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WHY - WHY ANALYSIS
TRAININGOBJECTIVES:
To understand the definition of Why - Why Analysis.
To clarify the procedure for deelopin! a Why - Why
Analysis.
To stress the i"portance of each step in the Why -Why Analysis.
CO#$SE SCO%E & J#STI'ICATIO(:
Why-Why Analysis is a )asic* funda"ental tool in the
deelop"ent of the IWS cornerstones* so it is essential
that each +eader in the i"ple"entation of IWS ,no
this techniue and trans"it it to his&her or, tea"s.
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W/0 - W/0 A(A+0SIS
What is Why-Why Analysis1
It is a tool to identify root causes of a pro)le"
so that counter"easures can )e applied to
preent reoccurence.
Why-Why %rocess:
Basically the process is to ,eep as,in! hy
for all possi)le causes until you can find the
root cause for each effect and* therefore* find
a counter"easure for each root cause.
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Why-Why Analysis
A different ay to or!ani2e Cause and
effect relationships.
3ore efficient after a Cause and effect
Analysis
4one on the %riority ite"s found in a
Cause and Effect Analysis.
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/o do tools fit1
Effect
HuMan Machine
MethodsMaterial EnvironMent
Cause Effect
Tye of !hec" !hec" #etails
5. 4irect O)seration
6. Eidence fro" collected data
7. E8pert9s e8perience
. Theory
;. Others
Thesis
Already existing reference standard !hec" $ethod to %eused
Already existing Control Method Results of the chec"
Verify e8istence of cause and
effect for this situation
Cause and Effect Wor,sheet
%ro)le" Why Why Why Why Why
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What is the &roduct of a Why-Why Analysis '
It is a structured( field chec"ed( relationshi )ith each
cause-effect relationshi lin"ed fro$ the lo)est
ele$ent %ac"
to the
heno$enon*
h
y
'
Wh
y
'
Wh
y
'
h
y
'
Why' Std*+
s
i i
Standards.M+s/
hu
an
e0
ui
e
thod
a
terial
S1&
i
True
NTrue
22
2
Alied'
3
i
e
ld
!
h
ec
"
Y
N
Y
N Restore
Ne)
Std*Ne)Maint*Std*
YN
WHY-WHY
NTrue
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Let+s 4rea" the Analysis
into the 3ollo)in5 Stes5. #nderstandin! the %ro)le"
6. 4efinin! the %heno"enon to )e analy2ed.7. Esta)lishin! Cause-Effect $elationship
throu!h Why uestionin! and 'ield Chec,s.
. +o!ical $eie of the Analysis;. Chec,in! for Standards and SO%9s
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+et9s See What9s !oin! on1
1. The light bulb
doesnt go on
2. He slipped
. The !atch
doesnt light
". The pen
doesnt
#rite
Ti$e6 78+
7* 9nderstandin5 the &ro%le$
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#nderstandin! the pro)le"
= 'or" a tea" of ualified*,noled!ea)le people.
= 4eelop a !eneral description of the
pro)le".= 4eelop an initial pro)le" state"ent.
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Ho) you focus on the&ro%le$ Greatly i$acts the
success of the Analysis*
7* 9nderstandin5 the &ro%le$
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a$ According to the %rocess or &or' (lo# re)uire!ents.
b$ According to the physical causes.
T)o !larifyin5 aroaches
7* 9nderstandin5 the &ro%le$
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*dentify those conditions re)uired by the%rocess to correctly operate and chec' all of
the! before start doing the analysis.
+Chec'list$
Ad,antages-
/i!plerMore practical
(aster
Accordin5 to &rocess or Wor" 3lo) re0uire$ents
7* 9nderstandin5 the &ro%le$
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*dentify the !echanics that generates the
pheno!enon and start the analysis based on it.
Ad,antages-More co!plete
More precise
More effecti,e
This !aterial considers this
approach as the standard #ay to
perfor! #hy0#hy analysis.
