on Corrective & Preventive ActionsOperating Excellence is built on Corrective & Preventive Actions
Operating Excellence is built on Corrective & Preventive Actions
 
Rkfl Problem Solving
Rkfl Problem SolvingRkfl Problem Solving
Rkfl Problem Solving
 
Doe As Process Control Introduction
Doe As Process Control IntroductionDoe As Process Control Introduction
Doe As Process Control Introduction
 
Process development and implementation
Process development and implementationProcess development and implementation
Process development and implementation
 
2 5 root cause
2 5 root cause2 5 root cause
2 5 root cause
 
root cause analyse
root cause analyseroot cause analyse
root cause analyse
 
2 5 root cause
2 5 root cause2 5 root cause
2 5 root cause
 
ОКСАНА ГОРОЩУК «Improving Quality Through Root Cause Analysis»
ОКСАНА ГОРОЩУК «Improving Quality Through Root Cause Analysis»ОКСАНА ГОРОЩУК «Improving Quality Through Root Cause Analysis»
ОКСАНА ГОРОЩУК «Improving Quality Through Root Cause Analysis»
 
2 5 root cause
2 5 root cause2 5 root cause
2 5 root cause
 
Root cause analysis
Root cause analysisRoot cause analysis
Root cause analysis
 
Solving Client Issues
Solving Client IssuesSolving Client Issues
Solving Client Issues
 
Iseb, ISTQB Static Testing
Iseb, ISTQB Static TestingIseb, ISTQB Static Testing
Iseb, ISTQB Static Testing
 
New 7QC tools for the quality person during RCa
New 7QC tools for the quality person during RCaNew 7QC tools for the quality person during RCa
New 7QC tools for the quality person during RCa
 
ISTQB / ISEB Foundation Exam Practice
ISTQB / ISEB Foundation Exam PracticeISTQB / ISEB Foundation Exam Practice
ISTQB / ISEB Foundation Exam Practice
 
ISTQB Foundation - Chapter 3
ISTQB Foundation - Chapter 3ISTQB Foundation - Chapter 3
ISTQB Foundation - Chapter 3
 
Asq toronto10 jan2007effectcorraction
Asq toronto10 jan2007effectcorractionAsq toronto10 jan2007effectcorraction
Asq toronto10 jan2007effectcorraction
 
Use the Windshield, Not the Mirror Predictive Metrics that Drive Successful ...
Use the Windshield, Not the Mirror Predictive Metrics that Drive Successful ... Use the Windshield, Not the Mirror Predictive Metrics that Drive Successful ...
Use the Windshield, Not the Mirror Predictive Metrics that Drive Successful ...
 
8 D – Problem Solving Process
8 D – Problem Solving Process8 D – Problem Solving Process
8 D – Problem Solving Process
 
Total Quality Management Principles
Total Quality Management PrinciplesTotal Quality Management Principles
Total Quality Management Principles
 
Cause and effect diagrams
Cause and effect diagramsCause and effect diagrams
Cause and effect diagrams
 

Recently uploaded

MS4 level being good citizen -imperative- (1) (1).pdf
MS4 level being good citizen -imperative- (1) (1).pdfMS4 level being good citizen -imperative- (1) (1).pdf
MS4 level being good citizen -imperative- (1) (1).pdfMr Bounab Samir
 
Visit to a blind student's school🧑‍🦯🧑‍🦯(community medicine)
Visit to a blind student's school🧑‍🦯🧑‍🦯(community medicine)Visit to a blind student's school🧑‍🦯🧑‍🦯(community medicine)
Visit to a blind student's school🧑‍🦯🧑‍🦯(community medicine)lakshayb543
 
Reading and Writing Skills 11 quarter 4 melc 1
Reading and Writing Skills 11 quarter 4 melc 1Reading and Writing Skills 11 quarter 4 melc 1
Reading and Writing Skills 11 quarter 4 melc 1GloryAnnCastre1
 
Daily Lesson Plan in Mathematics Quarter 4
Daily Lesson Plan in Mathematics Quarter 4Daily Lesson Plan in Mathematics Quarter 4
Daily Lesson Plan in Mathematics Quarter 4JOYLYNSAMANIEGO
 
