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8/3/2019 0606-02 Quality Improvement Procedure Rev7-2
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Quality ImprovementProcedure
March 2008
Quality Management Department
Quality Management Group
Sumitomo Wiring Systems, Ltd.
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1. Two Types of Quality Control
Measures assuming
defects will occur
y Implementation of close inspections
y Free replacement of defective products
Measures to prevent
defect occurrence
(1) Quality of design
y QFD (Quality Functional Development)
y FMEA/FTA
y Design review
(2) Quality of manufacturingy Standardization
y Factor management
(3) Quality of sales and services
y Improvement of service system
y Feedback of repair and complaint information
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To simply prevent defective products from flowing to later processes, (1)To simply prevent defective products from flowing to later processes, (1)
will suffice, but to produce quality products at low cost, (2) is necessary.will suffice, but to produce quality products at low cost, (2) is necessary.
(1)(1) Quality assurance throughQuality assurance through
inspectionsinspections(Defective products are rejected(Defective products are rejected
in inspections)in inspections)
(2)(2) Quality building in processesQuality building in processes
(No defective products are(No defective products aremanufactured)manufactured)
Inspection
NonconformingNonconformingproductsproducts
ProductionProductionprocessesprocesses
Shipping
ConformingConformingproductsproducts
DiscardDiscard
FeedbackFeedbackof causesof causes
Processes areProcesses aremaintained andmaintained and
controlled.controlled.
Take measures forTake measures forcauses of defects incauses of defects in
each process.each process.X
ProductionProductionprocessesprocesses
ConformingConformingproductsproducts
Shipping
The basics of quality control are to improve, maintain, and control
the conditions of production processes and minimize inspections.
1. Two Types of Quality Control1. Two Types of Quality Control
Point!Point!
Man-hours
Cost
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Try to find
defects as if you
are a final
inspector.
From the SWS WAY, We
are a Professional
Manufacturing Group
y Assume that the Japanesecharacter is a defect.
y Circle as you find itand count the number of
.
Limitations of InspectionLimitations of Inspection--Based Quality AssuranceBased Quality Assurance
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Total
13 + 15 + 19 + 13 +
14+8 = 82 pcs.
Try to find defects
as if you are a final
inspector of W/H
assemblies.
From the SWS WAY1-1,
We are a Professional
Manufacturing Group
y Assume that the Japanesecharacter is a defect.
y Count the number of or defects that you found.
?
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Scientific Approach
QC story
Common Approach of Problem-Solving
Set a target Collect all the necessary facts and opinions
Analyze, summarize, and plan (P) Do (D) Check the results (C) and return to (A)
1. Select a theme2. Comprehend the current situation3. Set a target4. Plan activities
5. Analyze the cause6. Consider measures7. Implement measures8. Check the effects9. Maintain the control,
standardize the rule
10.Review the activitiesand future goals
List the problemsEvaluate and narrow down (Q.C.D viewpoint)Decide a theme
Collect dataSort the data for solution finding
List the causes Investigate the causesExtract the root cause
Plan the measures; evaluate and narrow downMake an implementation plan (define 5W1H)
Collect data and check the performance
Evaluate the intangible effect
PDCA
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What Are the QC 7 Tools?
1. Paretto graphs2. Cause-and-effect
diagrams3. Graphs4. Check sheets5. Histograms6. Scatter diagrams
7. Control charts
QC 7 tools -- the statistical analysis tools
using graphs
Variance in quality
Cause of variance(production 5Ms)ManMaterialMachine
MethodMeasurement
Manufacturing process
Datasampling
It is important to select the adequate tool(s) for the purpose
Analysis
7 QC tools
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Approach to Quality Improvement
STEP 2Condition/Status
analysis
STEP 4Permanent solution
(maintenance and
control)
Narrow down target
items using Pareto
diagrams.
(1) Understand the
facts based on the
principles of actual
work site, actual
object, and reality.
(2)Analysis using
histograms and time
series graphs
Develop 5-why
analysis based on
the facts and plan
and implement
measures.
(1) Standardization
and observance of
standards
(2) Daily control
based on control
charts
STEP 3Cause analysis and
measure planning
Identify critical factors related to defects
among many different factors.
Control critical
factors.
Find defect items
from which the
largest effect can
be expected.
STEP 1Determining defect
items subject to
activities
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3. STEP 1: Determining Defect Items Subject to Activities
STEP 1Determining defect
items subject to
activities
STEP 4Permanent solution
(maintenance and
control)
Narrow down target
items using Pareto
diagrams.
(1)Understand the
facts based on theprinciples of actual
work site, actual
object, and reality.
(2)Analysis using
histograms and time
series graphs
Develop 5-why
analysis based on
the facts and plan
and implement
measures.
(1) Standardization
and observance of
standards
(2) Daily control
based on control
charts
STEP 3Cause analysis and
measure planning
Identify critical factors related to defects
among many different factors.
Control critical
factors.
Find defect items
from which the
largest effect can
be expected.
STEP 2Condition/Status
analysis
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What is priority basis?
This principle is to select serious problems from multiple
problems and work on them by preference to produce the
maximum results by using limited resources (people, objects,
money, time, etc.) effectively.
Is priority basis necessary?
It is necessary to make good use of limited resources and
proceed with measures effectively to avoid a mountain in
labor situation.
For this purpose, those items and causes that affect the
results greatly should be identified and dealt with first.
STEP 1Determining Defect Items Subject to
Activities
Priority basisSelecting serious problems from multiple problems and
solving them by priority
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The top 20% makes up 80% of the whole.
The priority of truly serious
problems becomes clear.
Background to Concept of Priority Basis
bParetto lawb
Numberofdefects(cases)
Cumulative
rate(%)
y Significance: The extent and degree of the influence are considerable.
y Trend of expansion: If left unresolved, the influence and degree of theproblem would expand.
y Degree of urgency: A serious outcome will result unless immediate
measures are taken.
Guideline for selecting serious problems
Q7: Pareto diagram
Unprocessed Interfusion Flaws Others
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What is a "Pareto Diagram"?
ProcessA
ProcessD
ProcessC
ProcessE
ProcessB
100
80
60
40
20
00
110
220
330
440
550
[Time(second)]
N = 20 (average)
Defe
ctA
Defe
ctB
Defe
ctC
100
80
60
40
20
00
24
48
72
96
120
[Numberofoccurrence
s]
N = 120
Defe
ctD
Defe
ctE
Defe
ctF
Others
Before improvement
After improvement
(1)Indicates what is the most important problem and what should become the focus.(2)Used to confirm the effectiveness of measures.
[%]
[%]
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Defect A
Defect B
Defect C
0 24
48
72
96
120
Number of occurrences (cases)
N=
70
Defect D
After
impro
Defect A
Defect B
Defect C
100
80
60
40
20
0
0 24
48
72
96
120
Number of occurrences (cases)
N=
120
Defect D
Defect E
Defect F
Others
Be
foreimprov
ement
Comparisono
fbeforeanda
fterimprovem
entacti
Cumulative rate (%)
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DefectA
DefectB
DefectC
100
80
60
40
20
00
24
48
72
96
120
[%]
[Numberofo
ccurrences]
N = 120
April 2002
DefectD
DefectE
DefectF
Others
Step 3 Draw the Pareto Diagram.
