Prompt Board

Diagrams

Fishbone diagram template

Root cause analysis: the problem at the head, possible causes grouped along the bones.

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Root causes: late deliveriesOrders arrive latePeopleNewpickersuntrainedProcessOrdersbatchedtwice adayToolsScannerbattery diesSuppliersBoxes outof stockCarriersPickupwindowmissedDataStockcountswrong
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What it is

A fishbone diagram is a tool for finding the root cause of a problem. It is also called an Ishikawa diagram, after Kaoru Ishikawa, who made it popular in quality control. The problem sits at the head of the fish. Each bone is a category of possible causes, like people, process or tools, and collects the causes you find.

When to use it

  • After an incident or a quality problem that keeps coming back
  • When the team has jumped to one cause and you want to check the others
  • In a post-mortem, before you decide what to fix

How to run it

  1. 01

    State the problem

    Write it in the head as an effect you can measure, like "Orders arrive late".

  2. 02

    Pick the categories

    Choose four to six bones that fit your work. Factories often use people, methods, machines, materials, measurement and environment.

  3. 03

    Add causes

    For each bone, ask why the problem happens and add a note per cause. Ask why again to go one level deeper.

  4. 04

    Choose what to check

    Circle the two or three causes the team thinks matter most, and collect data on them before you fix anything.

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"Fishbone diagram for why a mobile app's crash rate doubled after the last release"

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