Man or Manufactured_ Redefining Humanity Through Biopunk Narratives.pptx
Man or Manufactured_ Redefining Humanity Through Biopunk Narratives.pptxMan or Manufactured_ Redefining Humanity Through Biopunk Narratives.pptx
Man or Manufactured_ Redefining Humanity Through Biopunk Narratives.pptxDhatriParmar
 
Q4-PPT-Music9_Lesson-1-Romantic-Opera.pptx
Q4-PPT-Music9_Lesson-1-Romantic-Opera.pptxQ4-PPT-Music9_Lesson-1-Romantic-Opera.pptx
Q4-PPT-Music9_Lesson-1-Romantic-Opera.pptxlancelewisportillo
 
4.11.24 Mass Incarceration and the New Jim Crow.pptx
4.11.24 Mass Incarceration and the New Jim Crow.pptx4.11.24 Mass Incarceration and the New Jim Crow.pptx
4.11.24 Mass Incarceration and the New Jim Crow.pptxmary850239
 
4.16.24 21st Century Movements for Black Lives.pptx
4.16.24 21st Century Movements for Black Lives.pptx4.16.24 21st Century Movements for Black Lives.pptx
4.16.24 21st Century Movements for Black Lives.pptxmary850239
 
Congestive Cardiac Failure..presentation
Congestive Cardiac Failure..presentationCongestive Cardiac Failure..presentation
Congestive Cardiac Failure..presentationdeepaannamalai16
 
Unraveling Hypertext_ Analyzing Postmodern Elements in Literature.pptx
Unraveling Hypertext_ Analyzing Postmodern Elements in Literature.pptxUnraveling Hypertext_ Analyzing Postmodern Elements in Literature.pptx
Unraveling Hypertext_ Analyzing Postmodern Elements in Literature.pptxDhatriParmar
 
Active Learning Strategies (in short ALS).pdf
Active Learning Strategies (in short ALS).pdfActive Learning Strategies (in short ALS).pdf
Active Learning Strategies (in short ALS).pdfPatidar M
 
Mental Health Awareness - a toolkit for supporting young minds
Mental Health Awareness - a toolkit for supporting young mindsMental Health Awareness - a toolkit for supporting young minds
Mental Health Awareness - a toolkit for supporting young mindsPooky Knightsmith
 
ClimART Action | eTwinning Project
ClimART Action | eTwinning ProjectClimART Action | eTwinning Project
ClimART Action | eTwinning Projectjordimapav
 
DIFFERENT BASKETRY IN THE PHILIPPINES PPT.pptx
DIFFERENT BASKETRY IN THE PHILIPPINES PPT.pptxDIFFERENT BASKETRY IN THE PHILIPPINES PPT.pptx
DIFFERENT BASKETRY IN THE PHILIPPINES PPT.pptxMichelleTuguinay1
 
Mythology Quiz-4th April 2024, Quiz Club NITW
Mythology Quiz-4th April 2024, Quiz Club NITWMythology Quiz-4th April 2024, Quiz Club NITW
Mythology Quiz-4th April 2024, Quiz Club NITWQuiz Club NITW
 
ESP 4-EDITED.pdfmmcncncncmcmmnmnmncnmncmnnjvnnv
ESP 4-EDITED.pdfmmcncncncmcmmnmnmncnmncmnnjvnnvESP 4-EDITED.pdfmmcncncncmcmmnmnmncnmncmnnjvnnv
ESP 4-EDITED.pdfmmcncncncmcmmnmnmncnmncmnnjvnnvRicaMaeCastro1
 
Grade 9 Quarter 4 Dll Grade 9 Quarter 4 DLL.pdf
Grade 9 Quarter 4 Dll Grade 9 Quarter 4 DLL.pdfGrade 9 Quarter 4 Dll Grade 9 Quarter 4 DLL.pdf
Grade 9 Quarter 4 Dll Grade 9 Quarter 4 DLL.pdfJemuel Francisco
 

Recently uploaded (20)

prashanth updated resume 2024 for Teaching Profession
prashanth updated resume 2024 for Teaching Professionprashanth updated resume 2024 for Teaching Profession
prashanth updated resume 2024 for Teaching Profession
 
INCLUSIVE EDUCATION PRACTICES FOR TEACHERS AND TRAINERS.pptx
INCLUSIVE EDUCATION PRACTICES FOR TEACHERS AND TRAINERS.pptxINCLUSIVE EDUCATION PRACTICES FOR TEACHERS AND TRAINERS.pptx
INCLUSIVE EDUCATION PRACTICES FOR TEACHERS AND TRAINERS.pptx
 
