Lesson #7 - Tool #4 - Ishikawa
Diagram
The best problem solving tool - the
“Fishbone” or
Cause-and-Effect Diagram
© The Quality Web, authored by Frank E. Armstrong, Making Sense
Chronicles - 2003 - 2016
THE POWER OF THE ISHIKAWA DIAGRAM
After collecting data from a process, and then preparing a pareto
or histogram diagram, it's time to consider the reasons for the
variation and those defects created. This data collected will reveal
that items produced do not always turn out the same on a
consistent basis. That is, parts produced can vary from production
line to production line, from day shift to night shift, and from day
to day, and so forth. In other words, you seldom get consistent
parts produced every time. What causes these differences, or
variation within the process? Basically, the variation created can
originate from one or more of the following sources:
1. Raw Materials
2. Machinery, equipment or tooling
3. Work method or process
4. Work force - new people, trained different, etc.
5. Measurement method, or inconsistency in ways of
measurement
6. Environment - high humidity, cold temperatures, dust,
etc.
The real problem becomes which one of the above factors is
either totally, mostly, or somewhat responsible for the cause of
our problem? Or is it a combination of several causes?
A Cause-and-Effect diagram is useful in sorting out the causes of
dispersion and organizing mutual relationships. This is an
excellent team problem solving tool, where a team can gather
together to "brain storm" the potential causes and resolutions to
solve the variation problem.
If you have not read the Introduction to Team Dynamics and Data
Collection sections within this web site, I suggest you do so before
proceeding further here.
The Cause-and-Effect Diagram was created by Dr. Kaoru Ishikawa,
an engineer and professor in Japan. The Cause-and-Effect
Diagram is also referred to as a "Fishbone" diagram, getting the
name from its resemblance to a fish skeleton when created. The
main purpose of this diagram is to define a problem, identify a
possible cause, isolate the cause, and then develop a solution.
Below is an example of a generic Cause-and-Effect Diagram.
STEPS TO CREATING A CAUSE-AND-EFFECT DIAGRAM
When creating a "fishbone" diagram, each "vertebrate" is a section
of one of 6 Basic categories. Once a main "fishbone" with six
"bones" is created, each individual "bone" or section, can then be
broken down further into another "fishbone" of individual items
for analysis. The 6 basic categories are easily remembered from
the anagram "5 ME". These basic categories are:
1. MAN - Does the operator have the proper training,
experience, and ability to perform the function?
2. METHOD - Are the work instructions available and up-to-
date? Do they reflect the best method to perform the task?
Are the proper tools available? Are the process parameters
specified clearly?
3. MACHINE - Does the machine have the capability to
produce the product as specified? Does the machine have
the ability to produce the product on a consistent basis? Are
there regular routine maintenance and preventative
maintenance tasks? Are they performed according to
schedule?
4. MATERIAL - Are the correct materials available for the
process? What is the quality of the material used in the
process? Is there more than one supplier and does quality
vary with different suppliers? What types of material
problems could exist?
5. MEASUREMENT - Are the measurement instruments
adequate for the process? Are they maintained correctly and
regularly calibrated? Are the measurement instruments
affected by environmental conditions such as temperature,
vibration, dirt, etc.?
6. ENVIRONMENT - Is the manufacturing environment
affected by temperature, humidity, dust and dirt, power
fluctuations or seasonal differences?
It is worth noting that within the measurement category, there can
be variances. For example, the way one individual handles
calipers and measures may differ from the next individual. It is
important to have a training class for those who measure, to
make the method of measurement consistent between all
operators. Inconsistent measurement techniques can often lead
you to believe that there are problems in the process, that may
not actually exist.
STEPS TO MAKING A TEAM CAUSE-AND-EFFECT DIAGRAM
Again I recommend reviewing the Team Dynamics Introduction at
the beginning of this web site. While one person can sit down and
construct a "fishbone" diagram and go through the functions, it is
wiser to form a team to "brain storm" the process. Gathering a
cross-functional team of 4 - 7 individuals is the best and
recommended process. It is also useful to include a "neutral"
person who is not familiar with the process. The reason for that is
this person will try to familiarize themself with the process, and in
doing so, ask many questions that may spark an idea amongst the
group. This neutral person may also present ideas and viewpoints
that others may not consider.
Appoint someone to be in charge of drawing the diagram. It is
recommended that you use either a drawing board, a flip chart, or
gather some large poster paper to draw the diagram on. You may
also utilize "Post-It" Notes on a wall, if none of the above items are
available, laying those post-its out in a fishbone arrangement.
Whatever method you choose, it should be available for all to see.
GETTING STARTED
1. First, formulate the problem and write it in a box on the right
side of the diagram. Everyone must clearly understand the nature
of the problem and the process/product being discussed. If
everyone is not clear on the purpose of the session, the session
will not resolve the problem.