Points to note
y Use the right axis forthe ratios of the
accumulated totals.
y Clearly draw dots.These dots should be
placed above the right
edges of the bars.
y Do not forget to
enter "0."
y Locate "Others" on thefar right, regardless of
the value.
y Enter the total number ofsets of data(N).
For time data, enter the
number of sampled pieces
of data.
y Do not forget toenter "0."
y Draw the line of theratios of accumulated
totals from the "0" point.
Points to note
y Locate the pointindicating the numberof sets of data(N) and
the point
indicating"100%" on
the same level.
y Enter the period thisdata was obtained.
Step 4 Determine items to be considered as problems.
Points to note y Even when many classified items are presented, only two tothree items have an enough impact to require attention.
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()
100
80
60
40
20
00
24
48
72
96
120
N = 120April 2002
100
80
60
40
20
00
24
48
72
96
120
N = 120April 2002
Data are all alike and thus important
items are not visible.
This can be caused by inappropriateitem setting or there being a problem
in data collection conditions.
Defe
ctA-A
Defe
ctA-B
Defe
ctA-C
100
75
50
25
00
23
47
70
94
Defe
ctA-D
Othe
rs
When the same measures are
not appropriate for each priority
item, create a breakdown of this
item to indicate more specificpriority items (secondary
classification).
For example, when
classifying "Defect A (part
missing)" into secondary
categories: grommet missing,
clip missing, tube missing,
etc., it becomes easier to
examine specific measures.
Points to note
[%]
[Numberofoccurrences
]
[%]
[Numberofoccurrences
]
[%]
DefectA
DefectB
DefectC
DefectD
DefectE
DefectF
Oth
ers
DefectA
DefectB
DefectC
DefectD
DefectE
DefectF
Oth
ers
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Step 5 Compare Pareto diagrams before and after measures are taken.
0
24
48
72
96
120
Defect A Defect B Defect C Defect D Defect E Defect F Others
0%
20%
40%
60%
80%
100%
0
12
24
36
48
Defect C Defect D Defect A Defect E Defect F Defect B Others
0%
20%
40%
60%
80%
100%
Before improvement
After improvement
Overall effectiveness
Effectiveness ofmeasures for B
Use the same color for the
same item bar.
N = 120
N = 48
Effectiveness ofmeasures for A
Points to note
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Table Actual Defect Data
Replacement/repaircost (yen)
Defect itemNumber of
defective parts
Cost per
partTotal
Mislocation 110 300 33,000
Terminal deformation 75 1,800 135,000
Terminal backout 43 200 8,600
Incorrect crimping 31 2,000 62,000
Part missing 15 400 6,000
Others 26 300 7,800
Total 300 252,400
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Number of defects Cumulative rate (%)
100
90
80
70
60
50
40
30
20
10
0
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Cost of loss Cumulative rate (%)
100
90
80
70
60
50
40
30
20
10
0 0
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Incurred cost
Defect itemNumber of defective
parts
Accumulated number
of defective parts
Ratio of accumulated
number of defective partsMislocation 110 110 36.7%
Terminal deformation 75 185 61.7%
Terminal backout 43 228 76.0%
Incorrect crimping 31 259 86.3%
Part missing 15 274 91.3%
Others 26 300 100.0%
Number of defective parts
Defect itemAmount of incurred
costs
Accumulated amount
of incurred costs
Ratio of accumulated
amount of incurred costs
Terminal deformation 135000 135000 53.5%
Incorrect crimping 62000 197000 78.1%
Mislocation 33000 230000 91.1%
Terminal backout 8600 238600 94.5%
Part missing 6000 244600 96.9%
Others 7800 252400 100.0%
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0
50
100
150
200
250
300
Terminal
deformation
Incorrect
crimping
Mislocation Terminal
backout
Part missing Others
0%
20%
40%
60%
80%
100%
0
50
100
150
200
250
300
Mislocation Terminal
deformation
Terminal
backout
Incorrect
crimping
Part missing Others 0%
20%
40%
60%
80%
100%Number of defective parts
Incurred cost (unit: 1,000 yen)
Ratio Accumulation
Terminal deformation
:25% of defective parts p 54% of total cost
[No.ofdefects(pcs
.)]
[Costofloss(1,000yen)]
[Cumulativerate(%
)]
[Cumulativerate(%)]
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Defect A of product a
produced with equipment(1)
Visual observation
[Defect type]
[Product type]
[Equipment]
y Three Paretodiagrams and
one eye
For defect reduction
a b c d e
(1) (2) (3) (4) (5)
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1 R
1R
Examples of Pareto Diagrams Used for W/H Assembly Process
1 R
1R
1 R
July August September October November
In-house occurrence
Occurrence other than in-house
Classified by
subassembly No.
(home worker)
Classified by defect item
Classified by
subassembly No.
- connector
Classified
by
connector
Secondary classification
for mislocation
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}
}
07/6
3.4%
115171
07/11
2.5%
171
770/
}
}
07/6
3.4%
115171
07/11
2.5%
171
770/
}
}
07/6
3.4%
115171
07/11
2.5%
171
770/
(Case 1) Factor Identification Using Pareto Diagrams
Focused on
incorrect
dimension
Based on defect items
Frequently
occurred in
115 and 171
Defect rate3.4% in
June 2007
Defect rate2.5% in Nov.
2007Reduced
Incorrect dimension of
unique block 171
eliminated
(7l0 case/month)
Incorrect
dimension
Incorrect
dimension
Partdamaged
Partdamaged
Mis
location
Mis
location
Taping
omitted
Terminal
deformation
Terminal
deformation
Taping
omitted
Terminal
backout
Terminal
backout
Lock
omitted
Lock
omitted
Defectivepart
atta
chment
Defectivepart
atta
chment
Others
Others
Others
Others
In-depth identification on unique
blocks of defect occurrence
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171mm
A
U
A
A
A
A
171mm
A
U
A
U
A
A
A
A
(Case 1)
Case of improvement:Unique block bent in L-shape changed to be
placed straight on clamp board
Fig. 3 (1)
Before
improvementAfter
improvement
Fig. 3 (2)
Fig. 3 (3)On clampboard
Dimension of171 mm on
board
Clamp
U-jig
Connector
The shape of
this unique
block ischanged to
straight.
Depending on wiringconditions
Displaced outward
in U-jig
Displaced inward
in U-jig
Dimensional accuracy
improved.
Dimensions
between
clamps are
different.
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Investigate the important item and classify it by secondary and tertiary
categories to narrow down activity targets.
Summary of Pareto Diagram Analysis
For W/H (example)
y Classify by defect item p by number of connector ways p by connector No.p by address
Investigate to the level where you cancheck the facts with actual productsand at the actual worksite.
This is the beginning of 5-Why Analysis.
Why has mislocation occurred at addressXX in connector No. ##?
Observing the actual products at the
actual worksite enables the
identification of root causes.
Why has mislocation occurred forsimilar red wires?
Since there are many similar colors,
further classification is required to identify
the root causes by using actual products
at the actual worksite.
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284. STEP 2: Phenomenon Analysis (Qualitative Facts)
STEP 3: Cause Analysis and Measure Planning
STEP 4
Permanent solution
(maintenance and
control)
Narrow down target
items using Pareto
diagrams.
(1) Understand the
facts based on the
principles of actualwork site, actual
object, and reality.
