Professional Documents
Culture Documents
Usual Responses Inspection Responsibility of the Quality Control Department Measurement Activity Statistics Technical Activity Support Function
Evolution of Quality
The first ever article on Quality as we know it today : The Control of Quality in Manufacturing 1917 by George S. Radford
The first ever book on Quality as we know it today : The Control of Quality in Manufacturing 1922 by George S. Radford The Second Book : The most seminal book Economic Control of Quality of Manufactured Product 1931 by Walter A. Shewhart
The second book by Shewhart : Statistical Methods from the Viewpoint of Quality Control 1938 edited by W. Edwards Deming
Evolution of Quality 1900s Inspection 1920s Process Control 1950s Process Improvement 1960s Organisational ( Systems ) Improvement 1970s Business Improvement 1980s Business Excellence 1990s Customer Value Excellence 2000 Environmental Excellence
Many now associate Continual Improvement of Quality with Meaningful Sustainable Development
Quality Management
A people focussed management system that aims at continual increase in customer satisfaction at continually lower cost , working horizontally across functions and departments , involving all employees and processes , top to bottom , extending forwards and backwards to include the Supply chain as well as the Customer chain .
Customer
Quality of Design / Redesign Quality of Performance
Design
Quality of Conformance
Product / Service
Consumer Feedback
Distribution
Production
Assembly
Inspection
Customers
Improve Quality
Costs Decrease because of less rework , fewer mistakes , fewer delays , snags ; better use of machine time and materials
Productivity Improves
Expand the Market with better Quality , Lower Price , Diversification , Innovation
Stay in Business
And so on
THE DEMING PRIZE ESTABLISHED IN 1950 BY THE JAPANESE UNION OF SCIENTISTS AND ENGINEERS Peace and happiness through prosperity was in fact at the root of my thoughts when in 1950, in Japan, I wrote the following inscription on the medal for the Deming Prize, given annually by the Deming Prize Committee to a company that has successfully and effectively advanced the Quality of their systems : The right Quality and Uniformity are the foundations of Commerce, Prosperity, and Peace. Quality brings commerce. It brings people together from different parts of the world, makes friends, and brings respect. ... Quality does not stand still, however. Invention and design of new products are essential parts of Quality. Design, manufacture, marketing, service, testing, all go on forever in a cycle.
Quality aimed at , to meet the needs of the consumer , must be stated in terms of specified Quality characteristics that can be measured . It is necessary to predict what Quality characteristics of a product will produce satisfaction in use . Quality , however , to the consumer , is not a set of specifications . The Quality of any product is interaction between the product , the user , his expectations , and the service that he can get in case the product fails or requires maintenance . The needs of the consumer are in continual change . So are materials , methods of manufacture , and products . Quality of a product does not necessarily mean high Quality . It means continual improvement of the process , so that the consumer may depend on the uniformity of the product and purchase it at low cost . ..W. Edwards Deming 1980
A Managers Job
People are the most important part of a System . They must work in a System to create value for the Customer . The Managers Job is to work on the System and continually improve it with help from the people and the Customer
Understanding Variation
Understanding Psychology
What Is A System?
A System is a Network of Interdependent components that work together to achieve the Aim of the System . Every System must have an Aim , Without an Aim there is no System
System Thinking
Cause and Effect are not closely related in time or space Outputs are a result of a myriad of inputs Inputs affect each other also The extent to which inputs affect each other need to be determined Effect of environment on the inputs need to be studied Effect of the inputs on the environment need to be studied
System Thinking
Important points about a system : Should have an aim . Without an aim there is no system ( as before ) Aim is for all the components to gain over the long term Aim is to make life better for everyone impacted by the System
System Thinking
Pattern Relationships that determine the Systems Characteristics
Structure The Physical Layout of the System
Understanding Variation
Understanding Psychology
Questioning
Improvement Hypothesis
Experimenting
Verification
Exploration
Confirming
System of Learning
Understanding Variation
Understanding Psychology
Understanding Variation
Awareness of the distinction between Common and Special Causes of Variation and how to interpret Control Charts Learning how to think statistically Understanding that reducing variation is synonymous to increasing Quality .
Psychology
Understanding that people are inherently good they want to do a good job . Understanding that people learn differently , and hence think differently . Working on peoples learning processes rather than exhorting them would be better . Understanding that ranking destroys people .
"The 14 points all have one aim : to make it possible for people to work with joy."
