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3
How To Complete The 5 Whys
1. Write down the specific problem. Writing the issue helps you
formalize the problem and describe it completely. It also helps a
team focus on the same problem.
2. Ask Why the problem happens and write the answer down
below the problem.
3. If the answer you just provided doesn't identify the root cause
of the problem that you wrote down in step 1, ask Why again
and write that answer down.
4
5
Painting
Thick layer of painting
WHY ???
WHY ???
Tin tubes are used for applying paint and the nozzle
has round opening.
WHY ???
6
7
Check Sheet is a format for collecting data efficiently.
8
Time (days) No. of Readings Total
3 2
4 4
5 8
6 15
7 27
8 19
9 12
10 11
11 2
100
9
Type of Error No. of Occurrences Total
11
SALES CODE
CUSTOMER
REF. 3
A/C No. 12
COST FIGURE 24
AREA CODE 6
POOR
APPEARANCE
8
OTHER 2
TOTAL 5 3 4 10 1 2 3 3 4 1 4 2 2 5 5 1 5 2 1 3 66
Sample number 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
10
• Stratification is used to segregate the process performance
by sources of problem.
11 11
WHEN Trend Continuous, discontinuous, very rare
Time, period Start-up season, (e.g. summer), setup
WHO Men Shift wise, new or old employees
WHAT Materials Lots, type No.
WHERE Location Part, Range, process, equipment
WHICH Trend Direction, increases or decreases
HOW Status Equipment, jigs, tools, machining
conditions, accuracy (dynamic or
stationery)
12
Bales of Fibre with High moisture:
25 out of 1000 bales produced.
Stratified Data:
Shift-A: Production: 400, High moisture:15
Shift-B: Production: 300, High Moisture:6
Shift-C: Production: 300, High Moisture: 4
13
CAR WIND SCREEN MANUFACTURING
x x xxx x
x
x x x
x
x xxx
x
x x x
14 14
Italian economist Alfred V Pareto found that Large share of Wealth is
held by very small number of people.
Dr. J M Juran applied this to the field of Quality, to classify the quality
problems in Vital Few & Trivial many.
15 15
• When analyzing data about the frequency of problems or
causes in a process.
• When there are many problems or causes and you want
to focus on the most significant.
• When analyzing broad causes by looking at their specific
components.
• When communicating with others about your data.
16 16
Vital Few
Numerical
Measure
Trivial Many
Causes
The vital few are isolated and displayed In a simple visual format
17
Delay in Repair of Equipment
100%
330 Vital 94% 100
Few 90%
Percent of hours
300 85% 90
Hours of delay
78%
80
250
63% 70
200 Trivial 60
Many 50
150 38%
40
100 124 84 30
51 20
50 22 17 12 20 10
0 0
Reworking
Waiting for
Waiting for
diagnosis
resource
incorrect
incorrect
Lack of
other
all
SOP
Parts
Men
18
• The Cause & Effect Diagram is a systematic way of listing
down all the possible contributing factors (CAUSES) of a
quality problem (the EFFECT).
• The cause and effect diagram is also known as the
“ISHIKAWA” diagram or the “FISHBONE” diagram.
• Analysis of the cause and effect diagram:
All factors are critically examined / analyzed w.r.t their
probable contribution of the effect.
All factors selected as most likely causes of the effect are
then subjected to experimentation to find the validity of their
selection.
19 19
• Application of cause and effect diagram
Picture of a brain storming session
To organize free flowing ideas in a logical manner
Used to analyze the cause of any quality problem and
identify the factors leading to better results / control
Identifies problem areas where data can be collected and
analyzed
20
PROCEDURES PEOPLE
Have not learned
computer system
Low pay Low prestige
Typists: Letters written Account Executive:
Perform editing quickly in cars Word processing
Turn in hard-to-read
tasks on road staff unmotivated
handwritten draft
Typists:
Fill in for
receptionists
Letter late
to customer
Word processing Not enough printers
system
Four-hour turnaround
Mail room must on letters
Not Hard to format get out bills first
user on company
friendly stationery
EQUIPMENT POLICIES
21
MANPOWER MACHINES
Reading ability Temperature gauge
dificient Wrong cake pans set incorrectly
for baking times
Can't Oven is malfunctioning
Temperature understand
dial on oven recipe Thermostat
set wrong - worn out
Language barrier
Cake
burns in
Oveb ore-heated Directions in
oven
too long Cake batter not
recipe not clear
mixed properly
22
23
• Scatter Diagram is used to study the relationship
between cause (called independent variable
denoted as X) and effect (called dependent
variable denoted as Y).
