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Root Cause Analysis: Effective Systemic Problem Prevention

Root Cause Analysis: Effective Systemic Problem Prevention

43mIntermediate2024-02-14

Authors

Sam Yankelevitch

Sam Yankelevitch

Author, Trainer, International Conference Speaker

Course details

A system is perfectly designed to guarantee the same outcomes, regardless if they’re good or bad. But in situations where the same problems recur, it’s often due to the system failing to prevent problems or protect itself and its customers from defects or poor service.

This course provides an introduction to using the Prevent, Protect, and Predict methodology to prevent poor outcomes, protect the customer if rejects are produced, and determine the systemic root causes that contribute to negative outcomes. Explore the basics of 3x5 Why analysis, which can help to identify cause-and-effect relationships and avoid repeating the same problems. Along the way, instructor Sam Yankelevitch provides opportunities for learners to practice finding systemic root causes with real-world case study examples.

Skills covered

Personal DevelopmentProfessional DevelopmentOne-Off

Concepts

0. Introduction

  • 01 - Getting to the systemic root causes
  • 02 - What are systemic problems

1. Three-Legged Five Why Model

  • 03 - Start with a fishbone
  • 04 - Five Why basics
  • 05 - 3x5 Why
  • 06 - Specific causes
  • 07 - Detection causes
  • 08 - Systemic causes

2. Systemic Root Cause Analysis Case Studies

  • 09 - Fire in the milling machine part 1
  • 10 - Fire in the milling machine part 2
  • 11 - Missing material certificates

Next Steps

  • 12 - Tips to free up your time
  • 13 - How to use the 3 x 5 template

Conclusion

  • 14 - Working on systemic problems - It's your turn

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