Appreciation for aand System Create a statement of the aim purpose of the organisational system. Understanding Variation It must bring out the long term vision of the Understanding Psychology organisation preferably stating how it intends to stay in business through creating Understanding a in Theory value for all those impacted any way . of Knowledge
Appreciation forofa System Adopt the new philosophy win win where everybody wins . Understanding Variation Teach and practise this philosophy with all customers , suppliers and competitors . Understanding Psychology Focus on expanding the market rather than capturing it . Understanding a Theory of Knowledge
Point 2
Appreciation fortoa System Use the system of inspection understand the gaps in how you perceive a Customer requirement and how the Customer actually Understanding Variation perceives it . Understanding Try to reduce these gaps by first trying to understand customer requirements thoroughly then deploy this learning throughout the Psychology organisation . Understanding a Theory of Design Quality in . Knowledge
Point 3
Appreciation for a System Point 5 Look for better ways of understanding and Understanding Variation analysing the processes/systems you work in . Keep improving and innovating continually . Understanding Psychology Systemise this philosophy . Find out problems before they find you out . of Understanding a Theory Knowledge
Training must not only focus the job is Appreciation for on ahow System done but also the purpose of the job being carried out . Understanding Variation Everyone must know how they are contributing to the entire system . Training must also aim at Understanding Psychology creating learners . This forms the basis for continual improvement Understanding a Theory of and motivates intrinsically . Knowledge
Create Leaders . Managers are no longer just Appreciation for a System planners/instruction-givers . They must be leaders . Understanding Variation People are the most important part of a System . They must work in a System to create value for the Understanding Psychology Customer . The Managers Job is to work on the System and continually improve it with help from Understanding a Theory of the people and the Customer by leading people , coaching them and counselling them in a nonKnowledge judgmental manner .
Appreciation for a System Create a climate of openness , trust and two-way communication . Understanding Variation People must not be afraid to voice their problems Understanding Psychology / constraints they are facing that prevent them from doing a better job . Understanding a Theory of Knowledge
Point 8
Appreciation for Encourage systems thinking in a the System organisation where everybody focuses on creating value for the customer and not just meeting Understanding Variation departmental/sectional objectives . Understanding Psychology Optimise the efforts of everyone do not maximise individual efforts . Understanding a Theory of Knowledge
Do not create a superficial leadership culture by Appreciation for a System using impressive-sounding but shallow slogans, posters and exhortations and arbitrary numerical Understanding Variation targets. A genuine leadership culture focuses on improving Understanding the work environment so that Psychology people are intrinsically motivated to do productive work and, if useful, create their own slogans and posters . of Understanding a Theory Knowledge
Appreciation for a System Do not attempt to manage the organisational systems and processes solely by irrelevant and arbitrary measures such as quotas and targets . These are merely single Understanding Variation dimensional aspects of very multi-dimensional entities Instead, encourage systems thinking i.e. understanding Understanding Psychology and establishing interdependencies between the different parts of the system and thus looking beyond the blinkered view presented by quotas, numerical targets and Understanding a Theory of objectives. Knowledge
Appreciation for a System Develop a sense of ownership in every employee working in the system so that Understanding Variation s/he could take pride and joy in the work they do . Understanding Psychology Understanding Theory They must feel one witha their work thusof creating results themselves . Knowledge
Point 12
Encourage learning . Develop learners . Appreciation for a System People are the only living parts of an organisation . For an organisation to grow fast Understanding Variation and move in the right direction , it is essential that people are growing and learning . Understanding Psychology Pay is not as much a motivator as learning is . Continual learning leads to a Continual Understanding Theory of innovation and improvement . Knowledge
Create a structure and a system in the Appreciation for a System organisation that embodies all of the above principles . Understanding Variation Nurture relationships . Extend the boundaries of the organisation to include Understanding Psychology all those impacted . Understanding a Theory of This will result in long term profits beyond measures and long term survival . Knowledge
Create a constancy of purpose toward improvement of product and service, with the aim to become competitive and to stay in business, and to provide jobs.
Eliminate slogans, exhortations, and targets for the work force demanding zero defects and new levels of productivity.
Knowledge of Psychology
Adopt and institute leadership. The aim of leadership should be to help people and machines do a better job.
Cease dependence on mass inspection to achieve quality. Eliminate the need for inspection on a mass basis by building quality into the product in the first place.
Knowledge of Variation
Institute a vigorous programme of education and selfimprovement.
Drive out fear so that everyone can work effectively for the company.
A Theory of Knowledge
Take action to accomplish the transformation.
Break down barriers between departments. People in research, design, sales, and production must work as a team, to foresee problems of production and in use that may be encountered with the product or service.
End the practice of awarding business on the basis of price tag alone. Instead, minimise total cost. Move toward a single supplier for any one item, in a long-term relationship of loyalty and trust.
Improve constantly and forever the system of production and service, to improve quality and productivity, and thus constantly decrease costs.
The Product . Your own tests of the Product in the laboratory and in simulations of use .Test of the Product in service .
