Root-cause problem solving in the Ops 4.0 era

root cause problem solving lean

Passionate about the “human factor”: helping people develop broad skills and deep functional expertise. Experienced operations practitioner, faculty member, and author.

Wouter Michiels

Wouter Michiels, a consultant based in the Brussels Office, has more than 10 years’ experience in petrochemical manufacturing, engineering, and supply chains.

April 15, 2019 To improve, organizations must consistently seek out and solve their problems—an insight that underpins lean management ’s emphasis on root-cause problem solving (RCPS). Indeed, companies that have used RCPS to build a problem-solving culture that lasts are able to avoid continuous firefighting by effectively preventing fires from starting.

But RCPS takes discipline and patience, which some leaders resist: a manager may be reluctant to use this model if she’s convinced that she has already identified an “operational solution.” Nevertheless, persuading her to join her team on a problem-solving journey can help uncover a more effective and sustainable set of solutions—most importantly by including the people who know the problem best: shop-floor employees. Their perspective often shows that the initial idea would not have addressed the problem’s real causes, and would have met with a lot of resistance from the people charged with implementation.

Ops 4.0 technologies are making it easier to overcome that resistance and invigorate root-cause problem solving performance. What follows is a non-exhaustive overview of how different technologies ( italicized ) could be applied in each of the five RCPS elements (exhibit).

1. Identifying and defining the problem

The rise of advanced analytics and business-intelligence applications allows companies can detect many more problems than in the past, and in a more effective way—so long as they have sufficient internal support to interpret the output . Examples include fraud detection in banking and insurance, as well as deviations from normal operating conditions of equipment in manufacturing plants. For the latter, the increased availability of high-frequency, high-precision sensors , together with the rise of the Internet of Things provides companies with larger data sets from which to identify problems.

2. Assessing root cause(s)

Once the problem is defined, root causes are often identified via the five-why methodology. Instead of using the traditional colored sticky notes to facilitate this exercise, companies can now use interactive whiteboards incorporating speech-to-text or handwriting-to-text algorithms, together with high-quality touch commands . Moreover, the whiteboards can link to data warehouses , thereby enabling self-service analytics or even machine-learning algorithms for performing the analyses required in confirming or rejecting potential root causes.

3. Designing solutions

Augmented- and virtual-reality applications can help designers’ creation process become even more productive. Faster iterations between the drawing board and a more real-life representation shorten lead times toward final design. Rapid prototyping and 3D printing can accelerate this process even further by bringing intermediate versions of the solution to life.

4. Testing solutions

Once a solution has been designed, it is crucial to test its efficiency and effectiveness. The increase in computing power enables companies to perform extensive computational simulations . Using digital twins helps organizations create virtual mirrors of their operations, allowing them to test ideas more realistically before implementation.

5. Sustaining, sharing, and continuously improving

The digital communication and collaboration platforms that are now in widespread use can often be linked with interactive tools such as digital whiteboards, minimizing the time teams spend on documentation so they can instead focus on the creative parts of problem solving. Having past records of problem-solving sheets available at only one touch avoids solving the same problem all over again.

The above list shows how the ancient art of root-cause problem solving can take shape in today’s environment. The question for most organizations is how to start, especially with technologies that can sound like science fiction. A learning center designed to replicate an actual, digitally enabled working environment can provide the first step, helping people experience the impact these technologies can achieve in a practical and realistic setting.

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A Root Cause Analysis Framework: 5 Why

Introduction to root cause analysis & 5 whys.

In design and construction, problems are somewhat like viruses. Workers know that problems are bound to happen but can’t necessarily predict when, where, or to what extent they’ll occur. Small problems are nothing to be scared of, much like a head cold. But even small issues in the process deserve to be investigated with your team.

When problems do arise, workers may feel the urge to dismiss the symptoms and assume that they’ll fix themselves in time. This can lead to a snowball effect in which the problem, unchecked, becomes more aggressive and more damaging to the project’s outcome.

By the time the team is ready to deal with the problem, they may be forced to waste resources they could have saved if they had attacked the problem right away. The goal of Lean thinking is to increase collaborative problem solving and improve communication channels , providing teams with the means to recognize and address problems immediately so they do not transform into more destructive issues later.

root cause problem solving lean

Root Cause Analysis Definition

A systematic method of analyzing possible causes to determine the root cause of a problem.

Root Cause Analysis

Root Cause Analysis (RCA) is a tool that helps teams discover not only what went wrong, but also provides members with the framework to develop a countermeasure to prevent future occurrences of the issue – similar to how the immune system learns to recognize viruses it has seen before to prevent them from causing harm in the future.

Applying Root Cause Analysis

The first step to effectively applying Root Cause Analysis is to learn how to identify problems. The ability to see problems in a process is required for Kaizen thinking to take place and for continuous improvement to drive processes forward.

The moment a problem is identified, teams should gather all of their collective knowledge together to extinguish the issue as quickly as possible before it snowballs into something worse.

5 Why Analysis

Developed by Japanese professor Kaoru Ishikawa , 5 Why Analysis is a simple but effective RCA method and can be used for both small and moderately sized problems. Complex issues may require 5 Why Analysis to be conducted in conjunction with other Lean problem solving methods such as A3 Thinking and PDCA (Plan, Do, Check, Adjust).

When conducting 5 Why Analysis or any other type of Root Cause Analysis, it’s important to operate with the process in mind rather than the people. Finger pointing is counterproductive and does not align with a culture of Respect for People .

Lean methods encourage workers to continuously improve upon the process so that the outcome delivers maximum value to the stakeholder. If a problem has arisen on the job site, it’s a sign that a closer analysis of the process is necessary.

5 Whys Root Cause Analysis

What is 5 Why Analysis?

A root cause analysis tool used to dig for the root cause of a condition by asking why successively (at least five times) whenever a problem exists in order to get beyond the apparent symptoms. As each answer to the why question is documented, an additional inquiry is made concerning that response.

5 Whys Example

Let’s examine a practical root cause analysis example of a problem that workers may encounter on the construction site and how 5 Why Analysis can be used to tackle the source of the issue.

  • Problem Statement : 3rd floor electrical work did not finish on time. (Why?)
  • First Why : We were missing two workers from the crew. (Why?)
  • Second Why : The electrical PM sent them to a repair. (Why?)
  • Third Why : The PM did not know eight men were needed. (Why?)
  • Fourth Why : The PM was not involved in the planning. (Why?)
  • Fifth Why : Only the foreman was invited. (Root Cause)

This example is a good illustration of why it’s important to continue digging for the root cause when performing a Root Cause Analysis.

If the team had stopped asking “why” at an earlier stage of the process, the team may have made the assumption that the two workers were missing from the crew because they were neglecting their jobs. There likely would have been finger pointing at specific members of the team for failing to complete the work in time. In reality, the root cause was a problem with the process rather than with the people.

root cause problem solving lean

Fishbone Diagram

A fishbone diagram for root cause analysis allows teams to investigate and consider several possible root causes to a singular problem. Used in conjunction with 5 Whys and PDCA thinking, this Root Cause Analysis template helps to provide a fuller picture of what went wrong and how to address it.

Benefits & Drawbacks

5 why analysis benefits.

  • 5 Why Analysis forces teams to advance past the symptoms that they may otherwise stop at as “root causes” and dive deeper into the causes of those symptoms.
  • The process allows teams to identify the relationship between various factors that can lead to a chain reaction.
  • 5 Why Analysis helps teams prevent future similar problems from occurring. This follows the Lean mindset of continuous improvement.
  • The process is easy to learn and implement. You don’t need any sort of analytical background to utilize it.

5 Why Analysis Drawbacks

  • The process isn’t easily repeatable. A person analyzing the problem through a different lens may come to a different conclusion. Sometimes there are more than one possible causes to complex problems, which is why 5 Why Analysis is often used in combination with other Lean methods for bigger problems.
  • You can only operate within the information you know; you can’t find the actual root cause if you are lacking important information.
  • Generally, a single root cause is identified at the end of the process when, in reality, some problems result from a number of errors (also common in bigger problems).

Learn Root Cause Analysis & 5 Why

The Lean Construction Institute is committed to transforming the design and construction industry by providing Lean educational resources , conducting research , and facilitating local and national Lean events . Explore supplementary resources to further your understanding of root cause analysis and 5 why analysis below. 

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William R. (Bill) Seed, Executive Editor

root cause problem solving lean

Executive Editors: Kristin Hill, Katherine Copeland and Christian Pikel

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What is Root Cause Analysis? Process, Example & Everything You Need to Know

  • Written by Contributing Writer
  • Updated on March 7, 2023

root cause analysis

Root cause analysis (RCA) is a problem-solving methodology used to identify the underlying cause of a problem, incident, or adverse event. Simply put, it is pinpointing the root of the problem to solve and prevent it from happening again.

When faced with a problem, we usually try to get to the bottom of it. For example, in the unfortunate event that we break our bones, we would be in immense pain. We might take measures to control the pain and blood loss. But our efforts don’t stop at simply having a painkiller and applying a bandage. We rush to the ER as soon as possible, get the necessary treatment to mend the broken bones, and make sure we are careful not to have such an accident.

What we did here is we analyzed the problem: the pain and took steps to fix the root cause, which is the broken bones. Here the pain is the symptom, and the fractured bone is the root cause.

Now that we are familiar with what it stands for let us dive deep into root cause analysis, or RCA, which is the systematic approach employed in various industries like healthcare, manufacturing, governmental organizations, aviation, etc. We also examine its definition, history, benefits, approaches, process, principles, tips, and how to learn more .

Defining RCA Analysis

Root cause analysis is a problem-solving process that seeks to identify the underlying cause of a problem or issue. It’s a systematic approach that goes beyond just identifying symptoms and aims to uncover the root cause of the problem. The objective is to prevent future occurrences of the situation by addressing its root cause.

RCA analysis involves collecting and analyzing data to identify a problem’s underlying cause. The process typically consists of a team of experts who use various tools and techniques to gather and analyze data. Once the root cause has been identified, the team develops a plan to address the root cause and prevent future occurrences of the problem.

Also Read: What Is Process Capability and Why It’s More Interesting Than It Sounds

History of Root Cause Analysis

The origins of root cause analysis can be traced back to the late 19th century when it was used in the manufacturing industry to improve production processes. In the 20th century, it was further developed and applied to a broader range of industries, including healthcare and aviation.

In the 1950s when manufacturers started to use it to understand industrial events. The primary goal of RCA is to determine the fundamental cause of a problem, which is referred to as the “root cause.”

One of the earliest adopters of RCA was Toyota, who employed the “5 whys” method, where the investigation of a breakdown or undesired event is conducted by asking “why” at least five times. This approach forces quality personnel to delve deeper and understand the underlying causes, layer by layer. Today, RCA is widely used in various industries to identify and eliminate problems, improve processes, and prevent recurrence.

RCA was first used in the healthcare industry to address adverse events and improve patient safety. The Institute of Healthcare Improvement (IHI) developed the RCA process in the late 1980s, and it quickly became a standard tool for improving patient safety and quality of care.