MS4 level being good citizen -imperative- (1) (1).pdf
MS4 level being good citizen -imperative- (1) (1).pdfMS4 level being good citizen -imperative- (1) (1).pdf
MS4 level being good citizen -imperative- (1) (1).pdf
 
Visit to a blind student's school🧑‍🦯🧑‍🦯(community medicine)
Visit to a blind student's school🧑‍🦯🧑‍🦯(community medicine)Visit to a blind student's school🧑‍🦯🧑‍🦯(community medicine)
Visit to a blind student's school🧑‍🦯🧑‍🦯(community medicine)
 
Reading and Writing Skills 11 quarter 4 melc 1
Reading and Writing Skills 11 quarter 4 melc 1Reading and Writing Skills 11 quarter 4 melc 1
Reading and Writing Skills 11 quarter 4 melc 1
 
Daily Lesson Plan in Mathematics Quarter 4
Daily Lesson Plan in Mathematics Quarter 4Daily Lesson Plan in Mathematics Quarter 4
Daily Lesson Plan in Mathematics Quarter 4
 
Man or Manufactured_ Redefining Humanity Through Biopunk Narratives.pptx
Man or Manufactured_ Redefining Humanity Through Biopunk Narratives.pptxMan or Manufactured_ Redefining Humanity Through Biopunk Narratives.pptx
Man or Manufactured_ Redefining Humanity Through Biopunk Narratives.pptx
 
Q4-PPT-Music9_Lesson-1-Romantic-Opera.pptx
Q4-PPT-Music9_Lesson-1-Romantic-Opera.pptxQ4-PPT-Music9_Lesson-1-Romantic-Opera.pptx
Q4-PPT-Music9_Lesson-1-Romantic-Opera.pptx
 
4.11.24 Mass Incarceration and the New Jim Crow.pptx
4.11.24 Mass Incarceration and the New Jim Crow.pptx4.11.24 Mass Incarceration and the New Jim Crow.pptx
4.11.24 Mass Incarceration and the New Jim Crow.pptx
 
4.16.24 21st Century Movements for Black Lives.pptx
4.16.24 21st Century Movements for Black Lives.pptx4.16.24 21st Century Movements for Black Lives.pptx
4.16.24 21st Century Movements for Black Lives.pptx
 
Congestive Cardiac Failure..presentation
Congestive Cardiac Failure..presentationCongestive Cardiac Failure..presentation
Congestive Cardiac Failure..presentation
 
Paradigm shift in nursing research by RS MEHTA
Paradigm shift in nursing research by RS MEHTAParadigm shift in nursing research by RS MEHTA
Paradigm shift in nursing research by RS MEHTA
 
Unraveling Hypertext_ Analyzing Postmodern Elements in Literature.pptx
Unraveling Hypertext_ Analyzing Postmodern Elements in Literature.pptxUnraveling Hypertext_ Analyzing Postmodern Elements in Literature.pptx
Unraveling Hypertext_ Analyzing Postmodern Elements in Literature.pptx
 
Active Learning Strategies (in short ALS).pdf
Active Learning Strategies (in short ALS).pdfActive Learning Strategies (in short ALS).pdf
Active Learning Strategies (in short ALS).pdf
 
Mental Health Awareness - a toolkit for supporting young minds
Mental Health Awareness - a toolkit for supporting young mindsMental Health Awareness - a toolkit for supporting young minds
Mental Health Awareness - a toolkit for supporting young minds
 
ClimART Action | eTwinning Project
ClimART Action | eTwinning ProjectClimART Action | eTwinning Project
ClimART Action | eTwinning Project
 
DIFFERENT BASKETRY IN THE PHILIPPINES PPT.pptx
DIFFERENT BASKETRY IN THE PHILIPPINES PPT.pptxDIFFERENT BASKETRY IN THE PHILIPPINES PPT.pptx
DIFFERENT BASKETRY IN THE PHILIPPINES PPT.pptx
 
Mythology Quiz-4th April 2024, Quiz Club NITW
Mythology Quiz-4th April 2024, Quiz Club NITWMythology Quiz-4th April 2024, Quiz Club NITW
Mythology Quiz-4th April 2024, Quiz Club NITW
 
