THINK INSIDE THE BOX · TOOL 07 · B2 · 50 min

The Fish That Rebuilt Japan

In a country rebuilding from ruins, a chemist drew a fish skeleton to find out why things went wrong — and helped turn “Made in Japan” into a promise of quality.

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Today: you'll learn how the fishbone diagram helped change Japanese industry, use it to find the causes of a real problem, and practise the passive: was invented, is used, has been changed.
Before we start — talk these through:
  • Think of something that often goes wrong in your daily life. Is there one cause, or several?
  • When something goes wrong at work, do people look for a cause — or for someone to blame?
  • Which countries or brands do you connect with high quality? Why?

The vocabulary of this story

Ten items. Say your answer out loud before you reveal it.

A · What do they mean here? Work it out from the context

Read the sentence, guess the meaning of the word in bold, then reveal.

After the bombing, much of the city lay in ruins, and families lived in tents.
ruins — the broken parts left after buildings have been destroyed.
At the shipyard, thousands of workers built huge steel ships beside the river.
shipyard — a place where ships are built or repaired.
The hotel's reputation was so good that it was fully booked for a year.
reputation — the opinion that people generally have of someone or something.
Every car is inspected carefully before it leaves the factory.
inspect — to look at something closely to check that it is correct or safe.

B · Which word matches the meaning?

The three words are: brainstorm · symptom · root cause. Read each meaning, say the word, then reveal.

(noun) A sign that something is wrong — for example, a high temperature in an illness.
symptom — “Late deliveries were only a symptom of bigger problems.”
(noun) The deepest, original reason for a problem.
root cause — “The root cause of the accident was poor training.”
(verb) To produce lots of ideas quickly in a group, without judging them at first.
brainstorm — “Let's brainstorm some names for the new product.”

C · Which word completes all three phrases?

One missing word fits every phrase in the group. Say it, then reveal.

a fatal ___  ·  a design ___  ·  a ___ in the argument
flaw — a fault or weakness that makes something less effective or perfect.
___ the city after the war  ·  ___ trust  ·  ___ your life
rebuild — to build again, or to make something strong again after damage.
___ a problem  ·  ___ climate change  ·  ___ the issue head-on
tackle — to make a determined effort to deal with a difficult problem.

Now use them — out loud

Before we read:
  • Which company or product in your country has the best reputation? Has it always had it?
  • Think of a problem you often see. Is the thing people complain about the root cause, or only a symptom?
  • How does your team or class usually tackle problems?

The story, in three parts

Read each part. After it, answer the quick check from memory, then discuss one question.

Part 1 — The young chemist

Kaoru Ishikawa was born in Tokyo in 1915, into a family of engineers and business leaders. He studied chemistry at the University of Tokyo and graduated in 1939, just as the world was going to war.

According to most accounts, it was in 1943 — in the middle of the war — that Ishikawa first drew his famous diagram, while helping engineers at a Kawasaki factory understand why their products varied. (Accounts differ on whether it was a steel works or a shipyard.) Workers and managers had many different ideas about what was going wrong. Ishikawa wanted a way to put all the possible causes on one page, so that people could discuss them calmly instead of arguing.

His drawing was simple. On the right, he wrote the problem. From it, he drew a long line, like a backbone. Coming off the backbone were bigger bones for the main groups of causes — people, methods, materials, machines — and smaller bones for the details. It looked exactly like the skeleton of a fish.

Quick check — from memory, then reveal:

1. What did Ishikawa study at university?

2. Why did he want to put all the possible causes on one page?

3. What goes at the head of the fish, and what goes on the bones?

1. Chemistry.

2. So that people could see and discuss all the causes calmly, instead of arguing.

3. The head holds the problem; the bones hold the groups of causes and their details.

Discuss:
  • Why might drawing causes on paper calm an argument?

Part 2 — “Made in Japan”

When the war ended in 1945, Japan's cities lay in ruins. Industry had to be rebuilt almost from nothing. In the years that followed, Japanese goods had a poor reputation abroad: “Made in Japan” often meant cheap, and not very good.

A group called the Union of Japanese Scientists and Engineers decided to tackle the problem. In 1950 it invited an American statistician, W. Edwards Deming, to give lectures to Japanese engineers and company leaders. Deming told them that quality was not something you inspect at the end; it is built into every step of the process. His message was taken very seriously, and a prize for quality was named after him in 1951. Another American expert, Joseph Juran, gave lectures a few years later.

Ishikawa was one of the Japanese experts who turned these ideas into everyday practice. He believed that quality was everyone's job, not only the managers'. In 1962 he helped to launch quality circles: small groups of ordinary workers who met regularly to find and solve problems in their own work. One of their favourite tools was the fishbone diagram.

Quick check — from memory, then reveal:

1. What did “Made in Japan” often mean after the war?

2. What was Deming's main message about quality?

3. What were quality circles?

1. Cheap and not very good.

2. Quality isn't just checked at the end — it must be built into every step of the process.

3. Small groups of ordinary workers who met regularly to find and solve problems in their own work.

Discuss:
  • Should ordinary workers solve problems themselves, or is that the managers' job?

Part 3 — From factories to hospitals

By the 1970s, Japanese cars and electronics were being bought all over the world, and they were famous for being reliable. In 1980, an American television documentary asked a painful question: If Japan Can… Why Can't We? Suddenly, American companies wanted to learn Japanese methods — and the fishbone diagram travelled back across the Pacific.