Accordin5 to hysical causes*
7* 9nderstandin5 the &ro%le$
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4efine the the %heno"enonWe intend to define the "echanics that
!enerate the pheno"enon* in other ords* theay or process throu!h hich hat e are
descri)in! occurs.
Brea, the pro)le" don into specific*
o)sera)le pheno"ena.Ali!n the tea" on hat success loo,s li,e.
6. 4efinin! the %heno"enon to )e analy2ed.
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%ro)le" s %heno"enon E8a"ple
&ro%le$6 The roo$ is too dar"
4etter6 The li5ht %ul% :doesn+t 5o on;
4est6 There is no flo) of electric current throu5h
the fila$ent
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%ro)le" s %heno"enon E8a"ples
E,a$les &ro%le$s' &heno$ena'
&rocess relia%ility is %elo) ounces er %ottle
The fa$ily car is )orn out
The en5ine is usin5 one 0uart of oil every ?88 $iles
The car seats are ried
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Scoto"a Trainin!
4efinition
Scoto"a literally "eans >li"ited ision ithin our
field of ision.? It is used to e8plain the fact that eso"eti"es see hat e e8pect to see.
/o it lin,s to this trainin!
Scoto"as can ,eep us fro" reco!ni2in! the
causes to so"e pro)le"s. We "i!ht not een
reco!ni2e the pro)le". @+i,e the ay e oerloo,
defects if e hae !otten to the point here e
consider the" as nor"al.
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What9s the pro)le"1
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What9s the pro)le"1
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What9s the pro)le"1
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What9s the pro)le"1
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What9s the pro)le"1
What does Success Loo" Li"e'
6 4 fi i th %h t ) l d
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What9s !oin! on1
4efine each of the folloin! pheno"ena:
1. The light bulb
doesnt go on2. He slipped
. The !atch
doesnt light
". The pen
doesnt
#rite
Wor"5rou activity ./
Ti$e6 78+
6. 4efinin! the %heno"enon to )e analy2ed.
6 4 fi i th %h t ) l d
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What9s !oin! on1
1. The light bulb doesnt go on
The pheno!enon that produces light
is the heating of the fila!ent #henelectrons or electric current flo#s
through it.
/C3*%T*45 4( TH %H54M545-
There is insufficient or no flo# of electric
current through the fila!ent.
6. 4efinin! the %heno"enon to )e analy2ed.
6 4 fi i th %h t ) l d
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What9s !oin! on1
2. He slipped
/lipping occurs #hen the force of
friction is less than the force that
caused hi! to slide.
3 @ I$ulse that caused
hi$ to slide*
f @ 3orce of friction /C3*%T*45 4( TH %H54M545-
( 6 f
6. 4efinin! the %heno"enon to )e analy2ed.
6 4 fi i th %h t ) l d
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What9s !oin! on1. The !atch #ont light
*n order for a !atch to light7
conditions need to be !et-
a$ (uel.0 Met #ith the stri'ing
!aterial and the !atch head. +48.$b$ 4xygen.0 %ro,ided by the
en,iron!ent. +48.$
c$ Heat.0 Caused by the friction of
the !atch head against the rough
strip on the !atchbox.
/C3*%T*45 4( TH %H54M545-
There is not enough friction bet#een the !atch head
and the rough strip on the !atchbox to produce the
heat needed for ignition.
6. 4efinin! the %heno"enon to )e analy2ed.
6 4 fi i th %h t ) l d
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What9s !oin! on1". The pen doesnt #or'.
*n order for the pen to #rite7 in'
needs to flo# to the pens ballpoint
and o,er it onto a surface#here it is deposited.
/C3*%T*45 4( TH %H54M545-*n' doesnt flo# o,er the pens point.
6. 4efinin! the %heno"enon to )e analy2ed.
7 Esta)lishin! Cause Effect $elationship
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'irst >Why? a)out the %heno"enon
This uestion needs to )e ansered fro" aphysical and&or lo!ical point of ie.
