Cause an Effect Diagram

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    Basic Tools for Process Improvement

    Module 5

    CAUSE-AND-EFFEDIAGRAM

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    CAUSE-AND-EFFECT DIAGRAM VIEW

    What Is a Cause-and-Effect

    Diagram?

     A graphic tool that helps identif

    sort, and display possible causes

    a problem or quality characteristic.

    Benefits of Usinga Cause-and-Effect Diagram

    • Helps determine root causes

    • Encourages group participation• Uses an orderly, easy-to-read forma

    • Indicates possible causes of variatio

    Basic Tools for Process Improvement

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    CAUSE-AND-EFFECT DIAGRAM VIEW

    Basic Layout of Cause-and-Effect Diagrams

    CAUSE A

    CAUSE D

    CAUSE C

    CAUSE B

    EFFECT

    Step 1 - Identify and Define the Eff

    • Decide on the effect to examine

    • Use Operational Definitions

    • Phrase effect as

    >positive (an objective) or

    Basic Tools for Process Improvement

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    Basic Tools for Process Improvement

    Step 2 - Using a chartpack positioned so that everyone can see it, d

    SPINE and c reate the EFFECT box.

    ! Draw a horizontal arrow pointing to the right. This is the spine.

    ! To the right of the arrow, write a brief description of the effect or outcwhich results from the process.

    EXAMPLE:  The EFFECT is Poor Gas Mileage (Viewgraph 5).

    ! Draw a box around the description of the effect.

    Step 3 - Identify the main CAUSES contributing to the effect being s

    These are the labels for the major b ranches of your diagram and becocategories under which to list the many causes related to those catego

    ! Establish the main causes, or categories, under which other possiblewill be listed. You should use category labels that make sense for thyou are creating. Here are some commonly used categories:

    > 3Ms and P - methods, materials, machinery, and people> 4Ps - policies, procedures, people, and plant> Environment - a potentially significant fifth category

    ! Write the main categories your team has selected to the left of the efsome above the spine and some below it.

    ! Draw a box around each category label and use a diagonal line to fobranch connecting the box to the spine.

    EXAMPLE:  Viewgraph 6 uses the 3Ms and P to start developing thwe began in Step 2.

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    CAUSE-AND-EFFECT DIAGRAM VIEW

    Step 2 - Fill in the Effect Box an

    Draw the Spine

    POORGAS

    MILEAG

    Step 3 - Identi fy Main Categor ie

    POO

    GA

    MILEA

    METHODS MACHINERY

    Basic Tools for Process Improvement

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    Basic Tools for Process Improvement

    Step 4 - For each major branch, identify o ther specific factors wh ic

    the CAUSES of the EFFECT [Ref. 5, p. 20].

    Identify as many causes or factors as possible and attach them assubbranches of the major branches.

    EXAMPLE:  The possible CAUSES for Poor Gas Mileage are listedappropriate categories in Viewgraph 7:

    Fill in detail for each cause. If a minor cause applies to more than oncause, list it under both.

     Step 5 - Identify increasingly m ore detailed levels of causes and coorganizing them under related causes or categories.  You can do asking a series of why questions.

    EXAMPLE:  We’ll use a series of why questions to fill in the detailed levone of the causes listed under each of the main categories.

    Q: Why was the driver USING THE WRONG GEAR? A: The driver couldn't hear the engine.

    Q: Why couldn't the driver  hear the engine? A : The radio was too loud. A : Poor hearing

    Q: Why were the TIRES UNDERINFLATED? A: No record of tire pressure A: Difficult air stems

    Q: Why were the air stems difficult? A : Poor design

    Q: Why was MAINTENANCE POOR? A: Lack of money A: No awareness

    Q: Why was WRONG OCTANE GAS used? A: Didn’t know recommended octane

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    CAUSE-AND-EFFECT DIAGRAM VIEW

    Step 4 - Identi fy Causes Inf luencithe Effect

    POO

    GA

    MILEA

    METHODS MACHINERY

    PEOPLE MATERIALS

    DRIVE

    TOO FAST

    USE WRONGGEARS

    CARBURETOR ADJUSTMENT

    UNDERINFLATEDTIRES

    POORMAINTENANCE

    POORDRIVING HABITS

    IMPROPERLUBRICATION

    WRONGOCTANE

    GAS

    Step 5 - Add Detailed LevelsStep 6 - Analyze the Diagram

     ALWAYSLATE

    POO

    GA

    MILEA

    METHODS MACHINERY

    DRIVETOO FAST

    USE WRONGGEARS

    CARBURETOR ADJUSTMENT

    UNDERINFLATEDTIRES

    WRONGOCTANE

    GAS

    IMPATIENCE

    POOR HEARING

    RADIO TOOLOUD

    CAN’T HEARENGINE

    MECH. DOESN’T KNOWCORRECT ADJUSTMENT

    PROCEDURES

    FUEL MIXTOO RICH

    DIFFICULT AIR STEMS

    POOR DESIGN

    NO RECORD OFTIRE PRESSURE

    POORTRAINING

    NO OIL

    POORMAINTENANCE

    Basic Tools for Process Improvement

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    Basic Tools for Process Improvement

    NOTE:  You may need to break your diagram into smaller diagrams if one has too many subbranches. Any main cause (3Ms and P, 4Ps, or a categohave named) can be reworded into an effect.

