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Root Cause Analysis - Bureau of Indian Education

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Root Cause Analysis - Bureau of Indian Education

... shift from Compliance to Performance Outcomes Slide 3 Definitions Why Use Root Cause Analysis (RCA)? Determining Root Cause Root ... Process Step 1 Organize Team Step 2 Define the Problem Step 3 Conduct Data Analysis Step 4 Determine Root Cause(s) The Five Whys 5 Whys: Define the ...

http://www.bie.edu/cs/groups/xbie/documents/document/idc013356.ppt

Date added: September 26, 2012 - Views: 155

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DETERMINING ROOT CAUSE OF A PROBLEM - General Dynamics ...

Useful Tools For Determining Root Cause are: The “5 Whys” Pareto Analysis (Vital Few, Trivial Many) ... Example of Five Whys for Root Cause Analysis Pareto Analysis Cause and Effect Diagram (Fishbone/Ishikawa Diagrams) ...

http://www.gdeb.com/suppliers/10_quality/SQ_Qual_Conf_2008/2-5%20ROOT%20CAUSE.ppt

Date added: September 20, 2012 - Views: 252

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5 Why’s - Lean manufacturing

Five why’s is a Root Cause Analysis Tool. Not a problem solving technique. The outcome of a 5 Why’s analysis is one or several root causes that ultimately identify the reason why a problem was originated.

http://www.lean.org/FuseTalk/Forum/Attachments/5%20whys%2Eppt

Date added: May 8, 2012 - Views: 555

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5 Whys - ABB Group

5 Whys Basic technique for finding root ... Use it to identify root causes for problems which are not clear and may have a deeper real cause. Use it during the analysis phase to ... There is no magical formula about 5 Whys’ Sometimes you may get to the root cause after two or three whys, ...

http://www05.abb.com/global/scot/scot249.nsf/veritydisplay/939a7d80a623820f8525776d0076e4f6/$file/9AKK105151D0113_5%20Whys.ppt

Date added: December 26, 2012 - Views: 464

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Root Cause Analysis - Making a Difference in Education - MIU IV

What is “Root Cause ... The Creative Root Cause Analysis Team Process. 4. The Five Whys. 5. Force Field Analysis. 6. Barrier Analysis. 7. Fishbone Diagram. Contexts for RCA. RCA can be used at any level within a school district or building.

http://www.miu4.k12.pa.us/textfiles/datatools/root%20cause%20analysis%20reading.pptx

Date added: October 18, 2011 - Views: 99

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Root Cause Analysis - Leading Edge Group

... Developed checklist form with HR for submitting job openings in the future Example #5 Root Cause Analysis Example #5 Example #5 Identify Problem High pyrogen count on finished medical catheter product using molded components. ... brainstorm what possible root causes might be, ...

http://www.leadingedgegroup.com/assets/uploads/Superfactory_Excellence-_Root_Cause_Analysis.ppt

Date added: December 3, 2012 - Views: 168

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4. March 2013 - Root Cause Analysis - Chapters Site - Home

Definition of the 5 Whys Root Cause Analysis * The 5 Whys is an iterative question-asking ... Top Reporting Each group take 5 minutes to report on 5 Why Exercise What were your questions What were some potential root causes? Root Cause Analysis * Closing Remarks Appreciate that Process ...

https://chapters.theiia.org/washington-dc/Recent%20Presentations/4.%20March%202013%20-%20Root%20Cause%20Analysis.ppt

Date added: August 8, 2013 - Views: 49

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5 Whys - Northrop Grumman OASIS

5 Whys - Asking Why Five Times ... it is likely that you have identified a root cause of the problem. If tackled and removed, the observed symptoms of the problem should ... It is important to beware of channelling your analysis down one avenue and completely ignoring other root causes of the ...

https://oasis.northgrum.com/general/docs/basic/BasicTools-5Whys.ppt

Date added: November 14, 2011 - Views: 406

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MD Anderson

Root Cause Analysis: Why? Why? Why? William A. Lindley ... Five Whys Tree Diagram Change Analysis Barrier Analysis Event and Causal Factor Analysis Management Oversight & Risk Tree Analysis (MORT) Cause Effect Diagram Visual display of possible causes Cause categories include materials, ...

http://www.mdanderson.org/education-and-research/resources-for-professionals/clinical-tools-and-resources/clinical-safety-and-effectiveness-educational-program/pdca/root-cause.ppt

Date added: October 18, 2011 - Views: 254

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5 Why Training 21OCT2010.ppt

