Root Cause And Corrective Action Workshop Cinci Asq 2009

3,035 views

Published on

overview of Root cause process

0 Comments
1 Like
Statistics
Notes
  • Be the first to comment

No Downloads
Views
Total views
3,035
On SlideShare
0
From Embeds
0
Number of Embeds
6
Actions
Shares
0
Downloads
203
Comments
0
Likes
1
Embeds 0
No embeds

No notes for slide

Root Cause And Corrective Action Workshop Cinci Asq 2009

  1. 1. Root Cause and Corrective Action Workshop January 2009
  2. 2. Root Cause and Corrective Action is a five step process <ul><li>Step 1. Understand the problem Step 2. Put in short term fix Step 3. Determine the Root Cause of the problem Step 4. Determine Corrective Action necessary </li></ul><ul><li>Step 5. Verify that the Corrective Action has eliminated the Root Cause of the problem </li></ul><ul><li>With an embedded eight step corrective action process </li></ul><ul><ul><ul><li>1.Develop alternative solutions </li></ul></ul></ul><ul><ul><ul><li>2. Pick the best solution </li></ul></ul></ul><ul><ul><ul><li>3. Establish a plan to do the solution </li></ul></ul></ul><ul><ul><ul><li>4. Establish the timing of the solution </li></ul></ul></ul><ul><ul><ul><li>5. Establish the details of the solution </li></ul></ul></ul><ul><ul><ul><li>6. Document the plan </li></ul></ul></ul><ul><ul><ul><li>7. Get management approval </li></ul></ul></ul><ul><ul><ul><li>8. Do it </li></ul></ul></ul>
  3. 3. What Corrective Action means <ul><li>The point of corrective action is to is to eliminate the problem FOREVER. </li></ul><ul><li>First put in an immediate fix </li></ul><ul><li>Then a corrective action </li></ul>
  4. 4. Typical Corrective Action request
  5. 5. Typical Corrective Action log
  6. 6. Corrective Action log 1910 1910 /12 = 160 160 Corrective Action requests per month!
  7. 7. Prerequisite: Quality Management System [ISO 9000 (1994)] <ul><ul><li>Management Responsibility </li></ul></ul><ul><ul><li>Quality System </li></ul></ul><ul><ul><li>Contract Review </li></ul></ul><ul><ul><li>Design Control </li></ul></ul><ul><ul><li>Document & Data Control </li></ul></ul><ul><ul><li>Purchasing </li></ul></ul><ul><ul><li>Control of Customer-Supplied Product </li></ul></ul><ul><ul><li>Product Identification & Traceability </li></ul></ul><ul><ul><li>Process Control </li></ul></ul><ul><ul><li>Inspection & Testing </li></ul></ul><ul><ul><li>Control of Inspection, M & TE </li></ul></ul><ul><ul><li>Inspection & Test Status </li></ul></ul><ul><ul><li>Control of Non-Conforming Product </li></ul></ul><ul><ul><li>Corrective & Preventive Action </li></ul></ul><ul><ul><li>Handling, Storage, Packaging </li></ul></ul><ul><ul><li>Control of Quality Records </li></ul></ul><ul><ul><li>Internal Quality Audits </li></ul></ul><ul><ul><li>Training </li></ul></ul><ul><ul><li>Servicing </li></ul></ul><ul><ul><li>Statistical Techniques </li></ul></ul>This is the way we do business to have Quality!
  8. 8. 1. Management Responsibility <ul><li>Processes planned </li></ul><ul><li>Responsibilities for Q </li></ul><ul><li>clearly defined, </li></ul><ul><li>Periodic reviews of </li></ul><ul><li>quality and a quality </li></ul><ul><li>policy. </li></ul><ul><li>Knowingly shipped product not to spec to make numbers. </li></ul><ul><li>Quality policy is for show. </li></ul><ul><li>&quot;Defect free, on time&quot; </li></ul><ul><li>is really </li></ul><ul><li>&quot;Some defects, mostly </li></ul><ul><li>not more then a week </li></ul><ul><li>late&quot;. </li></ul><ul><li>Send the salesman out to take care of it. </li></ul>
  9. 10. Juran’s (1960) Steering committee and action committee <ul><li>Steering committee selects the task for the action committee </li></ul><ul><li>Action Committee </li></ul><ul><ul><li>Collects data </li></ul></ul><ul><ul><li>and makes improvements </li></ul></ul><ul><ul><li>Reports to management </li></ul></ul>
  10. 11. Classic Five step Root Cause and Corrective Action Process <ul><ul><li>Step 1. Understand the problem </li></ul></ul><ul><ul><li>Step 2. Put in short term fix </li></ul></ul><ul><ul><li>Step 3. Determine the Root Cause of the problem </li></ul></ul><ul><ul><li>Step 4. Determine Corrective Action necessary </li></ul></ul><ul><ul><li>Step 5. Verify that the Corrective Action has </li></ul></ul><ul><ul><li>eliminated the Root Cause of the problem. </li></ul></ul>