The Joint Commission, a US-based nonprofit that accredits healthcare organizations and programs, requires a root cause analysis (RCA) to be conducted whenever an accredited hospital experiences a specific type of adverse event. These are known as “sentinel” incidents, as they reveal a dangerous flaw in the care provided and prompt an immediate investigation and response.

RCA was developed in response to the growing number of plane crashes and incidents in the aviation industry. The National Transportation Safety Board (NTSB) was established in 1967. It has since been using RCA to investigate plane crashes and incidents to identify their root causes and prevent future occurrences.

Benefits of Root Cause Analysis

Before we go to explore how various industries and organizations benefit from implementing RCA, let us discuss the primary goals of root cause analysis.

The three main goals of RCA are:

  • Identifying the root cause: The first goal is to discover the primary source of the problem or event. This is essential to understand the underlying causes and find practical solutions.
  • Understanding the issues: The second goal of RCA is to fully comprehend the nature of the issues and develop a plan to fix, compensate, or learn from them. This requires a comprehensive analysis of the root cause and the factors contributing to it.
  • Applying learnings: The third goal of RCA is to use the information gained from the analysis to prevent similar problems from occurring in the future. This includes making systemic changes to processes and systems and implementing measures to mitigate the risk of future adverse events.

Root cause analysis offers numerous benefits to organizations and industries. Some of the key benefits include:

  • Improving quality: RCA helps organizations identify the root cause of problems and implement solutions to prevent future occurrences, improving quality and efficiency.
  • Reducing risk: Organizations can reduce the risk of future incidents and adverse events by identifying the root cause of the problem and hence improving overall safety and security.
  • Enhancing customer satisfaction: Organizations can better manage their product issues by addressing the root cause of problems. Thus organizations can improve customer satisfaction and trust.
  • Improving organizational learning : RCA provides organizations with a systematic process for learning from problems and incidents, enabling them to improve their processes and procedures continuously.
  • Increasing efficiency and productivity: Organizations can improve their processes and procedures by addressing the root cause of problems, leading to increased efficiency and productivity.

Also Read: Demystifying the Theory of Constraints

Top Approaches of Root Cause Analysis

There are several approaches to root cause analysis, each with its unique methodology and tools. Let’s discuss some of the most commonly-used types of root cause analysis.

The 5 Whys Root Cause Analysis

The 5 Whys root cause analysis approach is beneficial for solving simple problems or identifying root causes in a short amount of time. This simple yet effective approach involves asking “why” questions to identify the root cause of a problem. The process is repeated until the root cause is identified. For example, in a service industry setting, in case of a complaint, by asking “why” five times, the team could drill down layer by layer to understand the underlying causes of the problem, such as poor communication, inadequate training, or poor service quality.

Fishbone Diagram

The Fishbone Diagram is a visual tool that helps teams identify potential root causes of a problem. It is called so because it resembles a fishbone. The fishbone diagram organizes and categorizes possible causes, making it easier to identify the root cause. For example, a fishbone diagram could be used in a manufacturing setting to categorize and analyze the various factors contributing to a machine breakdown, such as equipment design, operator error, or poor maintenance.

Pareto Analysis

The Pareto Analysis approach uses statistical analysis to identify the most significant root causes of a problem. The Pareto principle states that 80 percent of issues are caused by 20 percent of root causes. Pareto analysis helps teams focus on the most critical root causes, reducing the time and resources required to address the problem. For example, in a healthcare setting, a Pareto analysis could determine that 20 percent of patient falls are caused by 80 percent of the root causes, such as slippery floors, poor lighting, or lack of staff supervision.

Fault Tree Analysis (FTA)

This type of root cause analysis is a graphical representation of the relationships between different system components and how they contribute to a problem or failure. FTA helps teams understand the interdependencies between various components and identify the root cause of a problem. For example, in an aviation setting, an FTA could be used to analyze the interdependencies between different components of a plane, such as the engines, fuel system, and control surfaces, and to identify the root cause of a crash.

Conducting Root Cause Analysis: Process

We can break the process of conducting RCA into the following steps:

  • Define the problem: The first step is clearly defining the problem and understanding what needs to be addressed.
  • Gather data: Once the problem is defined, the next step is to gather data. This involves collecting information about the problem, including date, time, and location, as well as any relevant documentation, reports, or other information.
  • Form a team: The next step is forming a team of experts responsible for conducting the RCA. The team should include individuals with expertise in the problem area, as well as representatives from different departments or parts of the organization.
  • Use a root cause analysis tool: The team should use a root cause analysis tool, such as a fishbone diagram, Pareto analysis, or fault tree analysis, to help identify potential root causes.
  • Identify root causes: Once potential root causes have been identified, the team should use the data and information collected to validate and verify the root causes.
  • Develop solutions: Once the root cause has been identified, the team should develop solutions to address the root cause and prevent future occurrences of the problem.
  • Implement solutions: The final step is to implement the solutions and monitor their effectiveness to ensure that the problem has been fully resolved.

Also Read: Value Stream Mapping in Six Sigma

Root Cause Analysis Principles

Conducting RCA involves following several fundamental principles:

  • Root cause focus: Root cause analysis focuses on discovering and correcting the root causes of a problem rather than just treating the symptoms.
  • Short-term relief: While focusing on root causes is essential, it’s also important to provide short-term relief for the symptoms.
  • Multiple root causes : Multiple root causes can contribute to a problem, so it’s important to identify all of them.
  • No blame: The focus should be on understanding how and why a problem occurred rather than who was responsible.
  • Evidence-based: Root cause claims should be supported by concrete cause-and-effect evidence.
  • Actionable information: The results of the analysis should provide enough information to inform a corrective course of action.
  • Future prevention: Consideration should be given to how the root cause can be prevented from recurring.

Tips for Root Cause Analysis

  • Start with a clear definition of the problem: It is essential to have a crystal-clear understanding of the problem before starting the RCA process. This will help ensure that the team is focused on addressing the right issue and that the root cause is accurately identified.
  • Gather all relevant data: Data is essential for a successful RCA. The team should gather as much relevant data as possible, including the date, time, and location of the problem, as well as all pertinent documentation, reports, or other information.
  • Involve experts from different areas: Involving experts from different areas of the organization, such as operations, maintenance, and engineering, will help ensure that the root cause is accurately identified and that all potential root causes are considered.
  • Use multiple tools and techniques: Different RCA tools and techniques, such as fishbone diagrams, Pareto analysis, and fault tree analysis, can provide different perspectives and insights into the root cause of a problem. The team should consider using multiple tools and techniques to ensure they completely understand the problem.
  • Be thorough and systematic: RCA should be approached systematically, using a structured process and methodology to identify root causes. The team should be detailed and methodical in their approach to ensure that all potential root causes are considered and that the root cause is accurately identified.
  • Focus on prevention: The goal of RCA is not just to identify the root cause of a problem but to prevent future occurrences. The team should focus on developing solutions that will prevent the problem from happening again in the future.

Also Read: Demystifying Kaizen Lean Six Sigma

Master Root Cause Analysis Skills to Become a Lean Six Sigma Expert

For a Lean Six Sigma expert, the ability to identify the underlying causes of problems and develop effective solutions for improving processes and outcomes is a prized skill. As such, you need to understand and know how to perform root cause analysis.

If you’re interested in becoming a Lean Six Sigma expert, an online Lean Six Sigma certification can provide you with the knowledge, skills, and tools you need to succeed in this role.

An online bootcamp like the one delivered by Simplilearn, in collaboration with the University of Massachusetts, covers the core concepts of Lean Six Sigma, including problem-solving methodologies, process improvement techniques, and statistical analysis tools. This IASSC-accredited program teaches how to identify and eliminate waste, reduce defects, and improve process efficiency across various industries.

With business mentoring from industry experts from KPMG, you’ll be able to tackle real-world business problems confidently. This fast-track program is perfect for quality professionals, business analysts, and executives looking to carve successful careers.

Ready to start your journey toward becoming a master in quality management? Enroll today!

You might also like to read:

Ultimate Guide to Six Sigma Control Charts

DMADV: Everything You Need to Know

Describing a SIPOC Diagram: Everything You Should Know About It

Process Mapping in Six Sigma: Here’s All You Need to Know

How to Use the DMAIC Model?

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Introduction

Introduction to analyze in dmaic.

The Analyze phase of the DMAIC (Define, Measure, Analyze, Improve, Control) methodology is an important step in the Lean Six Sigma process. It is the stage at gathered data is analysed in order to comprehend the current state of a process and identify areas for improvement. The primary goal of this phase is to identify the underlying cause of the problem and understand how it affects the process. Understanding the underlying cause allows organisations to develop and implement effective solutions to improve the process.

Statistical process control, process mapping, and cause and effect diagrams are used in this phase to analyse the data and identify the root cause of the problem. As a Lean Six Sigma Yellow Belt, it is critical to understand the Analyze phase because it serves as the foundation for the subsequent DMAIC phases. This training course will teach you how to conduct a thorough process analysis, identify the root cause of problems, and make data-driven decisions to improve the process.

Table of Contents

Root cause analysis in dmaic.

Root Cause Analysis (RCA) is a critical component of the Analyze phase of Lean Six Sigma’s DMAIC (Define, Measure, Analyze, Improve, Control) methodology. RCA’s primary goal is to identify the underlying cause of a problem or issue rather than simply treating the symptoms. Understanding the root cause allows organisations to implement effective and long-term solutions to improve processes and boost efficiency. 

The purpose of this section of the course is to introduce the concepts and tools of RCA to support the Lean Six Sigma Yellow Belt methodology application. It will give you a thorough understanding of the significance of RCA in process improvement, as well as the various techniques and tools for identifying and analysing root causes. Participants will leave this course with the knowledge and skills needed to conduct a successful RCA and contribute to process improvement initiatives in their organisation.

What is Root Cause Analysis?

Root Cause Analysis (RCA) is a technique for determining the root cause of a problem or issue. RCA seeks to understand the source of the problem rather than simply treating the symptoms. Organizations can implement effective and sustainable solutions that address the underlying issue rather than just treating the symptoms by identifying the root cause. 

This can lead to improved processes, increased efficiency, and cost savings. Quality control, safety incidents, production problems, and customer complaints are all examples of where RCA can be used. RCA is used in a wide range of industries, including healthcare, manufacturing, service, and construction.It is a critical tool for process improvement and is frequently used in conjunction with other methodologies such as Lean Six Sigma, Total Quality Management, and ISO 9000 .

Why is Root Cause Analysis Important?

RCA is a critical problem-solving technique that is especially popular among organisations that are new to implementing Lean Six Sigma. Because it is a logical, structured approach that all members of the organisation can easily understand, RCA is frequently one of the first tools adopted by organisations.

There are several reasons why Root Cause Analysis is an important approach to solving problems in the workplace, such as:

Improves processes : By determining the root cause of a problem, RCA allows organisations to develop and implement effective and long-term solutions that improve processes and increase efficiency.