Develop 5-why
analysis based on
the facts and plan
and implement
measures.
(1)Standardization
and observance ofstandards
(2) Daily control
based on control
charts
STEP 3Cause analysis and
measure planning
Identify critical factors related to defects
among many different factors.
Control critical
factors.
Find defect items
from which the
largest effect can
be expected.
(2)Analysis using
histograms and time
series graphs
STEP 1
Determining defect
items subject to
activities
STEP 2Condition/Status
analysis
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Root Cause Identification- Understanding Facts and 5-Why Analysis -
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Problem solution (root cause identification) is difficult.
Importance of Root Cause Identification
Example 1: Conversation between boss and employee
at a plant
Boss: Another same claim!
You have taken the measure, havent you?
Why did it happen again?
Employee : The measure might not be appropriate.
Boss: You mean that root cause analysis was
inadequate?
Employee: Yes, I suppose so What should we do?
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Why does the problem reoccur?
The cause determined was not the real cause.
The measure taken was not appropriate.
The problem reoccurred.
That is,
How to find solution for the problem = real cause
is the key point.
5-Why Analysis is a methodto help identify the root cause
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Familiar Stories
Defect details: Incorrect product number label
y The label was damaged during assembly.y A non-Japanese inspector found this, replaced the label with
another, and shipped the product.
Familiar stories???
Cause: The non-Japanese inspector did not observe the abnormalityhandling rule.
[Rule] Inspectors must inform the leader or substitute
before replacing the label, and follow his/her
instructions.
[Fact] The inspector replaced the label by him/herself.
pAgainst the rulesMeasure:
1) Prepare operation instructions that non-Japanese people can
understand (only in Japanese until now).
2) Conduct thorough training regarding abnormality handling rules.
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Familiar Stories What is the reality?
Defect details: Incorrect product number label
y The label was damaged during assembly.y A non-Japanese inspector found this, replaced the label with another, and shipped the product.
Cause: The non-Japanese inspector did not observe the abnormality handling rule.
p It is a rule that they must inform the leader or substitute.Measure:Prepare operation instructions that non-Japanese people can understand, and
conduct thorough training regarding abnormality handling rules.
When we investigated the reason why the inspector did not observe the
abnormality handling rule.
The inspector knew this rule! However
Unless measures are taken against this problem, the same problem may reoccureven if rules are thoroughly instructed.Preparation of operation instructions and training for abnormality handling rules are notthe measures against the root cause.
* Measures must also be taken at the assembly process where the label was damaged.
y The leader was not close by.
y Action to be taken when the leader is absentwas not determined.y It was almost shipment time.
The rule
was notobserved.
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-- See the facts. --
Key Points of Root Cause Identification
1) 3-Gen (Real Place, Real Thing, Reality) Principle
To eliminate preconceived ideas, learn how to see the facts.
p Make a habit of looking at the facts by yourself!
2) 5-Why Analysis
To avoid leaps in logic, connect Cause and
Effect with Why.
p Make a habit of thinking about physical phenomena!
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Ones own
knowledge
(1) Self-reflectionExperience, instincts, ideas,
thoughts (principles)
(2) RecallKnowledge and experience
related to external matters
accumulated in the head
External
information
Being told by someone,reading, sorting previous
data, discussions
(4) Seeking direct
information
Observation (qualitative),
measurement (quantitative)
Top priority
When a defect has occurred in a process, stop the line, immediately go to the actualwork site, immediately take a look at the actual item, immediately check thesituation (actual phenomenon), and take action or implement measures.
How to Look at Facts: Methods to Collect Information
Amountofinformation
Reliability
(3) Seeking indirectinformation
3-Gen Principle
(Actual-Worksite-Actual-Item Principleand 3-Immediate & 3-Gen Principle
HAI-Q:When a defect occurs, the line is stopped and persons concerned
immediately gather on the spot to share facts.
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A scene from typical detective drama:
Anthony, I am sure he is the criminal. Now, go and get him.
Make him come clean!
Despite the senior detectives order, the leading character
Anthony carefully observes the actual site of the crime, and
collects facts by asking around until he find the real criminal.
Facts or preconceived ideas?
Distorted common sense.
Should be and should not be.
Presumption goes around...
Seeing the Facts Is Really Difficult
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(Question) Where was the post box ?
(Answers) y I dont know 35 %
y No answer. 3%
y Answered with a guess. 62 %(Breakdown) y Uncertainly answered
(I think ) 23 %
y Certainly answered(It was at ) 39 %
40% assertively answered the question, which they were not sure of
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5-Why Analysis Connects Causes and Effects
Effect
Cause = Effect
Cause = Effect
Cause = Effect
Why?
Why?
Phenomenon occurred. Why?
Because phenomenon occurred.
To avoid leaps in logic
This systematic development is
5-Why Analysis.
Location of wires O and R for
connector No. 160 was incorrect.
Confused wire O with wire R.
(Why)
Operators determined which wire
they had in their hands based on
the wire length, without
confirming the wire color.
(Why)
Operators felt pressed because
operation was delayed.
(Why)
Time was taken to untangle
subassemblies because they got
tangled.
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Generally, there may be
several possible causes
for a single phenomenon. Confused wire Owith wire R.
The wires were seen
incorrectly.
Both wires were of the
same color, so it was
difficult to distinguish
them.
Location of wires O and R for connector No. 160 was incorrect.
The top and bottom
of the connector lock
was incorrect.
Wires O and R were in his/her
hand. The operator had a
preconceived idea that thelonger wire was wire O (did not
check the wire color).
Arrangement
before minor
changes wasapplied.
The arrangement drawing
on the assembly board
was incorrect.
Did not check
the top and
bottom.
As you analyze why and why,
branches of possible causes spreadfurther and further.
qWe suggest the basic method of5-
Why Analysis.
[5-Why Analysis STEP 1]Collect Facts and Analyze Phenomenon before ThinkingWhy
Did not check for
changes made to
arrangement.
Since wire R was off the
U jig, wire R was longerin his/her hand.
Determining which wire the
operator had in his/her hand
based on the length is faster than
confirming the color.
The operator felt
pressed because
operation was delayed.
Time was taken to
untanglesubassemblies
because they got
tangled.
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Confused wire Owith wire R.
The wires were seen
incorrectly.
Both wires were the same
hue, so it was difficult to
distinguish them.
Location of wires O and R for connector No. 160 was incorrect.
The top and bottom
of the connector lock
was incorrect.
Wires O and R were in his/her
hand. The operator had a
preconceived idea that the
longer wire was wire O (did not
check the wire color).
Arrangement
before minorchanges was
applied.
The arrangement drawing
on the assembly board
was incorrect.
Did not check
the top and
bottom.
Did not check for
changes made to
arrangement.
Since wire R was off the
U jig, wire R was longer
in his/her hand.
Determining which wire the
operator had in his/her hand
based on the length was faster
than confirming the color.
The operator felt
pressed becauseoperation was delayed.
Time was taken to
untanglesubassemblies
because they got
tangled.
Dont Start with Why
Collect the facts andclarify the phenomenon,and then narrow downthe scope.
For example, if the operation
method (fact) caused confusion of
wires can be made clearer by
asking the operator
.
You dont have to analyze
why for the otherwhys.
4W1H except for WhyCarefully collect the
relevant facts in terms
of Who, When, Where,
What, and How. Analyze the
phenomenon before
analyzing the cause!!