3 Legged 5 Why Analysis 3 Legged 5 Why – Effective Root Cause ... or assume the answer is obvious Be absolutely objective 5 Why Analysis General Guidelines Ask “Why” until the root cause is uncovered May be more than 5 Whys or less than 5 Whys If you are using words like “because ...

http://www.nexteer.com/wp-content/uploads/2012/FILES/QUALITY/5%20Why%20Training%2021OCT2010.ppt

Date added: March 10, 2013 - Views: 139

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Root Cause Analysis - West Virginia University

Root Cause Analysis ... online databases) Root cause/contributing factors developed Five rules of causation to guide/push the team deep enough Cause ... How is it that? What do we know about . . .? In Japan, called the Five Whys. Questioning to the Void Toyota says ask why 5 times Keep ...

http://www.hsc.wvu.edu/eastern/som/Residency/PPT/Root_Cause_Analysis.ppt

Date added: October 8, 2011 - Views: 134

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5 Why’s - Amazon Web Services

Overview Problem Root Cause Corrective Actions Root Cause analysis Tools: Ishikawa Charts (Fish Bone) Design of Experiments Is / Is not Analysis 5 Why’s Cause & Effect Diagram.

http://chehalis-school-district.s3.amazonaws.com/snocamp/uploads/files/5_whys.ppt

Date added: April 3, 2014 - Views: 24

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Root Cause Analysis - Berry College

What is Root Cause Analysis Find the Root Cause(s) ... (how people felt about what happened) Ask whys using depth first search Return to “square 1” and start again Create a causal tree Find out: ...

http://facultyweb.berry.edu/jgrout/RootCauseAnalysis.ppt

Date added: October 1, 2011 - Views: 331

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Accident Investigation Basics - Washington

Accident Investigation Basics ... the goal of applying the 5 Whys method is to determine a root cause of a defect or problem. ... Accidents Don’t Just Happen “The Tip of the Iceberg” Slide 8 Root Cause Analysis The Five Whys Slide 11 Why Investigate?

http://wisha-training.lni.wa.gov/training/presentations/AccidentInves.ppt

Date added: October 13, 2011 - Views: 869

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Root Cause Analysis - SFI Environmental

Root Cause Analysis Although 5 Whys is a good approach, it contains a couple of potential problems: Humans make mistakes. If a mistake is made answering just one why question, the entire analysis may be thrown off.

http://www.sfienvironmental.com/SitePages/San%20Antonio/Root%20Cause%20Analysis%20(Chuck%20Lee).ppt

Date added: August 29, 2013 - Views: 16

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Root Cause Analysis Training - British Columbia

Root Cause analysis. Implement Corrective/Preventative Measures. Evaluation of conformance. Scenario. Objective of Course: ... Benefits of the 5 Whys include: It helps to quickly determine the root cause of a problem . It is easy to learn and apply .

http://www.for.gov.bc.ca/ftp/tka/external/!publish/EMS2/for%20Richard%20Dominy/Training/Root-Cause-Analysis-Training-Presentation.pptx

Date added: February 6, 2014 - Views: 27

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Root Cause Analysis Exercise - ARSSM

Root Cause Analysis Exercise In Small Groups (each table) ... produce a summary diagram of the key underlying factors from the ‘5 whysanalysis identifying the root causes).

http://conf.arssm.ro/pdf/root%20cause%20analysis%20exercise%20-%20crane%20collapse.ppt

Date added: July 25, 2013 - Views: 55

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Accident Investigation Root Cause - Pullman Regional Hospital

... A method of determining why things occur by questioning why things are done the way they are or why they occurred Root Cause - 5 Whys ... course to determine root causes and corrective actions Understand the ... Contributing Causes Root Cause Root Cause Analysis Be ...

http://videos.pullmanregional.org/Healthstream%20FTP%20link%20Videos/Root%20Cause/Accident%20Investigation%20Root%20Cause.ppt

Date added: September 17, 2013 - Views: 62

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Root Cause Analysis

Root Cause Analysis ... It supports the organization to learn and develop What is Root Cause Analysis? What is a Root Cause? ... RCA Techniques 5 Whys Barrier analysis Change analysis Causal factor tree analysis Failure mode and effects analysis Ishikawa diagram, ...

http://www2.nphs.wales.nhs.uk:8080/PrimaryCareQITDocs.nsf/public/FC7E1EE3F05F9D61802574A2003ABE71/$file/Root%20Cause%20Analysis%20MPM1-gl.ppt

Date added: May 30, 2012 - Views: 122

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NS-LIJ Powerpoint Template - IPRO

5 Whys” Example. Why do you think the CAUTI occurred? The catheter was left in longer than needed. Why? An order to remove it was not written. Why? The nurse and doctor forgot to discuss the need for the catheter during rounds

http://qio.ipro.org/wp-content/uploads/2013/11/Conducting-a-Root-Cause-Analysis-Nov-2013.pptx

Date added: November 30, 2013 - Views: 38

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Root Cause Analysis: An Introduction - Test Page for Apache ...

