Root Cause Analysis Methods
Root Cause Analysis Methods
Select a tool for root cause analysis and determine the root cause. d.Determine corrective and preventive actions using CAPA procedure.
ii. Intermediate a. b. c. d. Cause and effect Matrix Fishbone /Ishikawa/Cause and effect Diagram. Nominal group technique. Change analysis.
iii. Advanced a. b. c. Statistics/ANOVA/SPC Chart FMEA. Management oversight risk ree (MORT)
-Change analysis - an investigation technique often used for problems or accidents. It is based on comparing a situation that does not exhibit the problem to one that does, in order to identify the changes or differences that might explain why the problem occurred. 3.1 Basic elements of root cause using Management Oversight Risk Tree (MORT) Approach Classification Materials Defective raw material Wrong type for job Lack of raw material Man Power Inadequate capability Lack of Knowledge Lack of skill Stress Improper motivation Machine / Equipment Incorrect tool selection Poor maintenance or design Poor equipment or tool placement Defective equipment or tool Environment Disordered workplace Poor job design and/or layout of work Surfaces poorly maintained Inability to meet physical demands of the task Forces of nature Management Lack of management involvement Inattention to task
Task hazards not dealt with properly Other (horseplay, inattention....) Stress demands Lack of Process Lack of Communication Methods No or poor procedures Practices are not the same as written procedures Poor communication Management system Training or education lacking Poor employee involvement Poor recognition of hazard Previously identified hazards were not eliminated
Following is one example of an RCA flow chart that is being used effectively