Root Cause Analysis

Other names:

  • post-mortem: (literal: after death)

Ref:

Investigation Method

  1. The “5-Whys” Analysis
  2. Barrier Analysis
  3. Change Analysis
  4. Causal Factor Tree Analysis
  5. Failure Mode and Effects Analysis
  6. Fish-Bone Diagram or Ishikawa Diagram
  7. Pareto Analysis
  8. Fault Tree Analysis

Template Report

Template#1

  • Overview:
  • What happened:
  • Resolution:
  • Root causes:
  • Impact:
  • What Went Well?
  • Concerning Issue
  • Action items:
  • Key Comms
  • Customer Care Tickets created: 0

Template#2

  • Occurrence Time:
  • Detection Time:
  • Recovery Time:
  • Recovery Duration:
  • Resolve Time:
  • Problem Detail:
    • Why did it occur?:
    • Why was it overlooked?:
    • Action for Recovery:
    • To prevent recurrence:
    • Action Item:
    • Action Item Status:
    • Change Log: (name, reason, data)

Template#3

  • PIC: Incident PIC
  • Incident Report: Detail Chronology
  • Data Back-up Processes: Data Back-up Processes (If needed)
  • Legal Requirement from Regulator: Legal Requirement for Incident from Regulator
  • Coverage and Responses System Component: Incident Coverage and Critical System Component Responses
  • Cause: Incident Root Cause
  • Downtime: Downtime Duration
  • Impact: Incident Impact
  • Solution: Incident Solution
  • Reference: Reference Description or URL