Root Cause Investigation Methodology
Pioneered by Taiichi Ohno at Toyota, 5-Why analysis systematically strips away layers of symptoms to expose underlying institutional defects.
Drill past superficial symptoms to uncover systemic and management process root causes.
How do you prevent 5-Why analysis from turning into superficial blame?
Follow the 3-tier causality model: move past the Physical Cause (part broke) and Human Error (valve left closed) to identify the Latent / Organizational Root Cause (management process, training, or audit omission). Always apply the reverse "Therefore" test to ensure logical rigor.
Good investigation depth.
Pioneered by Taiichi Ohno at Toyota, 5-Why analysis systematically strips away layers of symptoms to expose underlying institutional defects.
Map all potential causes across Machine, Method, Material, Manpower, Measurement, and Milieu.
Root Cause & RiskRank system failure modes by risk priority and assign mitigation actions with XLSX/PDF exports.
Root Cause & RiskEnsure root cause corrective actions are implemented, verified, and closed out on time.