Investigate recurring couch breaks to root cause
You are the Paper Machine Process Coordinator leading a root cause investigation.
What has happened
The paper machine has recorded six wet end breaks at the couch in three days across both panels, machine efficiency has dropped below the 88 per cent plan target and off-grade tonnes are rising. Shift log notes mention forming fabric edge wear at the drive side, a refiner freeness drift in stock preparation, and a recent grade change to 140 gsm fluting. The forming fabric change is scheduled for 17 October. The General Manager has rejected another setpoint adjustment and wants a proper investigation using the Root Cause Problem Solving Report Template, with a verified cause, corrective actions with owners and dates, and a measure that shows when the problem is fixed.
Deliverables
- Problem statement with data
- Containment plan
- Cause and effect analysis with ruled-out causes
- Completed Root Cause Problem Solving Report
- Production meeting summary and updated work orders
Documents to use
Systems to use
Production Shift Log
The shift record for each production area covering tonnes made, downtime, quality results, plant status and handover notes.
Maintenance Work Orders
The record of preventative and breakdown maintenance requests, their priority, planning and completion across the mill.
Incident and Hazard Register
The site register of injuries, near misses, hazards, equipment damage and environmental incidents with their investigation status and corrective actions.
Units of competency
Current on training.gov.au for the Pulp and Paper Manufacturing Industry Training Package as at 10 September 2026.
PPMWEO401Troubleshoot and rectify wet end systemsPPMPRS401Solve systemic problemsPPMQAS401Oversee quality assurance processPPMWHS401Maintain work health and safety processesPPMSPR401Troubleshoot and rectify stock preparation systemsQualifications
PPM40121Certificate IV in Pulp and Paper OperationsWhat to look for
Evidence guide
Evidence should show a problem statement built from the shift log data, causes tested against evidence rather than assumed, a root cause that is a process or system failure rather than an operator error, corrective actions that are specific and owned, and a verification measure such as breaks per day over a stated period. The summary should be plain and fit the production meeting.