Root Cause Analysis of Achievement Test Data: An Introduction Kim ... Symptom v. Root Cause Approaches Symptom/assumption Approach Female students aren’t as interested in science. Male students always do better on ... See http://www.mindtools.com/pages/article/newTMC_01.htm. 5 Whys: ...

http://www2.oakwood.k12.oh.us/~cia/CIA/Curricular_Updates_files/RCA.ppt

Date added: June 26, 2012 - Views: 134

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Raytheon’s Six Sigma Process and Its Application for CMMI ...

... The Basic R6s Process and Tools R6s Applied to CMMI Process Improvement Optimizing Processes- Level 5 Raytheon Six Sigma (R6s) Raytheon Six Sigma ... Root Cause Analysis (5 Whys) ...

http://www.dtic.mil/ndia/2003CMMI/Kovar.ppt

Date added: September 28, 2011 - Views: 68

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Root Cause Analysis in Care Transitions: Chart Review Tools

Root Cause Analysis in Care Transitions: Chart Review ToolsTom Ventura, ... “Identify service patterns associated with readmission” Root Cause Analysis (RCA) in ICPCA. RCA in ICPCA. ... Cause-and-effect diagram. 5 Whys.

http://www.primaris.org/sites/default/files/resources/Care%20Transitions/ventura_RCA_20120322.pptx

Date added: September 16, 2012 - Views: 81

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CAP Tools for Six Sigma Notes - free lean manufacturing

It can be learned quickly and doesn't require statistical analysis to be used. When is 5 whys most useful? ... 5 Why’s Approach Identifying Root Cause 5 why is a problem solving technique that allows you to get at the root cause of a problem fairly quickly.

http://www.freeleansite.com/training_page_files/PS_5%20WHYS%20approach.PPT

Date added: November 14, 2011 - Views: 102

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Root Cause & Corrective Action - SAE International

Root Cause & Corrective Action Analysis “It is not necessary to change. Survival is not mandatory.” What is the Auditors Role? Topics Questions to Explore AS9100 -8.5.2 Corrective Action Process What do you like? What can be done better? Sample ...

http://www.sae.org/aaqg/audit_information/2009/Minneapolis/Root_Cause_Corrective_Action.ppt

Date added: September 21, 2011 - Views: 653

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landscape Powerpoint Template - Safety Risk

-Is this as far as the Whys lead? Can you still ask one, two ... Presentation PowerPoint Presentation PowerPoint Presentation PowerPoint Presentation 5-Why Analysis Three Paths 5-Why Analysis Root Cause Analysis Brainstorming Grasp the Situation Grasp the Situation 5-Why ...

http://www.safetyrisk.net/wp-content/uploads/downloads/2011/05/5_why_training_presentation.ppt

Date added: October 11, 2013 - Views: 49

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Visual Management - free lean manufacturing

... Overview freeleansite.com freeleansite.com Root Cause Analysis - Overview RCCA ... ** Don’t be limited to only 5 whys: the end point is the root cause Benefits: Establishes the evidence chain (or the hypothesis thereof) ...

http://www.freeleansite.com/training_page_files/rcca.ppt

Date added: October 18, 2011 - Views: 317

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PDCA at the Problem Solving Level - Karina Hauser ...

Problem Solving Image. Grasp the situation. Actual vs. Standard. Actual vs. Ideal. Point of Cause. Point where eventscause abnormality. Go and See. Breakdown. 5 Why Analysis. Root Cause. Countermeasures. Vague. Big. Concerns. WHY?WHY?WHY? Grasp the Situation. Take careful ... 5 Whys and 5 ...

http://karinahauser.usu.edu/files/uploads/MHR5350/Class7&8ProblemSolving&A3.pptx

Date added: May 2, 2013 - Views: 77

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Problem Solving

QFD Charts and Graphs Root Cause Analysis (RCA) Using the 5 Whys method Fishbone diagram ... Voice of the Customer Four Steps of QFD Pareto Chart Histogram Chart 5 Whys Method Cause Chain How to complete the 5 Whys Fishbone Diagram Construction for Service Industries 4 Ps Statistical ...