Wire O
Wire R
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[Step 2] Identify Causes Based on Facts--- Streamlining with facts to cut branches
Why was the
arrangement incorrect?
Confused wire O
with wire R.
Location of wires O and R for
connector No. 160 was incorrect.
The top and bottom
of the connector lock
was incorrect.X
Confused wire O
with wire R.
Location of wires O and R for
connector No. 160 was incorrect.
The top and bottom
of the connector lock
was incorrect.XThe wires were seen
incorrectly.Wires O and R were in his/her hand. The
operator had a preconceived idea that the
longer wire was wire O (did not check the wire
color).
Since wire R was off the U jig,
wire R was longer in his/her hand. X
Branching is
acceptable when thereare multiple causes.
5-Why Analysis
is a repeat ofthese steps.
It is not necessary to
analyze why for cutbranches.
Were these facts? (1) is a fact and (2) is not a fact.
(2)(1)
p Whys?
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Identify Root Cause Based on Facts Stepwise
Confused wire O
with wire R.
Saw the wires
incorrectly.
Location of wires O and R for connector No. 160 was incorrect.
The top and bottom
of the connector lock
was incorrect.
The arrangement
drawing on the
assembly board was
incorrect.
XX
XWires O and R were in his/her
hand. The operator had apreconceived idea that the
longer wire was wire O (did not
check the wire color).
Since wire R was off theU jig, wire R was longer
in his/her hand.
Determining which wire the
operator had in his/her hand
based on the length was faster
than confirming the color.
The operator felt
pressed because
operation was delayed.
Time was taken tountangle
subassemblies
because they got
tangled.
Dont skip, go
stepwise.
To avoid leaps in logic, move
down the stairs one by one.
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Retrace branches for any leaps in
logic and confirm that items areconnected with Because.
A leap in logic exists in sections not
connected with Because.
[Step 3] Connect with Why and Verify with Because
Confused wire O
with wire R.
The wires were seenincorrectly.
Location of wires O and R for connector No. 160 was incorrect.
The top and bottom
of the connector lock
was incorrect.
Wires O and R were in his/herhand. The operator had a
preconceived idea that the
longer wire was wire O (did not
check the wire color).
The arrangement
drawing on the
assembly board was
incorrect.
Since wire R was off the
U jig, wire R was longerin his/her hand.
Determining which wire the
operator had in his/her hand
based on the length is faster than
confirming the color.
The operator felt
pressed because
operation was delayed.
Time was taken to
untangle
subassemblies
because they got
tangled.
XXX
Why
Because
4
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When conducting 5-Why Analysis for mistakes at the worksite where manymanual operations are performed:
y It is difficult to collect the facts.y There are many cases where decisive factors are not found.p Check the facts based on the Actual-Worksite-Actual-Item Principle, and
extract factors that may cause defects. We may have to conduct 5-WhyAnalysis based on assumptions to some extent.
[Mislocation] When: Did something occur then?
Operation was delayed, so the operator became nervous?p Why? p Operator had to untangle a tangled subassembly.This delayed operation.
Where: Is the insertion position and direction of the connectorappropriate? Is the color of these wires the same?
y Assume all factors that may cause or induce mistakes.y Examine the factors assumed ultimately and take measures!
p However, this is difficult work.Therefore understanding phenomenon of the defect is important.
Mistakes in Manual Operations
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(Operation rules that may cause mistakes)
y There are many items operators mustdetermine or check by themselves.
y Setting depends on the skill of operators.y Operators must conduct multiple
operations simultaneously.
Operation system
Standardize operations.
Simplify operations.
Implement hardware measures(including fool-proof devices)
Flow production, one-piece
production and flow, one
operation for one product
number, First-In First-Out
(Not always perfect)
y See or hear incorrectlyy Forget easilyy Action (hands/feet) differs from
thinking (mind).
Human behavior
Education, training, OJT
training, reminders/cautions,
award system
Human Error Factors and Measures
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Human Error Factors and Measures
Indirect factors
Operational and environmental
rules that may induce:
Ideal root cause identification
y Mistakesy Feeling of pressure
Extract the defect occurrence possibility
based on the Actual-Worksite-Actual-Item
Principle, and take measures
Direct factors
Conventional root cause identification
Education, training,
OJT training,
reminders/cautions
y Omit checksy See or hear incorrectly
y Misunderstandy Forget easily
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Company Standard Proactive and RecurrencePrevention of Human-Error Quality Problems
QC-CW-114 (Established on March 1, 2007)
Elimination of elements that may lead to human-error quality problems
(proactive prevention)
Eliminate elements that may lead to human-error quality problems by improving
processes and standards.
Eliminate elements related to indirect factors
(P.33).Company standard
5-1. Items to implement in production preparation stage
5-2. Items to implement in process control
Points of view to identify the
elements that may cause a
problem
Items to implement upon occurrence of human-error quality problems
(recurrence prevention)
When such a quality problem occurs, trace back to the management factors to
remove the root of the problem, including indirect factors.
Company standard 6. Items to implement after a quality
defect occurs
Root Cause Identification
Sheet
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49Review Sheet for Zero Defects in Human-Involved Operation
Regarding each item
in 5-1 and 5-2.
Extract issues by checks
(actual worksite and object)
Summarize measures and
actions (plan)
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Factors that induce human errors (1)
[Operation method and details]
(1) Operations that may cause defects
1) Operations determined by operators
2) Operations relying on operators experience and skills
3) Operations performed with operation/inspection procedures entrusted to operators
(standards not arranged)
4) Difficult operations
5) Operations that are not realistic (cannot be performed or observed)
6) Operations with elements of Muri (overburden), Mura (unevenness), and Muda
(waste), that hamper smooth operation
7) Multiple operations (assembly and transfer, handling multiple lines, supervising and
operation, etc.)
8) Operations that require mutual cooperation between adjacent processes
[Infrastructure (1)](1) Operational environment that may cause defects
1) Normal/abnormal cannot be determined due to insufficient 4S.
2) Storage location and inventory standard are unclear.
3) Similar components or finished products are stored adjacently.
4) Operators cannot be viewed due to stacked returnable containers or high equipment.
5) Operation areas are dark or dirty.
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Factors that induce human errors (2)
[Infrastructure (2)]
(2) Processes that may cause defects
1) Confusion with similar products is not adequately assumed in process design, and
number control is not performed.
2) Actual operation situation and past problems are not reflected in process design
(difficult-to-work process layout and equipment structure).
3) Continuous normal operation is difficult due to frequent stoppage.
4) Machines in use cannot assure conforming products (insufficient process capabilities,
machine deterioration, etc.).
5) Foolproof devices are not installed (important characteristics, defects rarely found in
subsequent processes, defects that cannot be avoided by human determination, etc.).
6) Foolproof devices lack reliability (incorrect detection, frequent malfunction).
(3) Inadequacy of standards, gages, and jigs
1) Operation procedures, quality check standards, and pass/fail criteria are not prepared(including preparation for non-Japanese operators).
2) Inspection devices, jigs, and gages are not controlled.
3) Reliability of inspection is insufficient (inadequate operation procedures, insufficient
inspection time, poor operation environment, inadequate inspection tools, inspection
relying on visual check).
