Understanding 8D Problem Solving
Understanding 8D Problem Solving
➢ Overview of 8D
➢ Definitions
➢ Review of 8D steps
➢ Review of examples of 5-Why
➢ Questions
Training Ground Rules
➢ Let us know if you lose the webinar screen during the presentation
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What is 8D
❑ Demonstrate 8D process
❑ You will become more proficient at Root Cause Analysis using 5 Why’s
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Vocabulary
➢ Containment – Actions taken to isolate the problem from any internal/external
customer. Usually expected to be completed within a 24hr – 48 hour period.
➢ Preventive Action – The action that is taken to eliminate conditions that could
produce a nonconformity.
➢ Root Cause – At its simplest form, you can turn off and on the problem in a
controlled environment. The root cause should explain 100% of the unwanted
problem/defect and that there are no additional reasons that the problem exists.
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Definition – Preventive Action
➢ Preventive Action is the action taken to eliminate the conditions that could
produce a nonconformity.
➢ This training session will not cover Preventive actions as defined above, but
the concept of Preventing recurrence is a key part of the Corrective Action
process.
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8D – Eight Disciplines to Problem Solving
➢ 8D, which was initiated in the automotive industry, is a structured problem
solving method for product and process improvement.
➢ Ford’s Team Oriented Problem Solving (TOPS) systems was the precursor to
8D
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Steps in an 8D
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Public Location of Form
Supplier Information (8D)
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Example of 8D Form
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Check your knowledge
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Check your knowledge
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Check your knowledge
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D1 Establish The Team
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8D – Establish Team (D#1)
➢ Typically the Quality Manager will assign the person
responsible to lead the corrective action. That Team
Leader will then select the team members.
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D1 Checklist
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Check your knowledge
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Steps in an 8D
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D2 Define the Problem
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8D – Define Problem (D#2)
➢ Problem Definition is a positive statement
that describes the “pain”
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8D – Problem Definition (D#2)
➢ Take the time to clearly define the problem, with facts.
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8D – Problem Definitions: Good or Bad?
➢ “Lack of parts caused 10% miss in sales for May.”
❖ Bad – Assumes cause of problem
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D2 Checklist
D2: Describe the problem
Checklist:
➢ What type of problem is it?
➢ Can we list any resources and documents which might better quantify
this problem?
➢ Is there any evidence this problem has surfaced before?
➢ What is the extent of the problem
➢ Has the problem been increasing, decreasing or remaining constant?
➢ Do we have physical evidence of the problem in hand?
➢ Have failed parts been analyzed in detail?
➢ Is there an action plan to collect additional data if needed?
➢ Do we have the right team members to proceed to the next step?
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Check your knowledge
The correct answer is C – Who found the defect, What was the
defect, When was the defect detected, Where was the defect
found/located, How was the defect found, and How Many units
were defective? Why is not part of the equation in Step 1:
Defining the problem. Why comes in during the root cause
analysis stage.
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Check your knowledge
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Steps in an 8D
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D3 Take Short Term Action
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8D – Contain Problem (D#3)
➢ Containing the problem and Protecting the Customer must
occur immediately. 24hrs is the industry norm for
containment actions to take place. Max of 48.
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Definition - Containment
➢ Containment is the systematic search and
quarantine of suspected nonconforming product
throughout the supply/delivery chain. (Warehouse,
in process shelves, supplier stock, …) Make sure
you get it all.
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Definition - Containment
Containment is more than just getting all the
current product contained.
➢ This step also includes what used to be called
“Short Term Corrective Action”.
➢ This could be sorting, layered inspection or rework.
➢ Make sure that implementation of the containment
action will not create other problems? i.e., part
shortages or unchecked rework.
➢ It also has to last until the permanent Corrective
Action is in place.
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D3 Checklist
D3: Contain the Problem
Checklist:
➢ What containment actions have been identified? (For Parts in stock, Parts In
transit, Parts at the supplier location, Parts in process at the operators work
station, Parts at the Customer location)
➢ Have all quantities been accounted for and quarantined until disposition can
be made? (BE CAREFUL that they do not end up back in stock)
➢ Have we ensured that implementation of the containment action will not
create other problems? i.e. part shortages, unchecked rework.