2. Next, draw an arrow from the left side of your chart or board,
over to the right side and make and arrowhead point. To the right
of the arrowhead, place your "problem" topic. This arrow is called
the "EFFECT" arrow.
3. Now place your main "fishbones" in place, the "5 M's" and the
"E", laying it out as in the example chart above. If using a drawing
board or flip chart, draw the slanted lines in place and label them,
spacing each slanted "bone" apart so as to be able to place
smaller "bones" on the main bones. Once your chart is prepared,
you are ready to begin the "brain storm" session.
Once prepared, your chart will begin to look something like this:
It is important to prepare your group with the main theme that
"NO IDEA OR THOUGHT IS STUPID!" Every idea should be
presented, anything that pops into anyone's head should be
brought out. Even if the one idea is not seen as appropriate to
the group, it could very well trigger another thought or idea in
someone else. Thus, it is imperative that you have your group
understand, that there are no silly thoughts, no suggestions that
should go unconsidered and everyone's ideas and input are
needed.
4. The "brain storm" session should begin by discussing one of
the main "bones" or categories individually. You need to get the
group to focus on one category so as to consider every possible
cause related to the one category. Should an idea develop that
may not fit the category you are in, write it down and place it to
the side for consideration and classification later. It is not good to
stop and dwell long on one thought too long as other creative
thoughts will be lost.
5. Once all ideas have exhausted on the one "bone", the group
should move on to the next "bone. Sometimes, someone will have
an after thought on the previous topic. This idea should be
recorded and placed on the chart, then immediately return to the
current category. To keep an orderly flow, do not allow members
to jump all around the fishbone, instruct team members that if
they have thoughts on a topic not yet being covered, to write that
thought down on paper and bring up when that topic is
discussed.
6. Once all of the categories or "bones" have been discussed
and all ideas have been exhausted, the group now has to decide
which may be most relevant to the problem being considered. The
group now needs to decide which cause may be the most likely
contributor to the problem. There are those who say that you
should "cross-out" the ones deemed irrelevant, however, those
thoughts could be useful in a future discussion of a different
problem. Therefore, you should put a star, red dot, or whatever
method you choose to highlight those causes the group has
decided are most relevant to the problem. Do not destroy the
other thoughts!
7. On a separate page, chart, or off to the side, it is time to
prioritize the probable causes selected. Place either an "A" or
number "1" by those that everyone agrees is a top cause of the
problem. Place a "B" or "2" by those everyone feels may not be a
most likely cause, but may have some significance. Place a "C" or
"3" by those ideas that might be "unsure" or less likely to be a
primary cause.
8. Now take the primary "A's" or "1's" and list those out as the
primary reasons and now decide what activities could be taken to
remedy the problem areas. It may be that more data must be
collected, or more investigation into the cause would be needed
before applying an action. The point is, you now have a starting
point as to what the main causes could be, and ACTION ITEMS can
be assigned.
9. Before the group disbands, action items should be assigned
along with those persons responsible for the actions. Agree to
meet again at a specified time and date to discuss and review
actions taken. Data should be again collected to determine if the
action put in place has resolved the problem.
10. DO NOT DESTROY any of the materials collected. All of the
information and ideas should be gathered and stored for future
reference and problem solving activities.
CREATE A CAUSE-AND-EFFECT DIAGRAM EXERCISE
To get the feel of this methodology, I recommend you do the
following exercise yourself. Whenever I went anywhere to teach a
group to use the Cause-and-Effect Diagram, I began with a sample
exercise to get everyone in the mood and flow of performing the
"brain storming" exercise. The sample exercise I use is taken from
Dr. Kaoru Ishikawa's book "Guide to Quality Control". The exercise
is one that most people know little or nothing about, and is not
related to their process, but does give everyone the experience
before performing the real session. I have also attached a copy of
the "fishbone" diagram which is an Excel sheet that you can open
and click on the links to add your own particulars. To open and
save, or download the generic "fishbone" diagram, Click Here for a
Blank Fishbone Diagram.
FISHBONE EXERCISE
In this class example, we are going to consider the problems
behind a cooking process. Cooking rice is very similar to a
production process in a factory. The rice (raw material) is washed
(pretreatment), then placed in a pot (equipment) to be heated and
steamed (second treatment). Thus we use a Cause-and-Effect
diagram showing the steps necessary to cook good tasting rice.
The current rice process is producing bland tasting rice. We are
now going to consider what steps could be the problem behind
our bad product.
The Process Steps are:
Raw Material - receiving and storage
Pretreatment - washing and drying of the rice
Cooking - equipment, pots, time vs. temperature, etc.
Second Treatment - Steaming and precooking the rice
Cooling and Packaging - Time, temperature and storage
While there are no right or wrong answers, it is interesting to see
what a group can come up with for original ideas into the
problem. If you are doing this exercise alone, you should try to
consider all the possibilities and enter them on your "fishbone"
diagram that you create on your own paper.