Fishbone Diagram: How to Make One, With a Worked Example

What a fishbone (Ishikawa) diagram is, the 6M, 8P and 4S categories, how to run the session step by step, and a completed example checked against data.

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Fishbone diagramCauses in six families, traced back to the one effect

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A fishbone diagram (also called an Ishikawa or cause and effect diagram) lists every possible cause of one problem, grouped into categories drawn as bones off a spine, with the problem written at the head. In manufacturing the categories are usually the 6 Ms: Man, Machine, Method, Material, Measurement and Mother Nature. The diagram gives you a complete list of suspects; data then tells you which one did it.

Free fishbone diagram templateHow to make oneCompleted exampleFishbone vs 5 Whys

What Is a Fishbone Diagram?

The fishbone diagram is a structured brainstorm for one problem. The effect, a measured problem, goes in the head on the right. A horizontal spine runs back from it, and each major bone is a category of cause. Possible causes hang off each bone, and the reasons behind them hang off those as smaller bones. Kaoru Ishikawa made it popular in Japanese quality circles in the 1960s, and it is one of the seven basic quality tools along with the check sheet, Pareto chart, histogram, scatter diagram, control chart and flowchart.

80%
Pareto chartA few causes carry most of the countThe Pareto chart guide

Its value is breadth. Left alone, a team fixes on the first plausible cause, often "operator error". The categories force the team to look at the machine, the method, the material, the gauge and the surroundings too. The glossary entry has the one-line definition.

Fishbone Categories: 6M, 8P and 4S

SetCategoriesUse it for
6MMan (people), Machine, Method, Material, Measurement, Mother Nature (environment)Production, quality and maintenance problems
8MThe 6 Ms plus Management and MaintenanceWhen decisions or upkeep are likely suspects
8PProduct, Price, Place, Promotion, People, Process, Physical evidence, ProductivityService, sales and marketing problems
4SSurroundings, Suppliers, Systems, SkillsService delivery and supplier problems

The categories are prompts, not rules. If a problem clearly needs a "Software" or "Packaging" bone, add one. The free fishbone diagram template switches between the 6M, 8P and 4S sets.

How to Make a Fishbone Diagram: 7 Steps

A session takes 30 to 60 minutes with four to eight people who know the process, including at least one who works it every day. Hold it next to the process if you can.

Write the problem as the headMake it specific and measured: what, where, how much, since when. "Leak test failures on valve line 2 rose from 0.7% to 2.0% from week 20", not "quality problems".
Draw the spine and choose the categoriesUse the 6 Ms for a production problem, the 8 Ps for service or sales, the 4 Ss for supplier or service problems.
Brainstorm causes, silently firstGive everyone five minutes to write causes on notes, one per note, then place them on the bones. Silent writing stops the loudest person setting the list.
Ask why to add the small bonesFor each cause ask why it could happen and add the answer as a sub-cause. Stop at something you could check.
Vote for the most likely causesEach person gets three votes. The top two or three causes go forward to checking.
Check the top causes against dataSplit the problem by lot, shift, machine, operator or time since a change. A real cause shows up in the split; a false one does not.
Run 5 Whys on each verified cause and actFollow each verified cause to a root you can fix, then write containment, corrective and preventive actions with owners and dates.

Fishbone Diagram Example: Leaking Valve Assemblies

An illustrative example, not a client case. A line assembles pneumatic valves and leak-tests every one. Problem (the head): leak test failures on valve line 2 rose from 0.7% to 2.0% from week 20. The team ran a one-hour session and drew this:

Completed fishbone diagram: six bones (Man, Machine, Method above; Material, Measurement, Mother Nature below) with two possible causes each, pointing to the problem: leak test failures on valve line 2 up from 0.7% to 2.0%. The new O-ring lot under Material is marked as the cause the data confirmed. Leak test fails on valve line 2 0.7% to 2.0% from week 20 Man (people) New night assemblers O-ring lube by feel Machine Press-fit fixture worn Torque gun drift Method Leak test cut 30 s to 20 s Clean after O-ring fit Material New O-ring lot Burrs on valve body Measurement Master leak not run daily Gauge resolution Mother Nature Afternoon heat at tester Dust at bench Highlighted: the cause the data confirmed. Illustrative example.

Swipe the diagram sideways to see all of it.

Checking the causes against data

The team voted, and the top four suspects were the new night assemblers, the shorter leak test, the new O-ring lot and the master leak check. Each was checked by splitting the same records a different way:

SuspectHow it was checkedResult
New night assemblersFailure rate by shift since week 20Nights 2.0%, days 1.9%: no real difference. Not the cause.
Leak test cut from 30 s to 20 sRetested 50 passed valves at 30 sAll 50 passed again. Not the cause.
Master leak not run dailyRan the master leak on the testerTester flagged it correctly. Not the cause.
New O-ring lotFailure rate by O-ring lot, same line, same weeksNew lot: 99 fails in 3,400 = 2.9%. Old lot: 18 in 2,600 = 0.7%. Confirmed.

