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Poka-Yoke
Mistake Proofing For Zero Defect Quality

A Strategy For Performance Excellence

1
Table of Contents
Session 1

Paradigm Shift For Zero Errors

Session 2

Introduction of Poka-Yoke

Session 3

Process Waste Management

Session 4

Zero Defect Quality (ZDQ)

Session 5

3 Qualifiers of Poka-Yoke

How to Poka-Yoke?
Session 6

Poka-Yoke Examples From Daily Life

Session 7

Poka-Yoke Systems

Session 8

Method of Poka-Yoke

Session 9

Types of Poka-Yoke

Session 10

Principles of Poka-Yoke

Session 11

100-1000-10000 Rule

Session 12

Types of Human Mistakes
2
Session: 1
Paradigm Shift For Zero Errors

3
Paradigm Shift For Zero Error
Shift in Paradigm

SEE
Satisfied
Customer

Do “Poka Yoke”

Principles
DO
GET
Improved
Quality

Reduction in
defects/rejects

Dr. Albert Einstein said:
“The significant problems we face cannot be solved by the same level of thinking
that created them”
7
Managing through Kaizen Paradigm
Normal Paradigm : It is natural to get some defects/rejects in the process
Kaizen Paradigm : We must find out a way to avoid defects/rejects from the process

SEE

DO
GET
Zero Defect Quality (This
method is even better
than Six Sigma)

New Paradigms
 Every defect you see
as an opportunity to do a
Poka-yoke
 Focus on efficiency,
not deficiency
 Focus on the process,
not on the people
 Create a culture of
Zero error
5
How Should Kaizen Mind Work?

It is a positive attitude
through…….

6
How Many Legs Does Elephant Has?

10
Session: 2
Introduction of Poka-Yoke

8
What is Poka-Yoke?
“A Poka-yoke device is any mechanism that either prevents a
mistake from being made or makes the mistake obvious at a
glance”.

•As Shingo writes,
"The causes of defects lie in worker errors, and defects are
the results of neglecting those errors. It follows that mistakes
will not turn into defects if worker errors are discovered and
eliminated beforehand”

9
Characteristics of Poka-Yoke
These three characteristics are also known as 3 Qualifiers:

Other Characteristics:

10
Purpose of Poka-Yoke
By the end of the module, participants will be able to:

11
Why is Mistake Proofing Important?

12
Session: 3
Process Waste Management

13
Lean Eliminates Non-Value Adding Activities
Value adding
Optimize
Necessary but
not value adding

Minimize

5%
5%

Primary focus of “traditional”
Primary focus of “traditional”
efficiency improvements
efficiency improvements

35%
35%
Primary focus of
LEAN improvements

Non value adding
WASTE

60%
Attack the NVA first and
Attack the NVA first and
reduce the NVA through
reduce the NVA through
further improve & eventually
further improve & eventually
eliminate it completely. A
eliminate it completely. A
process in general has around
process in general has around
95% Waste in the form of NVA
95% Waste in the form of NVA
What is Waste?

15
8 Types of Wastes
All alphabets are showing a kind of Waste -

 D - Defects
 O - Overproduction
 W - Waiting
 N - Needless Processing
 T - Transportation
 I - Inventory
 M - Motion
 E - Employee Creativity
16
Elimination of Wastes and Continuous Improvement
• • Total Productive
Total Productive
Maintenance
Maintenance
• • Value Stream Mapping
Value Stream Mapping

17
Vision For Creating Performance Excellence

18
Session: 4
Zero Defect Quality

19
What is a Zero Defect Quality System (ZDQ)?
A quality concept to manufacture ZERO defects &
elimination of waste associated with defects, rejects,
rework, pilferage, etc.!

“ZERO” is the goal!

20
What is a Zero Defect Quality System (ZDQ)?

Based on a discipline that
defects can be prevented
Control the process so that defects
are impossible!

21
Cost of Defects?
There is always a cost associated with manufacturing defects!
Does it cost more to make processes better?

NO

Making processes better leads to reduced
12%

Rework

4%

Scrap

7%

Warranty costs

11%

Inspection costs
22
Session: 5
3 Qualifiers of Poka-Yoke

23
3 Qualifiers of Poka-Yoke

24
1) Simple & Inexpensive
Poka-yoke devices must be simple in implementation and usage.

