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POKA­YOKE


             RAKESH AMBRE – 04319401
             L. SUNDARAVALLI – 04419801




01/12/2004            IE 635 / IEOR       1
Presentation plan
                Introduction
                What is Mistake Proofing?
                Classifications by Dr. Shigeo Shingo 
                ZQC Vs. SPC
                Case report – Push buttons
                Classifications of Poka­yoke devices
                Everyday Examples
                Characteristics of good Poka­yoke 
                 devices
                Poka­yoke in software
                Conclusions

01/12/2004                   IE 635 / IEOR               2
Introduction
    Pronounced as POH­kah YOH­kay 
    Poka­yoke is the Japanese word for mistake­
     proofing
    Discrimination between mistakes and defects
    Mechanism that prevents a mistake from being 
     made which is obvious at a glance.
    Examples:       Push buttons
                     Welding nuts into panels 


01/12/2004              IE 635 / IEOR                3
TO ERR IS HUMAN NATURE
                      BUT
       INTELLIGENCE IS ALSO HUMAN 
                    NATURE
                       SO 
      NEVER STOP ,FINDING WAYS OF 
              NOT MAKING MISTAKES
01/12/2004           IE 635 / IEOR    4
POKA YOKE (Mistake Proofing)
CAUSES                              EFFECTS
                                    • DEFECTS 
• DISTRACTION
                                      (QUALITY)
• CONFUSION                         • INSUFFICIENT 
                INATTENTION 
                   ERROR              NUMBER 
• LACK OF                             (QUANTITY)
  PRACTICE
                                    • ACCIDENTS 
• UNCERTAINTY                         (SAFETY)
                                    • WORK DELAY
 01/12/2004         IE 635 / IEOR             5
No System of Barriers is Perfect…

                Error




Harm

  01/12/2004    IE 635 / IEOR                                       6
                                Adapted from James Reason’s  
                                Managing the Risk of Organizational Accidents
No System of Barriers is Perfect…
…But improvements can be made
               Error                                        Error




Harm             Harm
  01/12/2004    IE 635 / IEOR                                       7
                                Adapted from James Reason’s  
                                Managing the Ris of Organizational Accidents
WHAT IS MISTAKE PROOFING
A SYSTEM For Organizing Work that 
    Excludes any risk of error even by the 
     beginner
    Allows everyone to operate without mistake
    Prevents error that are about to occur


01/12/2004            IE 635 / IEOR            8
Classifications by Dr. Shigeo Shingo
    Judgment inspection
            Inspection in quality
    Informative inspection
            Uses data gained from inspection to control 
             the process and prevent defects. Examples: 
             Traditional SPC and repeated checks and self­
             checks in ZQC
    Source inspection 
            Before the fact at source, before reaching 
             customer or Forcing function
01/12/2004                     IE 635 / IEOR               9
ZQC Vs. SPC
    "...a look at SPC methods as they are 
     actually applied shows that feedback and 
     corrective action ­ the crucial aspects of 
     informative inspections ­ are too slow to be 
     fully effective." 
    PokaYoke techniques to correct mistakes + 
     Source inspection to prevent mistakes = 
     ZQC

01/12/2004             IE 635 / IEOR            10
Continued…
     ZQC is not as effective as SPC for defects           
     that result from variance in measurement data 
      ZQC  is  a  special  case  of  SPC  for  defects  that 
     result from variance in attribute data. 
     ZQC's source inspection can be used effectively 
     to eliminate mistakes and in conjunction with SPC 
     to eliminate the recurrence of special causes. 




01/12/2004                 IE 635 / IEOR                   11
Case Report – Push buttons
    In the  old  method,  a  worker  began by taking  two 
     springs  out  of  a  large  parts  box  and  then 
     assembled a switch. 
    In  the  new  approach,  a  small  dish  is  placed  in 
     front of the parts box and the worker's first task is 
     to take two springs out of the box and place them 
     on  the  dish.  Then  the  worker  assembles  the 
     switch. If any spring remains on the dish, then the 
     worker  knows  that  he  or  she  has  forgotten  to 
     insert it. 


01/12/2004                 IE 635 / IEOR                  12
PokaYoke devices
    A prevention device engineers the process 
     so that it is impossible to make a mistake 
     at all. 
            A 3.5 inch computer diskette 
    A detection device signals the user when a 
     mistake has been made, so that the user 
     can quickly correct the problem 
            Small dish for push buttons


01/12/2004                    IE 635 / IEOR    13
Everyday Examples




01/12/2004             IE 635 / IEOR   14
Which dial turns on the burner?




  Stove A



            Stove B
Other examples
     Prevention devices
            Microwaves
            Washing machines
            Central locking in modern cars
            Key locks in mobiles
     Detection devices
            Refrigerators
            Messaging in most soft wares
            Beeps in automobiles if key is left in ignition

01/12/2004                     IE 635 / IEOR                   16
Characteristics of PokaYoke 
devices
    Simple and cheap 
    Part of the process, permitting 100% inspection 
    Placed close to where the mistakes occur, 
     providing quick feedback.
    Designed to stop a particular mistake 
    A detection device cannot provide a complete 
     error proof solution
    Necessary and not a sufficient solution


01/12/2004               IE 635 / IEOR                  17
Common Mistake­proofing Devices
   Guide Pins 
   Blinking  lights and alarms
   Limit switches 
   Proximity switches
   Counters
   Checklists


01/12/2004            IE 635 / IEOR   18
PokaYoke in software


            Prevention devices
                Development of programming languages
            Detection devices
                Software testing




01/12/2004                     IE 635 / IEOR            19
Conclusions:

                Think simple
                Think specific
                Think attributes
                Think early 
                Think responsive
                Think re­use

01/12/2004               IE 635 / IEOR   20
THANK YOU




01/12/2004     IE 635 / IEOR   21

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Poka yoke

  • 1. POKA­YOKE RAKESH AMBRE – 04319401 L. SUNDARAVALLI – 04419801 01/12/2004 IE 635 / IEOR 1
  • 2. Presentation plan  Introduction  What is Mistake Proofing?  Classifications by Dr. Shigeo Shingo   ZQC Vs. SPC  Case report – Push buttons  Classifications of Poka­yoke devices  Everyday Examples  Characteristics of good Poka­yoke  devices  Poka­yoke in software  Conclusions 01/12/2004 IE 635 / IEOR 2
  • 3. Introduction  Pronounced as POH­kah YOH­kay   Poka­yoke is the Japanese word for mistake­ proofing  Discrimination between mistakes and defects  Mechanism that prevents a mistake from being  made which is obvious at a glance.  Examples: Push buttons Welding nuts into panels  01/12/2004 IE 635 / IEOR 3
  • 4. TO ERR IS HUMAN NATURE BUT INTELLIGENCE IS ALSO HUMAN  NATURE SO  NEVER STOP ,FINDING WAYS OF  NOT MAKING MISTAKES 01/12/2004 IE 635 / IEOR 4
  • 5. POKA YOKE (Mistake Proofing) CAUSES EFFECTS • DEFECTS  • DISTRACTION (QUALITY) • CONFUSION • INSUFFICIENT  INATTENTION  ERROR NUMBER  • LACK OF  (QUANTITY) PRACTICE • ACCIDENTS  • UNCERTAINTY (SAFETY) • WORK DELAY 01/12/2004 IE 635 / IEOR 5
  • 6. No System of Barriers is Perfect… Error Harm 01/12/2004 IE 635 / IEOR 6 Adapted from James Reason’s   Managing the Risk of Organizational Accidents
  • 7. No System of Barriers is Perfect… …But improvements can be made Error Error Harm Harm 01/12/2004 IE 635 / IEOR 7 Adapted from James Reason’s   Managing the Ris of Organizational Accidents
  • 8. WHAT IS MISTAKE PROOFING A SYSTEM For Organizing Work that   Excludes any risk of error even by the  beginner  Allows everyone to operate without mistake  Prevents error that are about to occur 01/12/2004 IE 635 / IEOR 8
  • 9. Classifications by Dr. Shigeo Shingo  Judgment inspection  Inspection in quality  Informative inspection  Uses data gained from inspection to control  the process and prevent defects. Examples:  Traditional SPC and repeated checks and self­ checks in ZQC  Source inspection   Before the fact at source, before reaching  customer or Forcing function 01/12/2004 IE 635 / IEOR 9
  • 10. ZQC Vs. SPC  "...a look at SPC methods as they are  actually applied shows that feedback and  corrective action ­ the crucial aspects of  informative inspections ­ are too slow to be  fully effective."   PokaYoke techniques to correct mistakes +  Source inspection to prevent mistakes =  ZQC 01/12/2004 IE 635 / IEOR 10
  • 11. Continued…   ZQC is not as effective as SPC for defects            that result from variance in measurement data     ZQC  is  a  special  case  of  SPC  for  defects  that  result from variance in attribute data.    ZQC's source inspection can be used effectively  to eliminate mistakes and in conjunction with SPC  to eliminate the recurrence of special causes.  01/12/2004 IE 635 / IEOR 11
  • 12. Case Report – Push buttons  In the  old  method,  a  worker  began by taking  two  springs  out  of  a  large  parts  box  and  then  assembled a switch.   In  the  new  approach,  a  small  dish  is  placed  in  front of the parts box and the worker's first task is  to take two springs out of the box and place them  on  the  dish.  Then  the  worker  assembles  the  switch. If any spring remains on the dish, then the  worker  knows  that  he  or  she  has  forgotten  to  insert it.  01/12/2004 IE 635 / IEOR 12
  • 13. PokaYoke devices  A prevention device engineers the process  so that it is impossible to make a mistake  at all.   A 3.5 inch computer diskette   A detection device signals the user when a  mistake has been made, so that the user  can quickly correct the problem   Small dish for push buttons 01/12/2004 IE 635 / IEOR 13
  • 14. Everyday Examples 01/12/2004 IE 635 / IEOR 14
  • 16. Other examples  Prevention devices  Microwaves  Washing machines  Central locking in modern cars  Key locks in mobiles  Detection devices  Refrigerators  Messaging in most soft wares  Beeps in automobiles if key is left in ignition 01/12/2004 IE 635 / IEOR 16
  • 17. Characteristics of PokaYoke  devices  Simple and cheap   Part of the process, permitting 100% inspection   Placed close to where the mistakes occur,  providing quick feedback.  Designed to stop a particular mistake   A detection device cannot provide a complete  error proof solution  Necessary and not a sufficient solution 01/12/2004 IE 635 / IEOR 17
  • 18. Common Mistake­proofing Devices  Guide Pins   Blinking  lights and alarms  Limit switches   Proximity switches  Counters  Checklists 01/12/2004 IE 635 / IEOR 18
  • 19. PokaYoke in software  Prevention devices  Development of programming languages  Detection devices  Software testing 01/12/2004 IE 635 / IEOR 19
  • 20. Conclusions:  Think simple  Think specific  Think attributes  Think early   Think responsive  Think re­use 01/12/2004 IE 635 / IEOR 20
  • 21. THANK YOU 01/12/2004 IE 635 / IEOR 21