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Factors that induce human errors (3)
[Management and training (1)]
(1) Rules not established1) No rules for handling abnormalities
2) No rules for handling defective products
3) No rules when leaving the operation line
4) No rules for FIFO (first-in, first-out)
5) No rules for inspecting the initial and last products in a lot, and others
(2) Worksite environment that may cause defects
1) Worksite where 4S are not thoroughly conducted2) Worksite where rules for handling abnormalities are not observed
3) Worksite unable to control changes
4) Worksite constantly exposed to changes (equipment failure, change of personnel, delivery period, etc.)
5) Worksite management with insufficient personnel (operators, supervisors)
6) Worksite unable to respond to drastic increase in production volume
7) Worksite where operators are exhausted due to high load or overtime work
8) Worksite full with complaints of operators
(3) Training system not established1) Allocation of inadequate personnel
2) Assignment of new operators without training
3) Only verbal training
4) Training system in which subjects to be taught are not determined (no training materials)
5) Training without checking understanding level (the purpose is simply doing)
6) Lack of operators awareness and quality (evaluation remains the same even if done or not done)
7) No check system after new operators are assigned
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53
Factors that induce human errors (4)
[Management and training (1)]
(4) Inadequate management
1) Inadequate daily management by managers/supervisors/leaders
(control items unknown)
2) Periodical operation observation not implemented by managers/supervisors/leaders
3) Changes not controlled
4) Worksite management without discipline
(overlooked even when rules are not observed)
5) Management materials not prepared (defect data, map of dropped products,
production results, etc.)
6) No system to collect opinions from worksites and reflect them in operations
7) State of worksites not visual (lack of visualization, state of objects unknown)
(5) Inadequate maintenance
1) Periodic checks not conducted2) Daily check not conducted (including check of foolproof devices)
3) Scheduled maintenance not implemented
[Others]
1) Startup of new product without operation training and check (no milestone control)
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54
Company Standard Proactive and RecurrencePrevention of Human-Error Quality Problems
QC-CW-114 (Established on March 1, 2007)
Elimination of elements that may lead to human-error quality problems
(proactive prevention)
Eliminate elements that may lead to human-error quality problems by improving
processes and standards.
Eliminate elements related to indirect factors
(P.33).Company standard
5-1. Items to implement in production preparation stage
5-2. Items to implement in process control
Points of view to identify the
elements that may cause a
problem
Items to implement upon occurrence of human-error quality problems
(recurrence prevention)
When such a quality problem occurs, trace back to the management factors to
remove the root of the problem, including indirect factors.
Company standard 6. Items to implement after a quality
defect occurs
Root Cause Identification
Sheet
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55
Root Cause Identification Sheet for Human-Error Problems
Standards
Keywords to identify root cause
(1) Were there any similar defects in the past?
(2) Were there any difficult operations in the past?(3) Have you ever experienced close calls?
(4) Were any difficult operations reported?
(5) Were there any operations conducted without fullyunderstanding procedures or rules?
(6) Were there any changes (5M) immediately before aproblem occurred?
To identify root cause
All the persons mentioned below must identify the root cause:
y The person who made the mistakey Persons involved that could not prevent the mistakey Persons involved that could not find the mistake
Defective products orcomponents
Equipment failure, temporary
stoppage
Defective tools and jigs
Change in environment (shelves,
indications, illumination, etc.)
Change in system or tooling
(emergency response, etc.)
Operation delay
Helping for other operators
Talked to by someone during
operation
Preconceived ideas
Insufficient concentration
Incorrect determination
Incorrect operation
Carelessness
Incorrect memory
Poor physical condition
Physical factors
Human factors
Physical factors
Human factors
(1st step) (2nd step ) (3rd step ) (4th step ) (5th step )There arestandards.
Defective products or componentsEquipment failure, temporary
stoppageDefective tools and jigs
Change in environment (shelves,indications, illumination, etc.)
Change in system or tooling
(emergency response, etc.)
Operation delay
Help for other operators
Talked to by someone during operation
Preconceived ideas
Insufficient concentration
Incorrect determination
Incorrect operationCarelessness
Incorrect memoryPoor physical condition
Operators didnot know the
standards
Instructor didnot teach
operators
Had no time to teach subject
Does not know how to teach subject
Had no intention of teaching subject
Forgot to teach subject
Did not know they had to teach subject
Assumed subject had been taught
Importance placed on production(no time allowance, etc.)
There is no teaching sys tem (or it is not known)
There are no teaching materials
Not clear who they should teach
Did not teach comprehensively.
Did not teach certain people.
Instructortaught
operators
Operators were taught butthey forgot
Operators could notunderstand
Operators were taughtincorrectly
Does not feel necessary. Reasons were not explainedDid not understand reas ons
Insufficientunderstanding
Did not teach according tothe operators level
Insufficient supportafter teaching
Misunderstood
Insufficient teaching time
Made mistakes
Insufficient understanding
Teaching was not specific
Teaching skill was poor.
Instructors understanding was incorrect
Poor teaching skillsHad preconceived ideas
Operators
knew the
standards
Observed
but caused
defect
Deficiency in standards or system Omission of operation points Insufficient pre-examination
Faulty tools and jigs Not reported
Reported but only tentative
measures were taken
Reported but not accepted
Insufficient communication
There were difficult orhard-to-judge operations Not reported
Reported but only tentativemeasures were taken
Reported but not accepted
Insufficient communication
Did not observe With external influences
(situation wherestandards could not beobserved)
Without externalinfluences
(standards could havebeen observed)
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STEP 4
Permanent solution(maintenance and
control)
Narrow down target
items using Pareto
diagrams.
(1) Understand the
facts based on the
principles of actual
work site, actual
object, and reality.
Develop 5-whyanalysis based on
the facts and plan
and implement
measures.
(1)Standardization
and observance ofstandards
(2) Daily control
based on control
charts
STEP 3Cause analysis and
measure planning
Identify critical factors related to defects
among many different factors.
Control critical
factors.
Find defect items
from which the
largest effect can
be expected.
(2)Analysis using
histograms and time
series graphs
4-2. STEP 2: Phenomenon Analysis (Quantitative Data)
STEP 1
Determining defectitems subject to
activities
STEP 2Condition/Status
analysis
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What Are the QC 7 Tools?
1. Pareto diagrams2. Cause-and-effect
diagrams3. Graphs4. Check sheets5. Histograms6. Scatter diagrams
7. Control charts
QC 7 tools -- the statistical analysis tools
using graphs
Variance in quality
Cause of variance(production 5Ms)ManMaterialMachine
MethodMeasurement
Manufacturing process
Datasampling
It is important to select the adequate tool(s) for the purpose
Analysis
7 QC tools
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QC 7 Tools - Comprehensive Drill
You belong to the coated wire extruding process group.
There are several kinds of defectives, and those are gettingserious quality issues. Now you are assigned to reduce thenumber of defectives.
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60
Pareto diagram showing amount of loss
10
20
Flaw
Pullout
force
Lump
Bad
winding
Cumulativerate
(%)
0
50
100Reel produced in Jan. 07
Loss(1,000ye
n)
0
Conductor
Insulation
Flaw
Lump
Pullout forceinspection
Surface
inspectionAppearance
inspection
Bad winding
Example Problem: Reduction of Loss from
Defects in Wire Extrusion Process
Pullout force defect
(standard: 85 - 115 N/cm2)
Pullout force defect
determined to be an
activity target
70% of
loss
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61
62Q7: Histogram
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Standard value:
85 - 115 N
The table on the
right is data of
pullout capacity.