Juran called it the Ishikawa diagram, and the name stuck. Today it is also called a cause-and-effect diagram, and it is used far beyond factories. Hospitals use it to understand why a mistake happened, so that it is not repeated. Airlines, software teams and schools use it too. The main groups of causes are often remembered as “the six Ms”: manpower (people), methods, machines, materials, measurement and Mother Nature (the environment).

Ishikawa died in 1989, one of the most respected figures in the history of quality. His diagram's greatest strength is also a warning: most problems have more than one cause. A fishbone helps a team stop looking for someone to blame and start looking for the root causes.

Quick check — from memory, then reveal:

1. What question did the 1980 documentary ask?

2. Give two places where the diagram is used today, apart from factories.

3. What are the “six Ms”?

1. If Japan Can… Why Can't We? — why American industry couldn't match Japanese quality.

2. Any two: hospitals, airlines, software teams, schools.

3. Manpower (people), methods, machines, materials, measurement, Mother Nature (environment).

Discuss:
  • Why is it tempting to look for one person to blame when something goes wrong?

How the tool works

The problem goes at the head of the fish. The big bones are the groups of causes; you add smaller bones for each detailed cause you find. Here, a pizza shop wants to know why deliveries are late.

Pizzasarrive latePeopleMethodsMachinesMaterialsMeasurementEnvironment

Using it, step by step

  1. Write the problem clearly at the head — a fact, not a person to blame (“pizzas arrive late”, not “the drivers are slow”).
  2. Draw the big bones. The six groups are a good start; change them if your problem needs different ones.
  3. Brainstorm causes as a team and place each on a bone. Ask “why?” again and again to add smaller bones.
  4. Circle the causes that seem most important, check them with real data, and tackle those first.

Try it yourself

Here are six causes of the pizza shop's late deliveries. Which bone does each one belong on? Choose, then check.

1. The delivery scooter keeps breaking down.
2. Heavy traffic and rain on Friday evenings.
3. The new drivers don't know the streets yet.
4. Orders are written on paper and sometimes get lost.
5. The shop keeps running out of cheese, so orders have to wait.
6. The kitchen clock is twenty minutes slow, so nobody knows how late the orders are.

1. Machines — equipment and tools.

2. Environment — conditions outside the shop's control.

3. People — skills and training.

4. Methods — the way the work is done — the process.

5. Materials — the ingredients and supplies.

6. Measurement — how things are measured and recorded.

Where the tool breaks

It shows possible causes, not proof. A long list of bones can look scientific even when nothing has been checked.

Causes are connected. Untrained drivers get lost more in the rain — the diagram puts them on different bones.

It can get huge. Without a clear problem at the head, the fish grows until nobody can read it.

Talk it through:
  • What would you add to the pizza shop's fish?
  • Which of the six groups is most often forgotten when people look for causes?

Its cousins

The Five WhysToyota's habit of asking “why?” five times — the perfect partner for a fishbone.
Plan–Do–Check–ActDeming's improvement cycle: once you know the cause, test a fix and check it.
The Pareto PrincipleJuran's 80/20 rule helps you choose which bones to tackle first. Open the lesson →
The FlowchartBoxes and arrows that show each step of a process — useful for the “methods” bone.

Grammar — the passive

When we explain how things are made, tested or discovered, the person who does it is often less important than the action. That is when English uses the passive: be + past participle.

Form: the right form of be + past participle.
Present: “Coffee is grown in the hills.”  Past: “The bridge was opened in 1932.”  Present perfect: “The road has been closed.”  Continuous: “The office is being painted.”
Use it when the doer is unknown, obvious or unimportant — or when the thing is the topic.
“My bike was stolen last night.” (we don't know who)
by + doer only when the doer is useful information.
“The painting was bought by a museum in Tokyo.”
With modals: modal + be + past participle.
“The forms must be signed before Friday.”  “The concert could be cancelled.”

1. Put the verbs into the passive

Write the verb in brackets in the correct passive form.

1. Every year, millions of phones (make) in this region.

2. The first diagram (draw) during the war.

3. Since 2010, the method (adopt) by hundreds of hospitals.

4. Right now, the machine (repair), so please use the other one.

5. All complaints should (report) to the manager.

1. are made

2. was drawn

3. has been adopted

4. is being repaired

5. be reported

2. Rewrite in the passive

Start with the words given. Only include by if it adds useful information.

1. Someone left the door open all night. → The door

2. Engineers test every engine twice. → Every engine

3. The famous architect Zaha Hadid designed the building. → The building

4. They are going to close the old station. → The old station

1. The door was left open all night.

2. Every engine is tested twice (by engineers is obvious — leave it out).

3. The building was designed by the famous architect Zaha Hadid (the doer is important).

4. The old station is going to be closed.

Now describe a product you use every day in the passive: where it is made, how it is tested, and how it could be improved.

Speak

Draw the fish for real problems. Choose a task, start the timer, and talk.

Useful language: “One possible cause is …” · “That goes on the … bone.” · “The real root cause might be …” · “Mistakes are often made when …”
Time remaining: 4:00
Task 1 — Your problem

Choose a problem you know well — at work, home or in your city. Name at least one cause for four different bones.

Task 2 — Symptom or cause?

Describe a problem where people keep fixing the symptom instead of the root cause. Why does that happen?

Task 3 — Quality

Think of a product or service with an excellent reputation. How do you think quality is built into every step?

To finish — the harder questions

  1. Ishikawa believed quality was everyone's job. Does that give ordinary workers more power, or just more responsibility?
  2. Could a country's reputation change as fast today as Japan's did? Which country might be next?
  3. In a hospital, is it better to find the cause of a mistake or the person responsible? Can you do both?
  4. From memory: tell the story in four passive sentences: was drawn, were invited, was launched, is used.