ca 10 minutes onroot cause analysis

Solving the real problemMarcus Hammarberg

Yayasan Pelalayan Kesehatan Bala

Keselamatan

Problems

By Photo credited to the firm Levy & fils by this site. (It is credited to a photographer "Kuhn" by another publisher [1].) (the source was not disclosed by its uploader.) [Public domain], via Wikimedia Commons

California Palace of the Legion of Honor, Lincoln Park/34th Avenue, San Francisco, CaliforniaThe Thinker (Le Penseur) by Auguste Rodin

Finance data lost to virus

Finance data lost to virus

So what?

Why?

Finance data lost to virus

Lost financial history

Can’t do proper tax reporting

Illegal

Finance data lost to virus

Lost financial history

Can’t do proper tax reporting

Illegal

Spend a lot time recover data

Waste time Waste money

Doing the wrong thing

“Real job” losing quality

Finance data lost to virus

Lost financial history

Can’t do proper tax reporting

Illegal

Spend a lot time recover data

Waste time Waste money

Doing the wrong thing

“Real job” losing quality

Can’t do “real” investments

Finance data lost to virus

Lost financial history

Can’t do proper tax reporting

Illegal

Spend a lot time recover data

Waste time Waste money

Doing the wrong thing

“Real job” losing quality

Can’t do “real” investments

Finance data lost to virus

Hate the sinLove the sinner

Blame the processnot the people

Finance data lost to virus

No virus protection

No backup done for computer

We don’t understand the risk / consequence

Finance data lost to virus

No virus protection

No backup done for computer

We don’t understand the risk / consequence

Thought IT department would do this

IT-department doing many other things

Fail to prioritise Don’t know our real work

Finance data lost to virus

No virus protection

No backup done for computer

We don’t understand the risk / consequence

Thought IT department would do this

IT-department doing many other things

Fail to prioritise Don’t know our real work

Lack basic computer knowledge

Not sufficient trained

Finance data lost to virus

No virus protection

No backup done for computer

We don’t understand the risk / consequence

Thought IT department would do this

IT-department doing many other things

Fail to prioritise Don’t know our real work

Lack basic computer knowledge

Not sufficient trained

No virus protection

No backup done for computer

We don’t understand the risk / consequence

Thought IT department would do this

IT-department doing many other things

Fail to prioritise Don’t know our

real work

Lack basic computer knowledge

Not sufficient trained

So what?

Why?

Finance data lost to virus

Lost financial history

Can’t do proper tax reporting

Illegal

Spend a lot time recover data

Waste timeWaste money

Doing the wrong thing

“Real job” losing quality

Can’t do “real” investments

Visual

Collaborative

System focused

Visual

Collaborative

Mexican Standoff by Martin SoulStealerused under CC2.0

System focused

Respect forindividuals

System focused

Regardless of what we discover, we understand and truly believe that everyone did the best job they could, given what they knew at the time, their skills and abilities, the resources available, and the situation at hand.

No virus protection

No backup done for computer

We don’t understand the risk / consequence

Thought IT department would do this

IT-department doing many other things

Fail to prioritise Don’t know our

real work

Lack basic computer knowledge

Not sufficient trained

Finance data lost to virus

Lost financial history

Can’t do proper tax reporting

Illegal

Spend a lot time recover data

Waste timeWaste money

Doing the wrong thing

“Real job” losing quality

Can’t do “real” investments

ca 10 minutes onroot causeanalysis