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Problem Consciousness Identity the problem that is the priority Clarify the Problem What should be happening?What is actually happening? Break the problem into individual problems if necessary If necessary user temporary measures to contain the abnormal occurrence until the root cause can be addressed. Locate the point of cause of the problem – Do not go into cause investigation (next step) until you find the point of cause. Grasp the tendency of the abnormal occurrence at the point of cause If necessary, “go and see”
Investigate Causes Identify and confirm the direct cause of the abnormal occurrence Conduct a 5-Why investigation to build a chain of cause/effect relationships to root cause Stop at the cause that must be addressed to prevent recurrence. Develop and Test Countermeasure Take one specific action to address the root cause Try to change only one factor at a time, so you can see correlation Follow Up Monitor and confirm results Standardize successful countermeasure Reflect. What did we learn during this problem-solving process? Share via retrospective/postmortem
Author: Andy Cleff My super powers include: the ability to remain unflappable, even in the middle of the chaos of change; and having, as well as communicating, a vision of what working happy can be like. A proud member of the Agile Uprising coalition
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