Lean Six Sigma · Root cause analysis

Root Cause Analysis for Office Workflows: Five Whys and Fishbone

Use Five Whys and cause-and-effect diagrams to reduce repeat errors, approval delays, and process bottlenecks.

Educational guide: Illustrative scenarios are examples, not claims about specific client projects.

A symptom is not a cause

A large backlog may be obvious. Its real cause might be incomplete intake, unclear approval rights, workload variation, a poorly configured routing rule, or work being returned multiple times.

Root cause analysis looks for conditions that repeatedly produce the problem. It should not become a search for the person to blame.

An illustrative Five Whys example

Customers keep requesting updates. Why? Because they cannot see the progress of their requests. Why? Because status is maintained only in an internal spreadsheet. Why? Because teams use inconsistent milestones. Why? Because the workflow has no required status updates. Why? Because no one was assigned responsibility for communicating changes.

The answer is not necessarily to send more emails. A better design might standardize milestones, define ownership, and provide useful event-based notifications. You may need more or fewer than five questions to identify a plausible cause.

Use a fishbone diagram for complex problems

A fishbone diagram, also called an Ishikawa or cause-and-effect diagram, lets a team explore causes across categories such as methods, technology, information, training, policy, and workload.

Treat the diagram as a collection of hypotheses. Validate them using representative case examples, employee observations, and process data before investing in a fix.

Turn the cause into a controlled improvement

Prioritize causes based on evidence and practical impact. Pilot a targeted change and evaluate quality as well as turnaround time. Record which process owner maintains the new approach.

Connect root cause analysis to DMAIC and use a control plan to preserve the result.

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