methodatlas
Playbook

Narrow Down and Sustainably Fix a Technical Root Cause

Move from a precise problem specification through structured cause investigation to a documented 8D report.

Steps4 methods
Time1-3 weeks
FormatHybrid
Outcome

A confirmed technical root cause with immediate and long-term actions, documented in a complete 8D report.

At the end you have

KT problem specificationFault treeBarrier analysis8D report

Decision point

You can decide which long-term action is implemented and who owns it.

Next step

Carry the long-term action into implementation and verify effectiveness once it is complete.

Ideal for

  • Technical faults with an unclear, suspected cause
  • Problems that need robust documentation for customers or audits
  • Recurring technical failures without a cause found so far

Not good for

  • Trivial, immediately obvious faults
  • Purely organizational rather than technical problems
Preparation

What should be clear before you start

Roles

  • Technical owner
  • Quality assurance

Inputs

  • Documented fault case
  • Available technical logs or measurements

Setup

  • Gather all available data on the fault case upfront
Flow

Method path

4 methods
  1. 1OperationsKT problem specification

    Kepner-Tregoe

    Do we need situation appraisal, cause analysis, a decision or safeguards for a plan?

    Why this step?

    The precise specification prevents the cause investigation from running across too broad a field.

    The narrowed specification is the basis for a structured cause analysis.

    Paper illustration for Kepner-Tregoe
  2. 2OperationsFault tree

    Fault Tree Analysis

    Which individual or combined basic events are logically sufficient to produce the defined top event?

    Why this step?

    The fault tree makes all logically possible cause paths visible instead of following only the most obvious guess.

    Along the cause paths, it is checked whether protective barriers were missing or failed.

    Paper illustration for Fault Tree Analysis.
  3. 3OperationsBarrier analysis

    Barrier Analysis

    Which barrier should interrupt the path, how did it fail, and which independent control is missing?

    Why this step?

    Barrier analysis shows at which point an existing or missing safeguard failed to prevent the fault.

    Cause and failed barrier are finally documented in a complete report.

    Paper illustration of Barrier Analysis with its method-specific working model.
  4. 4Operations8D report

    8D Problem Solving

    How will we safely contain a material problem, permanently remove verified occurrence and detection causes, and prevent similar cases?

    Why this step?

    The 8D report bundles cause and actions in a traceable, auditable format with clear ownership.

    The long-term action from the 8D report is carried into regular implementation.

    Paper illustration for 8D Problem Solving.
Completion criteria
Templates

Artifacts for this playbook

Artifacts stay collapsed until you actually need them.

MarkdownShow template

Kepner-Tregoe: Worksheet

Collect concerns, facts, impact and ownership; first choose the needed analysis route.

# Kepner-Tregoe: Worksheet

## Question
To be confirmed

## Desired outcome
To be confirmed

## Scope
Complete cycle
Time: Multiple analysis blocks as needed; 45–90 minutes each

Complete this worksheet on paper or in your own document during the work.

## Preparation for this scope

### Method setup
- **Materials:** Concern list, IS/IS NOT comparison, decision criteria, alternatives and risk plan.
- **Roles:** Domain experts, process owners, decision maker and experienced facilitator.
- **Advance information:** Collect concerns, facts, impact and ownership; first choose the needed analysis route.
- **Overall time needed:** Multiple analysis blocks as needed; 45–90 minutes each
- **Setup:** Sort concerns first; prepare separate workspaces for IS/IS NOT, decision criteria and plan risks.

### Prepare for the work steps

#### Situation: Situation Appraisal
- Concerns
- Impact

#### Problem: Problem Analysis
- Deviation data
- Comparison cases

#### Decision: Decision Analysis
- Objective
- Criteria and options

#### Plan risks: Potential Problem Analysis
- Selected plan
- Critical steps


## Kepner-Tregoe· worksheet

### Situation Appraisal
What concerns exist and which analysis route fits each?

...

### IS / IS NOT
What, where, when and to what extent does the deviation occur or not occur?

...

