{"id":31590,"date":"2024-11-19T14:44:25","date_gmt":"2024-11-19T06:44:25","guid":{"rendered":"https:\/\/www.yunshan.net\/blog\/?p=22007"},"modified":"2024-11-19T14:44:25","modified_gmt":"2024-11-19T06:44:25","slug":"%e6%95%85%e9%9a%9c%e6%a0%b9%e5%9b%a0%e5%88%86%e6%9e%90%ef%bc%9a%e6%89%be%e5%87%86%e9%97%ae%e9%a2%98%e7%97%87%e7%bb%93%ef%bc%8c%e4%b8%80%e5%8a%b3%e6%b0%b8%e9%80%b8%e8%a7%a3%e5%86%b3","status":"publish","type":"post","link":"https:\/\/www.yunshan.net\/blog\/archives\/31590.html","title":{"rendered":"\u6545\u969c\u6839\u56e0\u5206\u6790\uff1a\u627e\u51c6\u95ee\u9898\u75c7\u7ed3\uff0c\u4e00\u52b3\u6c38\u9038\u89e3\u51b3"},"content":{"rendered":"<p>\t\t\t\t<![CDATA[\n\n<p>\u5728\u73b0\u4ee3\u4f01\u4e1a\u548c\u7ec4\u7ec7\u4e2d\uff0c<a href=\"https:\/\/www.yunshan.net\" target=\"_blank\" style=\"color:blue\" rel=\"noopener noreferrer\">\u6545\u969c<a href=\"https:\/\/www.yunshan.net\" target=\"_blank\" style=\"color:blue\" rel=\"noopener noreferrer\">\u6839\u56e0\u5206\u6790<\/a><\/a>\uff08Root Cause Analysis, RCA\uff09\u662f\u4e00\u79cd\u81f3\u5173\u91cd\u8981\u7684\u65b9\u6cd5\uff0c\u7528\u4e8e\u8bc6\u522b\u548c\u89e3\u51b3\u5bfc\u81f4\u95ee\u9898\u7684\u6839\u672c\u539f\u56e0\u3002\u4e0e\u5176\u4ec5\u4ec5\u5904\u7406\u8868\u9762\u75c7\u72b6\uff0c\u4e0d\u5982\u6df1\u5165\u6316\u6398\u95ee\u9898\u7684\u6839\u6e90\uff0c\u4ece\u800c\u5b9e\u73b0\u4e00\u52b3\u6c38\u9038\u7684\u89e3\u51b3\u65b9\u6848\u3002\u672c\u6587\u5c06\u8be6\u7ec6\u63a2\u8ba8<a href=\"https:\/\/www.yunshan.net\" target=\"_blank\" style=\"color:blue\" rel=\"noopener noreferrer\">\u6545\u969c<a href=\"https:\/\/www.yunshan.net\" target=\"_blank\" style=\"color:blue\" rel=\"noopener noreferrer\">\u6839\u56e0\u5206\u6790<\/a><\/a>\u7684\u6982\u5ff5\u3001\u6b65\u9aa4\u3001\u5de5\u5177\u53ca\u5176\u5728\u5b9e\u9645\u5e94\u7528\u4e2d\u7684\u91cd\u8981\u6027\u3002<\/p>\n\n\n\n\n<h3>\u4e00\u3001\u6545\u969c\u6839\u56e0\u5206\u6790\u7684\u5b9a\u4e49\u4e0e\u91cd\u8981\u6027<\/h3>\n\n\n\n\n<p><strong>1.1 \u5b9a\u4e49<\/strong><\/p>\n\n\n\n\n\n\n\n\n<p align=center><img