How the 5 whys works
Start with a clear, factual problem statement. Ask why it happened and write down the answer. Then ask why that answer is true. Keep going until you reach a cause that, if fixed, would stop the problem recurring and that is within the team's control. "Five" is a guide, not a rule; some problems need three whys, others seven.
Steps
- Write a specific problem statement: what, where, when, how much.
- Go to the process with the people who do the work.
- Ask why the problem occurred and confirm the answer with evidence.
- Repeat for each answer, keeping one clear chain of cause and effect.
- Stop when you reach a systemic cause you can act on.
- Check the logic backwards using "therefore" from the root cause to the problem.
- Put a countermeasure in place and verify it works.
Worked example
Problem: Line 3 stopped for 40 minutes on the night shift because the main motor tripped.
- Why did the motor trip? It overheated under load.
- Why did it overheat? The bearing was running dry.
- Why was the bearing dry? The automatic lubricator was empty.
- Why was the lubricator empty? Nobody refilled it at the last scheduled check.
- Why wasn't it refilled? The lubricator is not on the autonomous maintenance checklist, so refilling depends on one technician remembering.
Countermeasure: add the lubricator level check to the autonomous maintenance checklist with a visual indicator, then confirm over the following weeks that the checks happen and the trips stop.
Read backwards: the lubricator is not on the checklist, therefore it was not refilled, therefore it ran empty, and so on. The logic holds.
Common mistakes
- Stopping at blame: "the operator forgot" is not a root cause.
- Following guesses rather than facts verified at gemba.
- Forcing a single chain when the problem has several contributing causes. A fishbone diagram is better there.
- Ending on a cause outside the team's control, such as "the supplier is unreliable", without asking why the process is vulnerable to it.