### Distinction, change, test
Which change explains all facts and how is it verified?

...

### Must, want, risk
Which options pass must criteria and differ in benefits and risk?

...

### Prevention and contingency
Which problem do we prevent and what trigger starts which response?

...

Answer the prompts with your own information. Explicitly mark unknowns and assumptions.

[Kepner-Tregoe: FAQs](https://kepner-tregoe.com/about/faqs/)


## Situation: Situation Appraisal
Expected artifact: Analysis briefs

Is the needed thinking process clear per concern?

Entry:

...

- [ ] Is the needed thinking process clear per concern?

## Problem: Problem Analysis
Expected artifact: Verified cause

Does the cause explain IS and IS NOT consistently?

Entry:

...

- [ ] Does the cause explain IS and IS NOT consistently?

## Decision: Decision Analysis
Expected artifact: Reasoned choice

Does the selected option meet all must criteria?

Entry:

...

- [ ] Does the selected option meet all must criteria?

## Plan risks: Potential Problem Analysis
Expected artifact: Safeguarded plan

Are prevention and response with trigger distinct?

Entry:

...

- [ ] Are prevention and response with trigger distinct?

## Open questions and next steps

...

Method guide: https://methodatlas.meierhoff-systems.de/en/methods/kepner-tregoe/run-sheet
MarkdownShow template

Fault Tree Analysis: Worksheet

Set subject, evidence, roles, flow, and review.

# Fault Tree Analysis: Worksheet

## Question
To be confirmed

## Desired outcome
To be confirmed

## Scope
Whole initiative
Time: One to three working days for a bounded tree; add expert and evidence review.

Complete this worksheet on paper or in your own document during the work.

## Preparation for this scope

### Method setup
- **Materials:** Precise top event, system boundary and operating state, architecture and failure data, AND/OR gate notation, evidence register
- **Roles:** FTA lead · system architecture · reliability/safety · component experts · control owners
- **Advance information:** Define the top event as an observable failure with system boundary, operating state, and time horizon.
- **Overall time needed:** One to three working days for a bounded tree; add expert and evidence review.
- **Setup:** Prepare a workspace with Top event · Gates · Decompose · Cut sets · Controls; separate example from live data.

### Prepare for the work steps

#### Top event: Defined top event
- Define the top event as an observable failure with system boundary, operating state, and time horizon.
- Precise top event, system boundary and operating state, architecture and failure data, AND/OR gate notation, evidence register

#### Gates: First logic level
- Defined top event

#### Decompose: Evidence-backed tree
- First logic level

#### Cut sets: Minimal cut sets
- Evidence-backed tree

#### Controls: Control plan
- Minimal cut sets


## Fault Tree Analysis · working structure

### Defined top event
State the undesired event precisely and without a solution, including system state and boundary.

...

### First logic level
Arrange immediate causes beneath the top event and choose AND or OR from actual logic.

...

### Evidence-backed tree
Expand intermediate events to controllable basic events or justified development boundaries.

...

### Minimal cut sets
Derive minimal event combinations whose occurrence logically produces the top event; identify shared events.

...

### Control plan
Prioritise controls against single events and combinations; test effect and remaining paths.

...

The blank worksheet contains prompts only.

[Reference · original teaching example](https://extapps.ksc.nasa.gov/reliability/Documents/Fault_Tree_Handbook_with_Aerospace_Applications_August_2002.pdf)


## Top event: Defined top event
Expected artifact: Defined top event

State the undesired event precisely and without a solution, including system state and boundary.

Entry:

...

- [ ] Is the top event binary-testable and bound to an operating state?

## Gates: First logic level
Expected artifact: First logic level

Arrange immediate causes beneath the top event and choose AND or OR from actual logic.

Entry:

...

- [ ] Does OR mean one input suffices and AND mean all inputs are jointly required?

## Decompose: Evidence-backed tree
Expected artifact: Evidence-backed tree

Expand intermediate events to controllable basic events or justified development boundaries.

Entry:

...