  11. 12. ITCHY RASH ON GRANDKIDS <ul><li>1. </li></ul><ul><li>2. </li></ul><ul><li>3. </li></ul><ul><li>4. </li></ul><ul><li>5. </li></ul>
  12. 13. Step 1. Understand the problem Step 2. Put in short term fix Step 3. Determine the Root Cause of the problem Step 4. Determine Corrective Action necessary Step 5. Verify that the Corrective Action has eliminated the Root Cause of the problem . <ul><li>Translate symptoms into an exact understanding </li></ul><ul><li>Collect the data </li></ul><ul><li>When </li></ul><ul><li>Where </li></ul><ul><li>How long has it happened </li></ul><ul><li>Describe the problem with a problem statement </li></ul><ul><li>Clear </li></ul><ul><li>Concise </li></ul><ul><li>Factual </li></ul><ul><li>Technically correct </li></ul><ul><li>Get help if the problem is not understood </li></ul>
  13. 14. <ul><li>The short term fix is called an interim fix by some authors </li></ul><ul><li>Take action to fix the problem now </li></ul><ul><li>What immediate action must be taken? </li></ul><ul><li>Major problem? </li></ul><ul><li>Safety involved? </li></ul><ul><li>Other processes, or “parts” involved? </li></ul><ul><li>Other people involved? </li></ul><ul><li>Into the ” REJECT CAGE”? </li></ul><ul><li>Caution: Fixing the problem this does not remove the root cause! </li></ul><ul><li>The “fix or “fixing the problem” is the emergency, temporary action. </li></ul>Step 1. Understand the problem Step 2. Put in short term fix Step 3. Determine the Root Cause of the problem Step 4. Determine Corrective Action necessary Step 5. Verify that the Corrective Action has eliminated the Root Cause of the problem .
  14. 15. A Band-aid is a Fix <ul><li>This is not Corrective Action </li></ul><ul><li>It is a temporary ” fix” </li></ul>Talked to the operator. Sorted out the bad stuff. Got the right print to the floor Re entered the right order number.
  15. 16. <ul><ul><li>… W hen you complete the blank on many quality forms </li></ul></ul><ul><ul><ul><li>Receiving inspection </li></ul></ul></ul><ul><ul><ul><li>In Process inspection </li></ul></ul></ul><ul><ul><ul><li>Final Inspection </li></ul></ul></ul><ul><ul><ul><li>Customer complaints </li></ul></ul></ul><ul><ul><ul><li>Audit reports </li></ul></ul></ul><ul><li>This is really a short term fix to keep production going </li></ul><ul><li>Unless the 5 step process was used. </li></ul>What RCCA is not “ Corrective Acton done _ _ _ _ _ _ _ _ _ _ _ _ _”
  16. 17. <ul><ul><li>Determining the root cause is the most difficult task. </li></ul></ul><ul><ul><li>It usually involves a team </li></ul></ul><ul><ul><li>and the use of the basic </li></ul></ul><ul><ul><li> Quality Tools </li></ul></ul><ul><ul><ul><ul><li>Tool 1:: Brainstorming </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Tool 2: Pareto Diagram </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Tool 3: Histogram </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Tool 4: Cause and effect diagram </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Tool 5: Flow chart </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Tool 6: Check Sheet </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Tool 7: Charts & graphs </li></ul></ul></ul></ul>Step 1. Understand the problem Step 2. Put in short term fix Step 3. Determine the Root Cause of the problem Step 4. Determine Corrective Action necessary Step 5. Verify that the Corrective Action has eliminated the Root Cause of the problem .
  17. 18. Found it!
  18. 19. <ul><li>The fix was immediate. </li></ul><ul><li>It did not address the Root Cause </li></ul><ul><li>Corrective action finds and eliminates the root cause </li></ul><ul><li>The difference between the Fixing the problem </li></ul><ul><li>and Corrective action is forever </li></ul>The point is to eliminate the problem FOREVER. Step 1. Understand the problem Step 2. Put in short term fix Step 3. Determine the Root Cause of the problem St ep 4. Determine Corrective Action necessary Step 5. Verify that the Corrective Action has eliminated the Root Cause of the problem .
