Describe the events happened: should confirm what has happened and describe as clearly as possible.
The system-owner will appoint a suitable investigating department to take the responsibility of investigating the event or any deviations.
The investigating department should call the associate investigating group together to conduct the investigation, if needed.
The investigating department should launch the investigation after a fully understanding of the background of the events being described.
Complete the report on primary cause through using problem-solving tools such as "Fish-Bond Diagram"燃含谨 (refer to attachment 2) or " Five Whys" (refer to attachment 3) or other tools.
The investigating department can establich corresponding rectification / prevention measures under necessities.
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1.The event that describes occurrence, vs the event should confirm clearly, describe to want possibly of explicit.
2.The system own appoints the investigation that the suitable investigation department is responsible for event/anomaly
3.The investigation department calls to unite an investigation team together spread investigation, if need.
4.Investigation department should clearly understand the event described of back ground behind launch an investigation
5.The problem of passing the use clinches a method such as"cause - and - effect diagrams"(pay respects to an accesseries two) or"is 5 why"(pay respects to an accesseries three) or other settle tool completion root cause analysis report
6.Investigation department can according to needing to be drawn up whole homologous change/prevention measure.
完成