- [ ] Are basic events concrete, independently understandable, and labelled by evidence or assumption?

## Cut sets: Minimal cut sets
Expected artifact: Minimal cut sets

Derive minimal event combinations whose occurrence logically produces the top event; identify shared events.

Entry:

...

- [ ] Are cut sets minimal and derivable from documented gate logic?

## Controls: Control plan
Expected artifact: Control plan

Prioritise controls against single events and combinations; test effect and remaining paths.

Entry:

...

- [ ] Does each priority control break a relevant cut set while residual logic stays visible?

## Open questions and next steps

...

Method guide: https://methodatlas.meierhoff-systems.de/en/methods/fault-tree-analysis/run-sheet
MarkdownShow template

Barrier Analysis: Worksheet

Plan Barrier Analysis around its domain steps and the concrete decision question.

# Barrier Analysis: Worksheet

## Question
To be confirmed

## Desired outcome
To be confirmed

## Scope
Full workshop
Time: 60–120 minutes

Complete this worksheet on paper or in your own document during the work.

## Preparation for this scope

### Method setup
- **Materials:** Incident or scenario description, system and process data, barrier and test evidence, shared workspace, source links, and decision log.
- **Roles:** Investigator · operator · safety/domain expert · control owner
- **Advance information:** Collect Incident or scenario description, system and process data, barrier and test evidence in advance and mark open assumptions.
- **Overall time needed:** 60–120 minutes
- **Setup:** Prepare hazard-target path plus barrier function, condition, failure mode, and correction visibly and calibrate assessment terms before starting.

### Prepare for the work steps

#### Define path: Define path
- Incident or scenario description
- system and process data
- barrier and test evidence

#### Inventory barriers: Inventory barriers
- hazard-target path
- system and process data
- barrier and test evidence

#### Analyse failure: Analyse failure
- barrier set
- system and process data
- barrier and test evidence

#### Improve barriers: Improve barriers
- failure analysis
- system and process data
- barrier and test evidence


## barrier analysis table

| Subject | Hazard · path · target | Function · type · standard | Present · effective · independent | Change · owner · negative test |
| --- | --- | --- | --- | --- |
| barrier analysis table |   |   |   |   |

- **barrier analysis table:** Worked example

Enter only real input, sources, and decisions.

[U.S. Department of Energy: Accident Prevention and Investigation Program](https://www.energy.gov/ehss/doe-accident-prevention-and-investigation-program)


## Define path: Define path
Expected artifact: hazard-target path

hazard-target path · source · uncertainty · next decision

Entry:

...

- [ ] Is the unwanted transfer clear?

## Inventory barriers: Inventory barriers
Expected artifact: barrier set

barrier set · source · uncertainty · next decision

Entry:

...

- [ ] Does every barrier have a clear function?

## Analyse failure: Analyse failure
Expected artifact: failure analysis

failure analysis · source · uncertainty · next decision

Entry:

...

- [ ] Does evidence support the condition?

## Improve barriers: Improve barriers
Expected artifact: barrier improvement

barrier improvement · source · uncertainty · next decision

Entry:

...

- [ ] Does the test prove interruption of the path?

## Open questions and next steps

...

Method guide: https://methodatlas.meierhoff-systems.de/en/methods/barrier-analysis/run-sheet
MarkdownShow template

8D Problem Solving: Worksheet

Set subject, evidence, roles, flow, and review.

# 8D Problem Solving: Worksheet

## Question
To be confirmed

## Desired outcome
To be confirmed

## Scope
Whole initiative
Time: Several days to weeks; contain immediately, implement permanent correction only after verified cause.

Complete this worksheet on paper or in your own document during the work.

