Search results “It root cause analysis example”
Root Cause Analysis Course - 5 Whys and Fishbone Diagram
This course covers the following topics: Objectives Root Cause Definitions Benefits Root Cause Process Summary Corrective Actions Problem Solving Process (8 Steps, 5 Why's, Fishbone) Example 1 – Manufacturing Example 2 – Transactional Hints about RCA You can download the powerpoint slides, change the logo, and use the slides in your company. http://www.biz-pi.com/product/root-cause-analysis-course/
Views: 152382 Brion Hurley
Six Sigma: Root Cause Analysis Examples
Examples showing how to apply various tools to perform a Root Cause Analysis. You can get products to help yourself with similar root cause analysis problems at http://bit.ly/2jyMt3C. ----- Links: PMG Results Website: https://www.pmgresults.com/ Have a Question? https://www.pmgresutls.com/contact/ QuikSigma Software Perpetual Licencse: http://bit.ly/2mxagk2 Basic Green Belt Certification: http://bit.ly/2mx5Ycw Advanced Green Belt Certification: http://bit.ly/2nhg8Os Black Belt Certification: http://bit.ly/2mV6Z0z ----- Basic Principles of Root Cause Analysis 00:13 Five whys 00:51 Variation Breakdown/Thought Map 1:52 Pareto Charts 4:02 Process Map, Cause and Effect Matrix, FMEA 4:25 Process Behavior Charts (Control Charts, I-MR Charts) 5:25 Data Mining, Exploratory Data Analysis (EDA) 6:40
Views: 121611 QuikSigma
Root Cause Analysis with Examples
Root cause analysis is an incident #investigation tool that helps to find the cause of the problem that occurred during the manufacturing of pharmaceutical products. Details: https://www.pharmaguideline.com/2018/09/root-cause-analysis-find-cause-of-problem.html ---------------------------------------------------------------------------------- #Pharmaguideline provides all pharma information and #pharmaceutical guidelines including information about testing procedures of quality control, calibration, reagents and solutions, glassware and good laboratory practices (GLP), audit checklists of all departments for QA professionals. It also covers quality assurance topics such as change control, deviations, market complaints, process validation, cleaning validation cGMP and other pharma documentation and guideline. A fresher in the pharma field can get all latest information about GMP guidelines for QA, QC, Production and Microbiology. Pharmaceutical Guidelines App provides all recent pharma news updates from the world with the alert for free. New articles are added every day to enhance the knowledge of pharmaceutical professionals. All pharmaceutical stuff can be found in one place. About 2500 topics have been covered to date and counting. Pharmaguideline is the total pharmaceutical solution for professionals as well as students. Join us Youtube - https://go.pharmaguideline.com/youtube Facebook -https://go.pharmaguideline.com/facebook LinkedIn - https://go.pharmaguideline.com/linkedin Twitter - https://go.pharmaguideline.com/twitter Blog - https://www.pharmaguiseline.com
Views: 3228 Pharmaguideline
Why-Why Analysis? - Root Cause Analysis Tool
Why-Why Analysis or which is also known as 5 Whys, is a very popular technique to identify root cause of a problem. This technique is also used in the Analyze phase of the Six Sigma DMAIC (Define, Measure, Analyze, Improve, Control) methodology. By repeatedly asking the question “Why” (five is a good rule of thumb), we can peel away the layers of symptoms which can lead to the root cause of a problem. The technique is explained with examples and practical application to the industry. Watch other videos from ‘Quality HUB India’- https://www.youtube.com/channel/UCdDEcmELwWVr_77GpqldKmg/videos • Subscribe to my channel ‘Quality HUB India’ for getting notification. • Like, comment & Share the video with your colleague and friends Link to buy My books 1. Mistake-Proofing Simplified: An Indian Perspective: https://www.amazon.in/gp/product/8174890165/ref=as_li_tl?ie=UTF8&camp=3638&creative=24630&creativeASIN=8174890165&linkCode=as2&tag=qhi-21 2. Management Thoughts on Quality for Every Manager: https://www.amazon.in/gp/product/B0075MCLTO/ref=as_li_tl?ie=UTF8&camp=3638&creative=24630&creativeASIN=B0075MCLTO&linkCode=as2&tag=qhi-21 Gadgets I use and Link to buy 1. OnePlus 5 - Mobile https://www.amazon.in/gp/product/B01MXZW51M/ref=as_li_tl?ie=UTF8&camp=3638&creative=24630&creativeASIN=B01MXZW51M&linkCode=as2&tag=qhi-21 2. HP 14-AM122TU 14-inch Laptop https://www.amazon.in/gp/product/B06ZYLLT8G/ref=as_li_tl?ie=UTF8&camp=3638&creative=24630&creativeASIN=B06ZYLLT8G&linkCode=as2&tag=qhi-21 3. Canon EOS 700D 18MP Digital SLR Camera https://www.amazon.in/gp/product/B00VT61IKA/ref=as_li_tl?ie=UTF8&camp=3638&creative=24630&creativeASIN=B00VT61IKA&linkCode=as2&tag=qhi-21 4. Sonia 9 Feet Light Stand LS-250 https://www.amazon.in/gp/product/B01K7SW2OQ/ref=as_li_tl?ie=UTF8&camp=3638&creative=24630&creativeASIN=B01K7SW2OQ&linkCode=as2&tag=qhi-21 5. Sony MDR-XB450 On-Ear EXTRA BASS Headphones https://www.amazon.in/gp/product/B00NFJGUPW/ref=as_li_tl?ie=UTF8&camp=3638&creative=24630&creativeASIN=B00NFJGUPW&linkCode=as2&tag=qhi-21 6. QHM 602 USB MINI SPEAKER https://www.amazon.in/gp/product/B00L393EXC/ref=as_li_tl?ie=UTF8&camp=3638&creative=24630&creativeASIN=B00L393EXC&linkCode=as2&tag=qhi-21 7. Photron Tripod Stedy 400 with 4.5 Feet Pan Head https://www.amazon.in/gp/product/B00UBUMCNW/ref=as_li_tl?ie=UTF8&camp=3638&creative=24630&creativeASIN=B00UBUMCNW&linkCode=as2&tag=qhi-21 8. Tie Clip Collar mic Lapel https://www.amazon.in/gp/product/B00ITOD6NM/ref=as_li_tl?ie=UTF8&camp=3638&creative=24630&creativeASIN=B00ITOD6NM&linkCode=as2&tag=qhi-21 9. Hanumex Generic Green BackDrop Background 8x12 Ft for Studio Backdrop https://www.amazon.in/gp/product/B06W53TMDR/ref=as_li_tl?ie=UTF8&camp=3638&creative=24630&creativeASIN=B06W53TMDR&linkCode=as2&tag=qhi-21 10. J 228 Mini Tripod Mount + Action Camera Holder Clip Desktop Self-Tripod For Camera https://www.amazon.in/gp/product/B072JXX9DB/ref=as_li_tl?ie=UTF8&camp=3638&creative=24630&creativeASIN=B072JXX9DB&linkCode=as2&tag=qhi-21 11. Seagate Backup Plus Slim 1TB Portable External Hard Drive https://www.amazon.in/gp/product/B00GASLJK6/ref=as_li_tl?ie=UTF8&camp=3638&creative=24630&creativeASIN=B00GASLJK6&linkCode=as2&tag=qhi-21 Watch other Videos from ‘Quality HUB India’ 1. Process Capability Study (Cp,Cpk, Pp & Ppk) - https://www.youtube.com/watch?v=5hBRE0uji5w 2. What is Six Sigma ?Learn Six Sigma in 30 minutes- https://www.youtube.com/watch?v=1oiKYydbrSw 3. Failure Mode and Effects Analysis (FMEA) - https://www.youtube.com/watch?v=UxSBUHgb1V0&t=25s 4. Statistical Process Control (SPC) in Hindi – https://www.youtube.com/watch?v=WiVjjoeIrmc&t=115s 5. Measurement System Analysis (MSA) (Part 1) - https://www.youtube.com/watch?v=GGwaZeMmZS8&t=25s 6. Advanced Product Quality Planning(APQP) - https://www.youtube.com/watch?v=FaawYoPsUYE&t=35s 7. ‘Quality Circles' - https://www.youtube.com/watch?v=kRp9OIANgG8&t=25s 8. What is 'Cost of Quality' and 'Cost of Poor Quality' - https://www.youtube.com/watch?v=IsCRylbHni0&t=25s 9. How to perfectly define a problem ? 5W and 1H approach - https://www.youtube.com/watch?v=JXecodDxBfs&t=55s 10. What is 'Lean Six Sigma' ? Learn the methodology with benefits. - https://www.youtube.com/watch?v=86XJqf1IhQM&t=41s 11. What is KAIZEN ? 7 deadly Waste (MUDA) and benefit of KAIZEN - https://www.youtube.com/watch?v=TEcE-cKk1qI&t=115s 12. What is '5S' Methodology? (Hindi)- https://www.youtube.com/watch?v=dW8faNOX91M&t=25s 13. 7 Quality Control Tools - (Part 1) Hindi - https://www.youtube.com/watch?v=bQ9t3zoM0NQ&t=88s 14. "KAIZEN" in HINDI- https://www.youtube.com/watch?v=xJpbHTc3wmo&t=25s 15. 'PDCA' or 'Deming Cycle'. Plan-DO-Check-Act cycle - https://www.youtube.com/watch?v=Kf-ax6qIPVc 16. Overall Equipment Effectiveness (OEE) - https://www.youtube.com/watch?v=5OM5-3WVtd0&feature=youtu.be 17. Why-Why Analysis? - Root Cause Analysis Tool - https://www.youtube.com/watch?v=Uxn6N6OJvwA
Views: 112083 Quality HUB India
How to Conduct a 5-Why - Titanic Example
A simple example of a 5-Why root cause analysis for the Titanic, learn more https://blog.thinkreliability.com/how-to-conduct-a-5-why