Closed
Cabinet

Transparent
Cabinet

They are often inexpensive as ideas of making the devices mistake-proof at
their workplace comes from the front-line workers who prevents errors in
the work being done.

25
2) 100% Inspection
Only Point of Origin Inspection actually
eliminates defects, rejects, rework, etc.
“Focus on prevention, not detection”
• Catches errors

May include Switches that detect
miss-fed parts
-Pins that prevent miss-feeding
-Warning lights
-Sound signals

• Gives feedback before processing
• No risk of making more defective
product

Process with Zero Defects
Detect Error

By combining Check and Do in
the ZDQ approach

Feedback / Corrective Action

26
ZDQ / Check & Do / Point of Origin Inspection

27
100% Inspection

a) Go through the passage. Count F’s both small & capital
letters
b) Do not go through the passage a second time because
that would be 200% Inspection not 100% Inspection

28
Count F’s
The necessity of training farm hands for first class
farms in the fatherly handling of farm live stock is
foremost in the minds of farm owners. Since the
forefathers of the farm owners trained the farm
hands for first class farms in the fatherly handling of
farm live stock, the farm owners feel they should
carry on with the family tradition of training farm
hands of first class farms in the fatherly handling of
farm live stock, because they believe it is the basis of
good fundamental farm management.
29
Answer

Count
:

36
30
100% Inspection

100% Inspection is not as effective as
the Source inspection, this
methodology is more effective than
statistical sampling which does not
provide feedback in reducing defects

31
3) Immediate Feedback
The third qualifier provides immediate feedback, whereas traditional method provides
feedback after the whole process is finished

ZDQ sends the operator a signal and alarms the person that an error has happened!
ZDQ Inspections = Immediate Feedback
32
How to Poka-Yoke?
(Implementation)

33
Session: 6
Poka-Yoke examples From Daily Life

34
Poka-Yoke Example

This Stove burner turns off automatically when pot
or pan is removed
35
Think Different – Poka-Yoke
Transparent
Toaster
It allows you to see the
bread while it is toasting
so you just have to take
it out when the color is
right.

VISUAL – Enjoy your
toast, don’t burn it

36
Innovate – Poka-Yoke

Laser Scissors
Cutting a straight line
has never been easier
Just aim the pin-point
laser and follow the line

Voila, no jagged
edges, no jay-walking
on paper

37
Session: 7
Poka-Yoke Systems

38
Poka-Yoke Systems Govern the Process
Two Poka-Yoke System approaches are utilized in manufacturing
which lead to successful Zero Defect Quality (ZDQ):
1. Control Approach
Shuts down the process when an error occurs
Keeps the “suspect” part in place when an operation
is incomplete

2. Warning Approach
Signals the operator to stop the process and correct the problem
39
1) Control System

“There must have
been an error
detected; the
machine shut down
by itself”

40
2) Warning System

BEEP!

BEEP!

“I’m glad the
alarm went ON
now I’m not
making defects!”

BEEP!

41
Session: 8
Method of Poka-Yoke

42
Methods for Using Poka-Yoke
Poka-yoke systems consist of three
primary methods:

1. Contact
2. Counting
3. Motion-Sequence

43
1) Contact Method
“A contact method functions by detecting whether a sensing
device makes contact with a part or object within the
process”
Cylinder present

Missing cylinder;piston fully
extended alarm sounds

Limit switches are pressed when
cylinders are driven into a piston.
The switches are connected to pistons
that hold the part in place
In this example, a cylinder is missing
and the part is not released to the next
process

Cannot proceed
to next step.
Contact Method using limit
switches identifies missing
cylinder.
44
Physical Contact Devices

Limit Switches

Toggle Switches

45
Energy Contact Devices
Photoelectric switches can be used with objects that are translucent or
transparent depending upon the need

Light

Transmitter

Receiver

Object
If object breaks the transmission, the machine is signaled to shut down
46
Contact Device

An example of a
contact device using
a limit switch. In
this case the switch
makes contact with a
metal barb sensing
it’s presence. If no
contact is made the
process will shut
down

47
Contact Methods
Do not have to be high tech!
The devices can be as simple as guide pins or blocks that do not allow
parts to be seated in the wrong position prior to processing

Take advantage of parts designed with an uneven shape!
- A work piece with a hole a bump or an uneven end is a perfect
candidate for a passive jig
- This method signals to the operator right away that the part is not in
proper position
48
2) Counting Method
Count the number of parts or components required to complete an
operation in advance.
If operators finds parts leftover, they will know that something has been
omitted from the process

“I have an extra
part. I must have
omitted a step!”

