FISHBONE DIAGRAM
OF FISH
Presented by: e
Marcela Alzate Tello
VanessaCarvajalJaramillo
What is a fishbone diagram?
FISH?
Also known as the Ishikawa diagram
The method consists of clearly outlining what the problem has been and
carry out a brainstorming session by all members to
analyze one by one all the possible root causes of that problem. To
apply it, we can not only make a better decision regarding the
resolution of the problem, but we can also correct errors or
avoid parallel trials fueled by prejudice.
IN HEALTH AND SAFETY AT WORK
It is an analysis method used in cases of serious accidents or
potential incidents, in which the analysis can also present
complexity and it is unknown a priori what the causes may be
main.
IMPORTANT!
From this point of view, THE FISHBONE DIAGRAM is a
ideal tool for identifying the causes that have caused
an accident.
It is just about capturing it in a graphical representation.
the multiple cause-effect relationships between the various
variables that intervene in a process. In this case
I would consider the workplace accident as the effect.
HOW TO CREATE A FISHBONE DIAGRAM?
1. Create a header that lists the problem or topic to be studied.
2. Create a backbone for the fish (a straight line leading to the head).
3. Identify at least four 'causes' that contribute to the problem. Connect these four.
causes with arrows to the spine. This will create the shape of a fishbone.
4. Brainstorm on each 'cause' to document things that
they contributed to the cause. You can use the 5 whys or another analysis process of the
root cause to keep the conversation focused.
5. Continue breaking down each cause until all the causes have been identified.
background.
DEVELOPMENT OF THE DIAGRAM
1 2
Method: It must be determined if Person: They must be determined
is there instruction or the human aspects that
work procedure that may have contributed to
specify how it should be an accident/incident occurs.
develop the work the
3 worker in conditions of 4
security.
Machine/Equipment/Installation: They must Material: It should be determined what
determine all the factors of the machine, personal protective equipment
equipment or installation that during the process of the operator was using at the moment of
complete work may have suffered a event, whether these are the right ones or if they
variation and thus contribute to the occurrence of the they must improve and even if necessary
accident/incident to have some
FISHBONE DIAGRAM
THANK YOU!