In another video I watched, the facilitator cautioned against root causes that started with 'insufficient...' or 'lack of...' or 'not enough...' money/training/people as these sound more like solutions masquerading as root causes. Thanks for this demo, it's very enlightening.
thank you so much for your explanation! i was going to use RCA for my thesis, esp fishbone diagram. I hope i can do well cause i'm gonna do it alone... Anyway, have a nice day, sir!
Thank you, I had today a consulting exam and I used your example of the tow bar. I´m studying in a business school in France and believe me it was very useful!!! Also I liked the example because in Colombia I worked for aviation so the example was perfect. Thank you so much!!!
Can someone please give me one of the real time scenario wherein P1 ticket has breached (major incident management) and we need to perform fishbone analysis for the same? Kindly let me know the by colleting all possible causes for the incident (potential or what happened) under 6M. This will be really helpful if someone could help me here in finding a solution.
Good Day Varun, The Fishbone diagram is definitely NOT the tool for "Triage" of an incident. Short Term Corrective Action are immediate to secure the safety of personnel and equipment involved in an incident.....Put the fire out, get medical attention, evacuate the area....etc. The Fishbone diagram is ONLY for LONG TERM corrective action of the SYSTEM! to find the causal factors in the SYSTEM that may have led up to the incident. You can use the INTERACTION OF FORCES to evaluate a short term solution quickly. Run through he list: MACHINES, METHODS, MATERIALS, PEOPLE and ENVIRONMENT, but do NOT use the Fishbone diagram for a QUICK solution. I hope this helps.
Hi why don't you just do to check out the "crime scene" and ask people what went wrong? What if you just eliminated the real cause of the problem just because you made wrong assumption on elimination phase? This method seems all wrong from head to tail, it is contradictory to Kaizen methodology.
Aleksandra Klimczak-Salaga the diagram was developed by Dr. Ishakawa of the Japanese Union of Scientific Engineers. It was Dr.W.Edwards Deming Identified the forces that affect All processes, Machine, Methods, People, Materials and Environment. To simple examine the”crime scene” would ignore the “System” which is responsible for effect. Kaisen is a continuous improvement cycle that was derived from The Deming PDCA which is also based on system analysis.
