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Criterion
Paper illustration for Learning Review.
Operations
Learning Review
Paper illustration for Root Cause Tree Analysis
Operations
Root Cause Tree Analysis
Paper fishbone diagram with a measurable effect at the head and six labeled cause branches.
Operations
Fishbone Diagram
A 5 Whys working surface connects an observable problem with evidenced causes, marked uncertainty and concrete countermeasures with ownership.
Operations
5 Whys
Purposedifferent
After a project phase with mixed results, the method makes learning from the individual case reusable. It connects events, decisions, and systemic conditions into robust insights.For a problem with several suspected causes, the method builds a causal structure instead of a mere list. It makes visible how causes connect and where the strongest points of leverage lie.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.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.
Complexitydifferent
MediumMediumLowLow
Timedifferent
1-3 h1-3 h30-60 min15-30 min
Participantsdifferent
3-102-82-82-6
Formatsame
WorkshopWorkshopWorkshopWorkshop
Outputdifferent
Learning Review Notes, System Factors, Improvement ActionsCause Tree, Evidence Notes, CountermeasuresFishbone Diagram, Cause Categories, Investigation BacklogRoot cause notes, Countermeasures
Tagsno overlap
LearningRetrospectiveIncidentOperations
Root causeTreeIncidentQuality
Root causeQualityOperations
Root causeIncidentLeanProblem solving
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