Professional Documents
Culture Documents
Current Design
Experience has shown that traditional fishbone diagrams can be confusing to teams As new ideas are entered, words get jumbled and lost in the mix
Starting Out
Draw your fishbone as normal Put your problem statement in the head There are two ways to categorize the side fins Pre-categorize Categorize based off themes from teams brainstormed ideas The teams attitude and engagement
For Teams Still in the Forming/Stor ming Stage Most fishbones are built with the 4 or 6 Ps, 4 or 6 Ms, 8 Ss etc.
Pre-categorize:
Place (or work center) People (those doing, leading and supplying to the job) Policy (rules and regulations that direct the job)
For teams in the Norming/Performin g Stage After team has brainstormed ideas for
causes of the problem Generate themes based off commonality of multiple ideas
Post-categorize
Themes help to provide better clarity for the team, and allow them to feel more in control of the process
Example:
People
People Trained differently Lack of Experience
Product
Policy
No standard for competency testing New hire placed with first available employee seen by manager
Employee training is inconsistent leading to nonstandard time frames for new hire competency
Problem Statement
Number of items brainstormed divided by 3 Facilitator choice if multiple votes can be used on single item
Would not recommend if more than one antagonist on team attempting to achieve personal agendas
Allow team to vote most likely cause to problem for each category
Example:
People
People Trained differently Lack of Experience
Product
Policy
No standard for competency testing New hire placed with first available employee seen by manager
Employee training is inconsistent leading to nonstandard time frames for new hire competency
If tie in one category, I let the team do a one minute commercial for each person (no interruptions, everyone gets a turn) . Then I re-vote (with a different color marking). If still a tie, it wont matter come next round (usually).
Example:
People
People Trained differently Lack of Experience
Product
Policy
No standard for competency testing New hire placed with first available employee seen by manager
Employee training is inconsistent leading to nonstandard time frames for new hire competency
Winner!!!!
Conducting 5 Whys
Now that the team has put their focus on one item; conduct 5 Why analysis 5 Why is just the title; Just keep asking until someone says, Because God said so.
Example:
People
People Trained differently Lack of Experience
New computer system requires more screens to navigate and more data req for entry
Product
Policy
No standard for competency testing New hire placed with first available employee seen by manager
Employee training is inconsistent leading to nonstandard time frames for new hire competency
Made-up scenario on training of ne So, our root cause guides our contributing factors, leading to our w employees headache!
Plant
Workstation s Non-Std Customers provide unique scenarios to trainee
Example:
People
People Trained differently Lack of Experience
New computer system requires more screens to navigate and more data req for entry
Product
Policy
No standard for competency testing New hire placed with first available employee seen by manager
Employee training is inconsistent leading to nonstandard time frames for new hire competency
Showing Root Cause Elim inates Contributing Facto Next I walk through each brainstormed rs
items (contributing factors) to see if solving the root cause also eliminates the contributing factors
If majority are also solved then I know I have root cause. If not, then you must re-evaluate (never had this happen)
Made-up scenario on training of ne Creating Standard Workemployees form of a w in root causeUser Guide could eliminate
Plant
Workstation s Non-Std Customers provide unique scenarios to trainee
Example:
People
People Trained differently Lack of Experience
New computer system requires more screens to navigate and more data req for entry
Product
Policy
No standard for competency testing New hire placed with first available employee seen by manager
Employee training is inconsistent leading to nonstandard time frames for new hire competency
Summary
Tail Root Cause Categories and Brainstormed Ideas Contributing Factors Head Problem Statement Result a visual understanding of a