Everyday Business Problems podcast

It Wasn't the Tool. It Was the Order.

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Dave Crysler starts with a loop every operations leader knows: something goes wrong, the team runs a five whys, everybody gets retrained, and you're sure it's solved until it happens again. In most shops he walks into, the tool has very little to do with why the problem keeps coming back. Dave walks through a recurring finished goods problem that came back for nearly a decade and got solved with the same tools the company already had, used in a different order. He also shares how he decides which root cause problems deserve a full investigation, why so many of them end at "operator error, retrained," and how he defines human error differently than most people.

What You'll Discover:

• Why the five whys so often stops at a symptom or at operator error, and what the real skill behind it is

• How a recurring problem that lasted nearly a decade got solved without a single new tool

• Why not every problem deserves a full root cause investigation, and how to scale the response to the risk

• What happens to a review step when people get fatigued from double checking everything

• When to reach for a fishbone diagram or a Pareto chart instead of starting with a five whys

• A custom manufacturer's order errors, and the options that beat retraining the team again

• Dave's three types of error (equipment, system and human) and why he sees so few true human errors

• Why most people who skip a process are doing it for a reason, and why finding that reason is leadership's job

• How a plant making mission critical documents got returns and allowances down to 0.04% by making mistakes impossible

• What to pull from your files on Monday to see how many of your fixes were really just bets

If the same problem keeps showing up on your floor no matter how many times you fix it, start here. The tools you already have are probably fine. What usually needs to change is which one you pick up first, and where you stop looking.

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