Training of Customer . Instructions for use . Training of Repairmen . Service . Replacement of Defective Parts . Availability of Parts . Advertising and Warranty : What did you lead the Customer to expect ? What did your Competitor lead him to expect ?
The Customer and the way he uses the Product . The way he installs it and maintains it . For many products , what the Customer will think about your Product a year , three years , five years from now is important .
1. Idea for placing importance on Quality 2. Responsibility for Quality 3. Research 4. Standards for Designing and Improvement of Products 5. Economy of Manufacturing 6. Inspection of Products 7. Expansion of Sales Channels 8. Improvement
Customer
THE DEMING WHEEL manufacturer the user and the non user
Act - Adopt the change , or abandon it , or run through the cycle again
Traditional view of quality Manufactured Goods Manufacturing or visible processes A technological opportunity Clients who buy products Conformance to specifications, procedures, standards Departmental The Quality Manager
Enlightened view of Quality All products and services whether for sale or not All processes A Business opportunity All those impacted Responsiveness to Customer needs, extent to which Customer value is created Companywide Top Management
Evaluation
Lower Costs
Increased Price
Increase in Profits
Freedom from Deficiencies Reduction in errors Reduction in wastes Reduction in failures at the Customers end ( field failures ) Reduction in inspection and tests Reduction in Response times Increase in yield and capacity Increase in delivery performance
Features that enhance Customer satisfaction Increased Customer Base Increased Market Share Premium Price
10
Determining the Cost of Quality , Where are we right now ? What do we need to develop ?
15
Quality Control
Quality Improvement
Time
Lessons Learned
Revenue : All the money that a company takes in , in any given year Costs : All the items which use or take a companys cash to run the business
minus
Costs
Assets
Cost of Quality = Cost of Conformance + Cost of Non Conformance + Cost of Lost Opportunities
Costs of Prevention
Cost of activities that prevent failure from happening Planning for Quality TPM Process Design Process Control Quality Audits Supplier Evaluation Training for Quality
Cost of Appraisal
Cost incurred to determine conformance with Customer requirements after the work has been completed Inspection and Tests ( Incoming , Inprocess and Final stages ) Document Reviews Accounts Reconciliation Maintaining accuracy of Test Equipment Reconciliation of Stocks , Equipment , etc
Cost of Internal Failure Cost of correcting products or services which do not conform to internal customer requirements or are identified prior to delivery as not meeting the requirements of external customers
Failure to meet Customer Requirements and Needs Scrap Rework Missing Information Failure Analysis 100 % Sorting Reinspection , retests Changing Processes Redesign of Hardware and Software Downgrading
Costs of External Failure Costs to correct products or services after delivery to the Customer Warranty Charges Complaint Adjustments Returned Material Allowances Penalties Rework Cost of Exceeding Requirements Cost of providing Information or Services which are not necessary or for which no requirements have been established
Cost of Lost Opportunities Lost Profits due to the company not satisfying or being able to satisfy , the requirements of external customers
LO
NC NC NC
Quality Planning
Quality Goals
Translate Needs
Identify Customers
APPLYIdentify Needs MEASUREMENTS Establish Measures Develop Product THROUGHOUT Develop Process Optimise Process
Transfer to Operations
Quality Planning
1. Define the Project What do we need to build ? 2. Identify the Customers . Who will be impacted by our efforts ? 3. Discover Customer Needs . What benefit do the Customers want ? 4. Develop the Product / Service . What Product features will create that benefit ? 5. Develop the Processes . How will we produce the product features? 6. Develop Controls / Transfer to Operations . How do we ensure it works as designed ?
Customers
Understanding Matrix
I
Design Matrix
Process Features
Product Features
Process Controls
Process Features
Process Matrix
Operations Matrix
PLAN AND PRODUCT DESIGN AND PROCESS DESIGN AND DEFINE DEVELOPMENT DEVELOPMENT PROGRAMME VERIFICATION VERIFICATION
Planning
Planning
Production
Automatic Controls
Error Proofing
Supervisory Control
Extent of Performance
Managerial Control
A Negative Approach : A Control Subject emerges out of a Bitter Experience or Catastrophic Failure
A Positive Approach : ( A Deliberate Effort to unearth Control Subjects moving up the Control Pyramid ) Highly Repetitive Activities ( Fool Proofing and / or Automation ) Effect of failures are obvious and localised and losses occurring are minor ( Operator Control ) Coordination , Discipline , Fluidity of Operations , High Risk Factors ( Supervisory Control ) Matters of Company Performance , Hierarchal or Geographic factors , Extensive Analysis , Great Risks ( Informational
Establish Measures How can these be expressed in terms of units , ratios , indexes etc. ? Create a Sensor How can these measures be captured in a timely manner ? Establish Standards What are the instances which will warrant concern ( indicators ) ? indicate normalcy ? Measure continual performance ( frequency ) Decide where , who , when and how to measure actual performance Compare to Established Standards Decide on who does this and how this is to be done Take action on the difference Is the difference pronounced so as to precipitate a systemic change , process change , task change , etc ?