49
3) Motion-Sequence Method
- Method uses sensors to determine if a motion or a step in a process has
occurred
- If the step has / has not occurred out of sequence, the sensor signals a
timer device to stop the machine and signal the operator

If movement does not occur, the switch
signals to stop the process or warn the
operator

50
Motion-Sequence Method
Each step of the machine cycle is wired to an indicator board and a timer.
If each cycle of the machine is not performed within the required “time”
and “sequence”, the indicator light for that step will be turned on and the
machine will stop

Machine

Indicator Board

51
Types of Sensing Devices
Sensing devices that are traditionally used in poka-yoke
systems can be divided into three categories:
1. Physical contact devices
2. Energy sensing devices
3. Warning Sensors

Each category of sensors includes a broad
range of devices that can be used depending
on the process

52
A) Physical Contact Sensors
These devices work by physically touching something. This can be a
machine part or an actual piece being manufactured.
In most cases these devices send an electronic signal when they are touched.

53
B) Energy Sensors
“These devices work by using energy to detect whether or not any
defect has occurred”

Fiber optic

Vibration
Photoelectric
54
C) Warning Sensors
Warning sensors signal the operator that
there is a problem
These sensors may be used in conjunction
with a contact or energy sensor to get the
operators attention
Color Code

Lights
Lights connected to
Micro switches & Timers
55
3 Rules of Poka-Yoke
Don’t wait for the perfect POKA-YOKE……
Do It Now!

If your POKA-YOKE idea has better than 50%
chance to succeed……Do It!

Do It Now…...Improve later!
56
Session: 9
Types of Poka-Yoke

57
1) Judgement Inspection
In Judgment inspection, we sorted the defects out

58
2) Informative Inspection
In Informative inspection, we do “Successive checks”
and “Self-checks”

59
3) Source Inspection
Detects mistakes before they
become defects
Transformation = Quality production right the first time
Inspection….eliminated ???
Transport
Storage
Delay/wait

Dedicated lines
One piece flow

60
Session: 10
Principles of Poka-Yoke

61
Principles of Poka-Yoke

• Elimination seeks to eliminate the possibility of
error by redesigning the product or process

• Replacement substitutes a more reliable process
to improve consistency

• Prevention engineers the product or process so
that it is impossible to make a mistake at all

62
Principles of Poka-Yoke

• Facilitation employs techniques and combining
steps to make work easier to perform

• Detection involves identifying an error before
further processing occurs to quickly correct the
problem

• Mitigation seeks to minimize the effects of errors

63
Session: 11
100-1000-10000 Rule

64
100-1000-10000 Rule
The 100-1000-10000 rule states that as a product or service moves
through the production system, the cost of correcting an error
multiplies by 10
Cost

Activity
Order entered correctly

Rs. 100

Error detected in billing

Rs. 1000

Error detected by customer

Rs. 10000

Dissatisfied customer shares the experience with others the costs is

Rs.1,00,000
65
How do defects impact cost?
Operation A
Source

In-process
Inspection

Operation B
Downstream

Final
Inspection

Customer

Downstream Process

Rs. 100

RS. 1,000

Rs. 10,000

Rs. 1,00,000

Rs. 10,00,000

Very Minor

Minor Rework

More Defects
more Rework

Significant
rework delay,
Reschedule

Reputation,
Loss of
market share

Incremental Cost

66
Golden Rule

Inspection

is

Detection

is

Correction

leads to

Prevention

67
Session: 12
Types of Human Mistakes

68
What Causes Defects?
Human Mistakes
“Simple errors-the most common cause of defects-occur
unpredictably”
The goal of ZDQ is zero!
Make certain that the required
conditions are in place and
controlled to make acceptable
product 100% of the time

69
Types of Human Mistakes

70
To Prevent Mistakes To occur
To prevent mistakes, install error proofing devices
Checklists
Dowel and locating pins
Error & alarm detectors
Limit or touch switches
Detectors, readers, meters, counters