No relationship exists
.. .
. . . . . ..
. . .. .. . .. . . . . . ..
. . .
25
• Graphs are used for the following namely.
- To organize data
- To summarize data
- To statistically display the analyzed data
- To draw inferences and conclusions
- Line graph
- Bar graph or Histogram
- Pie chart
26
• It is used to detect changes in qualities such as
production, rejection, rework, etc, over a period
of time
% rejection
60
50
40
% rejection
30
20
10
0
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
% rejection 10 24 15 10 54 40 30 20 15 10 5 4
27
Histogram is a graphical presentation of large amount of data
generated from measurement of output of a process.
The graph looks like Bar Chart with a difference that bars are
adjacent to each other. This is because the data used to construct
Histogram is continuous in nature whereas the data for Bar Chart is
discrete.
50
40
Frequency
30
20
10
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
Thickness of output in mm
29
One End Truncated Two Ends Truncated
30 30
• To detect at the earliest the causes for process shifts, so
that corrective measures are initiated at the earliest
• To investigate the process being adopted for
manufacturing, take corrective measures if necessary to
see that the number of rejections are minimized.
• To alter and establish new specification for a product
based on the capability of the process.
• To determine and eliminate the assignable causes
• To reduce the cost involved in inspection
31 31
Control charts are of Two types
•Variable data – Measurable and recordable
•Attribute data – Conforming or Non conforming, Y/N
30
Measurem ent
25
20
15
10
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
Variables Attributes
X bar - R X bar - S
P - chart np - chart c - chart u - chart
chart chart
33
Chart type Description of chart
Shows control / un-control position of the process over the
X bar chart
process average.
34
FMEA is a structured analytical technique done on paper that
consists of the following activities
Process FMEA
Benefits of FMEA
36
1. Develop a process map and identify process steps.
37
6. Calculate risk priority number (RPN) for each potential failure mode.
38
• Severity (SEV) : Severity indicates how severe is the impact of the effect
on the customer.
• Risk priority number : This number is used to place priority to items for
better quality planning.
1 Customer will not at all observe Very remote possibility Sure that the potential failure
the adverse effect will be detected & prevented
before reaching the next
customer
2 Customer will experience Low failure with supporting Almost sure that the potential
slight discomfort documents failure will be detected before
reachig the next customer
3 Customer will experience Low failure without supporting Less chances that the
annoyance because of slight documents potential failure will reach the
degradation of performance next customer undetected
5 Customer is uncomfortable Moderate failure rate with Moderate chances that the
supporting documents potential failure will reach the
next customer
40
Rating Degree of Severity Likelihood of Occurrence Ability to detect
6 Warranty repairs Modearate failure rate without Controls are not likely to detect
supporting documents or prevent the potential failure
from reaching the next
customer
7 High degree of customer High failure rate with supporting Less chances that the potential
dissatisfaction documents failure will be detected or
prevented before reaching
the next customer
8 Vey high degree of customer High failure rate with supporting Very less chances that the
dissatisfaction documents potential failure will be detected
or prevented before reaching
the next customer
9 Negative impact on the Failure is almost certain Existing controls will not detect