The uestion needs to )e ansered for each
ele"ent inoled in the description "ade in the
preious step.At this point* focus on the eidence of the flas*
that is:
a/ erify the evidence of the causes of the ro%le$ in
the field )hether it e,ists or not( stoin5theanalysis for that %ranch )hen the cause doesn+te,ist/*
%/ If it is ossi%le to ut a direct counter$easure to
the cause into lace( do it and sto the analysis
ensure that rocedures or standards are in lace to$aintain condition achieved*.
7. Esta)lishin! Cause-Effect $elationship.
7 Esta)lishin! Cause Effect $elationship
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Why does it happen1
As, the first >Why1? uestion and anser it for each
pheno"enon.
1. The light bulb
doesnt go on2. He slipped
. The !atch
#ont light
". The pen
doesnt
#or'
Wor" 5rou activity ./
Ti$e6 7?+
7. Esta)lishin! Cause-Effect $elationship.
7 Esta)lishin! Cause Effect $elationship
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Why does that happen11. The light bulb doesnt go on
(*3/T &H9-
&hy is the flo# of electric current
through the fila!ent insufficiento non0existent:
+The flo# of electric current in a flo#
of free electrons in the !aterial$.
a/ There aren+t any free electrons in the $aterial The fila$ent $aterial is a dielectric/
%/ There+s no ener5y to $ove the electrons
c/ There is not enou5h ener5y
d/ There is no)here for the electrons to flo)
The fila$ent is %ro"en/
Eli$inated %y
evidence*
7. Esta)lishin! Cause-Effect $elationship.
7 Esta)lishin! Cause Effect $elationship
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2. He slipped
3 @ I$ulse that rovo"es the slide*
f @ 3orce of friction
(*3/T &H9-
&hy is ( 6 f :
4;/3
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. The !atch #ont light(*3/T &H9-
&hy is there not enough friction bet#een the !atch
head and the !atchbox strip to produce the heat
needed to cause ignition:
Why does that happen1
+*n this case of friction7 #hat is
i!portant is that heat be generated$
a$ The pressure applied bet#een the !atch and the
!atchbox is too lo#.
b$ The surface of the !atchbox is not rough enough.
c$ The surface of the !atch head is not rough enough.
d$ There is a lubricant bet#een the surfaces.
e$ The friction duration is not long enough to heat the
!atch head and produce ignition.
7. Esta)lishin! Cause-Effect $elationship.
7 Esta)lishin! Cause Effect $elationship
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". The pen doesnt #or'.
(*3/T &H9-
&hy doesnt the in' flo# o,er
the pens point:
Why does that happen1
a$ *n' isnt reaching the pens point.
b$ Theres no pressure on the in' to the
pens point. +=ra,ity7 others$c$ Theres no#here for the in' to flo#.
+The ballpoint is bloc'ed.$
d$ The in' doesnt flo# o,er the other
surface.
+&riting in the air7 or on ice7 etc.$
7. Esta)lishin! Cause-Effect $elationship.
7 Esta)lishin! Cause Effect $elationship
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Steps for deelopin! a
Why - Why Analysis:. Second >Why?
'or each anser to the >Why1? in the
preious step* the uestion >Why1? isas,ed a!ain.
The anser in this case* and fro" here on*
should consider the > - 39s.?
7. Esta)lishin! Cause-Effect $elationship.
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/o to Verify Causes
#se the cause and effect or,sheet as
a !uide
Watchith a purpose?
Si"ulate
3a,e the fi8 @restore and "onitor
Do the verification on the floor
+o!ical $eie of the Analysis
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&ro%le$
Why' 7
MissingCarton
PullingForceNot
StrongEnough
ForcesHolding
Cartontoohigh
Why' >Seal
betweenSuction
Cup andCarton
inadequate
Vacuum
ForceNotHigh
Enough
CartonsStickingTo Eachther
HoldingFingers
Miss!d"usted
HoldingFrame
TooTight
Why' .