  19. 20. An eight item checklist is used to determine Corrective Action <ul><li>1. Develop alternative solutions </li></ul><ul><li>2. Pick the best solution </li></ul><ul><li>3. Establish a plan to do the solution </li></ul><ul><li>4. Establish the timing of the solution </li></ul><ul><li>5. Establish the details of the solution </li></ul><ul><li>6. Document the plan </li></ul><ul><li>7. Get management approval </li></ul><ul><li>8. Do it ! </li></ul>.
  20. 21. What are the solutions? <ul><li>1. Develop alternative solutions </li></ul><ul><li>2. Pick the best solution </li></ul><ul><li>3. Establish a plan to do the solution </li></ul><ul><li>4. Establish the timing of the solution </li></ul><ul><li>5. Establish the details of the solution </li></ul><ul><li>6. Document the plan </li></ul><ul><li>7. Get management approval </li></ul><ul><li>8. Do it </li></ul><ul><li>“ There are many ways to skin a cat.” </li></ul><ul><li>( The saying came from collecting pelts!) </li></ul><ul><li>Team brainstorm is the most commonly used tool to develop </li></ul><ul><li>solutions </li></ul>
  21. 22. Decide on the best solution. <ul><li>1. Develop alternative solutions </li></ul><ul><li>2. Pick the best solution </li></ul><ul><li>3. Establish a plan to do the solution </li></ul><ul><li>4. Establish the timing of the solution </li></ul><ul><li>5. Establish the details of the solution </li></ul><ul><li>6. Document the plan </li></ul><ul><li>7. Get management approval </li></ul><ul><li>8. Do it </li></ul><ul><li>Consider .... </li></ul><ul><li>Cost </li></ul><ul><li>Effectiveness </li></ul><ul><li>Negative side effects </li></ul><ul><li>Ease of doing the correction </li></ul>
  22. 23. Make a plan <ul><li>1. Develop alternative solutions </li></ul><ul><li>2. Pick the best solution </li></ul><ul><li>3. Establish a plan to do the solution </li></ul><ul><li>4. Establish the timing of the solution </li></ul><ul><li>5. Establish the details of the solution </li></ul><ul><li>6. Document the plan </li></ul><ul><li>7. Get management approval </li></ul><ul><li>8. Do it </li></ul><ul><li>What needs to be done? </li></ul><ul><li>Who will do it? </li></ul><ul><li>When and how will it be done ? </li></ul><ul><li>What is the measure of success? </li></ul><ul><li>How about a pilot run to test the plan? </li></ul>
  23. 24. Exactly when? <ul><li>1. Develop alternative solutions </li></ul><ul><li>2. Pick the best solution </li></ul><ul><li>3. Establish a plan to do the solution </li></ul><ul><li>4. Establish the timing of the solution </li></ul><ul><li>5. Establish the details of the solution </li></ul><ul><li>6. Document the plan </li></ul><ul><li>7. Get management approval </li></ul><ul><li>8. Do it </li></ul><ul><li>Time, date, shift? </li></ul><ul><li>Can solution be ”worked into” the regular production? </li></ul><ul><li>Exactly how will the solution, be scheduled along with regular activities ? </li></ul><ul><li>When is the regular production scheduled to be run? </li></ul>
  24. 25. Complete the details for the plan <ul><li>1. Develop alternative solutions </li></ul><ul><li>2. Pick the best solution </li></ul><ul><li>3. Establish a plan to do the solution </li></ul><ul><li>4. Establish the timing of the solution </li></ul><ul><li>5. Establish the details of the solution </li></ul><ul><li>6. Document the plan </li></ul><ul><li>7. Get management approval </li></ul><ul><li>8. Do it </li></ul><ul><li>Special training ? </li></ul><ul><li>Special testing or inspection ? </li></ul><ul><li>Special equipment ? </li></ul><ul><li>Who else needs to be involved ? </li></ul><ul><li>Data collection and record forms? </li></ul><ul><li>“ Baby sit” it all the way through. </li></ul><ul><li>“ Debugging” attempt first? </li></ul>
  25. 26. Write the plan down and have a team understanding. <ul><li>1. Develop alternative solutions </li></ul><ul><li>2. Pick the best solution </li></ul><ul><li>3. Establish a plan to do the solution </li></ul><ul><li>4. Establish the timing of the solution </li></ul><ul><li>5. Establish the details of the solution </li></ul><ul><li>6. Document the plan </li></ul><ul><li>7. Get management approval </li></ul><ul><li>8. Do it </li></ul><ul><li>Summarize into a planned, written, outline </li></ul><ul><li>Detailed game plan. </li></ul><ul><li>The way we are going to do it. </li></ul><ul><li>Distribute it! </li></ul><ul><li>Else you’ll get that 3 am </li></ul><ul><li>phone call </li></ul><ul><li>“ How we supposed to..?) </li></ul>