Check of the totals: (99 + 18) ÷ (3,400 + 2,600) = 117 ÷ 6,000 = 1.95%, the 2.0% in the problem statement. The old lot runs at the old rate, so the whole rise comes from the new lot. A Pareto chart of failures by lot would show the same thing in one picture.

From the verified cause to a root cause

The fishbone stops at "new O-ring lot". That is a cause, not yet something you can fix for good, so the team ran a 5 Whys on it:

  1. Why do new-lot O-rings leak? Their cross-section is at the low end of tolerance, so the squeeze in the groove is below the design minimum.
  2. Why was low-end material accepted? Incoming inspection checks hardness only, not cross-section.
  3. Why only hardness? The inspection plan was written when there was one supplier with a very stable process.
  4. Why was it not updated for the new supplier? The supplier approval process does not trigger a review of the incoming inspection plan.

Actions: contain (quarantine the new lot, sort by cross-section), correct (add cross-section to the incoming plan), prevent (add "review incoming inspection plan" to the supplier change checklist). Then watch the leak rate for 30 days.

Fishbone vs 5 Whys

A3The whole problem, story left to right, on one sheetThe A3 guide
 Fishbone diagram5 Whys
Gives youBreadth: all plausible causes in categoriesDepth: one chain from symptom to root cause
Best whenMany possible causes, nobody sure where to lookThe likely cause is known or verified
OutputA list of suspects to check with dataA root cause you can act on
Time30 to 60 minutes with a team15 to 30 minutes, often at the process
Main riskTreating the brainstorm as proofFollowing the wrong branch with confidence

They work best together, as in the example: fishbone for the suspects, data to pick the culprit, 5 Whys to get underneath it. 5 Why Pro keeps both in one offline file: brainstorm on a fishbone, then drill each cause into a branching why tree with evidence on every answer. For how the fishbone fits with 8D, A3 and fault tree analysis, see root cause analysis methods compared.

Common Fishbone Mistakes

WHY 1WHY 2WHY 3WHY 4ROOT
5 WhysAsk why until the answer is something you can fixThe 5 Whys guide

Do

  • Write a measured problem: what, where, how much, since when
  • Include people who run the process every day
  • Write silently first, then discuss
  • Check the top causes against data before acting
  • Take verified causes into 5 Whys and actions

Avoid

  • A vague head such as "quality issues"
  • Filling bones with solutions ("need new fixture") instead of causes
  • Stopping at "operator error" or "training"
  • Fixing the cause with the most votes without checking it
  • Leaving a bone empty without looking there

Fishbone Diagram FAQ

Key takeawayThe point of the guide pinned to the board with a strip of tape

What is a fishbone diagram?

A fishbone diagram is a cause-and-effect chart that lists the possible causes of one problem, grouped into categories drawn as bones off a central spine, with the problem written at the head. Kaoru Ishikawa popularized it in Japanese quality circles, so it is also called an Ishikawa diagram, a cause and effect diagram or a herringbone diagram.

Is a fishbone diagram the same as an Ishikawa diagram?

Yes. Fishbone diagram, Ishikawa diagram, cause and effect diagram and herringbone diagram are four names for the same tool. Ishikawa is the name of the quality engineer who made it popular; fishbone describes its shape.

What are the 6 Ms of a fishbone diagram?

Man (people), Machine, Method, Material, Measurement and Mother Nature (environment). They are the usual categories for a manufacturing problem. Some teams add Management and Maintenance to make 8 Ms.

What are the 8 Ps and the 4 Ss?

The 8 Ps suit service and sales problems: Product, Price, Place, Promotion, People, Process, Physical evidence and Productivity. The 4 Ss suit service and supplier problems: Surroundings, Suppliers, Systems and Skills. Use whichever set makes the team look in places it would otherwise skip.

How many causes should each bone have?

There is no fixed number; three to six per category is typical for a one-hour session. An empty bone is a prompt to look harder there, and a bone with fifteen causes usually means the problem statement is too broad.

What comes after a fishbone diagram?

Verification. A fishbone lists possible causes; it proves nothing. Pick the two or three most likely causes, check them against data (by shift, by lot, by machine, by time since a change), then run a 5 Whys on each verified cause to reach something you can fix, and write actions with owners and dates.

What is the difference between a fishbone diagram and 5 Whys?

A fishbone gives breadth: every plausible cause across all categories. 5 Whys gives depth: it follows one cause down to a root you can act on. Use the fishbone first when a problem could have many causes, then 5 Whys on the causes the data confirms.

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