#uston
Carton
Scratcheson carton
Sur$aceFinish
outsidetolerance
Why' B
SuctionCup
#amage
PoorCartonSur$ace
Condition
VacuumSettingtoo low
Vacuum%ine
%eaks
SuctionCupToo Small
SuctionCup
&nadequateMaterial
SuctionCup
'ear No 'ear
No #amage
Could be
(es
(es
Not True
No
No
Could be
&heno$enon
1nce you have e,hausted your Why-Why Cuestionin5(
do the !ause-Effect Relationshis Ma"e Sense and flo)
%ac" to the &heno$enon '
. +o!ical $eie of the Analysis
+o!ical $eie of the Analysis
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*f #e sol,e these causes7 +17 27 ...>$
is it possible that ?34 #ill be reached +;ranch A$:
!A9SE D 7
4ranch :A;
!A9SE D >
!A9SE D B
!A9SE D .
!A9SE D ?
!A9SE D !A9SE D F
!A9SE D
. +o!ical $eie of the Analysis
+o!ical $eie of the Analysis
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3epeat the )uestion branch by branch until
the entire analysis has been ,erified.
4RAN!H :A;
Main %ranch :AA;
4RAN!H :!;
4RAN!H :#;
4RAN!H :E;
4RAN!H :3;
4RAN!H :G;
4RAN!H :H;
4RAN!H :4;
. +o!ical $eie of the Analysis
; Chec,in! for Standards and SO%9s
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;. Chec,in! for Standards and SO% s
hy
'
W
hy
'
hy
'
hy
'
Why' Std*+
s
Standards.M+s/
h
u
an
e
0ui
ethod
aterial
S1&
i
1
N1
22
2
A
lied'
3
i
el
d
!
h
e
c
"
Y
N
Y
N Restore
Ne)
Std*
Ne)Maint*Std*
YN
WHY-WHY
Before ta,in! counter "easures* chec, to see if standards for the
defined counter "easure e8ist.
If not* define the standard. 4eter"in! if an SO% is needed.
#se the 39s to
ensure all reuiredtypes of standards
e8ist.
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Analysis Stes
5. #nderstandin! the %ro)le"
6. 4efinin! the %heno"enon to )e analy2ed.
7. Esta)lishin! Cause-Effect $elationship
throu!h Why uestionin! and 'ield Chec,s.
. +o!ical $eie of the Analysis;. Chec,in! for Standards and SO%9s
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(otes and Adice:
The analysis should )e done at the pro)le" area*
not in another location that is isolated fro" the case.
The analysis is a tea" effort* not )y ust one person.
The "ost i"portant thin! is the physical and&or
lo!ical description of the pheno"enon to )e studied.
@Step 5
The Analysis ends hen counter"easures TOAVOI4 $EC#$$E(CE of the pheno"enon are
found.
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A@&A9/ !a'e a s'etch or dra#ing of thepheno!enon.
The "0Ms dont al#ays apply to e,ery cause to
be analyed7 but #e should al#ays considerthe! so as not to forget possible causes ofcauses.
The !ore si!plicity and obBecti,ity in steps 1
and 27 the easier it is to ensure that all possiblecauses are co,ered.
%ractice de,elops s'ill.
This tool !a'es us !ore obBecti,e in our #ayof loo'ing at things.
