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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
Value Stream Mapping workspace showing the question, observations, and next decision.
Delivery
Value Stream Mapping
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 delivery work dissolves into wait times, handoffs, and hidden effort, Value Stream Mapping makes the actual flow visible. The method exposes bottlenecks, idle time, and feedback loops so lead time and improvement levers become tangible.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 min1-3 hMehrere Tage bis Wochen2-4 h
Participantsdifferent
2-64-102-62-6
Formatdifferent
WorkshopWorkshopWorkshop + asyncWorkshop + async
Outputdifferent
Root cause notes, CountermeasuresCurrent-state map, Future-state map, Bottleneck listMORT Worksheets, Findings per Branch, Corrective Actions, Systemic RecommendationsFamily Tree Diagram, Pattern Notes, Systemic Measures
Tagsno overlap
Root causeIncidentLeanProblem solving
LeanFlowWasteDelivery
Root causeSafetySystemicIncident
Root causePatternsIncidentSystemic
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