decoding=\"async\" src=\"https:\/\/www.yunshan.net\/blog\/wp-content\/uploads\/2024\/11\/CTCzA1ke.jpg\" width=1000><\/p>\n\n\n\n\n\n\n\n\n\n<p>\u6545\u969c\u6839\u56e0\u5206\u6790\u662f\u4e00\u79cd\u7cfb\u7edf\u5316\u7684\u65b9\u6cd5\uff0c\u65e8\u5728\u8bc6\u522b\u548c\u6d88\u9664\u5bfc\u81f4\u95ee\u9898\u53d1\u751f\u7684\u6839\u672c\u539f\u56e0\u3002\u901a\u8fc7\u8fd9\u79cd\u65b9\u6cd5\uff0c\u4f01\u4e1a\u53ef\u4ee5\u907f\u514d\u540c\u7c7b\u95ee\u9898\u518d\u6b21\u53d1\u751f\uff0c\u4ece\u800c\u63d0\u9ad8\u8fd0\u8425\u6548\u7387\u548c\u4ea7\u54c1\u8d28\u91cf\u3002<\/p>\n\n\n\n\n<p><strong>1.2 \u91cd\u8981\u6027<\/strong><\/p>\n\n\n\n\n<ul>\n\n\n<li><strong>\u51cf\u5c11\u91cd\u590d\u95ee\u9898<\/strong>\uff1a\u901a\u8fc7\u627e\u5230\u6839\u672c\u539f\u56e0\uff0c\u53ef\u4ee5\u907f\u514d\u95ee\u9898\u53cd\u590d\u51fa\u73b0\uff0c\u8282\u7701\u65f6\u95f4\u548c\u8d44\u6e90\u3002<\/li>\n\n\n\n\n<li><strong>\u63d0\u9ad8\u6548\u7387<\/strong>\uff1a\u89e3\u51b3\u6839\u672c\u539f\u56e0\u53ef\u4ee5\u63d0\u5347\u7cfb\u7edf\u6216\u6d41\u7a0b\u7684\u7a33\u5b9a\u6027\uff0c\u51cf\u5c11\u505c\u673a\u65f6\u95f4\u548c\u7ef4\u4fee\u6210\u672c\u3002<\/li>\n\n\n\n\n<li><strong>\u589e\u5f3a\u5b89\u5168\u6027<\/strong>\uff1a\u5728\u6d89\u53ca\u5b89\u5168\u5173\u952e\u7684\u9886\u57df\uff0c\u6839\u56e0\u5206\u6790\u6709\u52a9\u4e8e\u9884\u9632\u6f5c\u5728\u7684\u4e8b\u6545\u548c\u98ce\u9669\u3002<\/li>\n\n\n\n\n<li><strong>\u63d0\u5347\u5ba2\u6237\u6ee1\u610f\u5ea6<\/strong>\uff1a\u901a\u8fc7\u51cf\u5c11\u6545\u969c\u548c\u63d0\u5347\u670d\u52a1\u8d28\u91cf\uff0c\u5ba2\u6237\u6ee1\u610f\u5ea6\u81ea\u7136\u63d0\u9ad8\u3002<\/li>\n\n\n<\/ul>\n\n\n\n\n<h3>\u4e8c\u3001\u6545\u969c\u6839\u56e0\u5206\u6790\u7684\u6b65\u9aa4<\/h3>\n\n\n\n\n<p><strong>2.1 \u95ee\u9898\u5b9a\u4e49<\/strong><\/p>\n\n\n\n\n<p>\u9996\u5148\uff0c\u9700\u8981\u660e\u786e\u95ee\u9898\u7684\u5177\u4f53\u8868\u73b0\u548c\u5f71\u54cd\u8303\u56f4\u3002\u95ee\u9898\u63cf\u8ff0\u5e94\u5177\u4f53\u3001\u6e05\u6670\uff0c\u907f\u514d\u6a21\u7cca\u4e0d\u6e05\u3002<\/p>\n\n\n\n\n<p><strong>2.2 \u6570\u636e\u6536\u96c6<\/strong><\/p>\n\n\n\n\n<p>\u6536\u96c6\u4e0e\u95ee\u9898\u76f8\u5173\u7684\u6240\u6709\u6570\u636e\uff0c\u5305\u62ec\u65f6\u95f4\u3001\u5730\u70b9\u3001\u9891\u7387\u3001\u6d89\u53ca\u7684\u8bbe\u5907\u548c\u4eba\u5458\u7b49\u3002\u6570\u636e\u8d8a\u5168\u9762\uff0c\u5206\u6790\u7ed3\u679c\u8d8a\u51c6\u786e\u3002<\/p>\n\n\n\n\n<p><strong>2.3 \u95ee\u9898\u5206\u6790<\/strong><\/p>\n\n\n\n\n<p>\u5229\u7528\u5404\u79cd\u5de5\u5177\u548c\u65b9\u6cd5\uff0c\u5bf9\u6536\u96c6\u5230\u7684\u6570\u636e\u8fdb\u884c\u5206\u6790\uff0c\u627e\u51fa\u53ef\u80fd\u7684\u6839\u672c\u539f\u56e0\u3002<\/p>\n\n\n\n\n<p><strong>2.4 \u6839\u56e0\u9a8c\u8bc1<\/strong><\/p>\n\n\n\n\n<p>\u5bf9\u521d\u6b65\u786e\u5b9a\u7684\u6839\u56e0\u8fdb\u884c\u9a8c\u8bc1\uff0c\u786e\u4fdd\u5176\u786e\u5b9e\u662f\u5bfc\u81f4\u95ee\u9898\u7684\u6839\u672c\u539f\u56e0\u3002<\/p>\n\n\n\n\n<p><strong>2.5 \u5236\u5b9a\u89e3\u51b3\u65b9\u6848<\/strong><\/p>\n\n\n\n\n<p>\u6839\u636e\u786e\u5b9a\u7684\u6839\u56e0\uff0c\u5236\u5b9a\u5207\u5b9e\u53ef\u884c\u7684\u89e3\u51b3\u65b9\u6848\uff0c\u5e76\u8bc4\u4f30\u5176\u53ef\u884c\u6027\u548c\u6548\u679c\u3002<\/p>\n\n\n\n\n<p><strong>2.6 \u5b9e\u65bd\u4e0e\u76d1\u63a7<\/strong><\/p>\n\n\n\n\n<p>\u5b9e\u65bd\u89e3\u51b3\u65b9\u6848\uff0c\u5e76\u6301\u7eed\u76d1\u63a7\u5176\u6548\u679c\uff0c\u786e\u4fdd\u95ee\u9898\u5f97\u5230\u5f7b\u5e95\u89e3\u51b3\u3002<\/p>\n\n\n\n\n<p><strong>2.7 \u53cd\u9988\u4e0e\u6539\u8fdb<\/strong><\/p>\n\n\n\n\n<p>\u6839\u636e\u5b9e\u65bd\u6548\u679c\u8fdb\u884c\u53cd\u9988\uff0c\u5fc5\u8981\u65f6\u5bf9\u89e3\u51b3\u65b9\u6848\u8fdb\u884c\u8c03\u6574\u548c\u6539\u8fdb\u3002<\/p>\n\n\n\n\n<h3>\u4e09\u3001\u5e38\u7528\u7684\u6545\u969c\u6839\u56e0\u5206\u6790\u5de5\u5177<\/h3>\n\n\n\n\n<p><strong>3.1 \u9c7c\u9aa8\u56fe\uff08Ishikawa Diagram\uff09<\/strong><\/p>\n\n\n\n\n<p>\u9c7c\u9aa8\u56fe\u662f\u4e00\u79cd\u53ef\u89c6\u5316\u5de5\u5177\uff0c\u7528\u4e8e\u8bc6\u522b\u3001\u63a2\u7d22\u548c\u63cf\u8ff0\u5bfc\u81f4\u7279\u5b9a\u95ee\u9898\u7684\u5404\u79cd\u539f\u56e0\u3002\u5b83\u5c06\u95ee\u9898\u4f5c\u4e3a\u201c\u9c7c\u5934\u201d\uff0c\u5c06\u5404\u79cd\u539f\u56e0\u5206\u7c7b\u4e3a\u201c\u9c7c\u9aa8\u201d\uff0c\u4fbf\u4e8e\u76f4\u89c2\u5206\u6790\u3002<\/p>\n\n\n\n\n<p><strong>3.2 \u4e94\u6b21\u4e3a\u4ec0\u4e48\uff085 Whys\uff09<\/strong><\/p>\n\n\n\n\n<p>\u4e94\u6b21\u4e3a\u4ec0\u4e48\u662f\u4e00\u79cd\u7b80\u5355\u4f46\u6709\u6548\u7684\u5206\u6790\u65b9\u6cd5\uff0c\u901a\u8fc7\u8fde\u7eed\u95ee\u4e94\u4e2a\u201c\u4e3a\u4ec0\u4e48\u201d\uff0c\u9010\u6b65\u6df1\u5165\u95ee\u9898\u7684\u672c\u8d28\uff0c\u627e\u5230\u6839\u672c\u539f\u56e0\u3002<\/p>\n\n\n\n\n<p><strong>3.3 \u6545\u969c\u6811\u5206\u6790\uff08Fault Tree