5otes and Ad,ice-
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Why&Why - (OT
%ro)le" Why Why Why Why Why Action %lan
Already had the anser*
used the tool to >docu"ent? it
Brainstor"in!*
in a roo"*
no erification
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Real WHY-WHY Analysis E,a$le
Problem)Through put o$ the line *+ is below ideal,
Phenomena)Carton not Picked o$$ the suppl- stack,
.esult) This causes a loss in through put, /Missing Carton0
MissingCarton
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hy
'
7
Missing
Carton
PullingForce
NotStrongEnough
ForcesHoldingCarton
toohigh
Why' 7
Why' >
Seal
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Why' 7
Missing
Carton
PullingForce
NotStrongEnough
ForcesHoldingCarton
toohigh
Why' > SealbetweenSuction
Cup andCarton
inadequate
VacuumForceNot
HighEnough
CartonsStickingTo Eachther
HoldingFingers
Miss!d"usted
HoldingFrame
TooTight
Why' 7
Why' >
Seal Why' B
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Why' 7
Missing
Carton
PullingForce
NotStrongEnough
ForcesHoldingCarton
toohigh
Why' > SealbetweenSuction
Cup andCarton
inadequate
VacuumForceNot
HighEnough
CartonsStickingTo Eachther
HoldingFingers
Miss
!d"usted
HoldingFrame
TooTight
SuctionCup
'ear
Why' B
SuctionCup
#amage
PoorCartonSur$ace
Condition
VacuumSettingtoo low
Vacuum%ine
%eaks
SuctionCup
Too Small
SuctionCup
&nadequateMaterial
%ooseCartonStack
Flaps$olded
1ackward
Why' 7
Why' >
Why' .
Why' B
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Why' 7
Missing
Carton
PullingForceNot
StrongEnough
ForcesHoldingCarton
toohigh
Why' >Seal
betweenSuction
Cup andCarton
inadequate
VacuumForceNot
HighEnough
CartonsSticking
To Eachther
HoldingFingers
Miss!d"usted
Holding
FrameTooTight
Why' .
#uston
Carton
Scratcheson carton
Sur$aceFinish
outsidetolerance
Why' B
SuctionCup
#amage
PoorCartonSur$ace
Condition
VacuumSettingtoo low
Vacuum%ine
%eaks
SuctionCup
Too Small
SuctionCup
&nadequateMaterial
SuctionCup
'ear
%ooseCartonStack
Flaps$olded
1ackward
Why' 7
Why' >
Why' .
Why' B
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Why' 7
Missing
Carton
PullingForceNot
StrongEnough
ForcesHoldingCarton
toohigh
Why' >Seal
betweenSuction
Cup andCarton
inadequate
VacuumForceNot
HighEnough
CartonsSticking
To Eachther
HoldingFingers
Miss!d"usted
Holding
FrameTooTight
Why' .
#uston
Carton
Scratcheson carton
Sur$aceFinish
outsidetolerance
Why' B
SuctionCup
#amage
PoorCartonSur$ace
Condition
VacuumSettingtoo low
Vacuum%ine
%eaks
SuctionCup
Too Small
SuctionCup
&nadequateMaterial
SuctionCup
'ear Not worn
Not #amaged
Could be
No #ust
Not true
Problem
Found to be lo
Some %eaks
Correct Si2e
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y
WHY-WHY
lhy
'
Why
'
hy
'
hy
'
Why' Std*+s S1&
i
A
lied'
3
ie
l
d
!
he
c
"
#uston
Carton
Scratcheson carton
Sur$aceFinish
outside
tolerance
SuctionCup
#amage
VacuumSettingtoo low
Vacuum%ine
%eaks
SuctionCup
Too Small
SuctionCup
&nadequateMaterial
SuctionCup'ear
Ntrue
Ntrue
True
True
True
NTrue
(
(
N
Standards.M+s/
hu
an
e0ui
ethod
aterial
3
3
3
33
3
3
N
N
Alied'
Train
#e4elopStds
((
#e4elop SP
Train
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Another exa!ple-
General &ro%le$6
3ive &ort alve
Air cylinder
Air iston $ovin5 too slo)
in %oth directions
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4ra the pro)le"
G t d t di f th
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Get an understandin5 of the rocess6
#ra)in5( &arts
E,haust
3ive &ort alve
Adusta%le
Restrictor
Air cylinder