Reduces costs: Addressing the root cause of a problem can prevent it from recurring, saving the organisation time and money.

Increases safety: RCA can be used to determine the root cause of safety incidents, allowing organisations to take corrective action to avoid similar incidents in the future.

Improves customer satisfaction: RCA can be used to identify the source of customer complaints, allowing businesses to take action to improve the customer experience.

Compliance: RCA can be used to determine the root cause of non-compliance issues and then implement corrective action to bring the process back into compliance.

Continuous improvement: RCA is a key tool in continuous improvement efforts as it helps organisations to understand the current state of a process and identify areas for improvement.

Data-driven decision making: Organizations can make data-driven decisions to improve processes and achieve their goals by identifying the root cause of a problem.

Overall, RCA is an important tool for process improvement because it can assist organisations in identifying and eliminating issues that are affecting their operations, allowing them to improve their performance and achieve their objectives.

Root Cause Analysis Tools

What tools are used in root cause analysis.

There are several tools and techniques that can be used to conduct an RCA, each with their own strengths and weaknesses. We will go over some of the most common RCA tools and techniques, such as the Fishbone Diagram ( Ishikawa Diagram or Cause and Effect Diagram), Pareto Chart, Scatter Plot, 5 Whys, Flowcharting, Fault Tree Analysis, Failure Modes and Effects Analysis (FMEA), and Statistical Process Control (SPC). 

Each of these tools and techniques can be used to identify various root causes and provide valuable insights into the issue at hand. Other tools and techniques may be used to complete a comprehensive Root Cause Analysis, depending on the context, industry, and specific problem, these tools are also in the context of a Lean Six Sigma Yellow belt course, and you would learn more about Root Cause Analysis on a Lean Six Sigma Green Belt.

Fish Bone Diagram

What is a fishbone diagram.

A Fishbone Diagram (also known as an Ishikawa Diagram or a Cause and Effect Diagram) is a tool for identifying potential causes of a problem. It is also known as an Ishikawa diagram or a cause and effect diagram. It is a graphical representation that helps in the organisation and identification of various factors that may be contributing to a problem.

The diagram is in the shape of a fish skeleton, with the problem or effect written at the head and potential causes branching off the spine. The various branches represent various categories of causes, such as equipment, people, processes, and the environment.

The Fishbone diagram is an effective tool for breaking down a complex problem into smaller, more manageable chunks. It helps in the organisation of data and the identification of various factors that may be contributing to the problem. It is also an excellent tool for team brainstorming and gathering feedback. It can be applied to any industry or problem.

To create a Fishbone diagram, first define the problem and write it at the fish’s head. Then, brainstorm the various cause categories, such as people, process, equipment, and environment, and write them as branches off the spine. Finally, you must brainstorm and write down specific causes that fall into each category.

The Process of Completing a Fishbone RCA

Performing a Fishbone Root Cause Analysis (RCA) consists of several steps:

Define the issue: Define the problem you’re attempting to solve. This statement should be specific and measurable.

Identify the various causes: Identify the various causes that may be contributing to the problem. People, equipment, process, environment, materials, method, management, and measurement are all common categories.

Specific causes: For each cause category, brainstorm specific causes that fall under each category.

Make a Fishbone diagram: Make a Fishbone diagram of the specific causes. Write the problem or effect at the top of the fish, and the various causes as branches off the spine. Sub-branches are written for specific causes that fall into each category.

Identify the most likely cause(s): Use the Fishbone diagram to identify the problem’s most likely cause or causes.

Create a plan of action: Create a plan of action to address the problem based on the identified causes. This can include taking corrective actions, changing processes, or putting in place a new system or procedure.

Put the plan into action: Put the action plan into action and track the results.

Monitor and improve on a regular basis: Keep an eye on the process and look for any ways to improve .

Example of a Fishbone Diagram

  • Below is an example of a Fishbone diagrams that has been completed by a team looking into the problem of long production lead times (average lead time is 25 days which is excreeding the target lead time of 15 days identifyed by the voice of the customer (VOC) .
  • This Fishbone was developed using a cross functional team of operators, operations managers, engineers, supply chain managers etc. 
  • The team first agreed and understood the problem they were looking to identify the root cause of.
  • They then brainstormed all the potential causes for not meeting the targeted lead time, this is usually recorded on a sticky note if done in person or can be done in various softwate.
  • The team then shared their reasons that they brainstormed, adding any justification or clarification for other team members, as the reasons are shared this can then provide further potential reasons with the power of group think where a team member might build on a previous presented reason or develop a variation to it.
Note: Sometimes a reason may seem like it fits in more than one category, in this instance, place it in the most relvant category.
  • Reasons can then be priortised by the team as it is usually unlikely there are enough reasources to explore each and every listed reason. Prioritisation can be done with the teams getting three votes each and vote can choose to vote on what they think are causing the largest impact on the problem, three votes could all be spent on one reason or spread across multiple. At the end of the voting those reasons can then be explored
  • Themes are then explored and varified by the project team to provide more context and evidence that the reason my be impacting the problem. For example “lack of equipment availablity”, upon review of data it turned out that 40% of equipment breakdowns result in delays of more than one day. 
  • This is repeted among the priortised list until enough reasons have been identified and verified with data to sufficiently solve the problem. For example again with “lack of equipment availablity” data was collected to understand how much production time per month was lost due to this. Reasons for breakdowns can then be explored with Pareto analysis  to see the top reasons for down time. 
  • Actions can then be taken to reduce equipment down time in the improve stage which we will explore later in the course.

What is 5 Whys?

The 5 Whys technique is a simple and efficient problem-solving method that can be applied in a wide range of industries and settings. It is especially useful in determining the root cause of complex and multifaceted problems because it helps to break the problem down into smaller, more manageable parts.

The key to the 5 Whys technique is to keep asking “why” until you find the root cause of the problem. It is critical to avoid making assumptions or jumping to conclusions, as this can lead to incomplete or inaccurate information. You can gain a deep understanding of the problem and identify the root cause by continuing to ask “why?” and drilling down to the underlying causes.

5 Whys is an extremely useful tool for organisations looking to improve their processes and increase efficiency, reduce costs, increase safety and customer satisfaction, compliance, and as a key tool in continuous improvement efforts. It promotes a problem-solving culture and can be used to identify and address issues before they become major issues. To gain a more comprehensive understanding of a problem, the 5 Whys technique can be used in conjunction with other problem-solving tools such as the Fishbone diagram or Flowcharting.

What are the benefits of 5 Whys?

5 Whys is a very popular Root cause analysis tool in organisations for a varity of reasons such as:

Easy to understand and use: One of the main benefits of the 5 Whys technique is that it is easy to understand and use. The process is simple and does not necessarily require any special training or equipment. It can be used by individuals or groups, and it is an excellent tool for brainstorming and gathering team input. This makes it a useful and accessible tool for problem solving in a variety of contexts.

Encourages critical thinking: The 5 Whys technique encourages critical thinking by repeatedly asking “why,” which helps to surface underlying issues that are not immediately apparent. It encourages people to look beyond the surface of a problem and investigate deeper causes. This can lead to a better understanding of a problem and can assist in identifying and addressing issues before they become major issues.

Teamwork: Repeatedly asking “why” encourages collaboration and the exchange of ideas, which can lead to better problem-solving. It is an excellent tool for team brainstorming and gathering feedback. Different perspectives and expertise can be brought to the table by involving multiple people in the problem-solving process, leading to more comprehensive and effective solutions.

Continuous improvement: The 5 Whys technique is an excellent tool for organisations looking to improve their processes and increase efficiency, reduce costs, increase safety and customer satisfaction, and ensure compliance. It is also a key tool in continuous improvement efforts. It promotes a problem-solving culture and can be used to identify and address issues before they become major issues. It also assists organisations in determining areas for improvement and making data-driven decisions. It can also be combined with other problem-solving tools, such as the Fishbone diagram or Flowcharting, to gain a more comprehensive understanding of a problem and develop an effective plan of action.

Last but not least, Identifying the root cause: The goal of the 5 Whys technique is to repeatedly ask “why” to get to the bottom of a problem. Rather than addressing symptoms, this aids in determining the root cause of the problem. Organizations can develop effective and sustainable solutions that improve processes and increase efficiency, reduce costs, increase safety and customer satisfaction, compliance, and serve as a key tool in continuous improvement efforts by understanding the root cause. This is an important step in problem solving because it ensures that the correct problem is addressed and that the solution is long-term effective.

How to complete 5 Whys?

While conducting a 5 Whys analysis is a simple process, it’s important to remember that it’s not a one-size-fits-all solution. The key to successfully conducting a 5 Whys analysis is to be thorough and systematic in your approach.

Define the issue: Define the problem you’re attempting to solve. This statement should be specific and measurable. Ensure that the problem is well-defined and understood by all team members.

Collect data: Gather information about the problem. This includes things like observations, interviews, and measurements. It is critical to collect data from various sources to ensure that you have a complete understanding of the problem.

Begin with “why”: Begin by asking “why” the problem is occurring. Make a note of the answer to the first “why” question. When asking “why,” it is critical to be specific and avoid making assumptions or guesses.

Continue to ask “why”: Continue to ask “why” based on the answer to the previous “why” question until you have asked “why” five times. It is critical to be patient and persistent in asking “why” until you find the source of the problem.

Identify the root cause: The fifth “why” should reveal the problem’s root cause. When identifying the root cause, it is critical to be critical and ensure that the root cause identified is the actual cause of the problem.

Create a plan of action: Create a plan of action to address the problem based on the identified root cause. This can include taking corrective actions, changing processes, or putting in place a new system or procedure. Make certain that the action plan is specific, measurable, achievable, relevant, and time-bound.

Example of 5 Whys?

Here’s an  example  of  5  Whys  being  applied  to  a  problem  in  a  manufacturing  company:

Problem: The production line is experiencing frequent downtime

  • Why is the production line experiencing frequent downtime?
  • The machines are breaking down frequently.
  • Why are the machines breaking down frequently?
  • The machines are not being properly maintained.
  • Why are the machines not being properly maintained?
  • The maintenance schedule is not being followed.
  • Why is the maintenance schedule not being followed?
  • The maintenance team is not properly trained on how to maintain the machines.
  • Why is the maintenance team not properly trained?
  • The company has not provided proper training for the maintenance team.

Root Cause: The company has not provided proper training for the maintenance team.

Plan of Action:

  • Provide training for the maintenance team on how to properly maintain the machines.
  • Implement a strict maintenance schedule and ensure that it is being followed.
  • Regularly check and evaluate the maintenance team’s performance.
  • Invest in tools and equipment to improve the maintenance process.

Implementation:

  • Set up training sessions for the maintenance team on how to properly maintain the machines.
  • Establish a strict maintenance schedule and ensure that it is being followed.
  • Monitor the maintenance team’s performance and provide feedback.
  • Purchase necessary tools and equipment to improve the maintenance process.