    Step 6 - Analyze the diagram . Analysis helps you identify causes that wfurther investigation. Since Cause-and-Effect Diagrams identify only pocauses , you may want to use a Pareto Chart to help your team determicause to focus on first.

    Look at the “balance” of your diagram, checking for comparable levefor most of the categories.

    >  A thick cluster of items in one area may indicate a need for furthe>  A main category having only a few specific causes may indicate a

    further identification of causes.> If several major branches have only a few subbranches, you may

    combine them under a single category.

    Look for causes that appear repeatedly. These may represent root c

    Look for what you can measure in each cause so you can quantify thof any changes you make.

    Most importantly, identify and circle the causes that you can take act

    EXAMPLE:  Let's analyze the diagram we have been constructing.

    > The level of detail is pretty well balanced.

    > No causes are repeated.

    > Poor Maintenance appears to be a cause for which you could devmeasurements.

    > Moreover, Poor Maintenance appears to be a cause that you canaction on. It is circled in Viewgraph 8 to earmark it for further inv

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    Basic Tools for Process Improvement

    How can we practice what we’ve learned?

    Some practical exercises will enable your team to practice constructing aanalyzing Cause-and-Effect Diagrams. The first exercise is sketched outWhen you have completed that, you can try your hand with one or two othfrom the list that follows the detailed exercise.

    DETAILED EXERCISE:  Construct a Cause-and-Effect Diagram to the causes of computer dow ntime in your organization.

    ! Draw a horizontal arrow to the right, write the effect (computer dowdraw a box around it.

    ! Identify the main causes contributing to the effect.

      ! Draw boxes around the main categories and connect the boxes to

    horizontal arrow with diagonal arrows to form the fishbone.

    ! For each branch, identify specific factors which may be the causeseffect.

    !  Add increasingly detailed levels of causes.

    !  Analyze the diagram and circle causes that you can take action on

      Viewgraph 9 shows one way the completed diagram could be drawn.

    OTHER EXERCISE TOPICS:

    >  What is causing the poor state of readiness of the fire control syste

    >  What is causing our ship to drag anchor in heavy weather?

    > What is causing us to fail our corrosion-control inspections?

    > What factors affect the proper disposal of recyclable material on the

    >  What things do we need to consider in planning a perfect meeting?

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    CAUSE-AND-EFFECT DIAGRAM VIEWGR

    Example of How the Cause-and-Effect Diagram

    Could Be Constructed for the Detailed Exercise

    COMPUT

    DOWNT

    SOFTWARE USERS

    HARDWARE ENVIRONMENT

    FAULTYDESIGN

    FAULTY

     MEDIA

    MISAPPLICATION OF SOFTWARE

    INADEQUATEPOWER

    TEMPERATURE GRADIENTS

    MECHANICALSHOCK

    HUMIDITY

    CORROSION

    INADEQUATEDOCUMENTATION

    FAULTYINSTALLATION

    POWERFLUCTUATIONS

    COMPONENTFAILURE

    LACK OFTRAINING

     ABUSE OFHARDWARE

    MISUSE OFHARDWARE

    FAULTYCOMPONENT

    Basic Tools for Process Improvement

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    Basic Tools for Process Improvement

    REFERENCES :

    1. Brassard, M. (1988). The Memory Jogger, A Pocket Guide of Tools foContinuous Improvement, pp. 24 - 29. Methuen, MA: GOAL/QPC.

    2. Department of the Navy (November 1992). Fundamentals of Total QuLeadership (Instructor Guide), pp. 6-25 - 6-29. San Diego, CA: Navy Research and Development Center.

    3. Department of the Navy (September 1993). Systems Approach to ProImprovement (Instructor Guide), pp. 5-15 - 5-27. San Diego, CA: OUSQuality Leadership Office and Navy Personnel Research and DevelopCenter.

    4. Department of the Navy (November 1992). Team Skills and ConceptsGuide), pp. 5-47 - 5-56. Washington, DC: OUSN Total Quality Leade

    5. Ishikawa, Kaoru (1968). Guide to Quality Control. Tokyo, Japan: AsiProductivity Organization.

    6. U.S. Air Force (Undated). Process Improvement Guide - Total QualityTeams and Individuals, p. 33. Air Force Electronic Systems Center, AMateriel Command.

