Root+Cause+Analysis+training++Revised01ppt.pptVIP

Root Cause Analysis and the 3 Legged 5 Why’s Training根本原因分析法和三个方面进行五个为什么分析 August 06, 2007 RCA Team Root Cause Analysis tools根本原因分析法工具 Jerry’s 4 questions for RCA: Jerry的4个问题 1) Is there a robust process? 程序是自动的吗? 2) Is the process documented? 有程序文件吗？ 3) Are operator’s trained in the process? 操作工经过培训了吗？ 4) Did the operator follow the process? 操作工是否遵循程序？ Consolidated Diesel Company Every Hour, Every Day. * Root Cause Analysis根本原因分析法 What is Root Cause Analysis?什么是根本原因分析法？ What importance does Root Cause Analysis have?根本原因分析法的重要性 When is Root Cause Analysis appropriate?何时实施根本原因分析法？ How can we determine Root Cause Analysis has been done properly?如何正确实施根本原因分析法？ Examples and Application 举例和应用 What is Root Cause Analysis?什么是根本原因分析法 ABSTRACT - Root cause analysis answers your problem. Root Cause Analysis (RCA) is a step by step method that leads to the discovery of a faults first or root cause. Every equipment failure happens for a number of reasons. There is a definite progression of actions and consequences that lead to a failure. An RCA investigation traces the cause and effect trail from the end failure back to the root cause. Much like a detective solving a crime. 摘要：根本原因分析法能解答工作中的难题。根本原因分析法（RCA）是一种发现故障的首要或根本原因的逐步分析方法。每台设备故障的发生都有许多原因。导致故障发生的过程是一个递进的过程。而一个根本原因分析法调查活动则会循着最终故障直至找到真正的根本原因进行因果分析，非常类似侦探破案。 Root Cause Analysis (RCA) is a ‘Problem’ solving method. 根本原因分析法是一种“问题”解决方法。 RCA is directly related to Cummins 7 Step problem solving 根本原因分析法与康明斯七步工作法直接相辅相成。 RCA addresses the primary cause of failure – not the immediately obvious symptoms. 根本原因分析法能找到故障的首要根本原因，而非其表面现象。 There are many tools we can employ to get to Root Cause. 有许多方法我们可以用来找到根本原因。 Fishbone Diagram (aka Cause and Effect diagram), Brainstorming, Cause and Effect Matrix, 5 Why’s) 如鱼刺图（ 因果分析图），头脑风暴，因果矩阵图，五个为什么等） What is Root Cause Analysis?什么是根本原因分析法 Why Root Cause Analysis Makes Sense 为什么根本原因分析法有意义 All of us abhor the repeated problems,