By using 5 Whys the company was able to identify the root cause of the problem, which was a lack of proper training for the maintenance team, and develop a plan of action to address it, which improved production and reduced downtime.

Pareto Chart

What is a pareto chart.

A Pareto chart is a graphical representation tool invented in the early twentieth century by Vilfredo Pareto , an Italian economist. Pareto discovered that 80% of the effects result from 20% of the causes, which became known as the Pareto principle. Pareto charts are used to identify and prioritise the most important factors influencing a problem or effect. It combines a bar chart and a line graph, with the bars representing the various factors and the line representing the cumulative total.

Pareto charts are used to identify the “vital few” factors that cause the majority of a problem and prioritise them for further investigation and improvement. For example in the picture above, the vital few factors are Turntable, blocker alignment and foil dispenser. They are frequently used in quality control, process improvement, and project management to identify and address the most serious issues. It’s a useful tool for visualising data distribution and identifying areas for improvement.

The key components of a Pareto chart are:

  • The bars representing the different factors contributing to the problem or effect
  • The x-axis represents the different factors
  • The y-axis represents the frequency or count of each factor
  • The bars are arranged in descending order of frequency or count
  • The line is plotted on top of the bars, showing the cumulative total
  • The chart typically includes a threshold line to indicate the point at which a significant percentage of the problem or effect occurs.

How to Use a Parteo Chart?

Using a pareto to analyze data and identify the most common root causes of a problem is a fairly simple process, especially if you have software such as excel.

  • Create a table with column titles: Categories, frequency, cumulative frequency and percent

2. List the categories in the first column

3. Input the frequency into the second column

4. Calculate the cumulative frequency in the third column, row one being =B2, row two being =B2+B3, row three being =B3+B4 and so on. You should have something like the one below with the number increasing.

5. In the percent column calculate the percent of each category against the total. E.g. =B2/C14. This formula should be the frequency number divided by the total number from the cumulative frequency.

6. Now select the Categories and percent column and click insert, Recommended Charts, you should then have a screen like below, select Pareto and click Ok.

If you had any difficulties following these steps, don’t worry we got you covered with a free template of a Pareto in Excel below. However, it is useful to understand how these are created.

Download: Pareto Chart Template

Example of a Pareto Chart used for RCA

Above is an example of a Pareto chart usef for Root cause analysis to help understand the main causes of customer complaints. Data was collected on the last six months to data of customer complaints to understand what the reasons for complaints where.

The data was then analyzed with a pareto chart which showed that 51% of complaints where due to customer service not being helpful and 32% due to customer waiting too long on hold.

Therefore 80% of the problem was cause by these two cateogories which need to be addressed with actions

Problem:  Increasing number of customer complaints in relation to the customer service line.

Example of Pareto chart for customer complaints

The data was then analyzed with a pareto chart which showed that 51% of complaints where due to customer service not being helpful and 32% due to customer waiting too long on hold. 

Root Cause:  The Root cause for 80% of complaints is due to customer service not being helpful and customers waiting too long on hold.

  • Improve customer service by providing effective communication and problem-solving training to customer service representatives. Establish a system for monitoring and evaluating customer service interactions to identify areas for improvement.
  • Reduce hold times by identifying the root causes of long hold times, such as high call volume, a lack of staff, or technical issues. Hire more employees, invest in call routing technology, or add a call-back system as solutions.
  • Track customer complaints, customer service interactions, and hold times to continuously monitor and measure the progress of these efforts. Use this data to assess the effectiveness of your actions and make adjustments as needed.
  • Communicate with customers to understand their needs and concerns, as well as to keep them informed of the steps being taken to improve the service.
  • Continuously strive to improve customer service and reduce hold times by implementing new processes, systems, and technologies.

By using the Pareto chart the company was able to identify the main causes of the problem, which was a poor customer service knowledge and long wait times on hold, and develop a plan of action to address it, which improved customer satisfaction and reduced customer complaints.

Scatter Plot

What is a scatter plot.

A scatter plot, also known as a scatter diagram or a scatter chart, is a type of plot that is used to show the relationship between two variables. It’s a graphical representation of two sets of data, with one variable on the x-axis and the other on the y-axis. Each scatter plot point represents a pair of (x,y) values that are used to plot the point on the graph. Scatter plots can be used for a variety of purposes, including data visualisation, trend analysis, and statistical modelling, and are useful for identifying correlations or patterns between two variables.

Scatter plots are especially useful for identifying outliers in data, which are data points that deviate significantly from the pattern of the rest of the data. Scatter plots can also be used to identify linear and nonlinear relationships between variables, as well as clusters or groups of data points.

Scatter plots are widely used in a variety of disciplines, including statistics, engineering, economics, and science. They can be made with software such as Microsoft Excel, R, Python, and MATLAB. Scatter plots are a powerful tool for examining the relationship between two variables, and they aid in understanding the relationship between variables, which is critical for making decisions and predictions.

When to use a Scatter plot?

When you want to investigate the relationship between two variables, you use a scatter plot. It’s especially useful when you want to:

Identify patterns: Scatter plots can be used to identify patterns and trends in data, such as linear or non-linear relationships, clusters, or groups of data points.

Investigate correlation: Scatter plots can be used to examine the relationship between two variables. A positive correlation indicates that as one variable increases, so does the other. A negative correlation means that as one variable rises, the other falls. A scatter plot can also be used to detect a lack of correlation between two variables.

Identify outliers: Scatter plots can be used to identify outliers, which are data points that fall far outside the pattern of the rest of the data.

Compare data groups: Scatter plots can be used to compare data sets. A scatter plot, for example, can be used to compare the relationship between two variables for different types of data.

Data visualisation: Scatter plots are a useful tool for data visualisation and can be used to present data in a clear and easy-to-understand format.

Statistical modelling: Scatter plots can be used as a tool for statistical modelling, helping identify the relationship between variables and predicting outcomes.

What is the line of best fit on a Scatter Diagram?

The line of best fit, also known as the trend line or regression line, is a line that is used in a scatter plot to represent the general pattern or trend of the data. The line of best fit is usually straight, but it can be curved if the data shows a non-linear relationship. Finding the line that minimises the difference between the data points and the line yields the best fit line. The least-squares method is used to accomplish this by minimising the sum of the squared differences between the data points and the line.

The best fit line can be useful in several ways:

Identifying correlation: A line of best fit can be used to identify the strength and direction of a correlation between two variables. A positive correlation has a best fit line that slopes upward from left to right, while a negative correlation has a best fit line that slopes downward from left to right.

Making predictions: A line of best fit can be used to forecast the value of one variable based on the value of another.

Missing data estimation: A line of best fit can be used to estimate missing data.

Identifying outliers: A line of best fit can be used to identify outliers, which are data points that fall far outside the pattern of the rest of the data.

Finding underlying patterns: A line of best fit can be used to find underlying patterns in data, such as linear or non-linear relationships.

It’s important to note that a line of best fit should not be used to make predictions outside of the data’s range or to extend trends indefinitely, because the line may not accurately represent the data’s pattern in those areas.

How to Use a Scatter Plot?

Example of a scatter plot used for rca.

A scatter plot can be used to identify the relationship between the number of defects in a manufacturing process and the temperature of the machinery used in the process as an example of root cause analysis (RCA).

Gather information: For each batch of products, collect data on the number of defects per batch and the temperature of the machinery.

Organize the data: Make a table with the number of defects on the y-axis and the temperature of the machinery on the x-axis.

Create the scatter plot: Using software such as Microsoft Excel, plot the data points on the graph to create a scatter plot.

Label the axes as follows: The x-axis should be labelled “Temperature (°C)” and the y-axis should be labelled “Number of Defects.”

Analyze the scatter plot: Examine the scatter plot for patterns and relationships in the data. Outliers, clusters or groups of data points, and linear or non-linear relationships should all be identified.

Draw a line of best fit: On the scatter plot, draw a line of best fit to represent the overall pattern of the data.

Interpret the scatter plot: Interpret the relationship between the number of defects and the temperature of the machinery based on the shape of the scatter plot and the line of best fit. The best-fit line demonstrates a positive relationship between the number of defects and the temperature of the system.

Conclusion: Based on the relationship between the number of defects and the temperature of the machinery, it is possible to conclude that the temperature of the machinery is a contributing factor to the number of defects in the manufacturing process.

Develop a plan of action: Develop a plan of action to address the problem of defects, such as implementing a cooling system for the machinery, to keep the temperature within a certain range.

Implement the strategy and keep a close eye on it: Put the action plan into action and monitor the results for ways to improve.

To summarise, part one the DMAIC Analyze phase is a critical step in the Lean Six Sigma process. It enables businesses to assess the current state of a process and identify areas for improvement. Root Cause Analysis (RCA) is an important part of this phase because it assists organisations in understanding the underlying cause of a problem and developing effective solutions to improve processes and increase efficiency. Fishbone diagrams, Pareto charts, Scatter plots, 5 Whys, Understanding and putting these tools and techniques to use is critical for anyone looking to improve processes and increase efficiency in their organisation.

What's Next?

Now we have covered the first part of Root cause analysis, the next section will cover part two focusing on Fault Tree Analysis, Failure modes and effect analysis (FMEA) and Statistical process control (SPC) for analysis in DMAIC.

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Lean Six Sigma

6 minute read

Lean Six Sigma 5 Whys - What They Are & How to Use Them [Free Template]

Cody Steele

Cody Steele

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What are the 5 Whys?

5 Whys is a Lean Six Sigma technique for refining a problem statement. In different situations, you might apply the technique to identify root causes, testable hypotheses, or to give a clear definition of a problem. 

The simple description of 5 Whys root cause analysis is that you ask “Why?” you are having a problem. Then, you answer the question, then ask “Why?” again.

By the time you have asked “Why?” the right amount of times, you should have an idea about how to proceed to solve the problem. 

 5 Whys - ask why

As with many Lean tools , 5 Whys root cause analysis is generally believed to have evolved alongside the rest of the Toyota Production System (TPS). Root Cause Problem Solving (RCPS) encompasses several other tools, such as Failure Modes and Effects Analysis (FMEA) and Ishikawa diagrams (sometimes called fishbone diagrams).

Download your free 5 Whys template

Use this 5 Whys template to get started with your own 5 Whys root cause analysis.

When to use 5 Whys

5 Whys root cause analysis is a useful tool anytime that the statement of a problem does not immediately reveal its solution. 

Frequently, the absence of a solution is because the initial problem statement is a symptom of an underlying problem that has not been clearly identified or stated. The 5 Whys root cause analysis gets you to the real problem so that you can identify a real solution.

Simple 5 Whys example

A traditional example of 5 Whys root cause analysis follows a pattern like the following:

Problem: The engine stopped working.

  • Why did the engine stop working? Because the engine overheated.
  • Why did the engine overheat? Because the gears weren’t getting enough oil.
  • Why weren’t the gears getting enough oil? Because the oil pump wasn’t feeding enough oil.
  • Why wasn’t the pump feeding enough oil? Because the intake was clogged with metal shavings.
  • Why was the intake clogged? Because the filter was worn out and needs replacing.