71
Poka-Yoke Format
POKA-YOKE SHEET

COMPANY NAME

Problem:
Shutdown
Prevent Error

Solution:

Control
Key Improvement:
Detect Error
Before

Picture

Alarm
After

Picture

72
81

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Mistake proofing for web

  • 1. Poka-Yoke Mistake Proofing For Zero Defect Quality A Strategy For Performance Excellence 1
  • 2. Table of Contents Session 1 Paradigm Shift For Zero Errors Session 2 Introduction of Poka-Yoke Session 3 Process Waste Management Session 4 Zero Defect Quality (ZDQ) Session 5 3 Qualifiers of Poka-Yoke How to Poka-Yoke? Session 6 Poka-Yoke Examples From Daily Life Session 7 Poka-Yoke Systems Session 8 Method of Poka-Yoke Session 9 Types of Poka-Yoke Session 10 Principles of Poka-Yoke Session 11 100-1000-10000 Rule Session 12 Types of Human Mistakes 2
  • 3. Session: 1 Paradigm Shift For Zero Errors 3
  • 4. Paradigm Shift For Zero Error Shift in Paradigm SEE Satisfied Customer Do “Poka Yoke” Principles DO GET Improved Quality Reduction in defects/rejects Dr. Albert Einstein said: “The significant problems we face cannot be solved by the same level of thinking that created them” 7
  • 5. Managing through Kaizen Paradigm Normal Paradigm : It is natural to get some defects/rejects in the process Kaizen Paradigm : We must find out a way to avoid defects/rejects from the process SEE DO GET Zero Defect Quality (This method is even better than Six Sigma) New Paradigms  Every defect you see as an opportunity to do a Poka-yoke  Focus on efficiency, not deficiency  Focus on the process, not on the people  Create a culture of Zero error 5
  • 6. How Should Kaizen Mind Work? It is a positive attitude through……. 6
  • 7. How Many Legs Does Elephant Has? 10
  • 9. What is Poka-Yoke? “A Poka-yoke device is any mechanism that either prevents a mistake from being made or makes the mistake obvious at a glance”. •As Shingo writes, "The causes of defects lie in worker errors, and defects are the results of neglecting those errors. It follows that mistakes will not turn into defects if worker errors are discovered and eliminated beforehand” 9
  • 10. Characteristics of Poka-Yoke These three characteristics are also known as 3 Qualifiers: Other Characteristics: 10
  • 11. Purpose of Poka-Yoke By the end of the module, participants will be able to: 11
  • 12. Why is Mistake Proofing Important? 12
  • 13. Session: 3 Process Waste Management 13
  • 14. Lean Eliminates Non-Value Adding Activities Value adding Optimize Necessary but not value adding Minimize 5% 5% Primary focus of “traditional” Primary focus of “traditional” efficiency improvements efficiency improvements 35% 35% Primary focus of LEAN improvements Non value adding WASTE 60% Attack the NVA first and Attack the NVA first and reduce the NVA through reduce the NVA through further improve & eventually further improve & eventually eliminate it completely. A eliminate it completely. A process in general has around process in general has around 95% Waste in the form of NVA 95% Waste in the form of NVA
  • 16. 8 Types of Wastes All alphabets are showing a kind of Waste -  D - Defects  O - Overproduction  W - Waiting  N - Needless Processing  T - Transportation  I - Inventory  M - Motion  E - Employee Creativity 16
  • 17. Elimination of Wastes and Continuous Improvement • • Total Productive Total Productive Maintenance Maintenance • • Value Stream Mapping Value Stream Mapping 17
  • 18. Vision For Creating Performance Excellence 18
  • 20. What is a Zero Defect Quality System (ZDQ)? A quality concept to manufacture ZERO defects & elimination of waste associated with defects, rejects, rework, pilferage, etc.! “ZERO” is the goal! 20
  • 21. What is a Zero Defect Quality System (ZDQ)? Based on a discipline that defects can be prevented Control the process so that defects are impossible! 21
  • 22. Cost of Defects? There is always a cost associated with manufacturing defects! Does it cost more to make processes better? NO Making processes better leads to reduced 12% Rework 4% Scrap 7% Warranty costs 11% Inspection costs 22
  • 23. Session: 5 3 Qualifiers of Poka-Yoke 23
  • 24. 3 Qualifiers of Poka-Yoke 24
  • 25. 1) Simple & Inexpensive Poka-yoke devices must be simple in implementation and usage. Closed Cabinet Transparent Cabinet They are often inexpensive as ideas of making the devices mistake-proof at their workplace comes from the front-line workers who prevents errors in the work being done. 25