➢ Will interim actions last long enough until the Corrective Actions are in
place?
➢ Are responsibilities for containment actions clear?
➢ When will the containment actions be complete?
➢ Have the containment actions been documented?
➢ Do we have the right team members to proceed to the next step?
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24 - 48 Hours to Contain the Problem
➢ Containment is required with in 24 - 48 hrs.
➢ Once the Supplier Corrective Action (SCA) is entered into our database (Q-
PULSE) you will get notification and reminders via e-mail.
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Check your knowledge
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Check your knowledge
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Steps in an 8D
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Detection and Occurrence
When identifying root cause the team should focus on why the issue
occurred first, and then secondly on how the defect was missed.
Therefore you do your 5 Why analysis on both pieces of the failure mode.
Ask: How did the problem occur? Ask: How was it missed?
Why? …. Why? ….
Why? …. Why? ….
Why? …. Why? ….
Why? …. Why? ….
Why = the true root cause (typically) Why = what controls need to be in place to
prevent another escape
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SCA Template
Work through the problem, use your team and don’t skip steps!
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8D – Root Cause Analysis (RCA)
➢ The CPSD SCA form includes a 5Why analysis
template as well as “Brainstorming” and
“Cause/Effect” diagrams.
➢ Other techniques (Process Map, DOE, Anova, Pareto,
etc.) are also tools to aid in RCA.
➢ The CPSD 8D process includes SCA for:
➢ Occurrence (Why did the problem occur?)
➢ Detection (Why did the problem escape detection?)
Acronyms:
CPSD – Cooper Power Systems Division SCA – Supplier Corrective Action
DOE – Design of Experiments ANOVA – Analysis of Variance
RCA – Root Cause Analysis
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8D – Root Cause Analysis (D#4)
➢ There are many techniques to determine Root
Cause
➢ Asking Why? 5 times is the simplest and most
powerful RCA technique.
➢ This is a simple process that is frequently done
poorly.
➢ The first Why starts directly from the Problem
Definition: “Why did the problem occur as
stated?”
➢ Each Why follows directly from the previous
response.
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8D – Root Cause Analysis (D#4)
RCA is the Heart and Soul of the Corrective Action
process
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Definition – Root Cause (RC)
The Root Cause is the most basic reason for a problem or
defect. If this cause is eliminated, the problem would
not occur.
You will know it is the Root Cause if you can turn the problem off and on
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Root Cause
Immediate causes are NOT root causes. Typical immediate
causes you may see on Corrective Action reports are:
❑ Operator Error
❑ Failure to Follow Procedures/work instructions
❑ Inspection not recorded by the operator
❑ Gage Not turned in for calibration
❑ Operator not trained
❑ Inadvertent omission
These are NOT root causes, they may be a contributing cause but not the
true root cause!
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Root Cause
Root causes are weaknesses (ineffective
processes or controls) in the system that cause
or allow (fail to prevent) errors and
nonconformance's.
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Root Cause
Corrective Action that addresses only the
immediate cause will NOT prevent recurrence.
Example:
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Check your knowledge
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Check your knowledge
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5 Why Review
5 Why
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The 5 Whys
The stone on the Jefferson Memorial was crumbling
Solution: Delay turning on the spot lights until one hour after
sunset, by which time midge population is down 90%. By doing
this, the food chain is broken and less frequent washings are
required.
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5 Why
5 WHYS? Analysis
5 Whys? Analysis consists of team members identifying a possible root cause by asking “Why?” until the root cause is
uncovered. It may take more or less than five Whys? To get to the Root Cause: Five is typical in most cases.
Let’s consider the gage calibration nonconformance illustrated on the CA and Root Cause tab:
Why? Gage Tech did not calibrate the gage before the due date.
Why? Calibration interval was not entered on the gage master record
Why? a.) Gage Tech didn’t know the interval when the gage was entered in
the master list
b.) Gage Tech didn’t follow up to enter the interval later.
Why? GageTrak does not force entry of the interval when entering gages in
the master list
Now that a possible Root Cause has been identified, generate a solution, implement it and check for proof that it’s effective.
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5 Why Summary
What if the team does not identify the Root Cause?