Tips for 5 Whys root cause analysis

This simple example illustrates two critical points about succeeding with 5 Whys root cause analysis. 

1. Don’t stop too soon

In the simple example, we could see that the engine overheated and decide that the solution is to increase the amount of coolant going to the engine. Asking “Why?” until you reach the root cause is vital.

2. Find a solution

When you’ve identified the root cause, it should suggest a solution to the problem, or at least a hypothesis that you can test. If you don’t have an idea of what to do next, try to keep going.

How to use 5 Whys root cause analysis

Although you can use 5 Whys root cause analysis in both simple and complex situations, you’ll often need to use 5 Whys root cause analysis with difficult problems in complex processes. In such cases, keep in mind the following four principles.

1. Identify an important problem

The Pareto rule suggests the 80/20 relationship . Colloquially stated, 80 percent of your defects come from 20 percent of your problems. Take time to identify the most important problems first and solve those.

2. Work with a team

You might have one or two people who already think that they know how to fix the problem. But if you’re going to do root cause analysis, take care that you get enough people together to find the root cause. 

Involve people who work on the process at different levels so that causes that might not occur to one person can arise while you’re looking for the root cause.

5 Whys - Work with a team

3. Broaden your search

In the simple example, there was only one answer to each “Why?” question, but that’s not a requirement. For many processes, especially if you have a diversity of perspectives, you can even arrive at multiple root causes. Capture this thinking in your analysis.

4. Check your work

Review all of your root causes with the team at the end to help identify what you think is most important. Don’t get so wrapped up in the process that you don’t review your results. 

Although you’ll have collected a good team to use 5 Whys root cause analysis, that doesn’t mean that you shouldn’t get input from other people. If you have access to other resources, get their perspective on your possible root causes and their relative importance before you start to implement a solution.

5 Whys - check your work

5 Whys diagram

As your problems and processes become more complex, it’s helpful to have a 5 Whys diagram or 5 Whys template that you can use to get started. 

For a complex process or for a problem with many possible root causes, a 5 Whys diagram can become quite large. The point of the process is not to be neat. However, it’s to identify root causes and to help you arrive at solutions. To do that, you need to be thorough in your search. Here’s an example of what a 5 Whys diagram might look like in a moderately complex case:

5 Whys diagram

5 Whys root cause analysis is only one way to do root cause analysis and only one of many tools that can help you get the most from your projects and processes. 

To learn more Lean Six Sigma skills and tools, check out GoSkills range of courses , designed to prepare you for certification with IASSC/PeopleCert. 

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Cody Steele

Cody is a technical communicator and statistician who wants to help people collect the right data and analyze it to make informed decisions. His specialities include statistics, technical communication, statistical reliability, JMP, SAS, and writing for translation.

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Article • 11 min read

Getting to the Root of a Problem Quickly

By the Mind Tools Content Team

5 Whys Root-Cause Analysis

Have you ever had a problem that refused to go away? No matter what you did, sooner or later it would return, perhaps in another form.

Stubborn or recurrent problems are often symptoms of deeper issues. "Quick fixes" may seem convenient, but they often solve only the surface issues and waste resources that could otherwise be used to tackle the real cause.

In this article and in the video, below, we look at the 5 Whys technique (sometimes known as 5Y). This is a simple but powerful tool for cutting quickly through the outward symptoms of a problem to reveal its underlying causes – so that you can deal with it once and for all.

Origins of the 5 Whys Technique

Sakichi Toyoda, the Japanese industrialist, inventor, and founder of Toyota Industries, developed the 5 Whys technique in the 1930s. It became popular in the 1970s, and Toyota still uses it to solve problems today.

Toyota has a "go and see" philosophy. This means that its decision making is based on an in-depth understanding of what's actually happening on the shop floor , rather than on what someone in a boardroom thinks might be happening.

The 5 Whys technique is true to this tradition, and it is most effective when the answers come from people who have hands-on experience of the process or problem in question.

The method is remarkably simple: when a problem occurs, you drill down to its root cause by asking "Why?" five times. Then, when a counter-measure becomes apparent, you follow it through to prevent the issue from recurring.

The 5 Whys uses "counter-measures," rather than "solutions." A counter-measure is an action or set of actions that seeks to prevent the problem from arising again, while a solution may just seek to deal with the symptom. As such, counter-measures are more robust, and will more likely prevent the problem from recurring.

When to Use a 5 Whys Analysis

You can use 5 Whys for troubleshooting, quality improvement, and problem solving, but it is most effective when used to resolve simple or moderately difficult problems.

It may not be suitable if you need to tackle a complex or critical problem. This is because 5 Whys can lead you to pursue a single track, or a limited number of tracks, of inquiry when, in fact, there could be multiple causes. In cases like these, a wider-ranging method such as Cause and Effect Analysis or Failure Mode and Effects Analysis may b e more effective.

This simple 5 Whys technique, however, can often direct you quickly to the root cause of a problem. So, whenever a system or process isn't working properly, give it a try before you embark on a more in-depth approach – and certainly before you attempt to develop a solution.

The tool's simplicity gives it great flexibility, too, and 5 Whys combines well with other methods and techniques, such as Root Cause Analysis . It is often associated with Lean Manufacturing , where it is used to identify and eliminate wasteful practices. It is also used in the analysis phase of the Six Sigma quality improvement methodology.

How to Use the 5 Whys

The model follows a very simple seven-step process: [1]

1. Assemble a Team

Gather together people who are familiar with the specifics of the problem, and with the process that you're trying to fix. Include someone to act as a facilitator , who can keep the team focused on identifying effective counter-measures.

2. Define the Problem

If you can, observe the problem in action. Discuss it with your team and write a brief, clear problem statement that you all agree on. For example, "Team A isn't meeting its response time targets" or "Software release B resulted in too many rollback failures."

Then, write your statement on a whiteboard or sticky note, leaving enough space around it to add your answers to the repeated question, "Why?"

3. Ask the First "Why?"

Ask your team why the problem is occurring. (For example, "Why isn't Team A meeting its response time targets?")

Asking "Why?" sounds simple, but answering it requires serious thought. Search for answers that are grounded in fact: they must be accounts of things that have actually happened, not guesses at what might have happened.

This prevents 5 Whys from becoming just a process of deductive reasoning, which can generate a large number of possible causes and, sometimes, create more confusion as you chase down hypothetical problems.

Your team members may come up with one obvious reason why, or several plausible ones. Record their answers as succinct phrases, rather than as single words or lengthy statements, and write them below (or beside) your problem statement. For example, saying "volume of calls is too high" is better than a vague "overloaded."

4. Ask "Why?" Four More Times

For each of the answers that you generated in Step 3, ask four further "whys" in succession. Each time, frame the question in response to the answer you've just recorded.

What Is a 5 Whys Template?

The diagram, below, shows an example of 5 Whys in action, following a single lane of inquiry.

Figure 1: 5 Whys Example (Single Lane)

root cause problem solving lean

The 5 Whys method also allows you to follow multiple lanes of inquiry. An example of this is shown in Figure 2, below.

In our example, asking "Why was the delivery late?" produces a second answer (Reason 2). Asking "Why?" for that answer reveals a single reason (Reason 1), which you can address with a counter-measure.

Similarly, asking "Why did the job take longer than expected?" has a second answer (Reason 2), and asking "Why?" at this point reveals a single reason (Reason 1). Another "Why?" here identifies two possibilities (Reasons 1 and 2) before a possible counter-measure becomes evident.

There is also a second reason for "Why we ran out of printer ink" (Reason 2), and a single answer for the next "Why?" (Reason 1), which can then be addressed with a counter-measure.

Figure 2: 5 Whys Example (Multiple Lanes)

root cause problem solving lean

Step 5. Know When to Stop

You'll know that you've revealed the root cause of the problem when asking "why" produces no more useful responses, and you can go no further. An appropriate counter-measure or process change should then become evident. (As we said earlier, if you're not sure that you've uncovered the real root cause, consider using a more in-depth problem-solving technique like Cause and Effect Analysis , Root-Cause Analysis , or FMEA .)

If you identified more than one reason in Step 3, repeat this process for each of the different branches of your analysis until you reach a root cause for each one.

6. Address the Root Cause(s)

Now that you've identified at least one root cause, you need to discuss and agree on the counter-measures that will prevent the problem from recurring.

7. Monitor Your Measures

Keep a close watch on how effectively your counter-measures eliminate or minimize the initial problem. You may need to amend them, or replace them entirely. If this happens, it's a good idea to repeat the 5 Whys process to ensure that you've identified the correct root cause.

Appreciation

A similar question-based approach known as "appreciation" can help you to uncover factors in a situation that you might otherwise miss.

It was originally developed by the military to assist commanders in gaining a comprehensive understanding of any fact, problem or situation. But you can also apply it in the workplace.

Starting with a fact, you first ask the question, "So what?" – in other words, what are the implications of that fact? Why is this fact important?

You then continue asking that question until you've drawn all possible conclusions from it.

The major difference between this and the 5 Whys technique is that appreciation is often used to get the most information out of a simple fact or statement, while 5 Whys is designed to drill down to the root of a problem.

Tips for Using the 5 Whys Technique

  • Try to move quickly from one question to the next. That way, you'll have the full picture before you jump to any conclusions.
  • The "5" in 5 Whys is really just a " rule of thumb ." In some cases, you may need to ask "Why?" a few more times before you get to the root of the problem. In other cases, you may reach this point before you ask your fifth "Why?" If you do, make sure that you haven't stopped too soon, and that you're not simply accepting "knee-jerk" responses.
  • Know when to stop! The important point is to stop asking "Why?" when you stop producing useful responses.

Frequently Asked Questions About 5 Whys

1. what is the 5 whys technique.

The 5 Whys Technique is a problem-solving method involving repeatedly asking "why?" It's a way of quickly getting to the root cause of a situation.

2. Who Invented 5 Whys?

The 5 Whys technique was invented in the 1930s by Sakichi Toyoda, the Japanese industrialist, inventor, and founder of Toyota Industries.

5 Whys Infographic

See our infographic on the 5 Whys and use it to get to the root of your problems!

root cause problem solving lean

Bear in mind that appreciation can restrict you to one line of thinking. For instance, once you've answered your first "So what?" question, you might follow a single line of inquiry to its conclusion. To avoid this, repeat the appreciation process several times over to make sure that you've covered all bases.

The 5 Whys strategy is a simple, effective tool for uncovering the root of a problem. You can use it in troubleshooting, problem-solving, and quality-improvement initiatives.

Start with a problem and ask why it is occurring. Make sure that your answer is grounded in fact, and then ask the question again. Continue the process until you reach the root cause of the problem, and you can identify a counter-measure that will prevent it from recurring.

