Root Cause Template
Transcript of Root Cause Template
Root Cause Analysis Page 1 of 5
Date:
Incident Date: RCA Initiated by: Investigator:
1.Define the problem Describe the incident. What was defect, how many, how often, etc.
Step (not all required, depending on problem) Date completed
D 1 Define the problem
2. Map Process (if required)
M 3. Gather data
4. Cause/Effect Analysis (Seeking Root Cause)
A 5. Verifying root cause with data
I 7. Pilot of implementation
8. Implementation
C 9. Control/Monitoring Plan (including Process Metrics)10. Lessons Learned
Do in Visio, then copy to here. Keep Visio page rectangular no more than 7.5 inches wide.
Sample
This form is a tool for finding causes of process problems and developing actions for eliminating, preventing, and minimizing future problems.
6. Solutions & Prevention steps development (including cost/benefit)
2.Process Map
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4. Cause/Effect DiagramRemember Do in Visio, then copy to here. Keep Visio shape rectanular no more than 7.5 inches wide.
Cloud potential
root causes
5. Verifying root cause with data
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Process Incident Investigation
Root Cause Investigation
Put Problem Here
SAMPLE
6.Recommended Solutions Double-click on template and enter data with Visio Approval needed by:
Scale: 1-None 2-Somewhat 3-Moderate 4-Very 5-Extreme
Cost BenefitAnnualized cost of problem 1 $0.00Percent of problem reduction 2 0%Cost of proposed solution 3 $0.00
Total first year savings (1 x 2 - 3) $0.00
7- 8. Action plan for implementation Who, what , when, where and how
If FMEA needed go to FMEA tab
Root Cause Resolution Page 4 of 5
9. Control Plan (include process metrics)
Root CauseProposedSolutions
Practical Methods Effectiveness Feasibility Cost Benefit Overall Action
Lessons Learned
Root Cause Investigation Team:Role Name Business Phone Cell PhoneProcess Owner:Team Leader:OE Support:Team member:Team member:Team member:Team member:Team member:Team member:Team member:
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Assignments Page DATESAssigned Due Completed Person Task
Root Cause Investigation
Page 1 R 3 10/24/2002 FMEA For
Process Step/Input Potential Failure Mode Potential Failure Effect Potential Causes Current Controls RPN00000000000000000000000000000000
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0Page 2 R 3 10/24/2002 FMEA For
Process Step/Input Potential Failure Mode Potential Failure Effect Potential Causes Current Controls RPN0000000000000000000000000000000
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Page 3 R 3 10/24/2002 FMEA For
Process Step/Input Potential Failure Mode Potential Failure Effect Potential Causes Current Controls RPN00000000000000000000000000000
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00000
Page 4 R 3 10/24/2002 FMEA For
Process Step/Input Potential Failure Mode Potential Failure Effect Potential Causes Current Controls RPN000000000000000000000000000
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Actions Recommended Responsibility Action Taken RPN00000000000000000000000000000000
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Actions Recommended Responsibility Action Taken RPN0000000000000000000000000000000
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Actions Recommended Responsibility Action Taken RPN00000000000000000000000000000
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Actions Recommended Responsibility Action Taken RPN000000000000000000000000000
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0000000
SEVERITY EVALUATION CRITERIA
Effect Criteria: Severity of Effect RankingHazardous- 10
Hazardous- 9
With warning
Very High System / item inoperable, with loss of primary function 8
High 7
Moderate 6
Low 5
Very Low 4
Minor 3
Very high severity ranking when a potential failure mode effects safe system operation
Without warning
and/or involves noncompliance with a government regulation without warning
Very high severity ranking when a potential failure mode effects safe system operation
and/or involves noncompliance with a government regulation with warning
System / item operable, but at a reduced level of performance. Customer dissatisfied.
System / item operable, but comfort / convenience item(s) inoperable. Customer experiences discomfort.
System / item operable, but comfort / convenience item(s) operable at a reduced level of performance. Customer experiences some dissatisfaction.
Fit & Finish / Squeak & Rattle item does not conform. Defect noticed by most customers.
Fit & Finish / Squeak & Rattle item does not conform. Defect noticed by average customers
Very Minor 2
None No effect 1
Fit & Finish / Squeak & Rattle item does not conform. Defect noticed by discriminating customers
OCCURANCE EVALUATION CRITERIA
Likelihood Failure Mode Will Occur
Probability of failure Possible failure Rates Ranking> or = 1 in 2 10
High: Repeated Failures 1 in 8 8
1 in 20 71 in 80 61 in 400 5
1 in 2,000 4Low: Relatively few failures 1 in 15,000 3
1 in 150,000 2
< or = 1 in 1,5000,000 1
Very High: Failure is almost inevitable
Moderate: Occasional Failures
Remote: Failure is highly unlikely
DETECTION EVALUATION CRITERIA
Likelihood the cause will be detected using the process controls
Detection Criteria: Likelihood of Detection by Process Control Ranking
10
Very remote 9
Remote 8
Very Low 7
Low 6
Moderate 5
Moderately High 4
High 3
Very High 2
Almost Certain 1
Absolute Uncertainty
Process Control will not and/or cannot detect a potential cause / mechanism and subsequent failure mode; or there is no Process Control
Very remote chance Process Control will detect a potential cause / mechanism and subsequent failure modeRemote chance Process Control will detect a potential cause / mechanism and subsequent failure mode
Very low chance Process Control will detect a potential cause / mechanism and subsequent failure mode
Low chance Process Control will detect a potential cause / mechanism and subsequent failure mode
Moderate chance Process Control will detect a potential cause / mechanism and subsequent failure mode
Moderately high chance Process Control will detect a potential cause / mechanism and subsequent failure mode
High chance Process Control will detect a potential cause / mechanism and subsequent failure mode
Very high chance Process Control will detect a potential cause / mechanism and subsequent failure mode
Process Control will almost certainly detect a potential cause / mechanism and subsequent failure mode