The standard
value is 85 N or
larger and smallerthan 115 N.
Minimum measuring unit: 0.1
Histogram Analysis
Create a histogram
and analyze pulloutforce data.
(1) Does the average
deviate?
(2) Is the dispersion
excessive?
Q7: Histogram
N = 65
Manufactured in
Jan. 2007
Determined to
improve pullout
force defects.
Lot No. Pullout force Defective Lot No. Pullout force Defective Lot No. Pullout force Defective
63Q7: Histogram
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HistogramHistogram
Column (class)Column (class)
Class boundary valueClass boundary value
Class intervalClass interval hh
yy Histograms are a tool to:Histograms are a tool to:
yy Terminology of histogramsTerminology of histograms
yy Point in preparationPoint in preparationDivide data from the maximum value to the minimum into several classes to make the distributionDivide data from the maximum value to the minimum into several classes to make the distribution
easy to read.easy to read.
Maximum valueMaximum value
hh
Minimum valueMinimum value
Make it possible to overview the distribution of large volumes ofMake it possible to overview the distribution of large volumes of
data at a glance;data at a glance;
Make it easy to calculate the average and standard deviation; andMake it easy to calculate the average and standard deviation; and
Understand the relationships between the data and standards.Understand the relationships between the data and standards.
Q7: Histogram
64Procedure for making a Histogram
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Collect data (done) Number of bars: B = 65 8
Largest value: L = 121.8 Smallest value: S = 80.3 Class interval: h = (L-S) / B = (121.8 - 80.3) / 8 =5.14
rounded to 5.1 (decimals point 1 place)Decidenumber of intervals
interval rangeclass boundary value
Procedure for making a Histogram
Make graphsthat can also beunderstood by
the others
e.g.# of intervals: 9
Class interval : 5.0
Lower limit specification value
Upper limit specification value
Class boundary value=Specification value
Easy to comprehend!
Interval
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Make a frequency table
///
//// /
//// //// /
////
////
////
////
////
////
////
///
/
///
///
/
Class Mid. frequency
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Specification lower limitSL85
Specification upper limitSU115
N=65Manufactured
in March 2004Out of SL and SU;both are the problem!
Average value isexactly the
target value!
Priority must beput on improving
the deviation.
Average value 99.87Standard deviation 8.62
Make a histogram
frequency
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Normal distribution
type
(Process under control)
Plateau type or
double-peak typeSmall isolated
island type
Outliers resulting from
unexpected causes
Data of two different groups
is mixed
JNeeds to be stratified
The upper or lower limit is purposefully aimed at.
Data is skewed toward the lower specification limit.
Sub-standard products are removed by inspection.
Shapes of Histograms and Presumed Causes
Trailing skirt shape
type or cliff shape type
68How to Read HistogramsHow to Read Histograms
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How to Read HistogramsHow to Read Histograms1.1. Find the characteristics of distributions.Find the characteristics of distributions.
2.2. Compare distributions against the specification.Compare distributions against the specification.
3.3. Stratify and compare them to determine differences according to stratifications.Stratify and compare them to determine differences according to stratifications.
Normal distribution type Toothless type Skewed-to-the-right type
Cliff shape type Double-peak type Small isolated island type
The process is under control.
(Commonly seen)
This case results from incorrect orinconsistent measurement readings.
y Data is skewed toward the lower specificationlimit.
yThere are none under a certain value, in theory.
Sub-standard products were
removed by 100% sorting.
Two distributions with different
average values are mixed.
Outliers resulting from
unexpected causes
69Average value and standard deviation
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Average value and standard deviation
(1) Average value
(2) Deviation sum of squares
(3) Unbiased variance
(4) Standard deviation
X Assumed onnormal
distribution
i
X
)X(X
i
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What is Normal Distribution?
Example:Actual dimensions of
products manufactured to a certain
dimension range
Normal
distribution
Bilaterally symmetrical distribution with
sloping data dispersion curves, for
processes under stable conditions*
*Only genuine and inevitable dispersions occur.
Frequency
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What is Normal Distribution?What is Normal Distribution?
yy Shape of distributionShape of distribution
yy Numerical expressionNumerical expression
yy The normal distribution of the averageThe normal distribution of the average QQ and theand thestandard deviationstandard deviation WW is represented as N (is represented as N (QQ,, WW 22).).
Probability density functionProbability density function
As the total amount of dataAs the total amount of data
(N) increases and the class(N) increases and the class
intervals become narrower,intervals become narrower,
the ultimate measuredthe ultimate measuredvaluesvalues f (x)f (x) mostly formmostly form
normal distributions.normal distributions.
22
22
22
))((
22
11))((
WWQQ
WW
----
==
xx
eexxff
aa bb ggxxQQ
WW
))(( xxffyy ==
gg
TT
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Population Parameters and StatisticsPopulation Parameters and Statistics
PopulationPopulation
PopulationPopulation
parametersparameters
QQ22WW
WW
11xx
22xx
nnxx
StatisticsStatistics
SpeculationSpeculation
(Populationparameters)
(Statistics)
Average
Dispersion
Standard
deviation
22WW
WW
xx
VVss
xxVV
ss
V!
V!
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Meaning ofMeaning ofQQ andand WW
In a distribution,In a distribution, QQ indicates the median position andindicates the median position and WW indicates the dispersionindicates the dispersiondegree (or width).degree (or width).
11QQ
22QQ
WW
11WW
22WW
The dispersion degreeThe dispersion degree WW did not change, but the averagedid not change, but the average QQ changed.changed.
The averageThe average QQ did not change, but the dispersion degreedid not change, but the dispersion degree WW changed.changed.
WW
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W W W
Characteristics of Normal Distribution (1)
s1W 68%
s2W 95%
s3W 99.7%
When a measure ofdispersion degree W(standard deviation) is used
99.7% of all of the data exists in the range ofs3W from the average.
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N=65Average value 99.8 7
Standard deviation 8.62
s1W 68%
99.87s8.62
s2W 95%
99.87s2 x 8.62
s3W 99.7%
99.87s3 x 8.62
V
X
Characteristics of Normal Distribution (2)
Frequency
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What Is Process Capability?
When a process is under control, its capabilities can be
understood from the relationship between the range ofspecification values and the standard deviation.
Lower
specificationlimit
(SL)
Upper
specificationlimit
(SU) Defects rarelyoccur.
Defectsfrequently occur.
Range of
specification value
W
6W
W
6W
Range ofspecification
value > 6W
Range ofspecification
value < 6W
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Concept of Process Capability (1)
V6
x
Process capability index
V6SSCp LU
Range of specification value
x
Large CP value = High
process capability
LSLS
US US
Process capability index:
CP (for specification with upper and lower limits)
Range ofspecification
value
Range ofspecification
value
Dispersion
V6
In our company, we often assume that a
process with CP 1.33 generally has
sufficient process capability.
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USLS
V4
V6
V8
x
x
x
V
V
V
5/100p:rateDefect
0.67Cp
V4SSWhere LU
!
!
!
p:rateDefect
1.33Cp
VSSWhere LU
!
(5%)
(0.3%)
(0.006%)
Concept of Process Capability (2)
3/1000p:rateDefect
.001Cp
V6SSWhere LU
!