Process 5 Actuator
Sensor 2
Goal 3 Umpire
Communicate Standards
Input
Transformation
A S
P D
Feed back information on performance , study relationships among measures of performance throughout the system , and take action to improve
Frequency Location of Criteria Control Nomina Measur Uni Senso of Action Measuremen for Subject l e t r measuremen taken t action t
1. 2. 3. 4. 5. 6. 7.
8.
Form a Quality Council Analyse the Symptoms Theorise as to the causes Test the Theories Establish the causes Stimulate the establishment of a remedy Test the Remedy under Operating conditions Establish controls to hold the gains
Breakthrough in Results
Holding the Gains Mission Statement and Team Charter Remedial Journey Breakthrough in Cultural Patterns Identified Root Causes Diagnostic Journey
1. List and Prioritise Problems 2. Define Project and Teams 3. Analyse Symptoms
Diagnostic Journey
4. Formulate Theories of Causes 5. Test Theories 6. Identify Root Causes 7. Consider Alternative Solutions 8. Design Solutions and Controls
Remedial Journey
Common & Special Cause Variation Common Causes Variation Variation that exists in a system due to inherent properties of the system itself ( its design ) or the way its managed... Special Cause Variation Variation that exists in a system due to some external factors factors not a part of the system but alien to it...
Common approaches are : comparison to specifications or managing by the last data point Common Traps in use of Figures alone : Too little attention to matters for which figures are not available. Forcing wrong figures (due to fear). Misuse and abuse of figures
Data presentation
Shewharts Rule One when presenting Data : Data should always be presented in such a way that preserves the evidence in the data for all the predictions that might be made from these data .
In short the following questions need to be asked :
Who collected the data ? How were the data collected ? When were the data collected ? Where were the data collected ? What do these values represent ? And if the data are computed values , how were the values computed from the raw inputs ? Has there been a change in formula over time ?
Data presentation
Shewharts Rule Two when presenting data Whenever an average , range or histogram is used to summarise data , the summary should not mislead the user into taking any action that the user would not take if the data were presented in a time series . In short : No comparisons must be made between pairs of values except as a part of a broader comparison . Use time Series graphs to present values in their context .
Control chart : a time series graph with a central line (average), UCL & LCL Shewhart gave a simple practical way of calculating limits Focus on process instead of each value hence yields insight and understanding.
16.84
15.97
15.11
7 4 6 9 7 5 6 8 5
10
10 2 3 8 8 5 3 4 5
9
11 5 8 12 6 8 6 6 6
12
A2 for n = 3 is 1.02
6 7
4
12 9
6
10 10
7
6 5 4 7 15 7
5 7 4 4 18 5
5 7 3 8 19 3
10.14
7.08
4.02
nP Chart
UCL = nP + 3
LCL = nP - 3
Example A lot of 50 pieces were being produced per worker per day in a factory . The following rejects were observed every day for each worker . Draw a Control Chart and state your conclusions .
Workers
1 Worker 1 9 2 11 Day 3 7 4 8
Worker 2
Worker 3 Worker 4 Worker 5 Worker 6
6
12 11 14 4
11
7 10 8 11
11
5 13 9 12
9
5 9 11 12
nP = Average Rejections = Total number of Rejections / Total number of attempts = 225 / 24 = 9.38
P = Overall Proportion of Rejects = Total number of Rejections / total number produced = 225 / 24*50 = 225 / 1200 = 0.188
Now UCL = nP + 3
= 9.38 + 3 = 9.38 + 3(2.76) LCL = nP - 3 = 9.38 - 3
= 9.38 - 3(2.76)
= 9.38 - 8.27 = 1.11
= 9.38 + 8.27
= 17.66
Control Chart used where the Bulk Sample is the Same c Chart
c = Average Number of Blemishes UCL = c + 3 LCL = c - 3
An officer from the NHAI provided the following data for the number of potholes found for every 10 kilometres over a stretch of 150 kilometres on the Mumbai Nasik Highway . Draw a c Chart and state your conclusions
Sample Potholes
1 2
2 4
3 1
4 1
5 4
6 5
7 2
8 1
9 2
10 3
11 4
12 3
13 5
14 2
15 1
LCL = c - 3 = 2.667 - 3
= 2.667 4.889 = -2.222 LCL = 0
= 7.567
Percentage of Shifting
Percentage of Shifting
Percentage of Shifting
Welder No. 6 in need of attention . Upon examination it was found that his eyes needed treatment
XmR chart for failures of Lube Oil System on Load Box/Road Trial for rebuilt locomotives of DCW/PTA (Limits are calculated based on values from Jan 2004-Dec 2005)
The following data were collected by an Production Manager in a Fertiliser Company . The data represent pH values of a certain chemical used to make the fertiliser . Compute the Control Limits of the process if the XmR method is used . If the Specification Limits are set at 9 4.5 , what will be the values of Cp , Cpl and Cpu ? Suppose the Manager wants to implement the Six Sigma approach in this process , what will the limits become ? The Flow of the data collected is from left to right .