Views: 38054 CauseMapping
Root Cause Analysis
Root cause analysis is a system for analyzing and creating a plan to correct problems within your organization or workplace. Created by the Nevada Division of Public and Behavioral Health.
Views: 30682 Nathan Orme
Fishbone Diagram: Practical description with examples
In this video, I have explained 2nd Quality Control tool i.e. Fishbone diagram in very detailed. I have also explained procedure in very easy way about how to create a Fishbone diagram on Flipchart or Whiteboard, in Microsoft Excel as well as in Minitab. Everything is with steps, snapshots and examples, which will be very easy to understand. I am sure, you will liked it. The next important point is about communication for launching of my website: I am very glad to announce a launching of my website related to Lean, Six Sigma and Personality development coaching. Please visit to my website by clicking on this link and add your valuable views and comments regarding it. https://www.learnandapply.org/ I have also created recommendation page to share secret of my success with you. You can visit this link to review it. https://www.learnandapply.org/recommondations For the best audio recording experience, you can visit Samson product by visiting this link: https://amzn.to/2HkvFva For better management of your time and skills, you must read 'Managing Oneself' book: https://amzn.to/2Hmf0Ht I am sure you will like this video as well as initiatives I have started.
Cause and Effect Diagram Training Video (aka Fishbone Diagram & Ishikawa Diagram)
The Cause and Effect Diagram, ( http://www.velaction.com/cause-and-effect-fishbone-diagram/ ) Fishbone Diagram, or Ishikawa Diagram will help you organize your problem solving efforts. Lean Video created by Jeff Hajek of Velaction Continuous Improvement.
Views: 327196 VelactionVideos
Cause and Effect Analysis
Learn about CE diagrams & how they can be used to establish the root causes of problems. Click Cc button to see subtitles in English. Next, you may want to understand computer security terms at https://youtu.be/ASxswzGt41g
The 5 Whys - Lean Problem Solving
Are you solving the problem or the symptom of the problem? Taken from the online course Introduction to Problem Solving on Lean.org https://www.lean.org/Workshops/WorkshopDescription.cfm?WorkshopId=137
Root Cause Analysis: 8 Points to be effective.
Another great video made in collaboration with Fabrizio Cireddu. Root Cause Analysis in 8 points. www.leanmanufacturingpdf.com Here the transcript of the text: Tips&Rules Root Cause Analysis 1) Collect correct data: Who, when, where, what, why, how, how many 2) Describe process flow standard and current one (understand deviation) 3) Define potential causes: 6M analysis [Ishikawa] ( Man, Machine, Method, Material, Measurement, Mother Nature) 4) Verify which possible causes it was impacting in Gemba ( go in the real place and check personally) 5) Verify which causes were generating the issue and run for each one 5 Why to define root causes analysis 6) Minimum 3 items to answer with 5 Whys approach: why problem occur? Why was it not detect? Why did system fail? 7) Define Action plan with clear owners and timeline 8) Weekly review of action plan and monitoring results during daily KPI meeting ツ CONNECT WITH ME ツ Leave a comment on this video and it'll get a response. Or you can connect with me on different social platforms too: • LinkedIn: https://www.linkedin.com/in/mary-valente-b83aaa14b/ • Twitter: https://twitter.com/LeanLab2009 • Facebook: https://www.facebook.com/LeanLab-146290372099121/ • Website: https://www.leanvlog.com Telegram Channel: https://t.me/leanvlog
Views: 7024 Lean Lab
Lucky Louie (why)
There is a problem solving method called the "why" technique (simply asking why multiple times to get to the root cause of a problem). Best practical example led to improvements at the Jefferson Memorial in DC (I wold be happy to share that with you if you are interested). This is a funny video that was shared in a recent class after the "why" technique was discussed.