Bear in mind that this questioning process is best suited to simple or moderately difficult problems. Complex problems may benefit from a more detailed approach, although using 5 Whys will still give you useful insights.

[1] Pojasek, R. (2000). 'Asking "Why?" Five Times,' Environmental Quality Management , Volume 10, Issue 1, 79–84. Available here . [Accessed July 1, 2022.]

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The 5 Whys Of Lean For A Root Cause Analysis

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June 22, 2017

lean root cause analysis

A relentless barrage of “why’s” is the best way to prepare your mind to pierce the clouded veil of thinking caused by the status quo. Use it often. -Shigeo Shingo

Sometimes everything does not go as you planned. Your best-laid plans may not work out, some tools might break, or wires might get crossed – all such possibilities always exist. In these situations, it is essential that you know what went wrong, so you can avoid the issue in the future. Occasions such as these are when you need to use ‘The 5 Whys’ – an exceptionally effective but simple process for performing the root cause analysis of an issue. Basically, the process is based on discussing an issue, a challenge, or an unexpected event to follow a chain of thoughts that takes you to the nature and cause of the problem. So, what are the 5 Whys and how does the process work?

Where the 5 Whys come from

The technique was introduced and improvised by Toyota Motor Corporation.

It is a strategic and vital component of the problem-solving regime for the company.

Taiichi Ohno , the architect for the company in the 1950s, has explained the 5 Whys process in his publication ‘ Toyota Production System : Beyond Large-Scale Production’.

He describes the 5 Whys as the basis of the scientific approach taken up by Toyota – he states that by repeating the question ‘why’ five times, the nature and the solution of a problem become clear.

He further encouraged teams to explore all the issues that are encountered by asking ‘why’ five times, so that the root cause (and an appropriate solution) for each problem can be reached.

How the 5 Whys process works

The 5 Whys method is carried out by arranging meetings right after a problem has been encountered by the company.

The problem can belong to multiple categories – it can be a development error, missed schedules, marketing campaign failure, or a site outrage. Whenever something undesired comes up, you can use this process for analyzing the root cause of the issue.

Before you can start, you should understand that the 5 Whys are not a tool to find someone to blame, but to understand why something unwanted or unexpected happened. Moreover, it can help the company in taking a few steps and making a few changes to ensure that the same problem doesn’t happen again.

Ask “why” 5 times

You’re supposed to go down five levels into the problem using the 5 Whys.

Even though this seems to be the easiest part of the process, it can be a bit complex. If you start off correctly, the rest of the things are more likely to fall in place.

Hence, the key is to get the first why right. While conducting this method, you may feel that would be beneficial to dig down into all the possible paths and analyze each extensively.

This, however, can add a lot to the list of things that have to be learned and corrected.

The 5 Whys is a ‘lean’ process, therefore it must allow us to pick one path and carry out just the required corrective measures in order to solve an issue. Hence, a lot of times you will have to pick just one out of multiple paths, and stick with it.

In case the problem reoccurs, then you can opt another route for solving it.

Convey the results and assign responsibilities

It is important that you share this information and the process results with the entire team.

This is because it provides everyone with an insight about what types of problems the company is facing, and how they can be solved.

With a certain analysis, it will be easier for the staff to understand exactly why the company is putting in some time to solve an issue rather than introducing new features.

In case this step creates an argument, that is something positive too because it tells you that there is a problem because either your team does not understand what you are doing and why it is important, or your analysis is not conclusive enough. You will have to determine where exactly the loophole is and then fix it.

Once the exercise of the 5 Whys has been performed, pair up every question with and answer and determine 5 relevant ‘corrective actions’ that everyone agrees upon. These actions will make up the solution for the issue that is being analyzed.

The leader for this activity should then assign relevant responsibilities to different members of the team/company for implementing the solution.

Example of the 5 Whys in Action

The problem that a company is facing is that their customers are dissatisfied because the products that are being shipped to them do not meet their exact specifications. So, how would the company determine the root cause of the problem using the 5 Whys? By asking the following questions:

Why are the customers being shipped products with wrong specifications?

Because the products were manufactured to specifications that were different from what the sales team and the customer agreed upon.

Why were the products manufactured with different specifications than those agreed upon by the sales team?

Because the sales team expedites its work by directly contacting the head of manufacturing for starting to build the products. An error was made in the communication between the sales person and the head of manufacturing which led to the wrong specifications being noted down.

Why did the sales person contact the head of manufacturing directly instead of following the company’s standard procedure?

Because the ‘start manufacturing’ form in the company requires the approval of the sales director before the work can begin – this slows down the process of manufacturing and would lead to a delay in shipping to the customers.

Why does the form require the approval of the sales director?

Because the director needs to be continuously updated with the sales/manufacturing details for discussion with the company’s CEO.

In this scenario, only four Whys were required to determine the root cause of the problem – the non-value added approval (signature) of the sales director is causing a breakdown in the manufacturing process. The company can now come up with a solution for ensuring that there is no delay in the manufacturing process without the sales person having to directly contact the head of manufacturing.

Note that like in this case, you may reach the cause of your issue in either less than five Whys or more than five Whys – just remember to keep asking why until you have determined the root of the problem.

  • The 5 Whys are a lean technique for determining the root cause of an issue.
  • For conducting the 5 Whys process, you must first ask the question ‘why’ five times and then pair each question and answer to draw up the corrective actions that your company needs to perform.
  • After you have determined the root cause of the issue and its corrective actions, you must convey the results to your entire team and assign responsibilities to relevant individuals for solving the issue.

If you enjoyed this post, we would be very grateful if you’d help it spread by emailing it to a friend, or sharing it on Twitter or Facebook. Thank you!

  • Fishbone diagram or Ishikawa diagram via 5 why’s
  • When and How to Use Your Kaizen Event ?
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Toyota Practical Problem Solving (PPS)—Targets and Root Causes

root cause problem solving lean

A Quick Recap

root cause problem solving lean

  • Clarify the Problem
  • Break Down the Problem

Set a Target

Root-cause analysis.

  • Develop Countermeasures and Implement
  • Monitor Process and Results
  • Standardize and Share

Archery Target with Arrows

For example, if we want to address a problem related to cost, we should not have a cost target. There are so many other factors that influence cost that it would be hard to evaluate the true impact of the improvement.

Instead, we should use the prioritized problem based on our breakdown of the problem. While the initial problem clarification casts a wide net, the prioritized problem should be quite a bit narrowed down. The target should reflect this prioritized problem. For example, if your overall problem is quality complaints, then during the breakdown you analyzed what type of quality complaints, where, when, and who. Setting the target should be very focused on this what—where—when—who analysis.

Just like any other target, it should be SMART, which stands for Specific, Measurable, Appropriate, Reasonable, and Time-Bound. It should answer the three questions What? By when? and How much? for the prioritized problem. As for the magnitude, Toyota calls this “ gentle tension.”  It should not be too easy, but still obtainable.

Mind Map

As for the analysis of the root cause, there are a number of different tools there. Toyota often uses a fish-bone diagram (which is kind of a structured mind map). In Japan it is also called Ishikawa diagram, named after Kaoru Ishikawa (石川馨). The head of the fish should be the prioritized problem. The fish-bone diagram can work well even if there are multiple causes.

The different bones can be labeled for example Material , Method , Machine , Measurement , Man (or the gender-neutral member) and Mother Nature (or Milieu, to use a word with M for environment). You can also add Management or Money . If you don’t like “M,” you could also use product/service, price, place, promotion, people/personnel, process, physical evidence; or if you don’t like “P” either, use surroundings, suppliers, systems, skills, safety.

5 Why Graphic

There are many more problem-solving tools and creativity techniques like the 6-3-5 Technique or Fast Networking (see my blog post Fishbone Diagrams and Mind Maps ), Creative Provocation, Reverse Brainstorming, Buzzword Lists and Analogy (see my blog post Creative Provocation, Reverse Brainstorming, and Analogy ), to name just a few. If you had a positive experience with one of these tools, keep on using them.

Once you have the root cause you can move on to develop countermeasures, and hence finally get to the “Do” part of PDCA (which is so popular that often the entire Plan is skipped… but do not expect sustainable solutions if you skip on the “Plan”). Also, keep in mind that if you have multiple root causes, you may have to develop countermeasures for them separately. But this will be discussed in more detail in my next post. Now, go out, understand the root cause of your prioritized problem, and organize your industry!

PS: Many thanks to the team from the Toyota Lean Management Centre at the Toyota UK Deeside engine plant in Wales, where I participated in their 5-day course. This course gave us a lot of access to the Toyota shop floor, and we spent hours on the shop floor looking at processes. In my view, this the only generally accessible course by Toyota that gives such a level of shop floor involvement.

4 thoughts on “Toyota Practical Problem Solving (PPS)—Targets and Root Causes”

Can you elaborate on how do you establish Possible Causes avoiding correlation, using Fishbone Diagram

THank you for sharing

Hi Eduardo, the fishbone diagram is merely a structure to help people think and to make it less likely to forget a possible source of problems. The success of the fishbone still depends on the people using it. And, in my experience, there may often be more than one cause, and you may have correlation.

First time I have seen the clarity for Ishikawa vs 5 Why limitations. This is a great callout as they are often mentioned as alternatives – one or the other – almost interchangeable or peer root cause tools, when in actuality Ishikawa is much more robust tool. Kudos!

I suggest for all to re-read Dr Ishikawa’s two books – the first “Guide to QC” explains his “Cause Analysis” (3 types); that he never called Types A and B “Fishbone@; his last book (RIP) presented to me JUSE HQ Tokyo, ‘Introduction to QC”.

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5 Whys is the practice of asking why repeatedly whenever a problem is encountered in order to get beyond the obvious symptoms to discover the root cause.

For instance, Taiichi Ohno gives this example about a machine that stopped working (Ohno 1988, p. 17):

  • Why did the machine stop? There was an overload and the fuse blew.
  • Why was there an overload? The bearing was not sufficiently lubricated.
  • Why was it not lubricated? The lubrication pump was not pumping sufficiently.
  • Why was it not pumping sufficiently? The shaft of the pump was worn and rattling.
  • Why was the shaft worn out? There was no strainer attached and metal scraps got in.

Without repeatedly asking why, managers would simply replace the fuse or pump and the failure would recur. The specific number five is not the point. Rather it is to keep asking until the root cause is reached and eliminated.

5 Whys Illustrated

The 5 Why Funnel

When to Use the 5 Whys

Management should use the 5 Why problem-solving method with Gap from Standard problems. This is problem-solving that focuses on:

  • specific problem definition
  • setting goals
  • root cause analysis
  • establishment of countermeasures
  • checks, standards, and follow-up activities

The aim is to prevent the problem from recurring by eliminating its underlying causes.

In general, there are three types of root-cause analysis:

  • One-variable-at-a-time (OVAT)
  • Multivariate-at-a-time (MVAT)

No advanced math skills are required for logic-based analysis such as 5 Whys. However, the ability to think critically, especially in terms of inductive logic (broad generalization from specific observation), deductive logic (general premise to specific conclusion), and abductive logic (general observation to hypothesis), is necessary.

