root cause analysis
DESCRIPTION
TRANSCRIPT
SOFTWARE QUALITY ASSURANCEROOT CAUSE ANALYSIS
Seminar: Oana FEIDIQuality Manager – Continental Automotive
WHAT IS ROOT CAUSE ANALYSIS?
a class of problem solving methods aimed at identifying the root causes of problems or events
http://www.thinkreliability.com/Root-Cause-Analysis-CM-Basics.aspx
ROOT CAUSE METHODS : ISHIKAWA are causal diagrams that show the causes of a specific
event an analyzing instrument which helps to identify, order
and print possible causes of a specific problem or a quality characteristic
graphical representation of the relation between a result and all the factors that have impact
http://www.isixsigma.com/tools-templates/cause-effect/cause-and-effect-aka-fishbone-diagram/
ROOT CAUSE METHODS : ISHIKAWAEXAMPLE
http://www.chcr.brown.edu/pain/tools.htm
ROOT CAUSE METHODS : ISHIKAWA
http://www.isixsigma.com/tools-templates/cause-effect/cause-and-effect-aka-fishbone-diagram/
ROOT CAUSE METHODS : ISHIKAWA
People Anyone involved with the process
Methods How the process is performed and the specific requirements for doing it, such as policies, procedures, rules, regulations and laws
Machines Any equipment, computers, tools etc. required to accomplish the job
Materials Raw materials, parts, pens, paper, etc. used to produce the final product
Measurements
Data generated from the process that are used to evaluate its quality
Environment The conditions, such as location, time, temperature, and culture in which the process operates
EXERCISE
Identify possible causes for the following topics:
Group 1: Burned barbecue on 1st of May event Group 2: Blurry pictures on the 1st of May event
ROOT CAUSE METHODS : 5 WHY
The 5 Whys is a question-asking technique used to explore the cause-and-effect relationships underlying a particular problem
http://www.bulsuk.com/2009/07/5-why-analysis-using-table.html#axzz1u70e6jBm
ROOT CAUSE METHODS : 5 WHY
The vehicle will not start. (the problem)
Why? - The battery is dead. (first why) Why? - The alternator is not functioning. (second why) Why? - The alternator belt has broken. (third why) Why? - The alternator belt was well beyond its useful service life and
not replaced. (fourth why) Why? - The vehicle was not maintained according to the recommended
service schedule. (fifth why, a root cause)
Why? - Replacement parts are not available because of the extreme age of the vehicle. (sixth why, optional footnote)
Start maintaining the vehicle according to the recommended service schedule. (possible 5th Why solution)
Purchase a different vehicle that is maintainable. (possible 6th Why solution)
http://en.wikipedia.org/wiki/5_Whys
ROOT CAUSE METHODS : 5 WHYCLASSIC EXAMPLE
Benjamin Franklin's 5-Why Analysis:
For want of a nail a shoe was lost, for want of a shoe a horse was lost, for want of a horse a rider was lost, for want of a rider an army was lost, for want of an army a battle was lost, for want of a battle the war was lost, for want of the war the kingdom was lost, and all for the want of a little horseshoe nail.
EXERCISE
Using the results from the previous exercise, now apply 5 Why method to identify the root cause
THANK YOU!