Views: 48832 Jeff Wright
How to create cause-and-effect diagrams
Learn how to create a cause-and-effect diagram, also known as an Ishikawa or "fishbone" diagram, to explore and display the possible causes of a certain effect. From our free online course, “Practical Improvement Science in Health Care: A Roadmap for Getting Results”: https://www.edx.org/course/ph556x-practical-improvement-science-in-health-care-a-roadmap-for-getting-results?utm_source=social&utm_medium=partner-marketing&utm_content=youtube-harvardx&utm_campaign=harvardx — Subscribe to our channel: https://www.youtube.com/channel/UCKJyv_uNh3LhYFKmwaB63bA?sub_confirmation=1 — Sign up for emails about new courses: https://harvardx.link/email — HarvardX courses on edX: https://www.edx.org/school/harvardx — Harvard University's online courses: https://online-learning.harvard.edu/ HarvardX empowers the faculty of Harvard University to create high-quality online courses in subjects ranging from computer science to history, education, and religion.
Views: 10830 HarvardX
5 Whys: Root Cause Analysis and Problem Solving
In this video, we explain the proper use of the Five Whys, properly defining problems, and involving all employees in problem solving. Presented by EMS Consulting Group Inc: http://www.emsstrategies.com
Views: 97751 EMS Consulting Group
5 Tools for performing a Root Cause Analysis and CAPA Effectiveness Check
This webinar includes information on: – What are the Key elements of CAPA forms? – What to document? – How far back should I go? – A review of 5 Root Cause Analysis tools including: 5 Why Analysis, Is/Is Not Analysis, Fishbone Diagrams, Affinity Diagrams and Pareto Analysis We also have webinars available on Risk Based CAPA Process Creation on our website at- http://medicaldeviceacademy.com/create-a-risk-based-capa-process/ Like us on Facebook- https://www.facebook.com/13485cert/ www.medicaldeviceacademy.com
IS/ISNOT - Root Cause
Views: 1805 6ixsigmaorg
This Video is all about "Root cause Analysis" by "Why Why Analysis" Tool in simple way with examples Hope You Like It. Cause & Effect Diagram https://www.youtube.com/watch?v=j4JQOpJVKL0&t=3s Corrective Action & Preventive Action https://www.youtube.com/watch?v=6afZ4kUbCdg Subscribe YouTube Channel - https://www.youtube.com/c/AskMechnology/ Facebook Page - https://www.facebook.com/askmechnology/ Instagram - https://www.instagram.com/askmechnology/ Twitter - https://twitter.com/askmechnology/ KEEP LEARNING KEEP GROWING & BE TECHNICAL SUPPORT & SUBSCRIBE “ASK Mechnology”
Views: 8311 ASK Mechnology
Root Cause Analysis Introduction
Engaging delivery of an Introduction to Root Cause Analyis
Views: 17022 Darren Woods
5 Whys Root Cause Analysis Problem Solving Tool--Video Training
The 5 Whys (Free 6-Page PDF at http://www.velaction.com/5-whys/ ) is one of the simplest problem solving tools used in Lean manufacturing and Lean offices. This presentation shows how to use the 5 Whys, and what to watch out for. Created and presented by Jeff Hajek of Velaction Continuous Improvement.
