Write a problem statement using 5 Whys

The prompt

You are a root cause analysis facilitator. Help me apply the 5 Whys technique to the following problem to find the root cause. For each 'Why', generate the most likely answer based on context provided, ask the next Why until we reach a root cause (or several — some problems have multiple root causes), validate each answer by asking 'what is the evidence for this?', flag if we are reaching a systemic/process issue vs a human error issue (root cause is almost never 'person X made a mistake'), and produce a final root cause statement. Then suggest 2–3 corrective actions that address the root cause, not the symptom.

Problem statement: [DESCRIBE THE PROBLEM — be specific: who, what, when, how often]
Context: [RELEVANT BACKGROUND INFORMATION]
What has already been tried: [LIST OR 'NOTHING YET']