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If your root cause analysis ends with “Harry pushed the wrong button,” you’ve failed—because you stopped at the symptom, not the system. Too many RCA sessions waste time documenting what everyone already knows: the immediate, obvious cause. But the real question isn’t what happened—it’s why your system allowed it to happen, and why it wasn’t caught or prevented. A proper RCA doesn’t just identify a single “root cause”; it maps a tree of causes—direct, underlying, and organizational—so you can fix the process, not just the person. If your solution is to retrain Harry or fire him, you’ve missed the point entirely. The problem isn’t Harry; it’s the conditions that set him up to fail. The bigger failure? Implementing countermeasures that look good on paper but never stick. Perfect standards, audits, and training systems are useless if they’re not realistic for your operation. Focus on the 80%—practical, sustainable fixes that move the needle, not theoretical perfection. And don’t forget: RCA isn’t a solo sport. You need a multidisciplinary team to challenge assumptions, define the problem sharply, and design solutions that actually work. Without that, you’re just documenting problems, not solving them. #RootCauseAnalysis #ProblemSolving #OperationalExcellence • Why Most Root Cause Analysis Waste Time (A... 0:00 Why “Harry pushed the button” is a terrible root cause 1:15 How to define the problem before jumping to causes 3:39 The tree of causes: Direct, underlying, and organizational 5:07 Why 5 Whys alone isn’t enough 6:18 Designing countermeasures that actually stick 8:24 The role of multidisciplinary teams in RCA 10:13 Temporary fixes: Stop the bleeding, then solve the problem 12:19 How to sustain improvements long-term Interested in working with me to boost Operational Excellence in your organisation, or perhaps more personal coaching on your CI career? Check out my website for details or go to my contacts page directly (www.tommentink.com/contact). The mentioned template: www.tommentink.com/problemsolvingtemplate Check out my online course on Problem Solving here: https://www.tommentink.com/offers/qoZ...