Views: 363234 VelactionVideos
Root-Cause Analysis Tools, and How to Use Them
Break/fix is a way of manufacturing life, but how you respond to it is the key difference between merely muddling through and operating a well-oiled process. Whatever process you call it, Corrective Action or CAP or CAPA, the time it takes to find the root cause of any problem is growing. As a result, your production is slowing and your quality is suspect. The quality of your products relies on how quickly you get to the root cause of your production problems. There are many tools available today that can lead us to root cause and then the corrective action, but which one is right for you? In this video Michael Curran-Hays offers a basic understanding of each tool as well as a model for when to them and on what issue. Areas that are discussed: • Common Root Cause Analysis tools in an 8D framework • Human performance module designed to diagnose “Operator Errors” • “Think Beyond the Fix”… Where else could this happen? • Issue escalation model for using the right tool, at the right time, with the right people
Views: 7970 KT Kepner-Tregoe
Root Cause Analysis
Views: 2599 Course Materials
Root Cause Analysis: Building A Simple Cause & Effect Chart
This video will show you the basics for building a simple cause & effect chart. Root cause analysis is used when a thorough understanding of how/why an event occurred is required. The method shown applies to any type of problem.
How To Conduct a Root Cause Analysis of a Critical Incident
This CASE STUDY focuses on how to CONDUCT a root cause analysis, using an actual incident involving a contaminated public water supply. Learning Objectives: 1. Awareness of benefits of root cause analysis 2. Describe different root cause analysis models 3. Conduct a root cause analysis
How do I use the 5 Whys Root Cause Analysis? | K&S Quality Associates, LLC
http://www.qualityassociates.org/ 5 Whys Root Cause Analysis, ISO 9001 Root Cause analysis methodologies continue to be an issue with many organization's certification process. 5 Why Root Cause Analysis is the simplest method to ensure closure of identified non-conformances. K&S Quality Associates LLC is a consulting firm that has been assisting organizations in the U.S. with ISO9001, AS9100, R2, 14001 certification, and other ISO-based Quality and Environmental Management Systems QMS/EMS since 1997. Major service areas include the West, Mid-West and East Coast. We offer services in QMS/EMS consulting, training, internal audit service, internal auditor training, implementation and assisting organizations to achieve certification. Certification has become a method whereby customers can be assured of a supplier's ability to provide a product or service in a conforming, orderly manner. K&S Quality Associates has been accredited by the Better Business Bureau since 2009 with an A+ rating. Being a consulting group that is accredited and monitored by the BBB ensures integrity and performance in our business operations. Unlike other consulting firms, K&S has many consultants, including ISO 9001 consultants, on staff (other consulting firms are limited to one person), so whatever your project timeline may be, we have the resources to get your project done on time. Additionally all of our auditors/consultants are Lead Auditors, which means they hold the same type of credentials as the certification body (registrar) auditors that certify companies. This ensures that you get qualified consultants that know and understand what is takes to be successful. OUR FEES are unlike any other consulting firm on the market. Our pricing is set as is, and there are no additional travel, expenses, and mileage fees. Other consulting firms charge for these additional fees at the end of the project. We eliminate the guesswork and allow you to know upfront what the project will ultimately cost. Let us lend you our expertise in your ISO Certification process: -ISO 9001 -ISO 14001 -R2 -AS 9100 -ISO 13485 -ISO 27001 -ISO 17025 -TS 16949 -ISO 22000 -Training -Consulting -Quality Management Systems -Internal Audit Subscribe to our YouTube Channel! http://www.youtube.com/subscription_center?add_user=KSQualityAssociates Facebook: https://www.facebook.com/pages/KS-Quality-Associates-LLC/145131642297971 Twitter: https://twitter.com/ksqa2015 LinkedIn: http://www.linkedin.com/company/k&s-quality-associates-llc?trk=company_name Google+: https://plus.google.com/+QualityassociatesOrg/posts Produced by K&S Quality Associates http://youtu.be/EOlW8j8MH10 5 Whys Root Cause Analysis, ISO 9001
Root Cause Analysis Technique (RCA)- Exaplained with CASE STUDY
