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Problem Solving I nnovator Solving Tomorrows Problems Today 4 th Why / Root Cause Cause & Effect (Fishbone) The 4 th Why can be formed once the Team has Completed the 3 rd Why 4 th Why / Root Cause Development 4 th Why / Root Cause FMEA 4 th Why / Root Cause Examples

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Page 1: P roblem S olving I nnovator Solving Tomorrows Problems Today 4 th Why / Root Cause Cause & Effect (Fishbone) 4 th Why / Root Cause Cause & Effect (Fishbone)

Problem Solving I nnovatorSolving Tomorrows Problems Today

4th Why / Root CauseCause & Effect (Fishbone)

The 4th Why can be formedonce the Team has Completed the 3rd Why

4th Why / Root CauseDevelopment

4th Why / Root CauseFMEA

4th Why / Root CauseExamples

Page 2: P roblem S olving I nnovator Solving Tomorrows Problems Today 4 th Why / Root Cause Cause & Effect (Fishbone) 4 th Why / Root Cause Cause & Effect (Fishbone)

COVER PAGE

Page 3: P roblem S olving I nnovator Solving Tomorrows Problems Today 4 th Why / Root Cause Cause & Effect (Fishbone) 4 th Why / Root Cause Cause & Effect (Fishbone)

Developing the 4th Why / Root Cause

Determine two Root Causes and the Prevention Method for each Failure Mode

Prevention Method & Occurrence Rating Failure Mode

A Root Cause can be defined as a Product, Process or Design Weakness that may result in a Failure

4th Why / Root CauseDevelopment

With additional Pop up Aid

Enter the Occurrence directly into the cell or select from the possibilities in the drop down options.

Page 4: P roblem S olving I nnovator Solving Tomorrows Problems Today 4 th Why / Root Cause Cause & Effect (Fishbone) 4 th Why / Root Cause Cause & Effect (Fishbone)

Developing the 4th Why / Root Cause

Select from the other Entries in the Drop Down List of Root Cause’s / Prevention Controls.

4th Why / Root CauseDevelopment

Enter a Root Cause/ Prevention directly into the cell/select from the drop down list if previously entered. Root Causes/ Preventions are automatically added to the database. To Update/Edit/View the Database: Select ‘Add-Ins’, ‘Database Rankings’ , ‘Potential Failure Cause DBS’ OR ‘Prevention Control DBS’..

Page 5: P roblem S olving I nnovator Solving Tomorrows Problems Today 4 th Why / Root Cause Cause & Effect (Fishbone) 4 th Why / Root Cause Cause & Effect (Fishbone)

RAW MATERIAL MACHINING TAPPING ASSEMBLY/ TEST DESIGN/ APPLICATION

D4 - Developing the 4th Why …Options

The 4th Why defines the Root Cause/s of the 3rd Why / Failure Mode

Option 1: The Process Sequence Example ‘VALVE MANUFACTURING’

4th Why / Root CauseExamples

Page 6: P roblem S olving I nnovator Solving Tomorrows Problems Today 4 th Why / Root Cause Cause & Effect (Fishbone) 4 th Why / Root Cause Cause & Effect (Fishbone)

POSTURE SPINAL COLUMN MUSCLES NERVES ASSOCIATED ORGANS

D4 - Developing the 4th Why …Options

The 4th Why defines the Root Cause of the 3rd Why

Option 2: Any other logical method or sequence, Example ‘BACK ACHE’

4th Why / Root CauseExamples

Page 7: P roblem S olving I nnovator Solving Tomorrows Problems Today 4 th Why / Root Cause Cause & Effect (Fishbone) 4 th Why / Root Cause Cause & Effect (Fishbone)

4th Why / Root CauseFMEA

D4 – 4th Why =the Root Cause

5th Why

RAW MATERIAL TAPPING ASSEMBLY/

TESTDESIGN/

APPLICATIONMACHINING

VALVE BODY ADAPTOR

CUTTING FLUID SETTINGS

Select which Root Cause you would like to Further Investigate

4th Why / Root Cause

Will automatically be updated

VISCOSITY SWARFFOREIGN MATTER

DIRTY CASTINGS

SAND IN CASTINGS

Page 8: P roblem S olving I nnovator Solving Tomorrows Problems Today 4 th Why / Root Cause Cause & Effect (Fishbone) 4 th Why / Root Cause Cause & Effect (Fishbone)

D4 - The 4th Why will be forwarded to the Cause & Effect Diagram. It will appear on the left, according to the Failure Mode you have selected.