  26. 27. Management buy in is essential <ul><li>1 . Develop alternative solutions </li></ul><ul><li>2. Pick the best solution </li></ul><ul><li>3. Establish a plan to do the solution </li></ul><ul><li>4. Establish the timing of the solution </li></ul><ul><li>5. Establish the details of the solution </li></ul><ul><li>6. Document the plan </li></ul><ul><li>7. Get management approval </li></ul><ul><li>8. Do it </li></ul><ul><li>Approval means support </li></ul><ul><ul><li>Dollars and people </li></ul></ul><ul><ul><li> Allotted time for all involved </li></ul></ul><ul><ul><li>OK to interrupt normal activity </li></ul></ul><ul><ul><li>No surprises </li></ul></ul><ul><ul><li>Reinforcement for future improvements </li></ul></ul><ul><ul><li>Finding future team leaders </li></ul></ul><ul><ul><li>Finding people who can succeed and contribute Future atta boys </li></ul></ul>
  27. 28. Put the correction action into action <ul><li>1. Develop alternative solutions </li></ul><ul><li>2. Pick the best solution </li></ul><ul><li>3. Establish a plan to do the solution </li></ul><ul><li>4. Establish the timing of the solution </li></ul><ul><li>5. Establish the details of the solution </li></ul><ul><li>6. Document the plan </li></ul><ul><li>7. Get management approval </li></ul><ul><li>8. Do it </li></ul><ul><li>Caution: </li></ul><ul><li>You will never do it according to the plan. </li></ul><ul><li>Something will always change or be different </li></ul><ul><li>... absentees or breakdowns, </li></ul><ul><li>or lost data </li></ul><ul><li>or not enough debugging </li></ul><ul><li>or not enough trial run. </li></ul><ul><li>You will need to lead the action! </li></ul>
  28. 29. Remember Root Cause and Corrective Action is a five step process <ul><li>Step 1. Understand the problem Step 2. Put in short term fix Step 3. Determine the Root Cause of the problem Step 4. Determine Corrective Action necessary </li></ul><ul><li>With an embedded eight step corrective action process </li></ul><ul><ul><ul><li>1.Develop alternative solutions </li></ul></ul></ul><ul><ul><ul><li>2. Pick the best solution </li></ul></ul></ul><ul><ul><ul><li>3. Establish a plan to do the solution </li></ul></ul></ul><ul><ul><ul><li>4. Establish the timing of the solution </li></ul></ul></ul><ul><ul><ul><li>5. Establish the details of the solution </li></ul></ul></ul><ul><ul><ul><li>6. Document the plan </li></ul></ul></ul><ul><ul><ul><li>7. Get management approval </li></ul></ul></ul><ul><ul><ul><li>8. Do it </li></ul></ul></ul>Step 5. Verify that the Corrective Action has eliminated the Root Cause of the problem
  29. 30. Make sure it works <ul><li>Step 1. Understand the problem </li></ul><ul><li>Step 2. Put in short term fix </li></ul><ul><li>Step 3. Determine the Root Cause of the problem </li></ul><ul><li>Step 4. Determine Corrective Action necessary </li></ul><ul><li>Step 5. Verify that the Corrective Action has eliminated the Root Cause of the problem </li></ul><ul><li>What facts show the problem was solved? </li></ul><ul><li>Auditing </li></ul><ul><li>Control charts </li></ul><ul><li>Loss reports </li></ul><ul><li>Increased throughput </li></ul><ul><li>Less hassle </li></ul><ul><li>Make it part of your </li></ul><ul><ul><li>Standard Operating Procedure </li></ul></ul><ul><ul><li>SOP . </li></ul></ul>
  30. 31. Root Cause and Corrective Action is a five step process <ul><li>Step 1. Understand the problem Step 2. Put in short term fix Step 3. Determine the Root Cause of the problem Step 4. Determine Corrective Action necessary </li></ul><ul><li>Step 5. Verify that the Corrective Action has eliminated the Root Cause of the problem </li></ul><ul><li>With an embedded eight step corrective action process </li></ul><ul><ul><ul><li>1.Develop alternative solutions </li></ul></ul></ul><ul><ul><ul><li>2. Pick the best solution </li></ul></ul></ul><ul><ul><ul><li>3. Establish a plan to do the solution </li></ul></ul></ul><ul><ul><ul><li>4. Establish the timing of the solution </li></ul></ul></ul><ul><ul><ul><li>5. Establish the details of the solution </li></ul></ul></ul><ul><ul><ul><li>6. Document the plan </li></ul></ul></ul><ul><ul><ul><li>7. Get management approval </li></ul></ul></ul><ul><ul><ul><li>8. Do it </li></ul></ul></ul>
  31. 32. <ul><li>Questions or comments </li></ul>

×