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Nadcap Expectations

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For More Detailed Information on Cause Analysis

5 Whys
This method is to ask why an event happened and place the resulting answer in the cause chain. Each question should be simple, short, focused on a single question and starting with "Why...?" After each cause has been identified, the next question to ask is "Why did this event happen?"
Example of 5 Whys

Problem Statement: Gage was found in use on shop floor beyond its calibration date.

Why was a gage in use beyond its calibration date?
Because the gage was not recalled and the operator did not check the calibration label.



Why was the gage not recalled?
Because the gage was not on the recall list.

Why was the gage not on the recall list?
Because the gage was just recently purchased.

Why are new gages not added to recall list?
Because there is no procedure or specific
training on purchasing gages.

 

Why did the operator not check the label?
Because the operator was recently hired and had not been trained to check calibration labels.

Why wasn't the operator trained to check labels?
Because on-the job training does not specify and it was overlooked.

Why doesn't OJT address calibration labels?
Not considered a priority by supervisors.

 


Please note that in this example, the 5 Whys came to a logical and root cause solution in 4 Whys. Generally speaking, 5 Whys will get you there, but sometimes it will be more, and sometimes less.