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    Basic Tools for Process Improvement

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     C A  U S E -A 

    ND-E F F E  C T DI  A  GRA M

    V I  E W GRA P H1 

    Wh  a t  

    I   s  a C  a u s  e- an d -E f  f   e c  t  

    Di   a g

    r  am? 

    A  gr  a ph i   c  t   o ol    t  

    h  a t  h  el   p s 

    i   d  en t  i  f   y  ,

     s  or  t   , an d  d i   s  pl   a y 

     p o s  s i   b l   e c  a u s  e s  of  

     a pr  o b l   e

    m or  q u al  i   t   y  c h  ar  a c  t   er i   s  t  i   c .

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     C A  U S E -A ND-E F F E  C T DI  A  GRA M

    V I  E W GRA P H2 

    B  en ef  i   t   s 

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     g e s  gr  o u p

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     t  i   on

    •  U s  e s  an

     or  d  er l   y  , e

     a s  y - t   o-r  e a d f   or m a t  

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     c  a u s  e s  o

    f  v  ar i   a t  i   on

    • I  n c r  e a s  e

     s  pr  o c  e s  s 

    k n owl   e d  g e

    • I   d  en t  i  f  i   e s  ar  e a s f   or  c  ol  l   e c  t  i  n g d  a t   a

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     C A  U S E -A ND-E F F E  C T DI  A  GRA M

    V I  E W GRA P H 3 

    B  a s i   c L 

     a y  o u t   of  

     C  a u s 

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     gr  am s 

     C A  U S E A 

     C A  U S E 

    D

     C A  U S E 

     C 

     C A  U S E B 

    E F F E  C T 

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     C A  U S E -A ND-E F F E  C T DI  A  GRA M

    V I  E W GRA P H4 

     S  t   e p1 -I   d 

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     c  t  

    • D e c i   d  e

     on t  h  e ef  f   e c  t   t   o ex  a

    mi  n e

    •  U s  e O p

     er  a t  i   on al   

    D ef  i  ni   t  i   on s 

    • P h r  a s  e

     ef  f   e c  t   a s 

    >  p o s i   t  i  v  e (   an o b  j   e c  t  i  v  e )   or 

    > n e g a t  i  v  e (   a pr  o

     b l   em )  

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     C A  U S E -A ND-E F F E  C T DI  A  GRA M

    V I  E W GRA P H 5 

     S  t   e p2 -F i  l  l   i  n t  h 

     eE f  f   e c  t  

    B  ox  an d 

    Dr  aw t  h 

     e S  pi  n e

    P  O OR

     GA  S 

    MI  L E A  GE 

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     C A  U S E -A ND-E F F E  C T DI  A  GRA M

    V I  E W GRA P H 6 

     S  t   e p 3 -

    I   d  en t  i  f   y 

    M ai  n C  a

     t   e g or i   e s 

    P  O OR

     GA  S 

    MI  L E A  GE 

    ME T H OD S 

    MA  C HI  NE 

    RY 

    P E  OP L E 

    M

    A T E RI  A L  S 

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     C A  U S E -A ND-E F F E  C T DI  A  GRA M

    V I  E W GRA P H7 

     S  t   e p4 -I   d 

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     g

     t  h  eE 

    f  f   e c  t  

    P  O OR

     GA  S 

    MI  L E A  GE 

    M

    E T H OD S 

    MA  C HI  N

    E RY 

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    MA T E RI  A L  S 

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    R ON G

     GE A R S  C A 

    RB  URE T  OR

    A D J  U S T ME NT 

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    T I  RE  S 

    P  O OR

    M

    A I  NT E NA N C E 

    P  O OR

    D

    RI  V I  N GHA B I  T  S 

    I  MP R

     OP E R

    L  UB RI   C A T I   ON

    WR O

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     O C T 

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     C A  U S E -A ND-E F F E  C T DI  A  GRA M

    V I  E W GRA P H

     8 

     S  t   e p

     5 -A  d  d D e t   ai  l   e d 

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    z  e t  h  eD

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    P  O OR

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    ME T H OD S 

    MA  C HI  NE RY 

    P E  OP L E 

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    L  S 

    DRI  V E 

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    WR ON G

     O C T A NE 

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    RA DI   OT  O O

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     C A N’  T HE 

    A R

    E N GI  NE 

     $ 

    N O

    A WA RE NE  S  S 

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     C A  U S E -A ND-E F F E  C T DI  A  GRA M

    V I  E W GRA P H

     9 

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