Expanded 5 Whys
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Hvad er de 5 Whys
af Nathanael Okhuysen
Når noget går galt, især i en stor organisation, kan der være et instinkt til at pege fingre og skifte skyld. Dette er nok ikke den bedste måde at forhindre, at problemet opstår i fremtiden. Sakichi Toyoda, grundlæggeren af Toyota Motor Company, udviklede "5 Whys" -processen, en form for grundårsagsanalyse, til at identificere og løse problemer, der opstod i virksomheden. Det er siden blevet bredt vedtaget som en del af Lean Manufacturing, Kaizen og Six Sigma-metoden.
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Storyboard Beskrivelse
5 whys - 5whys - Five Whys graphic Organizer
Storyboard Tekst
- Glide: 1
- The Problem
- The kingdom was lost. Specifically: the castle and countryside were set on fire by a dragon.
- Glide: 2
- 1st Why
- There was no way to stop the dragon setting things on fire.
- Glide: 3
- 2nd Why
- The dragon defeated the unmounted knight in battle.
- Glide: 4
- 3rd Why
- The knight's horse refused to be ridden.
- Glide: 5
- 4th Why
- The horse had lost a shoe.
- Glide: 6
- 5th Why
- The blacksmith did not use the correct number of nails in shoeing the horse.
- Glide: 7
- The Root Cause
- For want of a nail, the kingdom was lost.
- Glide: 8
- Countermeasures
- Royal Horseshoe Inspection Checklist
- 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.
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