Conduct a root cause analysis for {{incident_or_problem}}. What happened: {{description}} Impact: {{impact}} When discovered: {{discovery_time}} Apply multiple analysis techniques: **5 Whys Analysis** - Why did this happen? [Answer 1] - Why did [Answer 1] occur? [Answer 2] - Continue until you reach the root cause **Fishbone Diagram Categories** - People: Human factors involved - Process: Procedural issues - Technology: Technical failures - Environment: External factors **Timeline Reconstruction** - Sequence of events leading to the issue - When were there opportunities to catch it? **Contributing Factors** - Primary cause - Contributing factors - Enabling conditions **Immediate vs Systemic** - Immediate trigger - Underlying systemic issues **Recommendations** - Immediate actions (prevent recurrence) - Short-term improvements (reduce likelihood) - Long-term changes (address root cause) **Lessons Learned** - What we learned - What we will do differently
Root Cause Analysis Template
Conduct thorough root cause analysis using multiple frameworks
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AnalysisUse Cases
Incident post-mortemsProcess improvementProblem solving
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