Figure 3
A fishbone analysis worksheet with cause branches, instruction panels, and problem arrowhead.The worksheet is arranged in three areas: a left instruction column, a central fishbone diagram, and a right note panel. At the upper left is a rectangular box titled “INTRODUCTION”. Inside, a paragraph reads: “The fishbone diagram is a cause and effect diagram that identifies many possible causes for an effect or problem. The main problem is displayed at the head of the fish. The main causes are listed at the end of the ‘bones’. The root causes are place under the main causes in the small bones”. Directly below is a rectangular box titled “INSTRUCTIONS”. Three paragraphs are listed in sequence. The first begins “Step 01” and reads: “Take a sticky note from the root causes box and write the answer to the question What does this happen? and place it in the main cause that you think belongs (25 min)”. The second begins “Step 02” and reads: “Look at the whole fishbone diagram and analyse the ‘Main Causes’ with their root causes (3 min)”. The third begins “Step 03” and reads: “Take a circle from the voting box and place it in the root challenge that you consider more urgent to solve (2 min)”. Below this is a tall panel titled “ROOT CAUSES”. At the top are eight orange sticky notes arranged in two rows of four. Their labels read: “Why is this a challenge”?, “What are the changes associated with this”?, “Why does this happen”?, “what are contributing factors “?, “what challenges do we face while addressing this problem”?, “what resource-related problems do we face “?, “what people-related problems do we face “?, and “what environmental-related challenges do we face “?. Beneath these are four rows of blank orange sticky notes arranged in a grid. The center contains a large fishbone diagram. A long horizontal spine extends from left to right and ends in a large yellow triangular arrowhead. Inside the arrowhead, the upper line reads “Problem:” and the lower line reads “What”. Three diagonal bones rise upward from the spine and three diagonal bones descend downward from the spine. At the outer ends of all six diagonal bones are rounded label boxes outlined in yellow. Each of these boxes is labeled “Main Cause”. Short smaller branch lines extend outward from both sides of each diagonal bone. Tiny dark dots appear at the ends of many small branches. Three larger dark circular nodes are placed along the main spine where the major diagonal bones connect. Near the left upper and lower diagonal bones are several orange sticky notes placed beside smaller branches. These notes are labeled “Why ellipsis”? At the upper right is a bordered panel titled “Main causes”. Inside are two pale yellow sticky notes. The upper note reads “Main cause hash 1” and the lower note reads “Main cause hash 2”.

Fishbone diagram designed for stakeholders to identify the main problem and its root causes. Property of the author(s). Authors' own creation/work

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