Trace a missed executive signature to a process fix.
A contract signature was missed even though the document was sent several days earlier. Five Whys root-cause analysis The common trap is treating the visible request as the whole job, then discovering the owner, constraint, or decision rule after rework has already started. Why 1 Why was it not signed? It was buried below newer inbox messages. This is a symptom, not a root cause. Why 2-3 Why buried? No signature queue. Why no queue? Requests arrive by email, Slack, and shared drive. The cause is becoming system-shaped. Why 4-5 Why no queue owner? No intake rule. Why no intake…
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