8.7
8.5
9.6
8.4
12.6
8.9 9.0
9.5
10.6 9.3
11.3 9.9
7.8
10.4 8.8
10.2
9.2 9.1
8.3
9.4
8.6
9.6
10.3 10.1
What are the instances in a Control Chart that warrant attention? One point outside the control limits Seven points in a row all above / below average Seven points in a row all increasing / decreasing. THE CONTROL CHART IS NO SUBSTITUTE FOR THE BRAIN
Quality Tools
Management Tools
Flow Diagram
Pareto Charts Cause & Effect Diagrams
Cost of Quality Example The following costs were recorded in an organisation . Arrange them under different heads of the Cost of Quality as appropriate .
Defective Stock Returned from Customer Rs 1,50,000 Repairs to Product Rs 4,50,000 Collect Scrap Rs 10,000 Waste Scrap Rs 2,00,000 Consumer Adjustments Rs 6,00,000 Downgrading Products Rs 1,00,000 Incoming Inspection Rs 1,00,000 Laboratory Testing Rs 1,75,000 Spot Check Inspection Rs 3,50,000 Local Plant Training Rs 5,00,000 Corporate Training Rs 2,00,000
Solution Cost of Non conformance External Failure Defective Stock Returned from Customer Rs 1,50,000 Repairs to Product Rs 4,50,000 Consumer Adjustments Rs 6,00,000 Internal Failure Downgrading Products Rs 1,00,000 Collect Scrap Rs 10,000 Waste Scrap Rs 2,00,000 Cost of Conformance Appraisal Incoming Inspection Rs 1,00,000 Laboratory Testing Rs 1,75,000 Spot Check Inspection Rs 3,50,000 Prevention Local Plant Training Rs 5,00,000 Corporate Training Rs 2,00,000
Quality Tools
Management Tools
Flow Diagram
Pareto Charts Cause & Effect Diagrams
1. List and Prioritise Problems 2. Define Project and Teams 3. Analyse Symptoms
Diagnostic Journey
4. Formulate Theories of Causes 5. Test Theories 6. Identify Root Causes 7. Consider Alternative Solutions 8. Design Solutions and Controls
Remedial Journey
A Manager in Britannia wanted to find out the relationship between heat and compressed air pressure for the process of curing cookies . He decided to investigate this using a Scatter Plot . He gathered the following data . Draw a Scatter plot for him and state your conclusions .
Heat ( Temp) 22.6 21.5 23.3 24.5 24.4 25.1 20.4 22.7 24.3 21.7 22.2 21.0 Pressure 85 111 79 73 79 68 113 90 85 95 110 110 Heat ( Temp) 22.1 20.5 22.3 22.5 23.2 22.6 22.6 22.6 24.6 22.9 22.8 22.4 Pressure 107 119 103 91 90 86 98 104 81 94 96 91
Quality Tools
Management Tools
Flow Diagram
Pareto Charts Cause & Effect Diagrams
1. List and Prioritise Problems 2. Define Project and Teams 3. Analyse Symptoms
Diagnostic Journey
4. Formulate Theories of Causes 5. Test Theories 6. Identify Root Causes 7. Consider Alternative Solutions 8. Design Solutions and Controls
Remedial Journey
Cause Twig
Cause Twig-let
Tap Leaking
Gram ground , and batter prepared Oil boiled and kept ready for frying
The following components of Product Quality were listed under the different heads by a Quality Circle in an organisation implementing TQM . Draw a Cause and Effect Diagram to indicate the same . Production : Testability , Repairability , Producibility Environment : Toxicity , Flammability , Disposability Time : Availability , Durability , Dependability , Reliability , Maintainability Physical : Appearance , Size , Weight Sensory : Odour , Taste , Touch Use : Transportability , Accessibility , Functionality , Portability , Adaptability , Operability
Quality Tools
Management Tools
Flow Diagram
Pareto Charts Cause & Effect Diagrams
1. List and Prioritise Problems 2. Define Project and Teams 3. Analyse Symptoms
Diagnostic Journey
4. Formulate Theories of Causes 5. Test Theories 6. Identify Root Causes 7. Consider Alternative Solutions 8. Design Solutions and Controls
Remedial Journey
Shifting
103660 103660
71%
Open Underlayer
Thread Break
18367
10405
122027
132432
84%
91%
Loose Stitches
Wrong Stitches
8990
2822
141422
144244
97%
99%
Needle Breakages
Total
1583
145827
145827
100%
A manager of Pizza Hut collects data concerning customer complaints about delivery and Quality of the Pizza being delivered Problem Frequency Topping stuck to box lid 17 Pizza is cold 35 Wrong topping or combination 09 Wrong style of crust 06 Wrong size 04 Pizza is partially eaten 03 Pizza never showed up 06 Use a Pareto chart to identify the vital few" delivery problems.