ESP 4-EDITED.pdfmmcncncncmcmmnmnmncnmncmnnjvnnv
ESP 4-EDITED.pdfmmcncncncmcmmnmnmncnmncmnnjvnnvESP 4-EDITED.pdfmmcncncncmcmmnmnmncnmncmnnjvnnv
ESP 4-EDITED.pdfmmcncncncmcmmnmnmncnmncmnnjvnnv
 
Grade 9 Quarter 4 Dll Grade 9 Quarter 4 DLL.pdf
Grade 9 Quarter 4 Dll Grade 9 Quarter 4 DLL.pdfGrade 9 Quarter 4 Dll Grade 9 Quarter 4 DLL.pdf
Grade 9 Quarter 4 Dll Grade 9 Quarter 4 DLL.pdf
 

Root Cause Analysis Module Outline

  • 2.
  • 3.
  • 4. Improvement vs. Fire Fighting Sporadic Chronic Gain Time Performance Good Bad
  • 5.
  • 6.
  • 7.
  • 8.
  • 9.
  • 10. Definitions - Continued Cause: “Something” that happened to produce a deviation of the actual from the expected or desired. Proved reason for existence of problem. Often “multiple causes”. Dominant or Root Cause: a major contributor to existence of problem which must be fixed before there is an adequate solution. Remedy: a change that can successfully eliminate or neutralize the cause of a problem.
  • 11.
  • 12. Diagnosis for Improvement Diagnostic Journey: 1. Study the symptoms surrounding the problem to serve as a basis for theorizing about causes. 2. Theorize the causes of these symptoms. 3. Collect data and do analysis to test the theories and determine the causes. When the problem can be switched on & off at will - the journey is over!
  • 13.
  • 14.
  • 15.
  • 16.
  • 17. Tool Example - Ask Why 5 Times Generate Theory: Follow with Remedy! Failures from Supplier A are 2X the industry average. There is excessive damage in transit. Packaging is insufficient. Packaging specifications are incomplete. Why? Why? Why? Why? Real Root Cause There are no technical specifications for packaging available. Why?
  • 18. Tool Example - Cause & Effect Generate Theory: Follow with Test of Theories based on priorities Out of Date Not Manufacturable Part Problem Cutting oil Bar Stock Capability Scheduling cpk Tolerances Procedures Set-up Maintenance Cost Inaccurate Training Engineering Support Operator Errors Adjustments Materials Machinery Methods Manpower Wrong Material Over Sized Wrong Oil Packaging Print Inaccurate
  • 19. Tool Example - Structure Tree Elbow Failures Problem Subproblems Theories Most Likely Root Causes Crimp makes inadequate contact Cross Thread Pin not fully seated Cable not fully seated Defective Elbow Operator Material Methods Tools & Equipment Guide Thread Lack of Verification for Alignment # of Revolutions not counted
  • 20.
  • 21.
  • 22. Tool Example - Histogram & Run Chart Test Theory: Follow with Remedy! Histograms: Run Charts:
  • 23.
  • 24.
  • 25.
  • 26. Diagnostic Journey Root Cause Analysis Begins with Collecting Data on Symptoms Ends with agreement on Cause(s)
  • 27. Why Find the “Root Cause”?
  • 28.
  • 29. Management by Fact (MBF) Remedies Root Cause Analysis Diagnosis Direction Setting Direction Deployment Management Process Policy Deployment & Management by Fact Policy Deployment Monitor Performance Gap Detected No Yes
  • 30.
  • 31. MBF Form Root Cause Analysis/Diagnosis Remedies PROBLEM STATEMENT/OBJECTIVES & PERFORMANCE TRENDS: (indicate a brief statement of fact here) Insert graph of performance over time here (e.g., Pareto Chart / Current State vs. Goal) Insert graph of more detailed information here (Supportive Info. as necessary - e.g., Costs associated with the problem statement)
  • 32.
  • 33.
  • 34.
  • 35.

Editor's Notes

  1. * Introduction. * Announcements. * Ask the Audience: How many of you want to make defects in your work? How many of you want to make your work perfect or defect free the first time? How many of you believe this is possible? Well - it is!!!!! And, hopefully you will all be believers after the session.