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Criterion
A 5 Whys working surface connects an observable problem with evidenced causes, marked uncertainty and concrete countermeasures with ownership.
Operations
5 Whys
Paper illustration of a four-column Kanban board with limited ongoing work, a visible blocker and a review loop.
Engineering
Kanban
Paper illustration of MORT Analysis with its method-specific working model.
Operations
MORT Analysis
Paper illustration of Family Tree Analysis with its method-specific working model.
Operations
Family Tree Analysis
Purposedifferent
For a single, hard-to-explain deviation, the method exposes the causal chain behind the visible symptom. It keeps the cause open until a controllable condition emerges instead of a mere description.When work sits in too many parallel streams, throughput suffers and no one sees the bottlenecks. Kanban makes the flow of work visible and limits overload so a system becomes calmer and more predictable.For a safety-relevant event or a system with high protection requirements, the method examines where controls failed. It exposes both technical and organizational gaps.For a series of incidents with a similar pattern, the method arranges individual events as branches of a common origin. It makes visible which conditions keep recurring.
Complexitydifferent
LowMediumHighMedium
Timedifferent
15-30 minOngoingMehrere Tage bis Wochen2-4 h
Participantsdifferent
2-62-122-62-6
Formatdifferent
WorkshopWorkshop + asyncWorkshop + asyncWorkshop + async
Outputdifferent
Root cause notes, CountermeasuresKanban board, WIP policies, Flow metricsMORT Worksheets, Findings per Branch, Corrective Actions, Systemic RecommendationsFamily Tree Diagram, Pattern Notes, Systemic Measures
Tagsno overlap
Root causeIncidentLeanProblem solving
FlowVisual managementDelivery
Root causeSafetySystemicIncident
Root causePatternsIncidentSystemic
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