Diagram of the three types of root cause analysis

Art of Lean on Problem-Solving Video Series with Art Smalley

root cause problem solving lean

Take a deep dive into problem-solving in this eight-part video series by expert Art Smalley.

  • Coaching Problem-Solving
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  • Change Your “Pet” Problem-Solving Method

See: Kaizen ; Plan, Do, Check, Act (PDCA)

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Lean Masters uses a Practical Problem Solving (PPS) process to find the root cause of the problem and applies a permanent countermeasure to stop it. With our Root Cause Problem Solving Training we help our clients through a series of steps to identify the problem, determine the root cause of the problem, generate permanent countermeasures to stop the problem from reoccurring, and implement follow up measures to check progress. It’s not enough to just know the problem but knowing what you do with the problem to continuously improve or get better is the key to success.

With Lean Masters expertise in designing and implementing a Lean Production system that fits your business we deal with a lot of problems in different types of companies. We have a vast knowledge in Problem Solving Techniques and empowering workers to see problems as opportunities to improve, helping them recognize those abnormalities and training and teaching them to permanently apply a countermeasure/solution to stop it from happening again. We then coach them to apply the PDCA Cycle to evaluate the success of the process.

Reduction of Waste (Muda) Kaizen (Rapid Continuous Improvement Workshop) Standard Work Instructions 5S or Visual Management Key Performance Indicators (KPI) Total Productive Maintenance (TPM) Quick Changeover / SMED Root Cause Problem Solving Lean Roles and Responsibilities Quality Assurance Just-In-Time Line balancing Lean layout Takt Time Value Stream Mapping Error Proofing (Poka-Yoke) Team Leaders & Work Teams Team Meetings

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Problem Solving to Root Cause

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While facilitating an improvement project for a hospital’s surgical department recently, our team was presented with a clear opportunity for improvement. Recent data logged during a long day of procedures included three separate surgical cases where the patient’s discharge paperwork was incorrect. These three errors were all caught by the surgeon before the patient was discharged. Unfortunately, however, other patients had reported receiving and following the wrong post-op procedures.

The team decided that this issue was a priority to address. The Nursing Director took a leadership role in bringing together the team involved in preparing the pre-op paperwork. They reviewed the problem and proposed solutions. The team was able to work together to quickly make some significant improvements while learning some core concepts of problem-solving. Some of the tools and techniques that the team followed are summarized below.

Identify the cause(s) of the problem

Problems are just the negative effects that are caused by failures of a process or system. One great tool for identifying the causes of a problem is a fishbone diagram. This is also sometimes called an Ishikawa or cause-effect diagram. By starting with the problem, or effect, you work backward to identify possible causes.

Lean East Fishbone Diagram - Problem Solving to Root Cause

Let’s use the problem of “wrong discharge instructions were given to the patient.” Our healthcare team informally identified several possible causes including:

  •   The wrong discharge instructions are being pulled from the file.
  •   Misfiling of the discharge instructions.
  •   The surgeon’s orders are being misread or misinterpreted.
  •   An error was made in the patient booking process.
  •   The procedure was changed after the discharge orders were set up.

Go to the Gemba

When identifying the causes of a problem don’t do it alone and definitely don’t do it in a meeting room. Remember the concept of the 3 Reals:

“Go to the real place to observe the real thing to get the real facts and data.”

The Japanese word “gemba” translates to “the real place” and is often used as a reminder of the value of observing the actual process or system. Managers should make “gemba walks” a regular part of their day. The most successful problem solvers not only address the problem in the real place, but they also address it right after it occurs. They also address it before the situation has changed. It is often easier for an outsider who does not deal with the process every day to identify the causes of the problem.

Our improvement team was able to see one possible cause of discharge instructions being pulled from the wrong file only when we went to gemba. Looking at the actual discharge instruction files it was easy to see that a file folder was mislabeled. The correction was completed in about a minute.

Get to the root cause(s) of the problem

When dealing with the dandelions and other weeds that grow in my yard I have learned that cutting off the flower or pulling off the leaves is just a short-term fix.  My lawn may look good for a few weeks, but it is inevitable that those weeds will grow back and I will need to deal with them again.  Most of our problems and issues are just like those weeds; if we want to prevent them from coming back we need to dig deep and get to the root.  Correctly identifying the root cause is the key to effective problem solving.

Toyota popularized the method of asking “why?” at least five times . This can be done informally or formally in a cause-and-effect diagram. For some problems, you may get to root cause in only a few “whys?” However, for complex issues, you may need to ask more than five. Keep in mind that 99% of the time the process or system is at fault, not a person. People do not fail, processes do.

Members of our healthcare improvement team were able to see that the complexity of the ordering instruction system was a root cause of many of the issues. Once they arrived at this root cause it was possible to look at solutions that would combine and consolidate the paperwork. Part of the solution involved changing the process to one with only a few variables: inpatient or outpatient, diabetic patient or not diabetic, etc.  Simplifying the process was also an opportunity for the staff to implement some mistake-proofing .

People do not fail, processes do.

Hopefully, these three tips can benefit your team as you tackle challenging problems.  Please let us know of a time when you successfully completed problem solving to root cause.

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What Is Lean Six Sigma?

Lean Six Sigma combines lean manufacturing and Six Sigma to help organizations improve their processes and reduce waste. Here’s why it’s effective.

Erdem İŞBİLEN

Lean Six Sigma brings together principles from lean manufacturing and Six Sigma.  Lean manufacturing is a philosophy that emphasizes the elimination of waste and the improvement of production flow through collaborative team effort. Six Sigma is a data-driven methodology that uses statistical analysis and problem-solving tools to identify and eliminate defects as well as process variations. Lean Six Sigma combines these methodologies to increase organizational efficiency.

Why Is Lean Six Sigma Important?

The combination of lean and Six Sigma methodologies provides a comprehensive approach to process improvement that can help organizations streamline their operations, reduce costs and improve quality, thereby leading to significant improvements in efficiency and customer satisfaction.

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Lean Six Sigma Techniques

Lean Six Sigma uses a variety of techniques to improve processes and reduce waste.

Value Stream Mapping 

VSM is a tool we use to identify and eliminate waste in a process by mapping out the entire value stream, from the start of the process to the end.

DMAIC 

DMAIC (Define, Measure, Analyze, Improve, Control) is a problem-solving methodology used to improve existing processes by identifying and eliminating the root cause of problems.

What Are the 5 Phases of Lean Six Sigma?

The Lean Six Sigma methodology typically consists of five phases known as DMAIC, which stands for define, measure, analyze, improve and control.

Kanban 

Kanban is a visual management tool that helps manage and control the flow of work by using cards or other visual indicators to signal where tasks are within a given project workflow.

5S is a workplace organization methodology that aims to improve efficiency and productivity by creating a clean, safe and organized work environment.The term 5S stands for the five Japanese words that describe the steps involved in the method: seiri (sort), seiton (set in order), seiso (shine), seiketsu (standardize) and shitsuke (sustain).

Poka-Yoke 

Poka-yoke is a mistake-proofing technique used to prevent errors from occurring in a process by designing products or processes that make it impossible for errors to occur. We can accomplish this by implementing physical or visual cues that alert the worker to a potential mistake or prevent the mistake from happening in the first place.

For instance, most modern microwave ovens have a safety mechanism that prevents the oven from operating if the door is not properly closed. This ensures that the user will not accidentally turn on the microwave with the door open, which could result in injury. This is a perfect example of Poka-Yoke implementation that protects users from injuries.

Statistical Process Control (SPC) 

SPC is a technique used to monitor and control a process by using statistical methods to measure and analyze data . Control charts, process capability analysis and sampling plans are among these statistical methods used in SPC. 

Sampling plans help us determine how many samples of a product or process output we should take for analysis. The goal is to obtain enough data to make accurate inferences about the overall process performance while minimizing the cost and time required for data collection and analysis. 

Control charts help identify when a process is producing results that are outside of the expected range, which can signal the need for corrective action.

Process capability analysis involves calculating statistical metrics such as Cp and Cpk, which measure how well the process is centered and how much variation it produces. 

Root Cause Analysis (RCA) 

RCA is a problem-solving technique used to identify the underlying causes of problems by asking “why” until we reach the root cause.

Advantages of Lean Six Sigma

Improved quality.

  • Increased Efficiency

Cost Reduction

Improved customer satisfaction, cultural change.

  • Competitive Advantage

Lean Six Sigma methodologies are designed to improve process efficiency and reduce defects. By using data-driven analysis and process improvement techniques, Lean Six Sigma can help organizations improve product or service quality, which can lead to greater customer satisfaction and loyalty.

Increased Efficiency 

Lean Six Sigma helps organizations identify and eliminate waste, non-value-added activities and other process inefficiencies. These improvements help reduce process cycle times, increase throughput and reduce costs, all of which lead to greater efficiency and productivity .

By reducing defects and inefficiencies, Lean Six Sigma can help organizations reduce costs associated with rework, scrap and other forms of waste. This can result in significant cost savings and improved profitability.

Lean Six Sigma helps organizations focus on customer needs and expectations, which can lead to improved customer satisfaction and loyalty. By reducing defects and improving quality, organizations can increase customer trust and confidence.

Lean Six Sigma methodologies emphasize collaboration, data-driven decision-making, customer value and a culture of continuous improvement . 

The methodology encourages employees to constantly look for ways to improve processes, reduce waste and increase efficiency by promoting collaboration across teams. By breaking down silos and encouraging teamwork, it fosters a more positive and collaborative work environment.

Lean Six Sigma promotes data-driven decision making as it helps to establish a culture of continuous improvement. By regularly collecting and analyzing data on process performance, companies can identify trends and patterns that indicate areas for improvement. 

Competitive Advantage 

By improving quality, efficiency and customer satisfaction, Lean Six Sigma can help organizations gain a competitive advantage in the marketplace. This can lead to increased market share, revenue growth and improved profitability.

Lean Six Sigma Phases

1. define .

In this phase, we establish a project team. The team then works to define the project goals and objectives as well as identify the process to be improved. The team also clarifies the problem and the customer’s requirements.

2. Measure 

In this phase, teams measure and baseline the current performance of the process, collect data and develop a process map (or flowchart) to understand the process steps and potential areas for improvement.

3. Analyze 

In this phase, teams analyze data to identify the root cause of problems and process variations. The team may use statistical analysis and other tools to help them identify the most significant causes of process problems.

4. Improve 

In this phase, the team develops and implements process improvements by using the information gathered in the previous phases. The team may use lean tools to reduce waste, improve flow and make the process more efficient. The team may also use Six Sigma tools to reduce variation and improve quality.

5. Control 

Finally, the team monitors and sustains process improvements over time. During the control phase, teams focus on monitoring and sustaining the improvements achieved in the previous phase. The team also develops a control plan to monitor the process and take corrective action when necessary.

More From Built In Experts Is Your Strategy Still Working?

