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Criterion
Paper fishbone diagram with a measurable effect at the head and six labeled cause branches.
Operations
Fishbone Diagram
Paper illustration for CATWOE Analysis.
Systems Thinking
CATWOE Analysis
Paper illustration of Barrier Analysis with its method-specific working model.
Operations
Barrier Analysis
Paper illustration of MORT Analysis with its method-specific working model.
Operations
MORT Analysis
Purposedifferent
When a problem has several possible contributing factors, the method sorts causes by cause areas. It prevents an initial hunch from blocking the view of other plausible drivers.CATWOE structures a problem from six viewpoints and prevents too narrow a view of the situation. Different experiences of the system become comparably discussable this way.For a risk that can only be managed through multiple layers of protection, the method examines the effectiveness of each barrier. It shows where safeguards are missing, too weak, or fail under real conditions.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.
Complexitydifferent
LowMediumMediumHigh
Timedifferent
30-60 min45-90 min2-4 hMehrere Tage bis Wochen
Participantsdifferent
2-83-82-62-6
Formatdifferent
WorkshopWorkshop + asyncWorkshop + asyncWorkshop + async
Outputdifferent
Fishbone Diagram, Cause Categories, Investigation BacklogCATWOE Canvas, Root Definition, Stakeholder Perspectives, ConstraintsBarrier Inventory, Failure Analysis per Barrier, Action BacklogMORT Worksheets, Findings per Branch, Corrective Actions, Systemic Recommendations
Tagsno overlap
Root causeQualityOperations
Systems thinkingFramingStakeholders
Root causeSafetyIncident
Root causeSafetySystemicIncident
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