The 5-Whys' Method: Example 1
The 5-Whys' Method: Example 1
Example 1
Here is a real example from a firm providing training services: Symptom The wrong materials for training courses have been delivered to the training rooms on several occasions. Why. ? 1 The person packing and dispatching them for delivery made some mistakes. She was packing materials for three different courses at the time, was in a hurry and didnt notice. (Symptom) Why.? 2 Shes quite new to the job and we hadnt had time to train her. (Symptom) Why.? 3 The person who used to do that job had left and everyone else was busy too. And theres nothing written down, such as a checklist of materials to pack, nor any procedure. (Symptom) Why.? 4 Weve had so many new staff (turnover has been very high) that theres just been no time to spend on things like setting up training or writing procedures. (Symptom) Why.? 5 Root Cause: There is no effective system of training in place. No priority or importance has been placed on making sure key things are written down, to make sure things are done consistently, despite changes of personnel. Note: It might also be worth while looking at why turnover is so high, and/or whether there is adequate advance planning occurring.
Five Whys Method.doc
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Example 2
Another real example, this time from a manufacturer of auto accessories: Symptom We cant meet demand for Product 123 in stock, even though were not selling any more of it. Why.? 1 Our inventory is being used up to replace faulty products returned under warranty. (Symptom) Why.? 2 Theres a problem with the seal: it has to fit tightly into an indented rim. Sometimes the parts dont come off the line with quite enough tolerance to allow the seals to fit tightly enough, but this only shows up later when its fitted to a vehicle. (Symptom) Why.? 3 The tolerance is very fine and the castings we get sometimes dont allow quite enough depth for the very tight seal needed. Usually we pick up the problem at assembly and take it down a bit, but we dont always pick them all up. (Symptom) Why.? 4 The main body of the part is machined from castings we buy in, but the dimensions on the suppliers mould arent quite accurate. It would cost more than $1200 to replace the mould, and Production is under strict instructions to save costs. (Symptom) Why.? 5 Root Cause: Management doesnt understand the casting/mould process or the engineering issues, and that it would actually save money (on warranty replacements). It also has not had effective methods in place to identify why the product keeps being returned and why it keeps failing.
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Always look for the root cause, and beware of accepting too simple answers, or those immediate kneejerk answers to questions. Theyre often misleading, and they may deal only with symptoms the outward signs of a problem that are observed, but which are not its real root cause. One reason a good quality management system insists on a systematic approach to dealing with nonconformity, corrective and preventive action is because getting these right can produce quite enormous improvements in even smallish systems. If you are still responding individually to problems, weaknesses and failures, then youre almost certainly still in reactive mode: one of the hallmarks of a business with an immature system. Organisations with mature systems are in proactive mode: theyve already recognized this and used it to improve. Aim to collect information on your problems and failures, analyse them and spend time on them. Because symptoms can crop up in various places and disguises, and fool you into thinking they are all different, whereas often they are often just more of the same. If for some reason I was only allowed to choose two quality methods or tools to work with, it would be this method and the PDSA (Plan Do Study Act) cycle. They are both indispensable. NB: The 5-Why method is closely related to the Cause & Effect (Fishbone) diagram; it can be very effective to use them together. **************************** Where did it come from? Some people believe the 5-Why? Method was invented by Toyota. Its certainly something theyve made extensive and effective use of, as well as other quality methods, as witness the reputation Toyota cars have for reliability. But the method itself has been around rather longer. The earliest known written version of the following rhyme on (often taught to British children) is in John Gower's Confesio Amantis dated approximately 1390 AD. For want of a nail a shoe was lost, for want of a shoe a horse was lost, for want of a horse a rider was lost, for want of a rider an army was lost, for want of an army a battle was lost, for want of a battle the war was lost, for want of the war the kingdom was lost, and all for the want of a little horseshoe nail.
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