http://course1.winona.edu/ksnyder/Fall2009/OM464/Slides/PMSolving.ppt

Date added: June 3, 2013 - Views: 41

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Slide 1

AA FE PNC FII DKS BK MYL UBSI SOME FCF A Brief History Behind Root Cause Analysis (RCA) ... 5 Why’s 5 Whys Continued Potential RCA Barriers Environmental Factors Environmental Factors Continued Techniques RCA ...

https://chapters.theiia.org/pittsburgh/Events/Documents/Root%20Cause%20Analysis%20Presentation.ppt

Date added: May 13, 2014 - Views: 7

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Slide 1

Image is Microsoft Clip Art. ... Root Cause Analysis 5 WHYs Tool Slide 66 Brainstorming Brainstorming Rules Brainstorming Silent Brainstorming Silent Brainstorming Silent Brainstorming Fishbone Diagram We Have the Root Cause Slide 75 Slide 76 Slide 77 Slide 78 Repeated Use of the Cycle ...

http://www.ltcombudsman.org/sites/default/files/norc/texas-qapi.ppt

Date added: May 24, 2013 - Views: 16

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Project Management Tools for Cooper River Bridge Video

Root Cause Analysis “The 5 Whys ...

http://ta.ba.ttu.edu/gu/Files/Project_Management_Tools_for_Cooper_River_Bridge_Video.pptx

Date added: September 12, 2013 - Views: 14

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PowerPoint Presentation

The “5 WhysRoot Cause Analysis: “5 Why” Example Event: You are operating a tug that is towing a Gulfstream IV. Suddenly, the tug becomes uncontrollable, which causes the tow hitch to break and extensive damage to the aircraft nose gear results. 1.

http://www.nata.aero/data/files/sms/web/root%20cause%20tutorial%20april%202013.ppt

Date added: December 18, 2013 - Views: 17

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Root Cause Analysis

Root Cause Analysis Finding Potential Root Causes of Problems: Root Cause Diagram Root Cause Diagram: The Five Whys The purpose of this tool is to help you get down to the real cause of a problem.

http://www.reocities.com/msemba/ise297/101400/82brootcause.ppt

Date added: May 7, 2014 - Views: 19

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SPC Introduction - STM Quality Limited

This is a simple but powerful problem solving tool that helps determine the root cause of a problem. How Does 5 Whys Help? ... In the example, if root cause analysis had stopped at ‘why’ number 3 after the car was running and the person had driven to work, ...

http://www.stmquality.co.uk/USERIMAGES/5Whys.ppt

Date added: November 14, 2011 - Views: 50

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8D Problem Solving Approach - Brooks Automation

This is normally the toughest aspect of the problem-solving process; if the root causes of the problem ... 5-Whys Process Fishbone Diagram ... a systematic approach is needed to use the root cause analysis to develop a solution. If the solution is obvious, select the best solution or ...

http://www.brooks.com/my-brooks/suppliers/~/media/Files/Suppliers/Documents/5_Why_Root_Cause_Corrective_Actions.pdf

Date added: December 21, 2013 - Views: 37

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INTRODUCTION to ACCIDENT INVESTIGATION for SUPERVISORS

... in addition to the root cause Accident Investigation is ineffective unless all causes are ... The fundamental here is not to stop short of obtaining the root cause. The “Five Whys” and the “Key Question” help ... The “Force Field Analysis” is simply a visual tool that ...

http://www.toolboxtopics.com/Beyond%20Safety%20Meetings/Power%20Points/Accident%20Investigation%20for%20Supervisors.ppt

Date added: September 12, 2011 - Views: 211

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Root cause analysis - NIGC

Root cause analysis Root cause analysis Root cause analysis (RCA) is a class of problem solving methods aimed at identifying the root causes of problems or events. ... 5 Whys Kepner-Tregoe Problem Analysis - a root cause analysis process developed in 1958, ...

http://hse.nigc.ir/utils/getFile.aspx?Idn=12413

Date added: May 17, 2013 - Views: 44

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Corrective Action Problem Solving - CJ Kurtz

Corrective Action Problem Solving Carol Kurtz CJ Kurtz & Associates LLC Trainer: Carol Kurtz American Society for Quality (ASQ) Certified Quality Engineer Certified Quality Auditor Certified Quality Manager Certified Mechanical Inspector 20+ years of Quality & Manufacturing Experience Course ...

http://www.cjkurtz.com/quality-tools/CA%20References/Corrective%20Action.ppt

Date added: October 15, 2012 - Views: 623

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A3 Thinking Training - Local Public Health Information | The ...