!
!
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1.5/1000p:rateDefectCp
V36XorXSWhere(1) LU
!
100000/3p:rateDefect,
33.1Cp
VSXorXSWhere(2) LU
V3
US
xx
LS
The defect rate is 1/2
of the specificationwith upper andlower limits.
Process capability index:
CP (for specification with either limit)
x x
V3
(0.15%)
(0.003%)
V3
X-S
Cp
U!
V3
S-X
CpL
!
With upper
specification limitWith lower
specification limit
Concept of Process Capability (3)
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V6
x
US
LS
x
M
Mean specification value = M(SU+SL)/2
Extent of deviation ( = | |
V3
)S(S21
CpkLU
!
Half the range of specification value Extent of deviation
Dispersion
Cp u Cpk
(Where ( = 0, CP
= CPK
)
y Process capability index withdistribution bias assessed
y Same concept as CP forspecification with either limit
When the deviation ( is large, the Cpkvalue more accurately represents the
process capability.
Process capability index:
Cpk (for specification with upper and lower limits)
M x
Concept of Process Capability (4)
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Which reduces the process capability,the average deviation or dispersion?
This can be determined by the values for Cp and Cpk for each process.
Cp
Cpk
0.67
0.67
Cp
Cpk
1.00
0.67
Cp
Cpk
1.33
0.67
Process 1 Process 2 Process 3
To improve the Cpk of processes 1 to 3 from 0.6
7to 1.33 or higher
Improve
dispersion.
Improve average
deviation.
Improve dispersion.
Improve average
deviation.
Prepare histograms, instead of determining by the values of Cp and Cpk only.
Concept of Process Capability (5)
82
Sorting out the causes using Cause and effect diagram
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Dispersion ofthe strip force
MaterialMachine(extruder)
Man Method
Materialfife
plasticizerlot
extrusionpressure
coolingwatertemp.
Polyethylenelot
testmachine
skill
wrongprocedure preheat
operation
mistakeMaterialmixing
Sorting out the causes using Cause-and-effect diagram
Sort out by breaking the causes into 5M
83Problems in factor organization using
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Cause-and-effect diagrams are very useful as a tool to organize factors in
many different peoples minds and share the same recognition; however,inappropriate use of them can result in a leap in logic.
Factors have been organized!
Lets think about measures
now!
The listed factors are no more than assumptions, so it is
necessary to check the facts before considering measures.
Problems in factor organization using
cause-and-effect diagrams
This is
the
cause!
This must be acause!
Machine Material
Measurement Man Method
Pro
blem,defect,and
trouble
84Analysis Based on Time Series Graphs
Q7: Graph
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Analysis Based on Time Series Graphs
Equipment
stoppage
(weekend)
Equipment
stoppage
(weekend)
Equipment
stoppage
(weekend)
Cooling
water
problem
Enter changes on a time
series graph for analysis
(event analysis).
Pullout force
N/cm2
Pullout force is weak
immediately afterequipment start-up.
85Relational analysis betweenh t i ti l d t t
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characteristic value and potent cause
In the case of analysis the relation between two parametersScatter Diagram
Draw Scatter Diagram from
this data
86
Comprehending the relationship betweenh d d h ff i S di
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Scatter Diagrambetween Extrude pressure & Strip force test
0.870 1.0 1.2 1.4 1.6 1.8 2.0 2.2
80
90
100
110
120
130
Strip
force
(kgf)
Extrude Pressure (kg/mm )2
the presumed causes and the effects using Scatter diagram
No correlation
87
Comprehending the relationship betweenth d d th ff t i S tt di
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Scatter Diagrambetween Cooling water temperature & Strip force test
130
70 12 14 16 18 20 22
80
90
100
110
120
Strip
force
(kgf)
Cooling water temp. ( )24 26 28
Negative correlation when the water temp. goes high,the strip force goes down.
the presumed causes and the effects using Scatter diagram
88
Controlled range of the causes
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70 12 14 16 18 20 22
80
90
100
110
120
Strip
fo
rce
(kgf)
Cooling water temp. ( )24 26 28
Specificationrange
Controlled range of the causes
895. STEP 4: Permanent Solution (Maintenance and Control)
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5-1. Standardization and observance of standards
STEP 4
Permanent solution(maintenance and
control)
Narrow down target
items using Pareto
diagrams.
(1) Understand the
facts based on the
principles of actualwork site, actual
object, and reality.
(2) Analysis using
histograms and time
series graphs
Develop 5-whyanalysis based on
the facts and plan
and implement
measures.
(1) Standardization
and observance of
standards
STEP 3
Cause analysis and
measure planning
Identify critical factors related to defects
among many different factors.
Control critical
factors.
Find defect items
from which the
largest effect can
be expected.
(2)Daily control
based on control
charts
STEP 1
Determining defectitems subject to
activities
STEP 2
Condition/Status
analysis
90
Need for Standardization
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Need for Standardization
To make it possible for anyone to do the same task without overburden,
waste, and inconsistency at any time
Even though rules are standardized, we dont use them in reality.
Standardization would create 100 fools (loss of creativity).
Standardization in our department is impossible, because our work varies for every job.
y Implementable y Easy to observey Easy to understand y Followed by improvement
Familiar stories often heard in relation to standardization
y Standardization that disregarded wishes of people who actually use
the standard (dissociation from real situations at work sites)y Standardization for standardization
Where did these ideas come from?
Conditions for standardization
Purpose of standardization
Standardization is not completed by the establishment of standards, but has meaning in
observance and utilization of these. It is important to keep improving the standards.
91
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Promoting enforcement of observing basic rules
Building workplace climate of sticking with the basics
y Strictly observe anything specified.y Always follow predetermined procedures when changing rules.
Establish
standards
properly
Extract andsuggest
operations
difficult to
perform or
observe the
rules
Strictlyobserving
standards
(check whether
strictly
observed)
Review
Improvement
Unfailing quality
building
92
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Five questions to facilitate observing standards
(1) Are rules properly established?
(2) Are the standards easily observed?
(3) Does the system help you tell that standards are observed?
(4) Are you actively trying to find discrepancies?
(5) Do you modify these items?
Are there standards that specify important items properly?
Can operators observe or implement the standards easily?
Is it clearly apparent to anyone whether standards are observed?
Do you walk around the site and actively try to find items difficult to be observed?
Do you quickly respond to (or improve) items difficult to carry out?
No human errors
Establish
ObserveModify
Observe
93
Blunders and standard observance promotion activities
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Blunders and standard observance promotion activities
Blunder True blunder
Work environment where mistakes are
likely to occur
Necessary rules not established
Nonobservance of rules
1. Operation difficult to perform
2. Frequent occurrences of brief stops
and minor trouble
1. Simultaneous multiple operations
2. Suspension during cycle operation
1. Operation in ones own way
2. Regular jigs not used
Promotion activities for
observing standards
True blunders
are limited
94Solve problems by gathering the
f
Solve problems by gathering the
f
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AwareOperator
Leader PerformedNot
performed
Not aware
Aware
Not aware
Performed
Not
performed
0 36 47
33
12
328
0 8
Cases of defects
0 ( 0%)
76 (43%)
88 (50%)
12 ( 7%)
176 (100%)
wisdom of many people!
