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Fishbone diagram · Two fault investigations

Misroute Investigation

Do not rush to replace people or machines. Let test results show where to intervene.

Sorting line 04 / Maintenance bench

Suspicion on the night shift

The day batch had no errors; the night batch did. Do not blame people yet: their environments differed too. Deliver at least 10 correct parcels per batch, no misroutes, and evidence for the repair.

Final check8 correct / 4 misrouted
Sorting line 04 · Final checkScannerZone AZone BABA!BAB!ABA!BAB!

The letter on each box is its intended exit; ! marks a misrouted parcel.

Displayed setup: Night shift · Paper labels · Humid · Fast · Close · Single channel

First see which explanations fit the handover records, then choose category checks that distinguish them.

View misrouted parcel numbers and actual exits

Parcel 3: expected A, actual B; Parcel 6: expected B, actual A; Parcel 9: expected A, actual B; Parcel 12: expected B, actual A

Choose a category check ↓Have evidence? Choose a production repair ↓

Handover records · Correlation is not yet a cause

Production repair · Budget 0 / 3

The test bench does not change production automatically. Select repairs to install, then run acceptance. You can revise the plan and test it again.

Production starts from fixed conditions: night shift, paper labels, humid, fast, close spacing and a single-channel scanner. Selected repairs override the relevant conditions.

Before acceptance, you need a comparison that changes only the chosen repair's condition and eliminates misroutes. Compare handover records with new tests if useful.

Investigation bench · Checks remaining: 2

One category check compares two setups; an individual test adds evidence. With only two checks, you cannot inspect all four categories. First see which explanations remain indistinguishable, then choose. Undo to replan.

Cause framework · Remaining explanations: 3

These are working hypotheses supplied for this case, not every possible cause. Rule one out only when a result contradicts its prediction. Categorization alone does not prove causality.

PeopleNight shift alone causes misroutes
EnvironmentHumidity alone causes misroutes
Materials × environmentPaper labels and humidity interact
View excluded explanations and evidence

Paper labels alone cause misroutes: inconsistent with record 1.

Fast speed alone causes misroutes: inconsistent with record 1.

Close spacing alone causes misroutes: inconsistent with record 1.

A single channel alone causes misroutes: inconsistent with record 1.

Fast speed and close spacing interact, regardless of scanner: inconsistent with record 1.

Fast speed, close spacing and a single channel interact: inconsistent with record 1.

Add an individual test

You can also set conditions freely. If several change together, success alone cannot identify the cause.

Compared with record 2: 0 conditions changed.

View sorting floor ↑

Cause framework · Candidates are not conclusions

A category check may cross two categories. Existing single-variable comparisons appear under their corresponding branches below; you need not tick off every item.

People / Operating team

Does night-shift operation cause misroutes?

Untested
Materials / Label material

Is the label material reliable under the current conditions?

Untested
Environment / Humidity

Did humidity change the sorting result?

Untested
Methods / Conveyor speed

Does slowing down remove errors? At what cost?

Untested
Methods / Parcel spacing

Does spacing affect scanning and sorting?

Untested
Equipment / Scanner

Does a dual-channel scanner restore reliable sorting?

Untested

Test archive