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A Guide to the Five Whys
Technique
Olivier Serrat
2013
On Cause and Effect
For every effect there is a cause. Root cause
analysis is the generic name of problem-
solving techniques.
The basic elements of root causes are
materials, equipment, the man-made or
natural environment, information,
measurement, methods and procedures,
people, management, and management
systems.
Key Principles of Problem-Solving
Most obviously and directly, the Five Whys technique relates to
the principle of systematic problem-solving. However, without
the intent of the principle, the technique can only be the shell
of a process.
There are three key elements to the effective use of the Five
Whys technique:
• Accurate and complete statements of problems.
• Complete honesty in answering the questions.
• The determination to get to the bottom of problems and
resolve them.
For Want of a Nail
Five is a good rule of thumb. By
asking "why" five times, one can
usually peel away the layers of
symptoms that hide the cause of a
problem. But one may also find one
needs to ask "why" fewer times, or
conversely more.
When looking to solve a problem, it
helps to begin at the end result,
reflect on what caused that, and
question the answer repeatedly.
For want of a nail the shoe
is lost;
For want of a shoe the
horse is lost;
For want of a horse the
rider is lost;
For want of a rider the
battle is lost;
For want of a battle the
kingdom is lost;
And all for the want of a
horseshoe nail.
—George Herbert
A Five Whys Worksheet
Why is that?
Why is that?
Why is that?
Why is that?
Why is it happening?
Define the problem:
Note: If the last answer is
something you cannot control,
go back to the previous
response.
Teaming for Five Whys
1. Gather a team and develop the problem
statement in agreement. After this is done, decide
whether or not additional individuals are needed to
resolve the problem.
2. Ask the first "why" of the team: why is this or
that problem taking place? There will probably be
three or four sensible answers: record them all on a
flip chart or whiteboard, or use index cards taped to
a wall.
Teaming for Five Whys
3. Ask four more successive "whys," repeating
the process for every statement on the flip
chart, whiteboard, or index cards. Post each
answer near its "parent." Follow up on all
plausible answers. You will have identified the
root cause when asking "why" yields no further
useful information. (If necessary, continue to
ask questions beyond the arbitrary five layers
to get to the root cause.)
4. Among the dozen or so answers to the last asked
"why" look for systemic causes of the problem. Discuss
these and settle on the most likely systemic cause.
Follow the team session with a debriefing and show the
product to others to confirm that they see logic in the
analysis.
Teaming for Five Whys
5. After settling on the most
probable root cause of the
problem and obtaining
confirmation of the logic
behind the analysis, develop
appropriate corrective
actions to remove the root
cause from the system. The
actions can (as the case
demands) be undertaken by
others but planning and
implementation
will benefit from team
inputs.
Caveat
The Five Whys technique has been criticized as too basic a tool
to analyze root causes to the depth required to ensure that
the causes are fixed. The reasons for this criticism include:
• The tendency of investigators to stop at symptoms, and not
proceed to lower-level root causes.
• The inability of investigators to cast their minds beyond
current information and knowledge.
• Lack of facilitation and support to help investigators ask the
right questions.
• The low repeat rate of results: different teams using the Five
Whys technique have been known to come up with different
causes for the same problem.
Caveat
Clearly, the Five Whys technique will suffer if it is applied
through deduction only. The process articulated earlier
encourages on-the-spot verification of answers to the current
"why" question before proceeding to the next, and should
help answer criticism as to the usefulness of the technique.
Further Reading
• ADB. 2008. The Reframing Matrix. Manila.
www.adb.org/publications/reframing-matrix
• ——. 2009. The Five Whys Technique.
www.adb.org/publications/five-whys-technique
• ——. 2009. The SCAMPER Technique. Manila.
www.adb.org/publications/scamper-technique
• ——. 2009. Wearing Six Thinking Hats.
www.adb.org/publications/wearing-six-thinking-hats
• ——. 2009. Asking Effective Questions. Manila.
www.adb.org/publications/asking-effective-questions
• ——. 2011. Critical Thinking. Manila.
www.adb.org/publications/critical-thinking
Videos
• ADB. 2012. The Reframing Matrix. Manila.
vimeo.com/67186254
• ——. 2012. The Five Whys Technique. Manila.
vimeo.com/67185517
Quick Response Codes
@ADB
@ADB Sustainable
Development Timeline
@Academia.edu
@LinkedIn
@ResearchGate
@Scholar
@SlideShare
@Twitter

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A Guide to Root Cause Analysis Using the Five Whys Technique

  • 1. The views expressed in this presentation are the views of the author/s and do not necessarily reflect the views or policies of the Asian Development Bank, or its Board of Governors, or the governments they represent. ADB does not guarantee the accuracy of the data included in this presentation and accepts no responsibility for any consequence of their use. The countries listed in this presentation do not imply any view on ADB's part as to sovereignty or independent status or necessarily conform to ADB's terminology. A Guide to the Five Whys Technique Olivier Serrat 2013
  • 2. On Cause and Effect For every effect there is a cause. Root cause analysis is the generic name of problem- solving techniques. The basic elements of root causes are materials, equipment, the man-made or natural environment, information, measurement, methods and procedures, people, management, and management systems.