  • 26. 2) 100% Inspection Only Point of Origin Inspection actually eliminates defects, rejects, rework, etc. “Focus on prevention, not detection” • Catches errors May include Switches that detect miss-fed parts -Pins that prevent miss-feeding -Warning lights -Sound signals • Gives feedback before processing • No risk of making more defective product Process with Zero Defects Detect Error By combining Check and Do in the ZDQ approach Feedback / Corrective Action 26
  • 27. ZDQ / Check & Do / Point of Origin Inspection 27
  • 28. 100% Inspection a) Go through the passage. Count F’s both small & capital letters b) Do not go through the passage a second time because that would be 200% Inspection not 100% Inspection 28
  • 29. Count F’s The necessity of training farm hands for first class farms in the fatherly handling of farm live stock is foremost in the minds of farm owners. Since the forefathers of the farm owners trained the farm hands for first class farms in the fatherly handling of farm live stock, the farm owners feel they should carry on with the family tradition of training farm hands of first class farms in the fatherly handling of farm live stock, because they believe it is the basis of good fundamental farm management. 29
  • 31. 100% Inspection 100% Inspection is not as effective as the Source inspection, this methodology is more effective than statistical sampling which does not provide feedback in reducing defects 31
  • 32. 3) Immediate Feedback The third qualifier provides immediate feedback, whereas traditional method provides feedback after the whole process is finished ZDQ sends the operator a signal and alarms the person that an error has happened! ZDQ Inspections = Immediate Feedback 32
  • 34. Session: 6 Poka-Yoke examples From Daily Life 34
  • 35. Poka-Yoke Example This Stove burner turns off automatically when pot or pan is removed 35
  • 36. Think Different – Poka-Yoke Transparent Toaster It allows you to see the bread while it is toasting so you just have to take it out when the color is right. VISUAL – Enjoy your toast, don’t burn it 36
  • 37. Innovate – Poka-Yoke Laser Scissors Cutting a straight line has never been easier Just aim the pin-point laser and follow the line Voila, no jagged edges, no jay-walking on paper 37
  • 39. Poka-Yoke Systems Govern the Process Two Poka-Yoke System approaches are utilized in manufacturing which lead to successful Zero Defect Quality (ZDQ): 1. Control Approach Shuts down the process when an error occurs Keeps the “suspect” part in place when an operation is incomplete 2. Warning Approach Signals the operator to stop the process and correct the problem 39
  • 40. 1) Control System “There must have been an error detected; the machine shut down by itself” 40
  • 41. 2) Warning System BEEP! BEEP! “I’m glad the alarm went ON now I’m not making defects!” BEEP! 41
  • 42. Session: 8 Method of Poka-Yoke 42
  • 43. Methods for Using Poka-Yoke Poka-yoke systems consist of three primary methods: 1. Contact 2. Counting 3. Motion-Sequence 43
  • 44. 1) Contact Method “A contact method functions by detecting whether a sensing device makes contact with a part or object within the process” Cylinder present Missing cylinder;piston fully extended alarm sounds Limit switches are pressed when cylinders are driven into a piston. The switches are connected to pistons that hold the part in place In this example, a cylinder is missing and the part is not released to the next process Cannot proceed to next step. Contact Method using limit switches identifies missing cylinder. 44
  • 45. Physical Contact Devices Limit Switches Toggle Switches 45
  • 46. Energy Contact Devices Photoelectric switches can be used with objects that are translucent or transparent depending upon the need Light Transmitter Receiver Object If object breaks the transmission, the machine is signaled to shut down 46
  • 47. Contact Device An example of a contact device using a limit switch. In this case the switch makes contact with a metal barb sensing it’s presence. If no contact is made the process will shut down 47
  • 48. Contact Methods Do not have to be high tech! The devices can be as simple as guide pins or blocks that do not allow parts to be seated in the wrong position prior to processing Take advantage of parts designed with an uneven shape! - A work piece with a hole a bump or an uneven end is a perfect candidate for a passive jig - This method signals to the operator right away that the part is not in proper position 48