4th Why / Root CauseC&E (Fishbone)

RAW MATERIAL MACHINING TAPPING ASSEMBLY/ TEST DESIGN/ APPLICATION

Page 9: P roblem S olving I nnovator Solving Tomorrows Problems Today 4 th Why / Root Cause Cause & Effect (Fishbone) 4 th Why / Root Cause Cause & Effect (Fishbone)

Problem Solving I nnovatorSolving Tomorrows Problems Today

This completes theD4 4th Why

Now start theD4 5th Why

Root Cause Howell k-8 January 31,2013. ACADEMIC FISHBONE

Root cause presentation

Root Cause Analysis Analyze Kaizen Facilitation. Objectives Learn and be able to apply a fishbone diagram Utilize “Why” analysis technique to uncover

Root Cause Analysis

Cause/Eﬀect: Fishbone

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4D Reporting the Root Cause Embedding Root Cause Analysis

Root cause analysis

Root Cause Analysis 1 Root Cause Analysis Course

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Root Cause Analysis - National Council · PDF fileAgenda •What is root cause analysis? •Why use root cause analysis? •How to use root cause analysis?

Root Cause Analysis to Support IC Teleclass Slides, Feb.22n Fishbone diagram n Five why’s n Causal tree analysis n Affinity diagram pDocumentation is easy to find n NHS root cause

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The True Meaning of Root Cause and Root Cause Analysis …mnasq.org/wp-content/uploads/presentations/RCA-Jing.pdf · The True Meaning of Root Cause and Root Cause Analysis (RCA) Gary

Root cause analysis (RCA) - Ministry of Public Healthperson.ddc.moph.go.th/.../Root_cause_analysis_RCA.pdf · Cause & Effect Diagrams, Fishbone Diagrams, Ishikawa Diagrams, Herringbone

Knorr-Bremse Production Systems Bad Method use a Fishbone Diagram To reach the root cause of an abnormality To display and identify possible causes of a problem Root Cause Problem/Effect

CAUSE AND EFFECT DIAGRAM - kisi.deu.edu.trkisi.deu.edu.tr/banu.atrek/2018-2019 GÜZ/PRD 4111 quality/Cause... · fishbone diagram or Ishikawa diagram. WHY DO WE CALL "FISHBONE " ?

CMQ220 Root Cause Analysis Lesson 7 -Root Cause Analysis ...s1093575.instanturl.net/anvari.net/DAU/CMQ220 Root Cause Analysi… · CMQ220 Root Cause Analysis Lesson 7 :> Objealv"

Cause and Effect Analysis: 1. Fishbone Diagram 2. Cause and Effect Matrix

Root Cause Analysis (11x17 Poster) - documents.cap.org · Fishbone Diagram / Cause-and-Effect Diagram possible causes that may be contributing to an A fishbone diagram is a tool to

Root Cause Flyer

Effective Incident Investigation with TapRooT Incident Investigation with... · for root causes” –Cause-and –effect –Fishbone analysis –5-Whys • Software programs –Timeline

Improvement Tools and their Application in KQMH 3: Identify root cause Cause and Effect Diagram (Fishbone) Leadership Data Clinic System Community Patient/ Family Guidelines/ Pathways

Root Cause Analysis - NPUAP€¦ · •Fishbone diagram helps to examine ... Root cause analysis has to be done with rigor in order to find the true roots ©2015 National Pressure

ENTERPRISE-WIDE QUALITY AND INTEGRATED … · 6w2H Possible Cause Fishbone Diagram Root Cause Analysis. Omnex Systems practice a Global Delivery Model that combines onsite and offshore

Guidelines for Implementing Community TB Care … for Implementing Community TB Care Programmes ... Root Cause Analysis – Fishbone Technique ... GUIDELINES FOR IMPLEMENTING COMMUNITY

Employment of Root Cause Analysis and Lean Techniques to ......Spaghetti and Fishbone Diagrams Useful for documentation of flow Spaghetti Diagram Useful for evaluation of causation