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Often the Stated Root Cause is the Quick, but Incorrect Answer
For example, a normal response is: Equipment Failure Human Error
Initial response is usually the symptom, not the root cause of the problem. This is why Root Cause Analysis is a very useful and productive tool.
Determining Root Cause 4
Repeat analysis if problem persists- if it persists, did we get to the root cause?
Determining Root Cause 9
Pareto Analysis
Vital Few
Supplier Material Rejections May 06 to May 07
180 160 140
Count
120 100 80 60 40 20
Trivial Many
g o n e r ns ng e d rial ip e r o n e d re ng rt s o n o n ria l e d ng ss ed e r n i k t i th io gi g e sh th t i d ilu gi a si ti e d ki e g t h a r nt a O e ns ka ma at an r O ura e e Fa ka g P e n nt a a t rro ar nlin ma O M e B ac a M m e ig xc st ac in im e M o M e a a e r um E Dim P r D e ct o rk ppli o nf e E Te P iss D um e c t d, C EB r Cl B D i l lie o rr W Su C Lif b SD r M EB o c o rr te pp oc ie E er i p l u D p c g lf L a E lie D nc us pl p S r u n n p p p S rI ro She lie r EB B I r R lie Su Su up p e i p e W E i l S l r p p r p pp Su lie plie Su up p p Su S p u Su S Count 162 139 34 20 19 19 15 15 14 14 11 9 7 7 3 3 3 3 2 2 1 5 Percent 32 27 7 4 4 4 3 3 3 3 2 2 1 1 1 1 1 1 0 0 0 1 Cum % 32 59 66 70 74 78 80 83 86 89 91 93 94 96 96 97 97 98 98 99 99 100
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OTHER
EFFECT
MATERIALS
MACHINERY
Determining Root Cause 13
METHODS
Inserted CD Wrong Not Following Instructions Instructions are Wrong
Bad CD
Wrong Type CD
MATERIALS
Tree Diagram
Result Cause/Result Cause/Result Cause
Result
Primary Causes
Secondary Causes
Determining Root Cause
Tertiary Causes
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Tree Diagram
Result Cause/Result Cause/Result
Lack of Models/ Benchmarks Stale/Tired Approaches
Cause
No Money for Reference Materials No Funds for Classes No Performance Reviews No Special Subject Classes Lack of Regular Safety Meetings
Inappropriate Behaviors
Bench Marking
Benchmarking: What is it?
"... benchmarking ...[is] ...'the process of identifying, understanding, and adapting outstanding practices and processes from organizations anywhere in the world to help your organization improve its performance.'" American Productivity & Quality Center "... benchmarking ...[is]... an on-going outreach activity; the goal of the outreach is identification of best operating practices that, when implemented, produce superior performance." Bogan and English, Benchmarking for Best Practices
Benchmark refers to a measure of best practice performance. Benchmarking refers to the search for the best practices that yields the benchmark performance, with emphasis on how you can apply the process to achieve superior results.
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Bench Marking
All process improvement efforts require a sound methodology and implementation, and benchmarking is no different. You need to: Identify benchmarking partners Select a benchmarking approach Gather information (research, surveys, benchmarking visits) Distill the learning Select ideas to implement Pilot Implement
Determining Root Cause 18
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Successful application of the analysis and determination of the Root Cause should result in elimination of the problem
and create Happy Campers!
Determining Root Cause 20
Summary:
1. 2. 3. 4. 5.
Why determine Root Cause? What Is Root Cause Analysis? When Should Root Cause Analysis be performed? How to determine Root Cause Useful Tools to Determine Root Cause
Five Whys Pareto Analysis Cause and Effect Diagram Tree Diagram Brainstorming