The following data as reasons for a damaged automobile were collected by the ARAI to be given to the Automobile Industry to facilitate designing of the Automobile . Draw a Cause-and-Effect Diagram and a Pareto Diagram for the same and state your conclusions .
Driver Error : Reckless Driving , Poor Judgment , Poor Reflexes , Poor Training Mechanical Failure : Stuck Accelerator , Ceased Engine , Brake Failure Slippery Road : Oil , Water Flat Tyre : Nails , Blow out
Reckless Driving : 15 Poor Judgment : 11 Poor Reflexes : 25 Poor Training : 14 Stuck Accelerator : 5 Ceased Engine : 6 Brake Failure : 9 Water on Road : 4 Nails on Road : 7 Blow Out : 2 Oil on Road : 2
Quality Tools
Management Tools
Flow Diagram
Pareto Charts Cause & Effect Diagrams
1. List and Prioritise Problems 2. Define Project and Teams 3. Analyse Symptoms
Diagnostic Journey
4. Formulate Theories of Causes 5. Test Theories 6. Identify Root Causes 7. Consider Alternative Solutions 8. Design Solutions and Controls
Remedial Journey
Bad Roads
Tyre Punctured
Quality Tools
Management Tools
Flow Diagram
Pareto Charts Cause & Effect Diagrams
1. List and Prioritise Problems 2. Define Project and Teams 3. Analyse Symptoms
Diagnostic Journey
4. Formulate Theories of Causes 5. Test Theories 6. Identify Root Causes 7. Consider Alternative Solutions 8. Design Solutions and Controls
Remedial Journey
A A1
a1 a2 a3
A2
a4 a5
b1
B1
B B2
b2
b3
b4
Interrelationships
Counterpart Characteristics
Priorities of Characteristics
Competitive Evaluation
Attributes
Priority
Design Attributes
Features
Process Steps
House of Quality
Design Matrix
1. List and Prioritise Problems 2. Define Project and Teams 3. Analyse Symptoms
Diagnostic Journey
4. Formulate Theories of Causes 5. Test Theories 6. Identify Root Causes 7. Consider Alternative Solutions 8. Design Solutions and Controls
Remedial Journey
Quality Tools
Management Tools
Flow Diagram
Pareto Charts Cause & Effect Diagrams
Quality Improvement
Robustness in Management
Develop strategies that are insensitive to economic trends and cycles
Design a project system that is insensitive to Personnel changes Changes in project scope
Variation in business conditions Respond to differing employee needs Adopt flexible work hours Provide customised benefits Enable personnel to adapt to changing business needs
Why FMEA ?
Helps to recognise and evaluate the potential failure of a product / process and its effects Helps to identify actions which could eliminate or reduce the chance of a potential failure occurring Helps to document the process better
Definition of FMEA
FMEA is an Analytical Technique utilised as a means to assure that , to the extent possible , Potential Failure Modes and their associated causes / mechanisms have been considered and addressed .
Important Terms
Analytical Technique Method of analysing and understanding Potential Failure Mode The manner in which a Component , Subsystem or System could potentially fail to meet the design / process intent
Causes / Mechanisms Indication of Design / Process weakness , the consequence of which is the Failure Mode
Purpose of FMEA
FMEA seeks to :
Identify the possible failure modes and mechanisms Effects or Consequences that Failure Modes may have on performance Methods of detecting the identified Failure Modes Subsequent possible means for Prevention
The net results of an FMEA study are action plans for elimination or possible mitigation of the Failure Modes
Design FMEA Primarily used when designing / formulating Process FMEA Primarily used when creating a process
Identify the failure mechanisms for each failure . Failure Mechanisms refer to the root causes of failure or the sequence of events that lead to the failure Identify the current controls which address/detect these causes . Controls must be established to preempt causes
Causes or can cause injury or death. Requires immediate attention. System is non-operational Requires attention in the near future or as soon as possible. System performance is degraded but operation can continue No immediate effect on system performance
Major
Minor
Insignificant
1 2 3 4 5 6 7
Effect will be undetected by customer or regarded as insignificant. A few customers may notice effect and may be annoyed. Average customer will notice effect. Effect recognized by most customers.