  • 3. Key Principles of Problem-Solving Most obviously and directly, the Five Whys technique relates to the principle of systematic problem-solving. However, without the intent of the principle, the technique can only be the shell of a process. There are three key elements to the effective use of the Five Whys technique: • Accurate and complete statements of problems. • Complete honesty in answering the questions. • The determination to get to the bottom of problems and resolve them.
  • 4. For Want of a Nail Five is a good rule of thumb. By asking "why" five times, one can usually peel away the layers of symptoms that hide the cause of a problem. But one may also find one needs to ask "why" fewer times, or conversely more. When looking to solve a problem, it helps to begin at the end result, reflect on what caused that, and question the answer repeatedly. For want of a nail the shoe is lost; For want of a shoe the horse is lost; For want of a horse the rider is lost; For want of a rider the battle is lost; For want of a battle the kingdom is lost; And all for the want of a horseshoe nail. —George Herbert
  • 5. A Five Whys Worksheet Why is that? Why is that? Why is that? Why is that? Why is it happening? Define the problem: Note: If the last answer is something you cannot control, go back to the previous response.
  • 6. Teaming for Five Whys 1. Gather a team and develop the problem statement in agreement. After this is done, decide whether or not additional individuals are needed to resolve the problem. 2. Ask the first "why" of the team: why is this or that problem taking place? There will probably be three or four sensible answers: record them all on a flip chart or whiteboard, or use index cards taped to a wall.
  • 7. Teaming for Five Whys 3. Ask four more successive "whys," repeating the process for every statement on the flip chart, whiteboard, or index cards. Post each answer near its "parent." Follow up on all plausible answers. You will have identified the root cause when asking "why" yields no further useful information. (If necessary, continue to ask questions beyond the arbitrary five layers to get to the root cause.) 4. Among the dozen or so answers to the last asked "why" look for systemic causes of the problem. Discuss these and settle on the most likely systemic cause. Follow the team session with a debriefing and show the product to others to confirm that they see logic in the analysis.
  • 8. Teaming for Five Whys 5. After settling on the most probable root cause of the problem and obtaining confirmation of the logic behind the analysis, develop appropriate corrective actions to remove the root cause from the system. The actions can (as the case demands) be undertaken by others but planning and implementation will benefit from team inputs.
  • 9. Caveat The Five Whys technique has been criticized as too basic a tool to analyze root causes to the depth required to ensure that the causes are fixed. The reasons for this criticism include: • The tendency of investigators to stop at symptoms, and not proceed to lower-level root causes. • The inability of investigators to cast their minds beyond current information and knowledge. • Lack of facilitation and support to help investigators ask the right questions. • The low repeat rate of results: different teams using the Five Whys technique have been known to come up with different causes for the same problem.
  • 10. Caveat Clearly, the Five Whys technique will suffer if it is applied through deduction only. The process articulated earlier encourages on-the-spot verification of answers to the current "why" question before proceeding to the next, and should help answer criticism as to the usefulness of the technique.
  • 11. Further Reading • ADB. 2008. The Reframing Matrix. Manila. www.adb.org/publications/reframing-matrix • ——. 2009. The Five Whys Technique. www.adb.org/publications/five-whys-technique • ——. 2009. The SCAMPER Technique. Manila. www.adb.org/publications/scamper-technique • ——. 2009. Wearing Six Thinking Hats. www.adb.org/publications/wearing-six-thinking-hats • ——. 2009. Asking Effective Questions. Manila. www.adb.org/publications/asking-effective-questions • ——. 2011. Critical Thinking. Manila. www.adb.org/publications/critical-thinking
  • 12. Videos • ADB. 2012. The Reframing Matrix. Manila. vimeo.com/67186254 • ——. 2012. The Five Whys Technique. Manila. vimeo.com/67185517
  • 13. Quick Response Codes @ADB @ADB Sustainable Development Timeline @Academia.edu @LinkedIn @ResearchGate @Scholar @SlideShare @Twitter