Expanded 5 Whys
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Koji su 5 Whys
od Nathanael Okhuysen
Kada nešto pođe po zlu, pogotovo u velikoj organizaciji, može biti instinkt za usmjeravanje prstiju i pomicanje krivnje. To vjerojatno nije najbolji način za sprečavanje nastanka problema u budućnosti. Sakichi Toyoda, osnivač Toyota Motor Company, razvio je proces "5 Whys", koji je vrsta analize korijena, identificirati i popraviti probleme koji su se pojavili unutar tvrtke. Od tada je široko usvojen kao dio proizvodnje mršave proizvodnje, Kaizen i Six Sigma metodologije.
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Opis Storyboarda
5 whys - 5whys - Five Whys graphic Organizer
Storyboard Tekst
- The Problem
- 1st Why
- 2nd Why
- 3rd Why
- The kingdom was lost. Specifically: the castle and countryside were set on fire by a dragon.
- 4th Why
- There was no way to stop the dragon setting things on fire.
- 5th Why
- The dragon defeated the unmounted knight in battle.
- The Root Cause
- The knight's horse refused to be ridden.
- Countermeasures
- The horse had lost a shoe.
- The blacksmith did not use the correct number of nails in shoeing the horse.
- For want of a nail, the kingdom was lost.
- The Royal Horseshoe Inspection Department will make a checklist for all blacksmiths in the kingdom to follow when shoeing a horse, so that no nails are forgotten in the future.
- Royal Horseshoe Inspection Checklist
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