Critical Mistakes during Root Cause Investigation

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Critical Mistakes during Root Cause Investigation

🔴 Critical Mistakes in Root Cause Investigation (RCI):

  1. Jumping to Conclusions – Assuming the cause without evidence or proper investigation.

  2. Superficial Investigation – Stopping at symptoms instead of identifying the true underlying cause.

  3. Poor Documentation – Incomplete or unclear investigation records that cannot stand regulatory scrutiny.

  4. Bias in Investigation – Blaming individuals instead of analyzing process, system, or training gaps.

  5. Ignoring Data & Trends – Not reviewing past deviations, OOS/OOT, or audit findings that indicate recurring issues.

  6. Inadequate Use of Tools – Not applying structured tools like Fishbone, 5 Whys, or FMEA effectively.

  7. Failure to Involve SMEs – Excluding subject matter experts, leading to incomplete problem analysis.

  8. Overlooking Human Factors – Not considering training gaps, fatigue, workload, or behavioral aspects.

  9. Weak CAPA Linkage – Corrective and preventive actions not directly addressing the identified root cause.

  10. Not Verifying Effectiveness – Skipping follow-up to check if CAPA truly resolved the issue.

  11. Time Pressure & Compliance Mindset – Rushing to close the investigation just to meet timelines, rather than ensuring accuracy.

  12. Lack of Cross-functional Review – Not engaging QA, QC, production, and engineering teams for holistic evaluation.

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