... Why doesn’t box 3 (Target State) match box 2 (Initial State)? This is where we conduct our Root Cause Analysis – Fishbone or Cause and Effect ... Gap Analysis Affinity diagrams Scatter diagrams Pareto charts 5 Whys Fishbone diagrams Fishbone People Procedures Policy ...

http://www.naccho.org/topics/infrastructure/accreditation/upload/A3-Thinking-Training.ppt

Date added: October 5, 2013 - Views: 13

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Problem Solving Tools - Greater El Paso Section ASQ

Problem Solving Tools ... Failure Cause Investigation The focus of this process is to determine the true Root Cause. ... Single Factor Confirmation Full Factorial Experiment Process capability analysis 5.

http://asq1401.org/presentations/Problem%20Solving%20Tools.ppt

Date added: September 30, 2011 - Views: 67

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RCAvsShallowRootCause

Reliability Center, Inc. Presents…

http://www.reliability.com/demos/rLminusrLslides_rci_12_18_07.ppt

Date added: May 12, 2012 - Views: 55

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UCO Action Project Process - University of Central Oklahoma

Real Root Cause Analysis. Seemingly disparate issues and problems may be arising from common underlying root causes. Root Cause Analysis (RCA)is a process:

http://www.uco.edu/academic-affairs/cqi/files/docs/facilitator_tools/4-analyze-data.pptx

Date added: January 21, 2013 - Views: 37

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Slide 1

Root Cause Analysis Failure Mode and Effect Analysis Professor ... at Finger Lakes Community College in Fall 2006 Integrated solution becomes a model for reform and an NSF CCLI proposal Root Cause Analysis Tools The Five Whys Fish Bone Diagrams Matrix Diagrams Fault Tree Analysis Five Whys ...

http://www.biomanufacturing.org/old/ppt/RCA.ppt

Date added: February 26, 2014 - Views: 6

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TAIS Data Analysis Guidance - PSP Network

Conduct a Root Cause Analysis (5 Whys) 5. Prioritize needs. Next Steps. Explain Guidance doc and refer to handout. We’re going to dig into what else is in this document by step.

http://www.psptexas.net/docs/Needs%20Assessment.pptx

Date added: August 11, 2013 - Views: 30

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PPT QIO Program Brand Template

Describe root cause analysis (RCA). List three RCA tools. Apply RCA to clinical situations. I don’t have the financial resources to make this happen. ... Ask 5 Whys during an interdisciplinary team meeting when you discuss a rise in the number of UTIs.

http://www.ccmemedicare.org/documents/COMM_RCABuildingQISkillsForQAPI20130815CD_D363.pptx

Date added: January 12, 2014 - Views: 25

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Supplier Corrective Action Guide - GKN

... recreate situation where problem occurred Determine Root Cause by performing 5 Why Analysis Root Cause Determination Root Cause is the basic reason for ... Continue this process until all 5 Whys are completed. By asking “Why?” 5 times, you can dig into a problem deeply enough to ...

http://www.gkn.com/aerospace/supplier-info/st-louis/Quality%20Documents/Quality%20Assurance%20Manual%20(Click%20on%20links%20below%20to%20view%20the%20SQA%20Manual%20and%20associated%20documents)/10.0_GKN-STL_SupplierCAGuide.ppt

Date added: October 24, 2013 - Views: 28

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PowerPoint Presentation

To do a root cause analysis of this situation, follow the DMAIC approach. The analysis might look like the graphic on the left. ... 5 Whys. The 5 Whys technique requires that project team members do not settle for surface level explanations for problems.

http://www.ppdsetiu.net/ppds/bahan/Root%20cause%20analysis_bahan%20rujukan.pptx

Date added: September 8, 2013 - Views: 27

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Possess a Clear Understanding of Business Analysis

... infinite loop Root cause analysis Fishbone diagramming 5 Whys Intelligent disobedience Improve your skills Plan your analysis Map the ... infinite loop Root cause analysis Fishbone diagramming 5 Whys Intelligent disobedience Improve your skills Plan your analysis Map the ...

http://community.mis.temple.edu/mis5102sec401/files/2011/04/Chapter7_BC_Increase-Your-Value.ppt

Date added: December 4, 2013 - Views: 9

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Measurement Uncertainty for Testing Laboratories

... Part 2 Slide * Slide * Root Cause Analysis Working Definition “Root Cause Analysis is ... of problem Slide * Benefit of 5 Whys Helps to identify root cause Evaluates relationship between different root causes ... Measurement Uncertainty for Testing Laboratories Author:

http://www.fsea.net/library/ppts/rcar1withanimatemoorepresentation.ppt

Date added: October 18, 2011 - Views: 273