QM Bench

5 Why analysis: how to reach the real root cause, with a case study

How to run a 5 Why analysis for occurrence and escape, how to stop at the right depth, how to verify the root cause and a worked 8D example.

Ľubomír Blažek
Automotive quality manager · updated 2026-10-25

Try it while you read

Open the free 5 Why Analysis tool and click Load sample: it reproduces the case study below.

Open the tool
Problemwhat, where,whenWhy 1direct causeWhy 2Why 3Why 4Root causeact here
5 Why: keep asking why until you reach a cause you can control and fix permanently.

Theory: depth, not breadth

The 5 Why technique, from the Toyota production system, asks “why?” repeatedly until the answer is a cause that, when removed, prevents the problem. Its strength is depth: it goes past the symptom (“the diameter was too large”) to the system cause (“the instruction did not include the offset entry”).

In automotive problem solving two chains are expected: occurrence (why was the defect made?) and escape (why did the controls not detect it?).

Key point

If the last answer is a person (“operator error”), ask one more why: why could the error happen and why was it not prevented or detected?

Step by step

  1. Write the problem with facts: what, where, when, how many.
  2. Answer each why with something you can check.
  3. Stop at the first actionable system cause.
  4. Repeat for detection.
  5. Prove each root cause and record the evidence; send everything to D4 of the 8D report.

Case study: oversize bearing seats

The Load sample analyses 38 of 500 shafts found oversize by the customer.

  • Occurrence: diameter turned too large → offset wrong after insert change → offset not entered → not in the instruction → instruction written for the old machine. Root cause: the tool change instruction lacks the offset entry.
  • Escape: not detected → only the first part checked → first part measured before warm-up → no check defined after warm-up. Root cause: control plan has no check after insert change and warm-up.
  • Verification: a trial without offset entry reproduced +0.010 to +0.013 mm; with automatic probing 4,000 parts were made without a defect.

Common mistakes

  • Stopping at “human error”.
  • Answers based on assumptions rather than facts.
  • Only one chain, so the detection gap stays open.

Frequently asked questions

What if there are several causes?

Branch the analysis: follow each answer that is verified as contributing. A fishbone diagram helps to list the candidates first.