customer the potential failure
10 Negative impact on the Assured failure Existing controls will not detect
customer, people & society the potential failure
41
POTENTIAL FAILURE MODE AND EFFECTS ANALYSIS (PROCESS FMEA)
CURRENT RESP & ACTION RESULTS
PROCESS POTENTIAL POTENTIAL S POTENTIAL O
PROCESS D RECOMMENDE TARGET S O D
FUNCTION / FAILURE EFFECTS OF E CAUSES OF C RPN
V FAILURE MODES C CONTROL ET D ACTION(S) COMPLETIO ACTIONS E C E RPN
REQUIREMENTS MODES FAILURE TAKEN V C T
S N DATE
High
compressor Air receiver loading pressure setting
10 10 No control 10 1000
energy is high
consumption
Continuous air loss and leak from
10 No control 10 1000
system and at user end
45
REQUIRED STEPS FOR QC PROJECT PROGRESS METHOD TOOLS REQUIRED
STEP-4
ANALYSE THE PROBLEM
METHOD GROUP DATA COLLECTION
DATA COLLECTION' on the problem on all the possible aspects C&E DIAGRAM
STEP-5
IDENTIFICATION OF THE CAUSES
METHOD INDIVIDUAL FLOW DIAGRAM
STEP-6
FINDING OUT THE ROOT CAUSES
METHOD GROUP FLOW DIAGRAM
Identifying the main causes in 'CAUSE' and 'EFFECT' diagram by
DATA COLLECTION
'DATACOLLECTION' and discussion
Note down the actual time taken STRATIFICATION
GRAPH
SCATTER DIAGRAM
HISTOGRAM
46
REQUIRED STEPS FOR QC PROJECT PROGRESS METHOD TOOLS REQUIRED
STEP -7
DATA ANALYSIS
METHOD GROUP PARETO DIAGRAM
STRATIFICATION
Using techniques LINE GRAPH, BAR GRAPH, PIE GRAPH, AREA GRAPH, HISTOGRAMME,
STRATIFICATION, SCATTER DIAGRAM etc. GRAPH
SCATTER DIAGRAM
Note down the actual time taken HISTOGRAM
CONTROL CHART
STEP -8
DEVELOPING SOLUTION
METHOD INDIVIDUAL FLOW DIAGRAM
'BRAIN STORMING' DATA COLLECTION
Note down the actual time taken GRAPH
SCATTER DIAGRAM
CONTROL CHART
STEP -9
FORESEEING PROBABLE RESISTANCE
METHOD INDIVIDUAL FLOW DIAGRAM
Identifying the probable constraints and finding ways to overcome through 'BRAINSTORMING' BRAINSTORMING
Make a presentation to all involved with the solution
Exam: Dept.head, facilitator, other officials and non-members involved with the implementation.
Discuss and evaluate a system for implementation
Note down the actual time taken 47
REQUIRED STEPS FOR QC PROJECT PROGRESS METHOD TOOLS REQUIRED
STEP -10
TRIAL IMPLEMENTATION AND CHECK PERFORMANCE
Data collection after implementation compared with the data collected before
solving the problem. Collect fresh data using 'CONTROL CHART' and watch STRATIFICATION
process trends. Analyse the result, discuss and incorporate the changes needed.
HISTOGRAM
CONTROL CHART
STEP -11
REGULAR IMPLEMENTATION
METHOD GROUP DATA COLLECTION
STEP -12
FOLLOW UP / REVIEW
METHOD GROUP FLOW DIAGRAM
Implement evaluation procedure, use control chart, have six monthly report for
DATA COLLECTION
evaluation. Make modification , if necessary
Make the final 'GANN CHART' showing estimated and actual time. GRAPH
48
CONTROL CHART
49
(Pronounced POH-kah YOH-kay)
Transition from
“Fool Proofing”
To –
“Mistake Proofing”
50
Baka = Fool +
Yokeru = To avoid
Poka = Inadvertent
Mistakes
Yokeru = To avoid
51
“Inadvertent mistakes
increase work”
- Hiroyuki Hirano,
JIT Mgmt. Research Inst.
52
Poka Yoke is a formidable tool for
achieving zero defects and eventually
eliminating quality control inspections
• Detection based :
Senses the abnormality that has already
taken place through one of the methods
described later.
57
1. CONTACT METHOD – Here the sensing agency
recognizes an abnormality or an error through actual
contact.
2. FIXED VALUE METHOD – Recognition through
measurement of actual value, whether higher or lower
than right.
3. MOTION STEP METHOD – You study the motion
and its steps and recognize anything that is missed or
wrongly taken.
58
4. SEQUENCE – We study whether the sequence of
operations are right or wrong.
5. DIRECTION - Whether the directions of various
elemental steps or right or wrong.