This lean tool explained in detail with case study in Hindi. ……………………………………………………………… Watch other videos from ‘Quality HUB India’- - Link of video Gallery https://www.youtube.com/channel/UCdDEcmELwWVr_77GpqldKmg/videos • Subscribe and click on Bell Icon for getting notification. • Like, comment & Share link of the video with your colleague and friends ……………………………………………………………… For In-House Program, Advertisement at our channel and Business inquiry Contact us at: [email protected] ……………………………………………………………… Link to buy books 1. Mistake-Proofing Simplified: An Indian Perspective: https://www.amazon.in/gp/product/8174890165/ref=as_li_tl?ie=UTF8&camp=3638&creative=24630&creativeASIN=8174890165&linkCode=as2&tag=qhi-21 2. Management Thoughts on Quality for Every Manager: https://www.amazon.in/gp/product/B0075MCLTO/ref=as_li_tl?ie=UTF8&camp=3638&creative=24630&creativeASIN=B0075MCLTO&linkCode=as2&tag=qhi-21 (You can buy other items as well through this link to support QHI)
Views: 12735 Quality HUB India
5-Why Root Cause Analysis - Welding Robot Example
This is an example of a 5-Why Root Cause Analysis for the Welding Robot Example from the Toyota website. The conventional approach of writing 5-Whys with sentences down the page can be improved. Get a copy of the PDF showing the 5-Why, 7-Why and 17-Why Cause Maps. Click this link https://cdn2.hubspot.net/hubfs/2164270/Blog/CM-Toyota-Welding-Robot-2018.pdf This is the link to the Cause Mapping template in Excel https://offers.thinkreliability.com/root-cause-analysis-excel-template ThinkReliability website https://www.thinkreliability.com/
Views: 2495 CauseMapping
Cause Mapping Root Cause Analysis Template - Top 3 Excel Tips
This video explains how to use the top 3 tips for building Cause Maps in the Cause Mapping Excel template. Get your root cause analysis template at https://offers.thinkreliability.com/root-cause-analysis-excel-template
Views: 1711 CauseMapping
COMET investigation, root cause analysis and prevention toolkit
Watch COMET in action in an environmental spill incident example. Organisations need to fully understand the real root causes of issues they face and how to prevent them happening again. COMET is a unique toolkit for investigation, root cause identification and prevention. It's applicable to safety, environmental, project and process incidents, as well as equipment, business strategy, market/product and customer care failures - any situation that needs to be prevented from happening again.
Views: 191 STC Global Admin
Root cause analysis in context of WHO International Classification for Patient Safety
Session 3: Analysis of medication errors resulting in harm Speaker: David Cousins (session co-chair), The NHS Commissioning Board, United Kingdom Medication errors workshop 28 February - 1 March 2013
Views: 689 emainfo
Why Why Analysis?-Root cause analysis, Example-Titanic
What is Why- Why analysis? The 5Why technique is a simple and effective tool for solving problems .Its primary goal is to find the exact reason that causes a given problem by asking a sequence of why question. The technique was originally developed bt Sakichi Toyoda and was used within the Toyota Moter corporation during the evolution of its manufacturing methodology . Golden rules of performing 5 Whys 1. Use paper or Whiteboard instead of computer. 2. Write down the
Root Cause Analysis Example - Near Miss, Potential Fire and Explosion
This example root cause analysis examines what we determined to be a Near Miss event. On December 10, 2015 I noticed a construction worker smoking at a gas station near the active gas pumps. Nothing happened. But according to a National Fire Protection Agency report documenting 750 outside fires at service stations between 2004 and 2008, smoking materials, unclassified hot or smoldering objects, hot embers/ash, and cigarette lighters account for 43% of these fires. Includes an overview of risk assessment.
Root Cause Analysis - Titanic
Root Cause Analysis for the Titanic disaster. Lessons within this incident help companies reduce risk and improve reliability. There's more to it than an iceberg. http://www.thinkreliability.com
Views: 56896 CauseMapping
ABC of Root Cause Analysis
Hey Learning Partner! Last week we taught you about Risk-based management and how to identify threats to your processes. This week,we bring you a learning segment on "Root-Cause Analysis" which helps industries solve problems by identifying the root cause of faults or problems. Learn how asking "WHY?" a few times can help you solve problems more accurately. Click on the video to learn more! Need help on ISO consultancy? Looking for a training partner? Choose AGF! #ThinkAGF
Views: 21727 AGF Consulting Group
Root cause analysis Example: NYC Helicopter Crash NTSB  Cause Map
This is a root cause analysis case study for the tragic helicopter crash that happened on March 11, 2018, in New York City resulting in the loss of the 5 passengers. There is a two-page summary PDF showing several 5-Whys and a 15-Why Cause Map of the details from the NTSB preliminary report. It reveals how important it is to implement lessons from past incidents to mitigate risk going forward. Download here: https://blog.thinkreliability.com/root-cause-analysis-example-new-york-city-helicopter-crash
Views: 1073 CauseMapping
