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The Fishbone:
  A How To
  Outside Factory Edition
Created by Tom Curtis 2011
Blog: www.onimproving.blogspot.com
Other presentation on www.slideshare.net
Under Onimproving  
Email: ideamerchants@gmail.com
Follow me on Twitter @onimproving
Introduction
A fishbone diagram helps us look at Causes and
 Effect. For an effect, we look at multiple causes
    and place them in categories. This helps us
 think through what might be driving the effect
 before we start fixing. It is a good step to help us
  on the path to identifying root cause and then
design corrective actions. What follows is how to
  set up a fishbone in steps and an example. The
fishbone can become a great aid in helping think
   through problems. Give it a try. --Tom Curtis
Steps 1-3
Prepare the Fishbone
Add the Red
                      Elements
1   Draw the Lines
Causes

2   Add Labels


                 Effect
Causes
            3 Add Bone Labels
 People          Process




                                Effect




Procedure         Systems
Steps 4-5
Use the Fishbone
Causes

 People        Process




                                 Effect
                                 Issue

                          4 Record Effect

Procedure       Systems
Causes

 People                        Process       5 Record Causes by
            Cause                    Cause         Category
                Cause                    Cause

                                                 Cause   Effect
                                                 Cause
                                                         Issue
                       Cause

                    Cause                    Cause




Procedure                      Systems
An Example:
Using the Fishbone
Notes:
                      Causes               -Causes may fit in more than one category
                                           -Causes can be further explored with 5 whys
                                           -Not all categories may apply
                                           -Categories can be customized
 People                          Process
            Poor file Naming                 Each user has own filing
                                                     process
               Lots of users
                  Some files not filed              Some files not filed
                                                                            Effect
                      Lack of organization
                                                                         Unable to find
                       No file                          Allow deletion    needed file
                   naming procedure                      by all users

               Out of date                          No History
            filing structure                     of files recorded



Procedure                         Systems

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The Fishbone: a how to-outside factory edition

  • 1. The Fishbone: A How To Outside Factory Edition
  • 2. Created by Tom Curtis 2011 Blog: www.onimproving.blogspot.com Other presentation on www.slideshare.net Under Onimproving   Email: ideamerchants@gmail.com Follow me on Twitter @onimproving
  • 3. Introduction A fishbone diagram helps us look at Causes and Effect. For an effect, we look at multiple causes and place them in categories. This helps us think through what might be driving the effect before we start fixing. It is a good step to help us on the path to identifying root cause and then design corrective actions. What follows is how to set up a fishbone in steps and an example. The fishbone can become a great aid in helping think through problems. Give it a try. --Tom Curtis
  • 5. Add the Red Elements 1 Draw the Lines
  • 6. Causes 2 Add Labels Effect
  • 7. Causes 3 Add Bone Labels People Process Effect Procedure Systems
  • 8. Steps 4-5 Use the Fishbone
  • 9. Causes People Process Effect Issue 4 Record Effect Procedure Systems
  • 10. Causes People Process 5 Record Causes by Cause Cause Category Cause Cause Cause Effect Cause Issue Cause Cause Cause Procedure Systems
  • 12. Notes: Causes -Causes may fit in more than one category -Causes can be further explored with 5 whys -Not all categories may apply -Categories can be customized People Process Poor file Naming Each user has own filing process Lots of users Some files not filed Some files not filed Effect Lack of organization Unable to find No file Allow deletion needed file naming procedure by all users Out of date No History filing structure of files recorded Procedure Systems