根本原因分析的重要性.pdf

1、Meet Our SpeakersBrendan Niemira,Ph.D.U.S.Department of AgricultureDeb Kane,M.S.J&J Snack Foods Corp.John Butts,Ph.D.FoodSafetyByDesign LLCTim Jackson,Ph.D.U.S.Food and Drug AdministrationTim King,M.S.Quality Matters LLC Why Root Cause Analysis is Important:Brendan Niemira FDA Perspectives on RCA:Ti

2、m Jackson Problem statements,case study introduction:John Butts RCA tools group exercise:Tim King&John Butts Common pitfalls,enlisting management support:Deb Kane Conclusions,Q&A:Brendan NiemiraSession OverviewWhy Root Cause Analysisis Important Brendan Niemira,USDAHave you ever worked on a problem,

3、determined what you deemed to be an acceptable solution and then had the problem reoccur?Has this ever happened to you?SolutionProblemRepeat Problems occasionally happen in every workflow Contaminations,compliance failures,equipment issues Superficial analysis of problems is common Mistakenly develo

4、ping“solutions”that dont solve the problem Lost time and effort Recurrence of the original problem Impacts on productivity,profitability,moraleThe“fix”that doesnt fix itTRUSTSALESSOCIAL MEDIAPRESSFUTURE OPPORTUNITIES Why did the problem repeat again and again?We did not get to the true root cause fo

5、r the problem!If the true root cause for a problem is not identified,ineffective solutions will be implemented,and the problem will likely reoccur Root cause analysis(RCA)a collective term that describes a wide range of approaches,tools,and techniques used to uncover causes of problems(nonconformanc

6、es)What is the root cause?RCA tools are powerful techniques that lead to process improvements Equipment,layout,workflow,operations,worker competencies Neither ad hoc nor arbitrary Once learned,can be applied in many areas of R&D,production,and manufacturingDoing RCA the right way RCA mindset,RCA cul