How to Avoid Unintended
Project Consequences
Using FMEA
Presented By Elisabeth Swan
Managing Partner & Executive Advisor
Our Expert: Elisabeth
• Managing Partner & Executive
Advisor at GoLeanSixSigma.com
• Master Black Belt
• GE Certified Black Belt Instructor
• Burnham Rosen Group certified
Leadership Coach
• BA in English Literature from
Columbia University/Barnard
College
• Born in the UK
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Today’s Agenda
• The role of risk in process improvement
• Introduction to the FMEA
• How to address risk with the FMEA
• A history of unintended consequences
Process changes
have ripple effects
– the goal is to plan
for them
Where Does Risk Come In?
Lessons Learned
New York Daily News Chicago Daily News
EastlandTitanic
Types of Risk
BRAND
!
Cause for Alarm
A Gift From NASA
NASA
FMEA
Plain Speak
What
are we
discussing
here?
What
could
go
wrong?
How bad
Would
That be?
How Bad Would That Be?
Adapting the Scale
What would a “10” be in your process?
1. Potential to violate a government regulation
2. Failure exposes people to bodily harm
3. Risk of financial loss
4. May expose private information
5. Could aggravate the customer POLL
Rating the Severity
What’s the Cause?
Why would
that happen?
How Often Would it Happen?
Rating Occurrence
How often would it happen?
1. More than once per day
2. Once every 3-4 Days
3. Once every week
4. Once every month
5. Once every 3 months POLL
Rating Occurrence
Would We Know In Time?
Is there any way
to know about this
before it impacts
the customer?
Rating Detection
Bottom Line That For Me
Risk Priority Number
What Now?
What Changed?
=
Still not
great
FMEA Review
Addressing Risk
Contingency Plans
PreventiveActions
QUESTION
Mistake-Proofing
AKA Poka Yoke
Types of Poka Yokes
Unintended Consequences
• More public versions
• Historic and current
• How we dealt with them
• How they could have been prevented – or not
Wi-Fi Kiosks in NYC
Prohibition
Wolves in Yellowstone
Н
Templates and Tools
FMEA
Mistake-Proofing
(AKA Poka Yoke)
Today We Covered
• The Role of risk in process improvement
• Introduction to the FMEA
• How to address risk with the FMEA
• A history of unintended consequences
Q&A
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WEBINAR: How To Avoid Unintended Project Consequences Using FMEA