Product is operable, however performance of comfort or convenience items is reduced. Products operable, however comfort or convenience items are inoperable.
High
Unsafe operation with warning before failure or non-conformance with government regulations. Risk of injury or fatality. Unsafe operation without warning before failure or non conformance with government regulations. Risk of injury or fatality.
10
1 2
Unlikely Low
3
4 5 6 7
Moderate
8
9 10
High
1 in 20 (5%)
1 in 8 (12.5%)
1 in 3 (33%) 1 in 2 (50%)
Very high
1 Excellent
2 Very High
Controls Effective under only certain conditions Controls Ineffective but causes might be detected Controls Ineffective and causes might be rarely detected
Mistake proofing
Mistake proofing is a scientific technique for improvement of operating systems including materials, machines and methods with an aim of preventing problems due to human error. The term error means a sporadic deviation from standard procedures resulting from loss of memory, perception or motion.
Defect Vs errors
It is important to understand that defects and errors are not the same thing. A defect is the result of an error, or an error is the cause of defects as explained below.
Cause
Error
Result
Defect
Prevention of defects
End result
Detect error
zero defect
Types of Error
Error in memory of PLAN : Error of forgetting the contents operations required or restricted in standard procedures.
Error in memory of EXECUTION : Errors of forgetting the sequence of operations having been finished.
Error in perception of TYPE : Error of selecting the wrong object in type or quantity. Error in perception of MOVEMENT : Error of misunderstanding/misjudging the position, direction or other characteristics of the objects. Error in motion of HOLDING : Error in gripping the object
Error in motion of CHANGING : Errors of failing to change the position , direction , or other characteristics of object .
Complex design Too many parts Too many steps Too many adjustments Repetitions
Finger print ID lock is an excellent example of mistake proofing. There's no need to fumble for your keys in the dark any more. The Fingerprint ID Door Lock is a cylindrical lock combined with a security bolt that will let you into the house using just your finger. It reads your unique fingerprint and only allows entry to prints it recognises.
Gas pumps are equipped with hose couplings that break away and quickly shutoff the flow of petrol.
Automobiles controls have a mistake proofing device to ensure that the key in the on position before allowing the driver to shift out of park ( for automatic gears ).The keys can not be removed until the car is in park.
3.5 inch diskette can not be inserted unless diskette is oriented correctly.This is as far as diskette can be inserted upside-down. The beveled corner of the diskette pushes a stop in the disk drive out of the way allowing diskette to be inserted.This feature,along with the fact that the diskette is not square,prohibit incorrect orientation.
Electronic car locks can have three mistake proofing devices: Ensures that no door is left unlocked. Door automatically locks when car exceeds a predetermined speed Lock wont operate when door is open and engine is running.
Retail stores use electronic article surveillance to ensure that no one walks away without making payment.
1970 1979
1987
ISO 9000 : 1987 ISO 9001 : 1987 ISO 9002 : 1987 ISO 9003 : 1987
Revised to ISO 9000 : 1994 ISO 9001 : 1994 ISO 9002 : 1994 ISO 9003 : 1994
QS 9000 : 1995 ISO 9001 : 1994 + additional requirements QS 9000 : 1998 ISO 9001 : 1994 + additional requirements ( second revision )
ISO / TS 16949 : 1999 = QS 9000 adopted by the ISO based on ISO 9001 : 1994 ISO / TS 16949 : 2002 = QS 9000 reworded by the ISO based on ISO 9001 : 2000
Act
How do we improve next time?
Plan
What do we do? How do we do it?
PLAN DO
Check (Study)
Did things happen according to plan?
establish the objectives and processes necessary to deliver results in accordance with customer requirements and the organisation's policies implement the processes monitor and measure processes and product against policies, objectives and requirements for the product and report the results take actions to continually improve process performance
Do
Do what was planned
CHECK (STUDY)
ACT
The Methodology known as Plan Do Check ( Study ) Act [ PDC(S)A ] can be applied to all processes . PDC(S)A is briefly described as above
CUSTOMER FOCUS
SYSTEM APPROACH TO MANAGEMENT PROCESS APPROACH LEADERSHIP
CONTINUAL IMPROVEMENT
INVOLVEMENT OF PEOPLE FACTUAL APPROACH TO DECISION MAKING
Management Responsibility
Resource Management
Input
Output
Customer Satisfaction
Customer Requirements
A quality management principle is a comprehensive and fundamental rule or belief, for leading and operating an organisation, aimed at continually improving performance over the long term by focusing on customers while addressing the needs of all other stakeholders.
