More Related Content Similar to Mistake Sample (20) More from ahmad bassiouny (20) Mistake Sample1. 1© 2004 Superfactory™. All Rights Reserved.
Mistake Proofing and Poka YokeMistake Proofing and Poka Yoke
Superfactory Excellence Program™Superfactory Excellence Program™
www.superfactory.comwww.superfactory.com
2. 2
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OutlineOutline
What is Mistake Proofing?What is Mistake Proofing?
Everyday ExamplesEveryday Examples
Effectiveness & ROIEffectiveness & ROI
Error Proofing and SPCError Proofing and SPC
Inspection TechniquesInspection Techniques
Types of Poka YokesTypes of Poka Yokes
3. 3
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Everyday ExamplesEveryday Examples
New lawn mowers are required to have a safety
bar on the handle that must be pulled back in
order to start the engine. If you let go
of the safety bar, the mower blade stops in 3
seconds or less.
Fueling area of car has three error-proofing devices:
1. insert keeps leaded-fuel nozzle from being inserted
2. tether does not allow loss of gas cap
3. gas cap has ratchet to signal proper tightness and
prevent overtightening.
3.5 inch diskettes cannot be inserted unless diskette
is oriented correctly. This is as far as a disk can be
inserted upside-down. The beveled corner of the
diskette along with the fact that the diskette is not
square, prohibit incorrect orientation.
4. 4
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Poka yoke & SPCPoka yoke & SPC
X-bar chart
(measurement data)
p-chart
(attribute data)
Successive-
checks
or
Self-checks
use to sort out
defects, will not
improve the process
special case of np-
chart,
ad hoc design,
will also sort out
defects
Source-
Inspection
use as corrective
action for special
causes
use to eliminate
specific
types of defects
5. 5
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Task TypeTask Type ProbabilityProbability
Detection of deviation or inspectionDetection of deviation or inspection 0.070.07
Alpha input per characterAlpha input per character 0.0080.008
Numeric input per characterNumeric input per character 0.0030.003
Assembly per task elementAssembly per task element 0.000070.00007
As a group they areAs a group they are commoncommon
Research study #1 (Harris)Research study #1 (Harris) >0.80>0.80
Research study #2 (Rook)Research study #2 (Rook) 0.820.82
Research study #3 (Voegtlen)Research study #3 (Voegtlen) 0.600.60
Research study #4 (Headlamps)Research study #4 (Headlamps) >0.70>0.70
NASA mishapsNASA mishaps >0.50>0.50
FAA Maintenance problemsFAA Maintenance problems >0.94>0.94
Individually, mistakes areIndividually, mistakes are rarerare
Data from “Human Reliability Data - The State of the Art and the Possibilities”
Jeremy C. Williams, 1989 CEGB
6. 5
© 2004 Superfactory™. All
Rights Reserved.
Task TypeTask Type ProbabilityProbability
Detection of deviation or inspectionDetection of deviation or inspection 0.070.07
Alpha input per characterAlpha input per character 0.0080.008
Numeric input per characterNumeric input per character 0.0030.003
Assembly per task elementAssembly per task element 0.000070.00007
As a group they areAs a group they are commoncommon
Research study #1 (Harris)Research study #1 (Harris) >0.80>0.80
Research study #2 (Rook)Research study #2 (Rook) 0.820.82
Research study #3 (Voegtlen)Research study #3 (Voegtlen) 0.600.60
Research study #4 (Headlamps)Research study #4 (Headlamps) >0.70>0.70
NASA mishapsNASA mishaps >0.50>0.50
FAA Maintenance problemsFAA Maintenance problems >0.94>0.94
Individually, mistakes areIndividually, mistakes are rarerare
Data from “Human Reliability Data - The State of the Art and the Possibilities”
Jeremy C. Williams, 1989 CEGB
Editor's Notes <number>
PARAPHRASE SLIDE
ask for more car examples.
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At the start of this presentation we said that individual errors were rare events. This is shown by the data above
Here are some human error rate data. You’ll notice that the error rates differ for each task type. Notice that the more routine tasks are performed more reliably.
Does this data suggest we should spend our time addressing knowledge-based mistakes (since they are more likely at any given opportunity)? No, workers experience far more opportunities to make skill-based errors. The number of opportunities to make an error performing skill-based actions far exceeds the number of opportunities to make knowledge-based errors.