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Analyse Phase · DMAIC Template

Spaghetti Diagram Template

Trace the physical path work follows so unnecessary movement, travel and touch points jump straight off the page.

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What is a Spaghetti Diagram Template?

A Spaghetti Diagram Template provides a layout grid for plotting the physical flow of people, materials or information through a workspace. It makes motion waste visible at a glance.

When to use a Spaghetti Diagram Template

Use it in the Measure phase when motion or transport waste is suspected. Walk the process yourself with a pen and trace every movement. Then count the distance and compare before vs after improvement.

Who should use a Spaghetti Diagram Template

  • Green Belts and Black Belts — quantifying motion and transport waste during the Measure and Analyse phases
  • Lean practitioners — identifying layout improvement opportunities during Kaizen events or 5S activities
  • Operations managers — visualising the inefficiency of current workspace layouts before redesign decisions
  • Facilities and engineering teams — using movement data to inform workstation, storage and equipment placement decisions
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How to use a Spaghetti Diagram — step by step

  1. 1
    Write the problem statement at the top

    Start with a clear, factual problem statement. 'Machine stopped' or 'Customer received wrong item' — specific, observable, factual. Vague problems produce vague root causes.

  2. 2
    Ask 'Why did this happen?' — Why 1

    Write down the first-level cause. This is usually a symptom or a direct cause — not yet the root. Examples: 'Machine overheated', 'Wrong item was picked'.

  3. 3
    Ask 'Why did that happen?' — Why 2

    Challenge the previous answer. Keep the team focused on causes, not blame. If the answer is 'human error', push further — why did the human make the error?

  4. 4
    Continue to Why 3, 4 and 5

    Keep going until you reach a cause that is systemic — a missing process, a failed control, a gap in training or a design flaw. The number five is a guide, not a rule.

  5. 5
    Check the logic by reading upward

    Read the chain back to front: 'Because of X, Y happened, which caused Z.' If the logic holds, you have a valid chain. If it breaks, revisit the step where it breaks.

  6. 6
    Identify the actionable root cause

    The root cause is the deepest level where a corrective action can prevent recurrence. Document it clearly — this feeds your Improve phase solution design.

  7. 7
    Validate before acting

    Do not jump to solution immediately. Check whether data or observation confirms the root cause is real and significant before committing resource to fixing it.

Worked example — Pharmacy Dispensing Workflow

A pharmacy team traced the movement of a pharmacist through a single prescription cycle — revealing 87 metres of travel across 14 journeys per prescription, reduced to 23 metres after relocating frequently used stock and reprinting dispensing labels at the point of use.

Worked example — Pharmacy Dispensing Workflow

Common mistakes — and how to avoid them

⚠️

Only observing one cycle. A single cycle may not be representative. Observe at least 5–10 cycles before drawing conclusions about typical movement patterns.

⚠️

Drawing the diagram from memory. Movement patterns that seem obvious are often inaccurate from memory. Walk the process with a pen in hand and trace in real time.

⚠️

Focusing on the person, not the process. The diagram reveals process design failures — poor layout, badly placed equipment, illogical storage — not individual performance issues.

⚠️

Not measuring the distance. A diagram without distances is a picture, not analysis. Pace out key distances and calculate total travel per cycle.

Tips for getting better results

💡

Involve the operator in the redesign. The person doing the walking knows which journeys are most frustrating and which items they access most frequently. Their input is essential.

💡

Draw both before and after diagrams. The contrast between the tangled before diagram and the simplified after diagram is a powerful story for stakeholders and teams alike.

💡

Combine with a time observation. Record how long each journey takes alongside the distance. Time × frequency = the true cost of motion waste.

Frequently asked questions

What is a spaghetti diagram?

A spaghetti diagram is a visual tool that maps the actual physical path taken by people, materials or information through a workspace. The resulting tangle of lines — which resembles spaghetti — reveals unnecessary movement, backtracking and inefficient layouts.

How do I create a spaghetti diagram?

Draw a floor plan of the workspace to scale. Then observe and trace the actual movement of the subject (person or material) on the floor plan. Count the steps or distance travelled. After improvement, create a second diagram to show the reduced movement.

What type of waste does a spaghetti diagram identify?

Primarily motion waste (unnecessary movement of people) and transportation waste (unnecessary movement of materials). Both are among the 8 wastes in Lean and can often be reduced significantly through layout changes.

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