Analysis, FTA\uff09<\/strong><\/p>\n\n\n\n\n<p>\u6545\u969c\u6811\u5206\u6790\u662f\u4e00\u79cd\u81ea\u4e0a\u800c\u4e0b\u7684\u5206\u6790\u65b9\u6cd5\uff0c\u901a\u8fc7\u6784\u5efa\u6545\u969c\u6811\uff0c\u9010\u6b65\u5206\u89e3\u95ee\u9898\uff0c\u627e\u51fa\u5bfc\u81f4\u9876\u5c42\u4e8b\u4ef6\u7684\u5404\u79cd\u539f\u56e0\u3002<\/p>\n\n\n\n\n<p><strong>3.4 \u56e0\u679c\u56fe\uff08Cause and Effect Diagram\uff09<\/strong><\/p>\n\n\n\n\n<p>\u56e0\u679c\u56fe\u4e0e\u9c7c\u9aa8\u56fe\u7c7b\u4f3c\uff0c\u901a\u8fc7\u56fe\u5f62\u5316\u65b9\u5f0f\u5c55\u793a\u95ee\u9898\u4e0e\u5404\u79cd\u539f\u56e0\u4e4b\u95f4\u7684\u5173\u7cfb\uff0c\u4fbf\u4e8e\u5206\u6790\u548c\u8ba8\u8bba\u3002<\/p>\n\n\n\n\n<p><strong>3.5 \u5934\u8111\u98ce\u66b4\u6cd5\uff08Brainstorming\uff09<\/strong><\/p>\n\n\n\n\n<p>\u5934\u8111\u98ce\u66b4\u6cd5\u662f\u4e00\u79cd\u96c6\u4f53\u8ba8\u8bba\u65b9\u6cd5\uff0c\u901a\u8fc7\u96c6\u601d\u5e7f\u76ca\uff0c\u627e\u51fa\u95ee\u9898\u7684\u5404\u79cd\u53ef\u80fd\u539f\u56e0\u3002<\/p>\n\n\n\n\n<h3>\u56db\u3001\u6545\u969c\u6839\u56e0\u5206\u6790\u7684\u5b9e\u9645\u5e94\u7528<\/h3>\n\n\n\n\n<p><strong>4.1 \u5236\u9020\u4e1a<\/strong><\/p>\n\n\n\n\n<p>\u5728\u5236\u9020\u4e1a\u4e2d\uff0c\u6545\u969c\u6839\u56e0\u5206\u6790\u5e38\u7528\u4e8e\u89e3\u51b3\u8bbe\u5907\u6545\u969c\u3001\u4ea7\u54c1\u8d28\u91cf\u95ee\u9898\u548c\u751f\u4ea7\u6d41\u7a0b\u74f6\u9888\u3002\u4f8b\u5982\uff0c\u67d0\u751f\u4ea7\u7ebf\u9891\u7e41\u51fa\u73b0\u4ea7\u54c1\u4e0d\u5408\u683c\uff0c\u901a\u8fc7\u6839\u56e0\u5206\u6790\u53d1\u73b0\u662f\u8bbe\u5907\u78e8\u635f\u5bfc\u81f4\u7cbe\u5ea6\u4e0b\u964d\uff0c\u6700\u7ec8\u901a\u8fc7\u8bbe\u5907\u7ef4\u62a4\u548c\u66f4\u6362\u89e3\u51b3\u4e86\u95ee\u9898\u3002<\/p>\n\n\n\n\n<p><strong>4.2 IT\u884c\u4e1a<\/strong><\/p>\n\n\n\n\n<p>\u5728IT\u884c\u4e1a\uff0c\u6839\u56e0\u5206\u6790\u7528\u4e8e\u89e3\u51b3\u7cfb\u7edf\u6545\u969c\u3001\u7f51\u7edc\u4e2d\u65ad\u548c\u8f6f\u4ef6\u7f3a\u9677\u3002\u4f8b\u5982\uff0c\u67d0\u516c\u53f8\u670d\u52a1\u5668\u9891\u7e41\u5b95\u673a\uff0c\u901a\u8fc7\u6839\u56e0\u5206\u6790\u53d1\u73b0\u662f\u5185\u5b58\u6cc4\u6f0f\u5bfc\u81f4\uff0c\u6700\u7ec8\u901a\u8fc7\u4f18\u5316\u4ee3\u7801\u548c\u5347\u7ea7\u786c\u4ef6\u89e3\u51b3\u4e86\u95ee\u9898\u3002<\/p>\n\n\n\n\n<p><strong>4.3 \u533b\u7597\u884c\u4e1a<\/strong><\/p>\n\n\n\n\n<p>\u5728\u533b\u7597\u884c\u4e1a\uff0c\u6839\u56e0\u5206\u6790\u7528\u4e8e\u5206\u6790\u533b\u7597\u4e8b\u6545\u548c\u63d0\u5347\u533b\u7597\u670d\u52a1\u8d28\u91cf\u3002\u4f8b\u5982\uff0c\u67d0\u533b\u9662\u53d1\u751f\u591a\u8d77\u836f\u7269\u9519\u8bef\uff0c\u901a\u8fc7\u6839\u56e0\u5206\u6790\u53d1\u73b0\u662f\u836f\u54c1\u6807\u7b7e\u4e0d\u6e05\u548c\u6d41\u7a0b\u4e0d\u89c4\u8303\u5bfc\u81f4\uff0c\u6700\u7ec8\u901a\u8fc7\u6539\u8fdb\u6807\u7b7e\u8bbe\u8ba1\u548c\u4f18\u5316\u6d41\u7a0b\u89e3\u51b3\u4e86\u95ee\u9898\u3002<\/p>\n\n\n\n\n<h3>\u4e94\u3001\u6545\u969c\u6839\u56e0\u5206\u6790\u7684\u6311\u6218\u4e0e\u5bf9\u7b56<\/h3>\n\n\n\n\n<p><strong>5.1 \u6311\u6218<\/strong><\/p>\n\n\n\n\n<ul>\n\n\n<li><strong>\u6570\u636e\u4e0d\u8db3<\/strong>\uff1a\u7f3a\u4e4f\u8db3\u591f\u7684\u6570\u636e\u652f\u6301\uff0c\u96be\u4ee5\u627e\u5230\u771f\u6b63\u7684\u6839\u56e0\u3002<\/li>\n\n\n\n\n<li><strong>\u590d\u6742\u6027\u95ee\u9898<\/strong>\uff1a\u67d0\u4e9b\u95ee\u9898\u6d89\u53ca\u591a\u4e2a\u7cfb\u7edf\u548c\u73af\u8282\uff0c\u5206\u6790\u96be\u5ea6\u5927\u3002<\/li>\n\n\n\n\n<li><strong>\u4eba\u4e3a\u56e0\u7d20<\/strong>\uff1a\u4eba\u4e3a\u5931\u8bef\u548c\u504f\u89c1\u53ef\u80fd\u5f71\u54cd\u5206\u6790\u7ed3\u679c\u3002<\/li>\n\n\n\n\n<li><strong>\u8d44\u6e90\u9650\u5236<\/strong>\uff1a\u65f6\u95f4\u548c\u8d44\u6e90\u6709\u9650\uff0c\u96be\u4ee5\u8fdb\u884c\u5168\u9762\u6df1\u5165\u7684\u5206\u6790\u3002<\/li>\n\n\n<\/ul>\n\n\n\n\n<p><strong>5.2 \u5bf9\u7b56<\/strong><\/p>\n\n\n\n\n<ul>\n\n\n<li><strong>\u52a0\u5f3a\u6570\u636e\u6536\u96c6<\/strong>\uff1a\u5efa\u7acb\u5b8c\u5584\u7684\u6570\u636e\u6536\u96c6\u673a\u5236\uff0c\u786e\u4fdd\u6570\u636e\u7684\u5168\u9762\u6027\u548c\u51c6\u786e\u6027\u3002<\/li>\n\n\n\n\n<li><strong>\u591a\u89d2\u5ea6\u5206\u6790<\/strong>\uff1a\u91c7\u7528\u591a\u79cd\u5de5\u5177\u548c\u65b9\u6cd5\uff0c\u4ece\u4e0d\u540c\u89d2\u5ea6\u5206\u6790\u95ee\u9898\u3002<\/li>\n\n\n\n\n<li><strong>\u57f9\u8bad\u4e0e\u6559\u80b2<\/strong>\uff1a\u52a0\u5f3a\u5458\u5de5\u7684\u57f9\u8bad\uff0c\u63d0\u9ad8\u5176\u5206\u6790\u80fd\u529b\u548c\u610f\u8bc6\u3002<\/li>\n\n\n\n\n<li><strong>\u5408\u7406\u5206\u914d\u8d44\u6e90<\/strong>\uff1a\u6839\u636e\u95ee\u9898\u7684\u91cd\u8981\u6027\u548c\u7d27\u8feb\u6027\uff0c\u5408\u7406\u5206\u914d\u5206\u6790\u8d44\u6e90\u3002<\/li>\n\n\n<\/ul>\n\n\n\n\n<h3>\u516d\u3001\u6545\u969c\u6839\u56e0\u5206\u6790\u7684\u6700\u4f73\u5b9e\u8df5<\/h3>\n\n\n\n\n<p><strong>6.1 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