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Root Cause Analysis Course. When should root cause analysis be performed?. When PROBLEMS occur !!. Supplier Defects. Out of Control Process. Excess Inventory. Computer issues. Scrap Problems. medical errors. Human Error. Audit Finding. Missed Deliveries. Safety Issues.
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When should root cause analysis be performed? • When PROBLEMS occur !! Supplier Defects Out of Control Process Excess Inventory Computer issues Scrap Problems medical errors Human Error Audit Finding Missed Deliveries Safety Issues Machine Defects Overspending Budget Workmanship Defects
How does it work? • Contain the problem… • PROCESS • D • PROCESS • B • PROCESS • A • PROCESS • C • CUSTOMER • Nothing is allowed to further escape to the customer
Step #3 • 1 • 8 • 2 • 7 • 3 • 6 • 4 • 5 • Immediate Action • Must isolate effects of problem from customer • Usually “Band-aid” fixes • 100% sorting of parts • Re-inspection before shipping • Rework • Recall parts/documents from customer or from storage • Only temporary until corrective action is implemented (very costly, but necessary) • Must also verify that immediate action is effective
Root Cause • Part reversed • Worker not sure of correct part orientation • Part is not marked properly • Engineering ordered it that way from vendor Root Cause • Process didn’t account for possible manufacturing issues
Cause and Effect • Procedures • Personnel • Lack of worker knowledge • Poor project plan • Poor project mgmt skills • Lack of resources • Didn’t complete project on time • Inadequate computer programs • Poor documentation • Inadequate computer system • Materials • Equipment
Additional Resources • Business Performance Improvementhttp://www.biz-pi.com