6. CONTROL – Here the aim is to control the operation
such that the error or defect is prevented or segregated
and removed as soon as detected.
7. WARNING – In this approach one aims to warn the
affected or associated people that an error or defect has
occurred and they must immediately respond.
59
There are FOUR recognised types:
1. ELIMINATION
2. FACILITATION
3. FLAGGING
4. MITIGATION
60
1. ELIMINATION :
64
Poka Yoke Mechanisms can be -
Electrical
Electronic
Mechanical
Procedural
Visual
Audio
Human response based
Computer logic based or
Any other form that prevents incorrect
execution of a process step.
65
Six sigma is a business initiative started at Motorola by a
reliability engineer named Bill Smith in the 1980’s.
At the time, growth within Motorola was stagnant and the
company was spending up to 20 percent of revenues
correcting poor quality.
With up to $900 million each year going towards finding
and correcting defects, executives at Motorola believed
Higher quality products should actually cost less.
A 5 year program was started for chip manufacture
66
Six sigma was initiated as an attempt to reduce the cost
of poor quality that resulted from scrap, rework, inspection
process, lost revenue & other hidden cost associated with
“Not doing it right the first time”.
Dr. Michael harry founded the Motorola Institute to train
people for six sigma methods.
Motorola, by adopting 6 sigma, moved from 4 sigma
quality level to about 5.5 sigma level. This resulted in a
saving of $2.2 billion.
GE, Xerox, Allied Signals, HP, IBM and others followed. 67
Lean Six Sigma
Six Sigma
Total Quality
Management
(1980)
Quality
Assurance
(1970)
Quality Control
(1960)
Inspection
(1950)
68
20,000 lost articles of mail per hour
Unsafe drinking water almost 15 minutes per day
5,000 incorrect surgical operations per week
2 short or long landings at most airports each day
2,00,000 wrong drug prescriptions each year
No electricity for almost 7 hours per month
69
To meet global competition
To increase market share
To stay in business – present sales decreasing and
operating cost are increasing
To create new businesses
To improve quality – reduce customer complaints &
increase customer satisfaction for existing products &
services
70
Having a measurable way to track performance
Focusing your attention on process management at all
organizational levels
Improving your customer relationships by addressing
defects
Improving the efficiency and effectiveness of your
processes by aligning them with your customers’ needs
Developing new processes, products & services that meet
critical customer requirements upon initial offering
71
1. Understanding your organizations work
from a PROCESS VIEW POINT
2. Clearly defining the CUSTOMER
REQUIREMENTS
72
S C
U U
P S
P T
L O
I M
E E
R R
S S
73
Customer requirements in Six Sigma are
represented as Critical to Quality (CTQ)
Characteristic
CTQs are those features of your product or
service that are critical from the perspective of
your customers
Hence identify right CTQs for improvements
74
Metrics
S
Benchmark
I
Vision
X
Philosophy
S Method
I Tool
G Symbol
M Goal
A
Value
75
• A Philosophy - make fewer mistakes in all we do
• A Statistical Measurement - helps gage adequacy of product,
process and services
• A Metric - a measuring system
• A Business Strategy - good quality reduces cost
76
Quality
Speed
&
Cost
HigherSpeed
&
Cost
Quality
The higher the sigma quality level, the less likely a process is to create
defects. (i.e. less is the variation or Sigma / Std. Deviation)
In order to achieve higher sigma quality levels, and thus lower defect rates, we
need to continuously drive out variation from our processes. 78
Sigma Level / Parts Per Million
Sigma Rating PPM
2 3,08,537 5 times
3 66807 10 times
4 6210 30 times
5 233 10 times
6 3.4
Process Defects per
Capability Million Opportunities
79
80
81
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TO REDUCE VARIATION
TO REDUCE DEFECTS
TO IMPROVE YIELD
TO ENHANCE CUSTOMER SATISFACTION
TO IMPROVE THE BOTTOM-LINE
84
• Y - X1, X2, …….,
• Dependent variable - Independent variable
• Output of the process - Input of the process
• Effect - Cause
• Symptom - Problem
• It is monitored - It is controlled
86
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