Professional Documents
Culture Documents
Slide 1
Course Objectives
Slide 2
Agenda
Slide 3
Slide 4
Definitions
Root Cause: The very basic reason why, how, & when the condition
occurred.
A Root Cause Mentality: An insatiable desire to understand why things go
wrong, why people do what they do, and how things got into their present
state. (C. Robert Nelms)
This takes persistence
Slide 5
Slide 6
HBC 8D a Structured Process (and Tool Set) for Root Cause Corrective Action
Training Materials For Reference Only
Slide 7
In general, Lean Six Sigma projects take longer; 8D is for everyday, immediate problems.
Training Materials For Reference Only
Slide 8
Planning
Sporadic Spike
(Special Cause: HBC 8D)
40
Common cause
(random)
variation/waste
(LEAN Six Sigma)
Special cause
(assignable) variation
Significant Shift
AND/OR
Variation Reduction
(Lean SIX SIGMA)
Time
Lessons Learned
Slide 9
8D Process Fit
Nonconforming material
Out of control processes
Internal audits
Supplier issues
Customer complaints
Operator self-verification process
Other nonconformances in product or process
Via:
Slide 10
Slide 11
What is 8D?
1. Corporate Standard
2. Standardized Problem Solving
Process
3.
Language, Methodology
Reporting Format
Slide 12
8 Disciplines (8Ds)
D-0
D-1
D-2
D-3
D-4
D-5
D-6
D-7
D-8
Slide 13
When do we
use the
8D Process?
Examples:
Whenever you open a QN, ask yourself if Root Cause/8D should be done.
Training Materials For Reference Only
Slide 14
HBC Employee
Initially, by contacting QA reps
Eventually, anyone
Working out details defining when it makes sense
Not all problems need an 8D level of analysis
Management
Anyone can use the process. Using SAP makes sure we capture/share knowledge.
Training Materials For Reference Only
Slide 15
Place in 8D Process
D-0 Decide to use the 8D Process
Slide 16
Slide 17
Remember:
on the problem.
Slide 18
High Level information belongs in the Problem Description, Investigate all others in Step 3 & 4.
Training Materials For Reference Only
Slide 19
Slide 20
Slide 21
Slide 22
Slide 23
Ice-scraping
video
Slide 24
Slide 25
Slide 26
Development of IS NOT
IS
IS NOT
<<<<<<<<<<<<<<<<>>>>>>>>>>>>>>>>>>>>>>>>>>
(What, Where, When, How Big) IS it?
(What, Where, When, How Big) could it be but it IS NOT?
Once you have the Problem Defined, get feedback from others
(coworkers, manager, others) who have done 8D/RCCA
Training Materials For Reference Only
Slide 27
Slide 28
Slide 29
Slide 30
Slide 31
Advantages/Disadvantages of Teams
Slide 32
(biggest inhibitor)
Slide 33
Are we having
fun yet?
Facilitator (optional)
Customer/Supplier
Ask the initial team: Who else needs to be involved, but isnt here?
Training Materials For Reference Only
Slide 34
Slide 35
Tools
Ideal
Effort
Benefit
Action
Plan
ALWAYS +s and s to every decision. BALANCE (and action) are the Keys!
Training Materials For Reference Only
Slide 36
Slide 37
__X__
__X__
__X__
__X__
__X__
__X__
BANDAID
Attacks Symptoms
Added Costs
Monitored while being used
Documented &Data Collected
Verified for effectiveness
Replaced by Perm. Correction
__X__
__X__
_____
_____
_____
_____
Slide 38
Use Action Plan to make sure nothing falls through the cracks
Examples:
Action
Plan
Slide 40
Slide 41
Slide 42
Slide 43
Data
Thought Map
Process Map
Brainstorming
5 Whys
Cause and Effect (Fishbone) Diagram
Graphical Analysis (misc. graphs)
+
Thought Map
Slide 44
Slide 45
Data Collection
Insufficient data can result in solving only the specific instance.
1.
2.
3.
4.
5.
6.
7.
8.
9.
Slide 46
3)
4)
5)
Slide 47
LEGEND:
Dashed Lines
Indicate Links
Bruckner provides a
standard, such as
Michigan Twist
What is considered
the premium bit?
Precision Twist
Brand
is the difference
in cost for the bits?
Is there a statistically
significant difference
in the number of holes
drilled before dull?
Is it possible to
attribute QNs and other
sheet metal defects to
bit quality?
How much is
the difference?
Slide 48
Transport
Storage
Machine
Transport
Assembly
Transport Inspection
Outputs
Inputs
?
?
?
?
Left to Right
Yess/Nos consistent
How would you map out the process for 8D so far?
Used: When? ________________________ Why?__________________
Training Materials For Reference Only
Slide 49
You are a root cause detective. Use all the tools you can.
Slide 50
Tools: Brainstorming
When the best solution isnt obvious, one technique for
generating ideas (possible root causes, potential interim
corrective or permanent actions) is brainstorming.
1.
2.
3.
4.
5.
6.
Slide 51
Tools: 5 Whys
An employee in the plant
slipped and fell while
performing their regular duties.
1.
2.
3.
4.
5.
6.
Dont stop with Because we dont have enough people, money, time
its a fact of life.
Solve the problem with the people, money, time you DO HAVE.
Used: When? ________________________ Why?__________________
Training Materials For Reference Only
Slide 52
Methods
- incorrect prep of
metal surface
- inexperienced
-not following the frozen
coating parameters
-inadequate technique
- inadequate training
Non-conforming coating
- poor quality of
standards
- microscope
- microscope setting not
optimized to detect the
smearing
Machinery
Materials
5 Ms and an E - add
Measures and
Environment for 6 Bones
Slide 53
Histogram
Scatter Diagram
Slide 54
2.
Goal
Side
Issue
Side
Issue
Start
Slide 55
Slide 56
Slide 57
2.
3.
4.
5.
6.
Eliminating/Preventing/Reducing (verbs)
Errors/Safety Incidents/QN/s (objects)
GIVENS - Mandatory
WANTS - Desirable
7.
Action
Plan
Slide 58
Slide 59
Slide 60
Be verified Objectively
Three knowledgeable people must agree
Slide 61
Persistence
Natural Tendency to slack off once the Fix is determined
and partially implemented
Follow the Action Plan to Completion
VERIFY IT!!!
VALIDATE IT!!!
Action
Plan
Slide 62
Slide 63
Slide 64
Slide 65
Slide 66
Slide 67
Tool: Mistake-Proofing
Slide 68
More Proactive
Defect is the
evidence of an
error
Slide 69
Negative
Slide 70
Communication
Same/similar problem other plants
Same/similar problem different
systems
Effect
Content Quality
Appropriate Quantity Potential Causes
Root Cause
Current/Future Problems in other areas
Slide 71
Slide 72
Slide 73
Slide 74
5 minutes
Training Materials For Reference Only
Slide 75
Slide 76
Comments, Suggestions??
Please fill out class/instructor
Evaluation Forms
Slide 77
Reference Material
Slide 78
QA Intranet Website
Slide 79