What is ROOT CAUSE ANALYSIS? What does ROOT CAUSE ANALYSIS mean? ROOT CAUSE ANALYSIS meaning - ROOT CAUSE ANALYSIS definition - ROOT CAUSE ANALYSIS explanation. Source: Wikipedia.org article, adapted under https://creativecommons.org/licenses/by-sa/3.0/ license. Root cause analysis (RCA) is a method of problem solving used for identifying the root causes of faults or problems. A factor is considered a root cause if removal thereof from the problem-fault-sequence prevents the final undesirable event from recurring; whereas a causal factor is one that affects an event's outcome, but is not a root cause. Though removing a causal factor can benefit an outcome, it does not prevent its recurrence with certainty. For example, imagine a fictional segment of students who received poor testing scores. After initial investigation, it was verified that students taking tests in the final period of the school day got lower scores. Further investigation revealed that late in the day, the students lacked ability to focus. Even further investigation revealed that the reason for the lack of focus was hunger. So, the root cause of the poor testing scores was hunger, remedied by moving the testing time to soon after lunch. As another example, imagine an investigation into a machine that stopped because it overloaded and the little fuse blew. Investigation shows that the machine overloaded because it had a bearing that wasn't being sufficiently lubricated. The investigation proceeds further and finds that the automatic lubrication mechanism had a pump which was not pumping sufficiently, hence the lack of lubrication. Investigation of the pump shows that it has a worn shaft. Investigation of why the shaft was worn discovers that there isn't an adequate mechanism to prevent metal scrap getting into the pump. This enabled scrap to get into the pump, and damage it. The root cause of the problem is therefore that metal scrap can contaminate the lubrication system. Fixing this problem ought to prevent the whole sequence of events recurring. Compare this with an investigation that does not find the root cause: replacing the fuse, the bearing, or the lubrication pump will probably allow the machine to go back into operation for a while. But there is a risk that the problem will simply recur, until the root cause is dealt with. Following the introduction of Kepner–Tregoe analysis—which had its origins in the highly complex arena of rocket design, development and launch—RCA arose in the 1950s as a formal study by the National Aeronautics and Space Administration (NASA) in the United States. New methods of problem analysis developed by NASA included a high level assessment practice called MORT (Management Oversight Risk Tree). MORT differed from RCA by assigning causes to common classes of cause shortcomings that could be summarized into a short list. These included work practice, procedures, management, fatigue, time pressure, along with several others. For example: if an aircraft accident occurred as a result of adverse weather conditions augmented by pressure to leave on time; failure to observe weather precautions could indicate a management or training problem; and lack of appropriate weather concern might indict work practices. Because several measures (methods) may effectively address the root causes of a problem, RCA is an iterative process and a tool of continuous improvement. RCA is applied to methodically identify and correct the root causes of events, rather than to simply address the symptomatic result. Focusing correction on root causes has the goal of entirely preventing problem recurrence. Conversely, RCFA (Root Cause Failure Analysis) recognizes that complete prevention of recurrence by one corrective action is not always possible. RCA is typically used as a reactive method of identifying event(s) causes, revealing problems and solving them. Analysis is done after an event has occurred. Insights in RCA make it potentially useful as a preemptive method. In that event, RCA can be used to forecast or predict probable events even before they occur. While one follows the other, RCA is a completely separate process to incident management. Rather than one sharply defined methodology, RCA comprises many different tools, processes, and philosophies. However, several very-broadly defined approaches or "schools" can be identified by their basic approach or field of origin: safety-based, production-based, assembly-based, process-based, failure-based, and systems-based.
Views: 4217 The Audiopedia
Root Cause Analysis 5-Why Example
Titanic 5-Why to 9-Why Cause-and-Effect Analysis using the Cause Mapping method - learn more at https://www.thinkreliability.com/case_studies/the-sinking-of-the-titanic-cause-map/ and https://blog.thinkreliability.com/how-to-conduct-a-5-why
Views: 4510 CauseMapping
Views: 8699 DEV BHUMI
Root Cause Analysis From Juran
By asking why, why, why? the National Parks Service uses Root Cause Analysis to solve a chronic problem and discovers the true (and surprising) reason why this National Monument was deteriorating. The uses of this quality method are revealed in this Juran Quality Minute.
Views: 116899 Juran
Introduction to the Apollo Root Cause Analysis Methodology
Four Simple Steps to Effective Problem Solving.
