Root Cause Analysis
The link
Root Cause AnalysisWhat it is
“Root Cause Analysis” is a video on
how the staff of the Jefferson Memorial investigated the decay of stonework in their
building. It’s a two minute video and I don’t want to spoil it for you, so
please watch it before you read the “What it means to me” section.
What it means to me
This video makes a single point, and
makes it very well: “You’ve seen what happens, but what is the cause?”.
Because the video is so short (a
“Quality minute”) it deemphasizes how long the causality chain actually is:
- Light
- Mites
- Spiders
- Birds
- Bird droppings
- Cleaning
- Stonework Decay
The elegant solution of turning the
lights on later can only be found at step seven.
It’s easy to do a few of these steps, stop at “Birds” and set some kind of ugly
scarecrow; it takes commitment to keep on asking. What I find inspiring in this
case is that the staff only stopped asking “Why?” when the next answer would
have involved genetic engineering.
In office settings, there’s also a
pressure to stop investigating, meet your deadline, and “stop bothering the
busy people”. Corporate IT infrastructures have their share of power washed
sandstone and ugly scarecrows as a result. Let this video serve as an
inspiration to “go forth and ask why”.
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