Problem: The problem or condition needs to
be returned to a prior condition or standard.
Solution: Root cause analysis (RCA) is
about taking corrective actions that get a situation back to the way it
was, plus preventing it from ever happening again. RCA uses this four step process.
Step
1: Define the problem situation that needs analysis or fixing.
Step
2: Perform a root cause analysis to find problem source.
Step
3: Develop corrective actions to fix the problem.
Step
4: Create a corrective action plan and a systems feedback process.
Screen shot: Below is a screen shot of the
toolkit menu. Note: blue hyperlinks are not active.
Root Cause Analysis Toolkit
Menu
Step 1: Define the problem situation that needs analysis or
fixing.
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Problem
(Normative) Statement: States the existing condition that
needs restoring.
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Past or
Standard Data: Identifies the facts, as
they really existed in the past.
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Deviation
Analysis: Describes the deviation from a previous
state or condition.
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Transient
(Change) Description: Describes how the current
problem came into existence.
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Step 2: Perform a root cause analysis to find problem source.
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Cause
& Effect Diagram: Fishbone diagram arranges
possible cause into groups.
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Root
Cause Analysis Questions: Questions to
determine a problem source (root cause).
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Why/Because
Causal Chain: Find the
optimal point where a solution can be applied.
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Step 3. Develop corrective
actions to fix the problem.
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So What Test: Analyze
“what if” the problem was not fixed.
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Fix-It Approaches: Determine what kind of “corrective
action” is best.
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STOP
(Situation-Target-Obstacle-Proposal): Brainstorm removal of obstacles and develop proposed solution
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Failure
Mode and Effect Analysis (FMEA):
Problem elimination tool that identifies actions to take to stop failures
before they occur.
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Step
4: Create a corrective action plan and a systems feedback process.
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Action Work Plan: Identify the steps and tasks needed to
fix the problem.
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Systems Feedback: Tool to avert future problems and
promote continuous improvement.
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