4otto$seal
Rod seal
4ush
&ies &8
G t d t di f th
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Get an understandin5 of the rocess6
#ra)in5( &arts( &rocess
E,haust
3ive &ort alve
Adusta%le
Restrictor
Air cylinder
4otto$seal
Rod seal
4ush
&ies &8
G t d t di f th
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Get an understandin5 of the rocess6
#ra)in5( &arts( &rocess( 3orces( !ounterforces
E,haust
3ive&ortalve
Adusta%le
Restrictor
Air cylinder
4otto$seal
Rod seal
4ush
&ies &8
Forces
Counter$orces
C d t Wh &Wh
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7* &iston slo)
$ovin5 in 4oth
directions
&heno$ena 7* Why >* Why .* Why ?* WhyB* Why
Conduct Why&Why
C d t Wh &Wh
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7* &iston slo)
$ovin5 in %oth
directions
#efect 7* Why
7* 7 3orce ressure/
too lo)
7* > !ounterforce
too hi5h
>* Why .* Why ?* WhyB* Why
3ield
Aerification
Not True
True
Conduct Why&Why
Cond ct Wh &Wh
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#efect 7* Why
7* 7 3orce ressure/
too lo)
7* > !ounterforce
too hi5h
>* Why
7*7*7 ressure 8
too lo)
7*7*. adusta%le
restrictor closed
7*7*> ? ort valve
defect
.* Why ?* WhyB* Why
7*7*B %loc"ed ie
7*7*? air lea"a5e
3ield
Aerification
Not True
True
Not True
Not True
Not True
7* &iston slo)
$ovin5 in %oth
directions
Conduct Why&Why
Conduct Why&Why
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#efect 7* Why
7* 7 3orce ressure/
too lo)
7* > !ounterforce
too hi5h
>* Why
7*7*7 ressure 8
too lo)
7*7*. adusta%le
restrictor closed
7*7*> ? ort valve
defect
.* WhyB* Why
7*7*B %loc"ed ie
7*7*? air lea"a5e
7* &iston slo)
$ovin5 in %oth
directions
7*7*7*7 not adusted
after cJo to
sha$oo
7*7*7*> Air lea"a5e
3ield
Aerification
True
Not True
Conduct Why&Why
Conduct Why&Why
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#efect 7* Why
7* 7 3orce
ressure/
too lo)
7* > !ounterforce
too hi5h
>* Why
7*7*7 ressure 8
too lo)
7*7*. adusta%le
restrictor closed
7*7*> ? ort valve
defect
.* WhyB* Why
7*7*B %loc"ed ie
7*7*? air lea"a5e
7* &iston slo)
$ovin5 in %oth
directions
7*7*7*7 not adustedafter cJo to
sha$oo
7*7*7*> Air lea"a5e
7*7*7*7*7 No &rocedure
7*7*7*7*> Lac" of
no)led5e
3ield
Aerificatio
n
True
True
Conduct Why&Why
Conduct Why&Why
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.* WhyB* Why
7*7*7*7 not adusted
after cJo to
sha$oo
7*7*7*> Air lea"a5e
7*7*7*7*7 No &rocedure
7*7*7*7*> Lac" of
no)led5e
ossi%le !ounter$easures
- #evelo &rocedure
- Retrainin5( 1&L(s etc(
- isual controls to $a"e easier
to see if off***
Conduct Why&Why
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Case StudyWhy-Why Analysis
&ro%le$ #escrition &ro%le$ &icture &heno$enon
Co"pany A is located on the 7Dth floor of a
hi!h-rise )uildin!. Custo"ers often co"plain
that eleators are slo in co"in!* and there is
a fear that it "ay hae an aderse effect on the
co"panys sales perfor"ance.
A study reealed that "ore isitors co"e to the
co"pany )eteen 57:DD and 5;:DD hours and
that their aitin! ti"e aera!es around 7D sec.
%lease sole this pro)le" )y applin! hy-hy
analysis
&ro%le$ State$ent What does success loo" li"e'
&heno$enon Why -7/ Why ->/ Why -B/ Why -./ Why -?/ !ounter$easures
Have you verified the cause'
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WHY - WHY ANALYSIS
$EVIEW VS. OBJECTIVES: #nderstand the definition of >Analysis?
Clarify the procedure for deelopin! a Why - Why
Analysis.
Stress the i"portance of each step of the Why - WhyAnalysis.
@*M*5AT*45
4( @4///
THE
EN#