Root Cause Analysis (The 5 Whys)
A structured root-cause analysis using the 5 Whys methodology to drill past symptoms and resolve systemic issues.
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The Symptom / Immediate Event
What went wrong or failed unexpectedly?
- Event:
The 5 Whys
Why did this happen?
Why did that occur?
Why was that condition allowed to happen?
Why didn't existing safeguards or habits catch it?
Why is that fundamental root cause still present?
The Root Cause Identified
What is the underlying structural, behavioral, or environmental vulnerability?
- Root cause:
The Systemic Countermeasure
What single permanent guardrail or habit will prevent this category of problem from recurring?
- Permanent countermeasure:
How to Practice This Reflection
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