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RCA Training

This document provides an overview of root cause analysis (RCA) techniques. It discusses that properly defining a problem is key to solving it. The document then describes the basic problem solving process as involving diagnosis to define the problem and perform RCA, followed by providing an action plan, implementation, and determining effectiveness. Two specific RCA techniques are covered: Fishbone analysis to explore all potential causes, and 5 Whys analysis to drill down to the root cause by repeatedly asking "why?". The document provides an example of combining these techniques to analyze a lower than expected total nitrogen result in a sample.

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felicity
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458 views

RCA Training

This document provides an overview of root cause analysis (RCA) techniques. It discusses that properly defining a problem is key to solving it. The document then describes the basic problem solving process as involving diagnosis to define the problem and perform RCA, followed by providing an action plan, implementation, and determining effectiveness. Two specific RCA techniques are covered: Fishbone analysis to explore all potential causes, and 5 Whys analysis to drill down to the root cause by repeatedly asking "why?". The document provides an example of combining these techniques to analyze a lower than expected total nitrogen result in a sample.

Uploaded by

felicity
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd
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A problem well defined

is a problem half
solved
-Anonymous

Root-Cause Analysis

At the end of this training, you will


be able to..
Understand the basic steps in
problem-solving
Be more familiar with the term RootCause Analysis
Learn to use 2 simple RCA
techniques

Problem Solving Process


1.Diagnos
tic Phase
2.
Solution
(Fix it)
Phase

Define problem
Perform RCA

Provide action
plan
Implement
Determine
effectiveness

If I had 60 minutes to solve a problem, Id spend


55 minutes defining it and 5 minutes solving it .
Albert Einstein

Root Cause Defined


Main / root or most
basic cause or
problem
Management has
control to fix
Will prevent or
significantly reduce
the likelihood of
recurrence

Root Cause Analysis


5 Whys

FMEA

Pareto Charts

Risk Tree Diagrams Process Maps


Tree Diagram
Diagrams

Fish-bone

Cause-Effect Diagram

Affinity

Brainstorming

Fish-Bone (Ishikawa) Analysis


Skull =
Problem /
Challenge

Man - people involved


Machine -equipment,
tools
Method- procedure,
requirements

Spines = Causes (5
Ms)

Material raw materials,


reagents
Mother Nature /
Environment temperature,
location, natural
phenomenon

5 Whys Analysis
Why?

Why?

Why?

Why?

Why?

Why?

butWhy?

5 Whys Analysis
Why?

NOT JUST

5x

Why?

Why?

Why?

Why?

Why?

butWhy?

Why did it fell?


It fell because of
gravity.
Why is there
gravity?
I dont care
(doesnt matter
here)

Keep going until the answer


is I dont care
(management can no
longer fix it)

Making the most of both..


Fish-Bone
x
- Exploring
causes from all
possible sources

5 Whys
- Drilling down
to the rootcause
-(why? or so
what?)

Example: Fish-Bone x 5 Whys


Initial Concern: Total N result (<MDL) is lower
than combined NO3- (0.120 ppm)
and NH4+ (0.170 ppm)

Example
Initial concern: Total N result (<MDL) is lower than combined NO3-N
(0.120 ppm)
and NH4+N (0.170
ppm)

Dont just stop the bleeding! Stop the bleeding


first, and then address the root-cause. Do RCA.

If I had 60 minutes to solve a problem, Id spend


55 minutes defining it and 5 minutes solving it .
Albert Einstein

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