Organisations depend on their customers and therefore should understand current and future customer needs, meet customer requirements and strive to exceed customer expectations.
Assure conformance to defined customer requirements. Understand current and future customers needs and expectations. Measure customer satisfaction and act on it.
Principle 2 Leadership Leaders establish unity of purpose and direction of the organisation. They should create and maintain the internal environment in which people can become fully involved in achieving the organisation's objectives.
Set policy and verifiable objectives, deploy policy, provide resources and establish an environment for Quality.
Establish vision, direction and shared values. Set challenging targets and goals and implement strategies to achieve them. Coach, facilitate, and empower people.
Principle 3 Involvement of People People at all levels are the essence of an organisation and their full involvement enables their abilities to be used for the organisation's benefit.
Establish competency levels, train & qualify personnel. Provide clear authority and responsibility. Create personal ownership of an organisations targets and goals, by using its peoples knowledge and experience, and through training achieve involvement in operational decisions and process improvement.
Principle 4 Process Approach A desired result is achieved more efficiently when related resources and activities are managed as a process.
Establish, control and maintain documented processes. Explicitly identify internal/external customers and suppliers of processes. Focus on the use of resources in process activities, leading to effective use of people, equipment, methods and materials.
Principle 5 System Approach to Management Identifying, understanding and managing interrelated processes as a system contributes to the organisation's effectiveness and efficiency in achieving its objectives .
Establish and maintain a suitable and effective documented Quality System. Identify a set of processes in a system. Understand their interdependencies. Align the processes with the organisations goals and targets. Measure results against key objectives.
Principle 6 Continual Improvement Continual improvement of the organisation's overall performance should be a permanent objective of the organisation .
Through management review, internal/external audits and corrective/preventive actions, continually improve the effectiveness of the Quality System. Set realistic and challenging improvement goals, provide resources and give people the tools, opportunities and encouragement to contribute to the continual improvement of the processes.
Management Responsibility
Resource Management
Input
Output
Customer Satisfaction
Customer Requirements
Organise around outcomes, not tasks. This principle suggests that a single person perform all the steps in a process and that person's job be designed around the outcome or objective rather than a single task. Have those who use the output of the process oversee the process. Include information-processing work into the real work that produces the information. Capture information once and at the source. Put the decision point where the work is performed, and build control into the process. Link parallel activities instead of integrating their results. This principle means to forge links between parallel functions and to coordinate them while their activities are in process rather than after they are completed. Treat geographically dispersed resources as though they were centralised. "Reengineering Work: Don't Automate, Obliterate" by Michael Hammer Harvard Business Review, July-August 1990, pp104-112.
Can several jobs be combined into one? Can workers make decisions that were previously reserved for managers? Can the steps in the process be performed in a more natural order? Can processes be designed to be more flexible, and thus to handle more contingencies? Can work be performed where it makes the most sense?
Business Process Reengineering is the fundamental rethinking and radical redesign of Business Processes to achieve dramatic improvements in critical contemporary measures of performance such as cost , Quality , service and speed... Michael Hammer and James Champy 1993
Improvement
Innovation
Level of Change
Starting Point
Incremental
Existing Process
Radical
Clean Slate One-time Long
Risk
Primary Enabler
Moderate
Statistical Control
High
Information Technology
What is Value ?
Value is not just offering a Product or a Service Value is providing a solution to Customers problems Its the organisations processes that create value for its customers
Every Process has three types of tasks Value Added tasks Non Value added tasks Wastes Wastes have to be eliminated Value added tasks are not eliminated only improved Non Value added tasks are the binding glue for the different value added tasks Non Value added tasks often cause : Errors Delays Rigidity Reengineering involves reorganising value added tasks in such a way that non value tasks are automatically weeded out
Peter Drucker once said : It is the age of the Knowledge Worker i.e. Manager.. .we see now that this definition of the Manager is limited and ineffective
WORKER
Has a Job Is trained to perform an activity Refers to her / is Boss in case of problems
PROFESSIONAL
Has a Career Learns whatever it takes to get the job done
To please the Boss To take orders To keep busy performing the task the Boss has assigned . Someone who does what s/he is told
Conventional Organisations
Functional departments Simple tasks (division of labour) Controlled people (by management) Training of employees Protective organisational culture Managers supervise and control Hierarchical organisational structure Executives as scorekeepers Separation of duties and functions Linear and sequential processes Mass production Working in the office; extensive checks and controls
Reengineered Organisation
Process teams Multidimensional work Empowered employees Education of employees Productive organisational structure Managers coach and advise Horizontal (flat) structure Executives as leaders Cross-functional teams Parallel processes, concurrent processes Mass customisation Working everywhere; minimum checks and controls