6 steps beyond the 5 Whys - AMMJ

More documents

Recommendations

Info

A good first analysis… but is it enough? In some cases the 5 Whys’ linear nature can cause people to jump to conclusions and fail to arrive at the true cause or causes of an incident or accident. While the 5 Whys technique can be successfully used for very basic investigations, it does have a few limitations which any investigator should be aware of before using it. The limitations of the 5 Whys process include: • Tendency to stop at symptoms rather than finding lower level root causes • Inability to go beyond the investigator’s current knowledge – you can’t find causes for things you don’t already know • Lack of support to help the investigator to ask the right “why” questions • Results aren’t repeatable – different people often come up with different causes for the same problem • Branching can occur – indicating that a more in-depth analysis is needed to get to the root cause Given that the 5 Whys process may not be enough, what follows? What should an investigator do when a more thorough, structured investigation is needed?
6 steps beyond the 5 Whys If the 5 Whys process does not deliver the right answers, then it would be pertinent to enact the following 6 steps for a more rigorous investigation of the incident or accident. Try to do this as soon as possible, particularly step one. Collect more information Assemble the team Conduct the RCA Implement the solution (corrective actions) Measure the success of the corrective actions Advertise your successes
Page 1 and 2: Diving deeper: 6 steps beyond the 5
Page 3: The 5 Whys process At a mine site i
Page 7 and 8: Collect more information Without th
Page 9 and 10: Assemble the team
Page 11 and 12: Assemble the team Assign a skilled
Page 13 and 14: Conduct the Root Cause Analysis Dur
Page 15 and 16: Implement the solutions (corrective
Page 17 and 18: Implement the solutions (corrective
Page 19 and 20: Measure the success of the correcti
Page 21 and 22: Advertise your successes
Page 23 and 24: Advertise your successes Promoting
Page 25 and 26: Next, the cause and effect chart is
Page 27 and 28: Conclusion In this eBook, we looked
Page 29: About ARMS Reliability ARMS Reliabi

6 steps beyond the 5 Whys - AMMJ

Create successful ePaper yourself

Delete template?

Save as template?