## Preparation for this scope

### Method setup
- **Materials:** 8D report, 5W2H problem statement, containment log, occurrence and escape-point evidence, correction and prevention plan
- **Roles:** 8D lead · cross-functional team · process owner · customer/quality perspective · action owners
- **Advance information:** Confirm problem significance, initiate immediate protection, and secure sponsor plus cross-functional expertise for 8D.
- **Overall time needed:** Several days to weeks; contain immediately, implement permanent correction only after verified cause.
- **Setup:** Prepare a workspace with D1 Team · D2 Problem · D3 Contain · D4 Causes · D5 Correction · D6 Implement · D7 Prevent · D8 Recognise; separate example from live data.

### Prepare for the work steps

#### D1 Team: Mandated team
- Confirm problem significance, initiate immediate protection, and secure sponsor plus cross-functional expertise for 8D.
- 8D report, 5W2H problem statement, containment log, occurrence and escape-point evidence, correction and prevention plan

#### D2 Problem: 5W2H statement
- Mandated team

#### D3 Contain: Effective containment
- 5W2H statement

#### D4 Causes: Verified causes
- Effective containment

#### D5 Correction: Verified correction
- Verified causes

#### D6 Implement: Validated implementation
- Verified correction

#### D7 Prevent: System prevention
- Validated implementation

#### D8 Recognise: Closed 8D
- System prevention


## 8D Problem Solving · working structure

### Mandated team
Appoint a small cross-functional team with process knowledge, authority, lead, and sponsor.

...

### 5W2H statement
Quantify the problem with 5W2H and document Is/Is-Not boundaries.

...

### Effective containment
Choose interim containment actions to protect customers; monitor effectiveness and side risk.

...

### Verified causes
Identify occurrence cause and escape point and verify both through data or reproduction.

...

### Verified correction
Select permanent corrections and quantitatively verify cause removal, risk, and customer requirement before release.

...

### Validated implementation
Roll out permanent correction, validate it, and withdraw containment in a controlled way.

...

### System prevention
Update similar processes, standards, FMEA, tests, and controls to prevent recurrence elsewhere.

...

### Closed 8D
Close result, learning, and team contribution formally; approve report and hand over long-term controls.

...

The blank worksheet contains prompts only.

[Reference · original teaching example](https://asq.org/quality-resources/eight-disciplines-8d)


## D1 Team: Mandated team
Expected artifact: Mandated team

Appoint a small cross-functional team with process knowledge, authority, lead, and sponsor.

Entry:

...

- [ ] Does the team cover occurrence, detection, and customer impact?

## D2 Problem: 5W2H statement
Expected artifact: Problem statement

Quantify the problem with 5W2H and document Is/Is-Not boundaries.

Entry:

...

- [ ] Are who, what, where, when, relevance, how, and how many described without causal claim?

## D3 Contain: Effective containment
Expected artifact: Containment

Choose interim containment actions to protect customers; monitor effectiveness and side risk.

Entry:

...

- [ ] Does it protect immediately without pretending to be permanent correction?

## D4 Causes: Verified causes
Expected artifact: Cause evidence

Identify occurrence cause and escape point and verify both through data or reproduction.

Entry:

...

- [ ] Are both occurrence and non-detection proven?

## D5 Correction: Verified correction
Expected artifact: Tested correction

Select permanent corrections and quantitatively verify cause removal, risk, and customer requirement before release.

Entry:

...

- [ ] Does the correction remove the cause without unacceptable side effects?

## D6 Implement: Validated implementation
Expected artifact: Effect evidence

Roll out permanent correction, validate it, and withdraw containment in a controlled way.

Entry:

...

- [ ] Does effect persist in operation, with containment removed only afterwards?

## D7 Prevent: System prevention
Expected artifact: Prevention plan

Update similar processes, standards, FMEA, tests, and controls to prevent recurrence elsewhere.

Entry:

...

- [ ] Were similar systems and the management-system gap examined?

## D8 Recognise: Closed 8D
Expected artifact: 8D closure

Close result, learning, and team contribution formally; approve report and hand over long-term controls.

Entry:

...

- [ ] Are customer impact, effectiveness, residual actions, and team contribution transparently closed?

## Open questions and next steps

...

Method guide: https://methodatlas.meierhoff-systems.de/en/methods/8d-problem-solving/run-sheet