➢ Possibly some of the “facts” are not true – confirm with data.
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How to get to the 5 Why if your not sure
you have only one
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Now break out the 5 Why
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5 Why Review
Each response needs to be confirmed with data:
➢ Run experiments to confirm that the team’s response to each
“why” is accurate.
➢ Don’t allow a dominant team member to state a “fact” without
confirming it.
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D4 Checklist
D4- Define/Verify Root Cause
Checklist:
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Check your knowledge
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Check your knowledge
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Call for Backup
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North American SQE Contact
Information
Patti Morris Desk: 262-524-4421
Supplier Quality
Supplier Quality
Manager
Manager CPSD
CPSD
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Steps in an 8D
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D5 Develop /Verify the Corrective
Action
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8D – Corrective Action (D#5)
➢ Once the Root Cause is found it’s usually clear
what the Corrective Action needs to be.
➢ The Corrective Action must address the Root
Cause!!!
➢ There may be multiple Corrective Actions and
some actions may address Contributing Causes
– this will make your solution more robust in
case other factors change in the future.
➢ Corrective Action for the problem itself
(Occurrence) plus the “Detection” issues need to
be implemented to address the full dimension of
the issue.
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Error Proofing
➢ Error Proofing comes from a
Japanese term “Poka Yoke”.
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8D – Corrective Action (D#5)
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D5 Checklist
D5 Select and Verify the Corrective Action
Checklist:
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Check your knowledge
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Check your knowledge
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Steps in an 8D
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D6 Implement /Validate the Corrective Action
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8D – Corrective Action Verification
➢ It’s necessary that we “maintain the gain”
➢ The Corrective Action has to address the Root Cause, so it’s important
that a follow up audit verifies that the Root Cause was eliminated!
➢ Someone with a vested interest who was not part of the Corrective
Action team is chosen by the Quality Manager to follow up.
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D6 Checklist
D6 Implement/Validate the Corrective Action
Checklist:
• Has an action plan been defined?
• Have responsibilities been assigned to implement the
Corrective Action
• Has timing been established?
• Has required support been identified?
• What indicators will be used to verify the outcome?
• What controls are in place to assure the fix is as intended?
• Do we have the right team members to proceed to the next
step?
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Check your knowledge
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Check your knowledge
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Steps in an 8D
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D7 Prevent recurrence/Share the
Solution
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8D – Prevent Recurrence & Share the
Solution (D#7)
➢ Addressing the Systemic issues is key to Preventing Recurrence (usually
the 5th Why reveals the systemic problem) Follow up. i.e. did the
implementation of the corrective action require any changes to other
documents such as work instructions or control plans? Is the corrective
action sustaining?
➢ We need to share these best practice solutions, so others can learn from
our work.
➢ Our 8D includes a “systemic action” section as part of the CA close out
process – this is a part of the “Solution Sharing” and “Prevention”
process.
➢ We need to continue developing means to share best practices
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D7 Checklist
D7 Prevent reoccurrence/Share the solution
Checklist:
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Check your knowledge
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Check your knowledge
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Steps in an 8D
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8D Recognize the Team
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Summary of 8D
➢ 8D in the automotive industry has been very effective in driving
improvements
➢ Our 8D format must be utilized for all Corrective Actions
Submitted to Cooper Power Systems:
➢ Quick Containment – Within 48 hours!
➢ True Root Cause determination
❑ Use Effective Tools
❑ Utilized the 5 Why
❑ Address both Detection and Occurrenc e
➢ Implement Systemic Corrective Actions to drive
improvements!
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8D Checklist
Checklist:
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Check your knowledge
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Check your knowledge
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Summary
➢ We’ve covered:
✓ All steps of 8D
✓ Detailed discussion of RCA
✓ Training in 5 Why Analysis
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Review
Down load the form from the link
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Review
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Review
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System Maintenance
➢ Make sure we have the right contact's in our system
➢ The Quality Contact is the person who will be getting the email
notification.
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4W2H – Who, When, Where, What, How, How Many
ANOVA – Analysis of Variation
CPSD – Copper Power System Division
DOE – Design of Experiments
FMEA – Failure Mode and Effects Analysis
RCA – Root Cause Analysis
SCA – Supplier Corrective Action