  • 49. 2) Counting Method Count the number of parts or components required to complete an operation in advance. If operators finds parts leftover, they will know that something has been omitted from the process “I have an extra part. I must have omitted a step!” 49
  • 50. 3) Motion-Sequence Method - Method uses sensors to determine if a motion or a step in a process has occurred - If the step has / has not occurred out of sequence, the sensor signals a timer device to stop the machine and signal the operator If movement does not occur, the switch signals to stop the process or warn the operator 50
  • 51. Motion-Sequence Method Each step of the machine cycle is wired to an indicator board and a timer. If each cycle of the machine is not performed within the required “time” and “sequence”, the indicator light for that step will be turned on and the machine will stop Machine Indicator Board 51
  • 52. Types of Sensing Devices Sensing devices that are traditionally used in poka-yoke systems can be divided into three categories: 1. Physical contact devices 2. Energy sensing devices 3. Warning Sensors Each category of sensors includes a broad range of devices that can be used depending on the process 52
  • 53. A) Physical Contact Sensors These devices work by physically touching something. This can be a machine part or an actual piece being manufactured. In most cases these devices send an electronic signal when they are touched. 53
  • 54. B) Energy Sensors “These devices work by using energy to detect whether or not any defect has occurred” Fiber optic Vibration Photoelectric 54
  • 55. C) Warning Sensors Warning sensors signal the operator that there is a problem These sensors may be used in conjunction with a contact or energy sensor to get the operators attention Color Code Lights Lights connected to Micro switches & Timers 55
  • 56. 3 Rules of Poka-Yoke Don’t wait for the perfect POKA-YOKE…… Do It Now! If your POKA-YOKE idea has better than 50% chance to succeed……Do It! Do It Now…...Improve later! 56
  • 57. Session: 9 Types of Poka-Yoke 57
  • 58. 1) Judgement Inspection In Judgment inspection, we sorted the defects out 58
  • 59. 2) Informative Inspection In Informative inspection, we do “Successive checks” and “Self-checks” 59
  • 60. 3) Source Inspection Detects mistakes before they become defects Transformation = Quality production right the first time Inspection….eliminated ??? Transport Storage Delay/wait Dedicated lines One piece flow 60
  • 62. Principles of Poka-Yoke • Elimination seeks to eliminate the possibility of error by redesigning the product or process • Replacement substitutes a more reliable process to improve consistency • Prevention engineers the product or process so that it is impossible to make a mistake at all 62
  • 63. Principles of Poka-Yoke • Facilitation employs techniques and combining steps to make work easier to perform • Detection involves identifying an error before further processing occurs to quickly correct the problem • Mitigation seeks to minimize the effects of errors 63
  • 65. 100-1000-10000 Rule The 100-1000-10000 rule states that as a product or service moves through the production system, the cost of correcting an error multiplies by 10 Cost Activity Order entered correctly Rs. 100 Error detected in billing Rs. 1000 Error detected by customer Rs. 10000 Dissatisfied customer shares the experience with others the costs is Rs.1,00,000 65
  • 66. How do defects impact cost? Operation A Source In-process Inspection Operation B Downstream Final Inspection Customer Downstream Process Rs. 100 RS. 1,000 Rs. 10,000 Rs. 1,00,000 Rs. 10,00,000 Very Minor Minor Rework More Defects more Rework Significant rework delay, Reschedule Reputation, Loss of market share Incremental Cost 66
  • 68. Session: 12 Types of Human Mistakes 68
  • 69. What Causes Defects? Human Mistakes “Simple errors-the most common cause of defects-occur unpredictably” The goal of ZDQ is zero! Make certain that the required conditions are in place and controlled to make acceptable product 100% of the time 69
  • 70. Types of Human Mistakes 70
  • 71. To Prevent Mistakes To occur To prevent mistakes, install error proofing devices Checklists Dowel and locating pins Error & alarm detectors Limit or touch switches Detectors, readers, meters, counters 71
  • 72. Poka-Yoke Format POKA-YOKE SHEET COMPANY NAME Problem: Shutdown Prevent Error Solution: Control Key Improvement: Detect Error Before Picture Alarm After Picture 72
  • 73. 81