Views: 8028 ARMS Reliability
Mike Adams Root Cause Analysis Story: An Illogical Cause
Eliminating and mitigating root causes is key to operational excellence. This is a classic story from FPL showcasing the importance of linear thinking and openness to potential causes. FPL was the first non-Japanese company to be awarded the Deming Prize by the Union of Japanese Scientists and Engineers for quality management in 1989.
Views: 4452 Mike Adams
Root Cause Analysis (RCA) using Ishikawa/Fishbone Diagrams
Root Cause Analysis finds the origin of defects and deviation so that the problem can be prevented. Be a Money Belt! Free Lean Six Sigma Yellow Belt Training at www.lssyb.com Download 30-day trial of QI Macros for Excel http://www.qimacros.com/spc-software-for-excel/
Views: 71877 sixsigmamoneybelt
Root Cause Analysis in Patient Safety
This lecture covers how to do root cause analysis using Bayesian networks. This video was organized by Farrokh Alemi and is part of http://openonlinecourses.com
Views: 12644 Farrokh Alemi
Root Cause Analysis Example - Hubble Telescope
This is a root cause analysis for the "blurred images" from the Hubble back in 1990. The solutions to repair the Hubble fixed something different than "the problem." Read more and download the PDF Cause Map: https://www.thinkreliability.com/case_studies/repairing-the-hubble/
Views: 2676 CauseMapping
Root cause analysis, 5 why why analysis tool in Hindi/English.
5 why, Root cause analysis, tool in Hindi /English. A method of determining the root cause of simple problem develop by Sakichi Toyota founder of Toyota Industries. Let's see one example. .. 1) meri bike office se ghar aate samay bike bich me band ho gaya. Why 1- Bike raste me kyu band ho gaya? 2) kyu ki bike ka petrol khatam ho gaya tha. Why 2- Bike ka petrol Kyo khatm hua tha. 3) kyu ki bike me se petrol leak aur vaporised ho raha that. Why 3- Bike ka petrol kyu leak ho raha tha. 4) kyu ki petrol pipe ka clip lock loose tha. Why 4- petrol pipe ka clip lock loose kyu tha. 5) kyu ki mechanic ne petrol pipe ke clip ko proper tait nahi kiya tha. Root cause - mechanic ne petrol pipe ke clip ko tait nahi kiya tha. If you like the video then subscribe the channel Amazing Prasad. like and comment. share with your friends and colleagues. thanks.
Views: 1643 Amazing prasad
WHAT'S YOUR ACTUAL PROBLEM? (Using the 5 Whys for Root Cause Analysis)
We often address and try to fix problems which are just the surface level issue. If we don't figure out the root cause and what is really making this issue take place, we will keep seeing problems arise and never get to the bottom of it. This video explains the 'five whys' technique as developed and used by Toyota in their production services. As explained in The Lean Start-Up by Eric Ries. This is a very important technique to learn for developing your trading system and to understand if your problems are coming from you as a trader, the market or your strategy. ================ JOIN US TO LEARN TO TRADE FOR FREE: http://bit.ly/DuomoInnerCircle ================ SUBSCRIBE FOR MORE TRADING VIDEOS: http://bit.ly/DuomoYouTube ================ THE DUOMO TRADING PODCAST: http://bit.ly/DuomoPodcast (Available on iTunes, Stitcher, Soundcloud and more) ================ GET OUR FULL ONLINE COURSE: http://bit.ly/DuomoCourse ================ SOCIAL LINKS: Website: http://www.duomoinitiative.com Facebook: http://www.facebook.com/duomoinitiative Twitter: http://twitter.com/duomoinitiative Nicholas Twitter: http://twitter.com/nikipuri Instagram: http://instagram.com/duomoinitiative Email: [email protected]
Video animation showing how to carry out causal tree analysis. A great way of looking at critical human errors and technical failures and working out why they occurred, drilling down to the root causes. A simple but very powerful technique. The causal trees developed provided excellent summaries to be included in incident and accident reports.
Views: 9430 Andy Brazier
What is Root Cause Analysis?
Root Cause Analysis (RCA) is a problem solving method that digs into the details of an issue to get to its source(s). Cause Mapping is a simple method of root cause analysis that can be used for basic and complex problems. Learn more here https://www.thinkreliability.com/cause-mapping/what-is-root-cause-analysis/ This atricle explains some of the confusion about root cause analysis and how important it is to focus on the basics. https://blog.thinkreliability.com/what-is-root-cause-analysis
Views: 13724 CauseMapping