ChinaRegionalSupplyManagementCenterQualityTrainingQualityTrainingQualityTrainingQualityTraining––––July2004July2004July2004July2004TrainingDay3RootCauseAnalysisClassRootCauseAnalysisClassRootCauseAnalysisClassRootCauseAnalysisClassWelcometotheRootCauseAnalysisClass欢迎参加根本原因分析培训July262004July262004July262004July262004EditedbyKaiwenChengEditedbyKaiwenChengEditedbyKaiwenChengEditedbyKaiwenCheng4444FormTeamFormTeamFormTeamFormTeam建组IdentifyproblemIdentifyproblemIdentifyproblemIdentifyproblem确定问题Gather&VerifyDataGather&VerifyDataGather&VerifyDataGather&VerifyData收集、核实数据DetermineCausesDetermineCausesDetermineCausesDetermineCauses确定原因DirectDirectDirectDirect直接原因RootRootRootRoot根本原因ContributingContributingContributingContributing间接原因DetermineCorrectiveActionDetermineCorrectiveActionDetermineCorrectiveActionDetermineCorrectiveAction决定改正方案SpecificSpecificSpecificSpecific专项的PreventivePreventivePreventivePreventive预防的TestActionsTestActionsTestActionsTestActions测试方案ImplementActionsImplementActionsImplementActionsImplementActions方案实施FollowupFollowupFollowupFollowup跟进措施NoNoNoNo否Yes!Yes!Yes!Yes!是LoopBackLoopBackLoopBackLoopBack返回RootCauseAnalysisFlowChartRootCauseAnalysisFlowChartRootCauseAnalysisFlowChartRootCauseAnalysisFlowChart根本原因分析流程图EVENTEVENTEVENTEVENT事件DocumentCausesDocumentCausesDocumentCausesDocumentCauses将原因分析文件化DocumentTeamDocumentTeamDocumentTeamDocumentTeam将建组情况文件化DocumentC/ADocumentC/ADocumentC/ADocumentC/A将改正方案文件化DocumentDocumentDocumentDocumentFollow-upFollow-upFollow-upFollow-up将跟进措施文件化CollectionCollectionCollectionCollection收集SolutionSolutionSolutionSolution解决AnalysisAnalysisAnalysisAnalysis分析AssessmentAssessmentAssessmentAssessment评估SolutionAcceptableSolutionAcceptableSolutionAcceptableSolutionAcceptable解决方案是否满意????SignoffRCAFormSignoffRCAFormSignoffRCAFormSignoffRCAFormRCARCARCARCA表签收GlobalIssues?GlobalIssues?GlobalIssues?GlobalIssues?全球性问题?July262004July262004July262004July262004EditedbyKaiwenChengEditedbyKaiwenChengEditedbyKaiwenChengEditedbyKaiwenCheng5555DefinitionDefinitionDefinitionDefinition定义•RootCauseAnalysisandCorrectiveActionProcessDefinition:根本原因分析和纠正措施程序:–Aneffectiveprocessforfindingthecauseofanevent,facilitatingeffectivecorrectiveactions,andpreventingreoccurrenc–它是一个找到事件的原因,有效地实施改正措施并防止事件再次发生的有效的程序。––RememberRemember-Ifyoudon’tknowwhatcausedtheproblemyoucan’tfixit!!–记住-如果你不知道导致问题的原因,就不能解决问题。July262004July262004July262004July262004EditedbyKaiwenChengEditedbyKaiwenChengEditedbyKaiwenChengEditedbyKaiwenCheng6666ModelModelModelModel模型1.1.1.1.1.1.1.1.IdentifyIdentifyIdentifyIdentifyIdentifyIdentifyIdentifyIdentifyOpportunitiesOpportunitiesOpportunitiesOpportunitiesOpportunitiesOpportunitiesOpportunitiesOpportunities找到机遇找到机遇2.2.2.2.2.2.2.2.FormTeamFormTeamFormTeamFormTeamFormTeamFormTeamFormTeamFormTeamandScopeandScopeandScopeandScopeandScopeandScopeandScopeandScopeprojectprojectprojectprojectprojectprojectprojectproject建立项目组建立项目组并确定项目范围并确定项目范围3.3.3.3.3.3.3.3.AnalyzeAnalyzeAnalyzeAnalyzeAnalyzeAnalyzeAnalyzeAnalyzeCurrentCurrentCurrentCurrentCurrentCurrentCurrentCurrentProcessProcessProcessProcessProcessProcessProcessProcess分析目前的程序分析目前的程序4.4.4.4.4.4.4.4.DefineDesiredDefineDesiredDefineDesiredDefineDesiredDefineDesiredDefineDesiredDefineDesiredDefineDesiredoutcomesforoutcomesforoutcomesforoutcomesforoutcomesforoutcomesforoutcomesforoutcomesforImprovedProcessImprovedProcessImprovedProcessImprovedProcessImprovedProcessImprovedProcessImprovedProcessImprovedProcess为改进的程序定义为改进的程序定义理想的结果理想的结果9.9.9.9.9.9.9.9.AcknowledgeAcknowledgeAcknowledgeAcknowledgeAcknowledgeAcknowledgeAcknowledgeAcknowledgeteamandteamandteamandteamandteamandteamandteamandteamandCommunicateCommunicateCommunicateCommunicateCommunicateCommunicateCommunicateCommunicateResultsResultsResultsResultsResultsResultsResultsResults通知项目组通知项目组并交流结果并交流结果6.6.6.6.6.6.6.6.Prioritize,Prioritize,Prioritize,Prioritize,Prioritize,Prioritize,Prioritize,Prioritize,PlanandTestPlanandTestPlanandTestPlanandTestPlanandTestPlanandTestPlanandTestPlanandTestProposedProposedProposedProposedProposedProposedProposedProposedSolutionSolutionSolutionSolutionSolutionSolutionSolutionSolution为建议的解决为建议的解决办法确定优先顺办法确定优先顺序,并计划测试解序,并计划测试解决办法决办法5.5.5.5.5.5.5.5.IdentifyrootCausesIdentifyrootCausesIdentifyrootCausesIdentifyrootCausesIdentifyrootCausesIdentifyrootCausesIdentifyrootCausesIdentifyrootCausesandProposedandProposedandProposedandProposedandProposedandProposedandProposedandProposedSolutionsSolutionsSolutionsSolutionsSolutionsSolutionsSolutionsSolutions找到根本原因和建议找到根本原因和建议的解决办法的解决办法8.8.8.8.8.8.8.8.MeasureMeasureMeasureMeasureMeasureMeasureMeasureMeasureProgressandProgressandProgressandProgressandProgressandProgressandProgressandProgressandHoldGainsHoldGainsHoldGainsHoldGainsHoldGainsHoldGainsHoldGainsHoldGains衡量进度并衡量进度并保证加快进度保证加快进度7.7.7.7.7.7.7.7.RefineandRefineandRefineandRefineandRefineandRefineandRefineandRefineandimplementimplementimplementimplementimplementimplementimplementimplementSolutionsSolutionsSolutionsSolutionsSolutionsSolutionsSolutionsSolutions完善并实施解决办完善并实施