DMAIC in Lean Six Sigma vs. Six Sigma

The DMAIC process in Six Sigma and Lean Six Sigma is essentially the same. However, there are some key differences in how we apply DMAIC in the context of Six Sigma versus Lean Six Sigma.

In Six Sigma, DMAIC is typically focused on improving the quality of a process by reducing defects and minimizing variability. The emphasis is on achieving statistical process control and improving process capability. The team may use statistical tools such as hypothesis testing, design of experiments and control charts to identify and eliminate sources of variation and improve process performance.

In Lean Six Sigma, we use the DMAIC process to improve both the quality and efficiency of a process by reducing waste and improving flow. The team may use lean tools such as value stream mapping, 5S and kaizen events to identify and eliminate non-value-added activities and streamline the process flow. The team may also use Six Sigma tools to reduce variability and defects and improve quality.

Another key difference is that Lean Six Sigma places a greater emphasis on the customer and their needs throughout the DMAIC process. Teams identify and analyze customer needs in the define phase, then monitor and measure customer satisfaction throughout the process. This helps ensure the process improvements are aligned with the needs of the customer and deliver value to the organization.

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Lean Six Sigma Belt Levels

Lean Six Sigma uses a belt system to denote different levels of expertise and responsibilities within the organization. The belt system is based on the martial arts belt system, where darker belts indicate a greater level of expertise. Each belt level has its own set of responsibilities and requirements for certification.

There are five levels of Lean Six Sigma belts.

White Belt 

This is the introductory level of Lean Six Sigma training and provides an overview of the basic concepts and principles of Lean Six Sigma.

Yellow Belt 

Yellow belt training provides a more detailed understanding of the Lean Six Sigma methodology and prepares individuals to participate in improvement projects.

Green Belt 

Green belt training provides a comprehensive understanding of Lean Six Sigma tools and techniques and prepares individuals to lead improvement projects.

Black Belt 

Black belt training provides advanced training in Lean Six Sigma tools and techniques and prepares individuals to lead complex improvement projects and manage improvement programs .

Master Black Belt 

Master black belt training provides the highest level of training in Lean Six Sigma and prepares individuals to be experts in the methodology and lead strategic improvement initiatives while mentoring and training others.

In addition to these belt levels, there are also Lean Six Sigma Champions who provide executive sponsorship and leadership for improvement initiatives, as well as Lean Six Sigma Facilitators who provide training and support for improvement projects.

Lean Six Sigma vs. Six Sigma

Lean Six Sigma and Six Sigma are two related methodologies that share the goal of improving business processes and reducing defects. However, there are some key differences between the two.

Six Sigma is a methodology that focuses on reducing defects and improving quality by using statistical analysis to measure and improve process performance. 

Lean Six Sigma, on the other hand, combines the principles of lean manufacturing and Six Sigma. In addition to the DMAIC process, Lean Six Sigma also includes lean manufacturing principles such as value stream mapping, 5S and Kanban to improve process efficiency.

The main difference between Lean Six Sigma and Six Sigma is that Lean Six Sigma places a greater emphasis on the reduction of waste and non-value-added activities, while Six Sigma focuses more on reducing defects and improving process quality. 

Another difference is that Lean Six Sigma is more focused on continuous improvement and cultural change, while Six Sigma is more focused on solving specific problems and implementing process improvements.

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  2. A3 Practical Problem Solving

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  3. Infographic: Root Cause Analysis (RCA)

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  4. Root Cause Problem Solving, the heart of Lean Transformation

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  5. Root Cause Analysis

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  6. 6 steps of the problem solving process

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VIDEO

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  2. What is 5S? Lean Manufacturing Expert explains Sort, Set In Order, Shine, Standardize, and Sustain

  3. Process Optimization Academy

  4. 5 Ways to Create a Lean Six Sigma Culture (To Improve Business Performance)

  5. Mastering Process Improvement: A Comprehensive Guide to SWOT, LEAN, Six Sigma, 8D, and PDCA

  6. Problem Solver Ep.2 Moving forward

COMMENTS

  1. Guide: Root Cause Analysis

    Guide. Guide: Root Cause Analysis. Root Cause Analysis (RCA) is a key tool in continuous improvement, acting as a systematic approach to identify and tackle the underlying issues behind problems. RCA aims not only to provide a temporary fix but to offer long-lasting solutions by addressing the root causes. RCA, such as the Fishbone Diagram, the ...

  2. Lean Problem Solving

    The Four Types of Problems. Type 1: Troubleshooting: reactive problem-solving that hinges upon rapidly returning abnormal conditions to known standards. It provides some immediate relief but does not address the root cause. Type 2: Gap from Standard: structured problem-solving that focuses on defining the problem, setting goals, analyzing the ...

  3. Root-cause problem solving in the Ops 4.0 era

    Ops 4.0. April 15, 2019 To improve, organizations must consistently seek out and solve their problems—an insight that underpins lean management 's emphasis on root-cause problem solving (RCPS). Indeed, companies that have used RCPS to build a problem-solving culture that lasts are able to avoid continuous firefighting by effectively ...

  4. Clarifying the '5 Whys' Problem-Solving Method

    Clarifying the '5 Whys' Problem-Solving Method. This brief animation offers a detailed explanation of one way to discover a problem's root cause. To help lean thinkers apply this powerful approach to overcoming work obstacles, LEI Senior Advisor John Shook guides lean thinkers through a detailed example from Taiichi Ohno's Toyota ...

  5. A Step-by-Step Guide to A3 Problem Solving Methodology

    A3 Problem solving is a structured and systematic approach to problem-solving that originated with the lean manufacturing methodology. It visualizes the problem-solving process using a one-page document known as an A3 report. ... Focus on the problem's root cause: The A3 Problem Solving methodology is intended to assist organisations in ...

  6. 5 Why: Root Cause Analysis in Lean Construction

    Developed by Japanese professor Kaoru Ishikawa, 5 Why Analysis is a simple but effective RCA method and can be used for both small and moderately sized problems.Complex issues may require 5 Why Analysis to be conducted in conjunction with other Lean problem solving methods such as A3 Thinking and PDCA (Plan, Do, Check, Adjust).. When conducting 5 Why Analysis or any other type of Root Cause ...

  7. What is Root Cause Analysis? Process, Example & Everything You ...

    Updated onMarch 7, 2023. Root cause analysis (RCA) is a problem-solving methodology used to identify the underlying cause of a problem, incident, or adverse event. Simply put, it is pinpointing the root of the problem to solve and prevent it from happening again. When faced with a problem, we usually try to get to the bottom of it.

  8. Root Cause Analysis

    Root Cause Analysis (RCA) is a critical component of the Analyze phase of Lean Six Sigma's DMAIC (Define, Measure, Analyze, Improve, Control) methodology. RCA's primary goal is to identify the underlying cause of a problem or issue rather than simply treating the symptoms. Understanding the root cause allows organisations to implement ...

  9. From Problem to Solution: Exploring Lean Six Sigma Root Cause Analysis

    When implementing the Lean Six Sigma methodology for root cause analysis, there are several tools that can aid in uncovering the root cause of issues in the manufacturing process. These include the 5 Whys, Fishbone Diagram, and Pareto Analysis. The 5 Whys. The 5 Whys is a simple yet effective tool for drilling down to the root cause of a problem.

  10. What Are "The 5 Whys" in Lean Six Sigma?

    As with many Lean tools, 5 Whys root cause analysis is generally believed to have evolved alongside the rest of the Toyota Production System (TPS). Root Cause Problem Solving (RCPS) encompasses several other tools, such as Failure Modes and ... For a complex process or for a problem with many possible root causes, a 5 Whys diagram can become ...

  11. 5 Whys

    The model follows a very simple seven-step process: [1] 1. Assemble a Team. Gather together people who are familiar with the specifics of the problem, and with the process that you're trying to fix. Include someone to act as a facilitator, who can keep the team focused on identifying effective counter-measures. 2.

  12. Root Cause Analysis: Definition, Examples & Methods

    The first goal of root cause analysis is to discover the root cause of a problem or event. The second goal is to fully understand how to fix, compensate, or learn from any underlying issues within the root cause. The third goal is to apply what we learn from this analysis to systematically prevent future issues or to repeat successes.

  13. The 5 Whys Of Lean For A Root Cause Analysis

    The 5 Whys method is carried out by arranging meetings right after a problem has been encountered by the company. The problem can belong to multiple categories - it can be a development error, missed schedules, marketing campaign failure, or a site outrage. Whenever something undesired comes up, you can use this process for analyzing the root ...

  14. What is Root Cause Analysis? Definition, Types, Examples, Methods

    Root Cause Analysis (RCA) is defined as a systematic process for identifying the underlying causes or factors that contribute to a problem, incident, or undesirable outcome. The goal of RCA is to understand the root causes of an issue rather than focusing solely on addressing its symptoms. By identifying and addressing root causes ...

  15. Root Cause Analysis

    Root Cause Analysis (RCA) is a systematic problem-solving approach that helps organizations and individuals identify and address the underlying causes of problems rather than just treating symptoms.

  16. Toyota Practical Problem Solving (PPS)—Targets and Root Causes

    A Quick Recap. As listed in my previous post, the Toyota Practical Problem Solving approach consists of the steps listed below. Clarify the Problem. Break Down the Problem. Set a Target. Root-Cause Analysis. Develop Countermeasures and Implement. Monitor Process and Results. Standardize and Share.

  17. 5 Whys

    Management should use the 5 Why problem-solving method with Gap from Standard problems. This is problem-solving that focuses on: specific problem definition. setting goals. root cause analysis. establishment of countermeasures. checks, standards, and follow-up activities. The aim is to prevent the problem from recurring by eliminating its ...

  18. What Are The 5 Whys?

    By definition, 5 Whys is a problem-solving technique that uses Root Cause Analysis (RCA) to understand the problem in detail and solve it permanently. It's considered one of the most effective problem-solving techniques in lean management, and it works best to solve simple problems. This method was developed by Sakichi Toyoda, founder of ...

  19. Root Cause Problem Solving

    Lean Masters uses a Practical Problem Solving (PPS) process to find the root cause of the problem and applies a permanent countermeasure to stop it. With our Root Cause Problem Solving Training we help our clients through a series of steps to identify the problem, determine the root cause of the problem, generate permanent countermeasures to ...

  20. Problem Solving to Root Cause

    Problem Solving to Root Cause. While facilitating an improvement project for a hospital's surgical department recently, our team was presented with a clear opportunity for improvement. Recent data logged during a long day of procedures included three separate surgical cases where the patient's discharge paperwork was incorrect.

  21. What Is Lean Six Sigma? What Are the 5 Phases?

    Lean Six Sigma brings together principles from lean manufacturing and Six Sigma. Lean manufacturing is a philosophy that emphasizes the elimination of waste and the improvement of production flow through collaborative team effort. Six Sigma is a data-driven methodology that uses statistical analysis and problem-solving tools to identify and eliminate defects as well as process variations.