Stratification of defects according
to the New Johari Window
wisdom of many people!
Stratification of defects according
to the New Johari Window
95
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It is important that leaders teach rules and instruct operators to
observe them, when
(1) Operators do not observe the rules. (36 + 32 = 68 cases)
(2) Operators do not know the rules. (47 + 33 = 80 cases)
Do not overlook operators nonobservance!
(1) Operators do not observe the rules.
To eliminate this situation, it is important to not only teach
them the standards and rules, but also the reasons forobserving them.
y Why do they have to follow this procedure to do this task?y What kind of defects may occur if they do not follow it?
To avoid this,a system to help you
tell that standards are observed is
necessary.
965. STEP 4: Permanent Solution (Maintenance and Control)
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5-2. Daily control using control chart
STEP 4
Permanent solution(maintenance and
control)
Narrow down target
items using Pareto
diagrams.
(1) Understand the
facts based on the
principles of actualwork site, actual
object, and reality.
(2)Analysis using
histograms and time
series graphs
Develop 5-whyanalysis based on
the facts and plan
and implement
measures.
(1)Standardization
and observance of
standards
STEP 3
Cause analysis and
measure planning
Identify critical factors related to defects
among many different factors.
Control critical
factors.
Find defect items
from which the
largest effect can
be expected.
(2) Daily control
based on control
charts
STEP 1
Determining defectitems subject to
activities
STEP 2
Condition/Status
analysis
97Q7: Control chart
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(Defect) Sub-standard items or
nonconformance
(Irregularity) Something wrong with aprocess (unusual condition);
different from defect or failure
Defect and Irregularity
Using Control ChartUsing Control Chart
Explain the meaning of defect and
irregularity, including the difference
between them.
98
To Maintain Good Conditions in ProcessesTo Maintain Good Conditions in Processes
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To Maintain Good Conditions in ProcessesTo Maintain Good Conditions in Processes
Control limitControl limit
Specification limitSpecification limit
Specification limitSpecification limit
Control limitControl limit
AbnormalityAbnormality
Take actions here.
NonconformanceNonconformance Something wrong with a process; different from defect or failureSomething wrong with a process; different from defect or failure
Process
diagnosis
TakeTake
measuresmeasures
before defectsbefore defects
occuroccur
Abnormality inAbnormality in
processprocess
EarlyEarly
restorationrestoration Good conditionsmaintained
[Control chart][Control chart]
(Abnormality example in control chart)(Abnormality example in control chart)
For process maintenance, measures for abnormalities in the processFor process maintenance, measures for abnormalities in the process
are required.are required.
Control charts are a tool for detecting abnormalities in the process. Control charts are a tool for detecting abnormalities in the process.
Point!Point!
Defe
ct
Easy detection of an abnormality
allows actions to be taken to prevent
defect occurrence.
99
To Maintain Good Conditions in ProcessesTo Maintain Good Conditions in Processes
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To Maintain Good Conditions in ProcessesTo Maintain Good Conditions in Processes
When control charts are likened to a human medical checkupWhen control charts are likened to a human medical checkup
Hospitalization andHospitalization and
major surgery; deathmajor surgery; death
in the worst casein the worst case
Levelofbloodclotinb
rain
Levelofbloodclotinb
rainpp
Sick
Sick
Periodic medical checkupPeriodic medical checkup
Control chartControl chart
==
Health maintenanceHealth maintenance
==
=
Levelofabnormality
Levelofabnormality
pp
Defect
Defect
T (Time)T (Time)
Abnormality detectionAbnormality detection
MedicationMedication
100(Reference) Sensitivity to Irregularity and In-Line Countermeasures
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Irregularity is:
Different from defects, but anunusual state where a certain part is not normal
or something is wrong.
(1) Irregularities listed as control items Relatively easy to detect
(2) Irregularities not listed as control items Must be detected with senses
Operators should report something they feel is unusual as abnormality,likeOh, somethings different, about products or equipment.
Sense Example of sense
Hands
1) The parts surface is usually slick, but is sticky today.
2) Parts can be inserted easier than usual.
3) When held, products feel lighter than usual.
Eyes1) The bolt head is protruding more than usual.
2) The parts surface is less glazed than usual.
Ears1) The sound of the press is louder than usual.
2) The sound heard when parts are inserted is different from the usual sound.
101
(Reference)
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(Reference) Case Example of Detection with Senses
Operation of cutting the gate on synthetic resin parts
The operator engaged in the operation felt the cutting wasLess sticky!
This operator reported the unusual feeling to the supervisor.
It is less
sticky! Different
than usual.
SWS
102
Control ChartQ7: Control chart
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Used to visualize the status of a process to check whether it is stable, and
enables quick detection and prompt action upon abnormality occurrence.
n = 5UCL = 172.0
LCL = 158.0
CL = 165.0
UCL = 25.7
CL = 12.1
Range R(maximum minimum)
Average value x
Upper control limit: UCL
Center line: CL
Lower control limit: LCL
Example of -R control chartx
Date
103
ff
Concept of Control ChartConcept of Control Chart
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Use quality for process control.Use quality for process control.
Quality building in process
Process control by quality
Process Quality performance
y Quality building in process: Standardization
Critical points are selected from the factors responsible for a certainresult and standardized as control points so that products arecontrolled to not deviate from the standard.
y Process control by quality:Quality check, abnormality handling
If any abnormality is found when the variation of dispersed resultsis compared to the standards and targets, the cause must beinvestigated and removed.
Environment Material Machine
Measurement Method Man
Control charts are
a tool for process
control.
104Concept of Control ChartConcept of Control Chart
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Setting control limitsSetting control limits (concept of Shewhart control charts)(concept of Shewhart control charts)
Control limits:s3W from center line 3 sigma rule
W3
(1) Abnormalities are difficult to notice
by only looking at data variation.
Establish an abnormality
determination standard to detect it.
(2) Take measures to prevent recurrence every time an abnormality is
detected to stabilize the dispersion.
Dispersion due toabnormal cause
Dispersion due to uncontrollable cause
Upper control limit (UCL)
Center line(CL)
Lower control limit (LCL)
105
What Are Control Limits, UCL and LCL? (1)What Are Control Limits, UCL and LCL? (1)
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W W W
, ( ), ( )
Process under controlProcess under control
(genuine and inevitable dispersions)(genuine and inevitable dispersions)
Bilaterally symmetrical distributionBilaterally symmetrical distribution
with sloping data dispersionwith sloping data dispersion
+3W-3W Average
99.7% of all data exists in99.7% of all data exists in
the control limit range.the control limit range.
Normal
distribution
Control limitControl limit Control limitControl limit
The process is (basically)The process is (basically)under controlunder control (only(only
genuine and inevitable dispersions occur).genuine and inevitable dispersions occur).
When data isWhen data is beyondbeyond thethe
control limit rangecontrol limit range
When data isWhen data is containedcontained
within the control limit rangewithin the control limit range
The process isThe process is not under controlnot under control (some(some
abnormal cause is assumed to exist).abnormal cause is assumed to exist).
106
Concept of Abnormality Determination fromConcept of Abnormality Determination from
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Concept of Abnormality Determination fromConcept of Abnormality Determination from
Control ChartControl Chartj
99.7% of data exists within
s3W from the average(0.3% outside).
jDots between UCL and LCL are dispersions due touncontrollable causes.
jDots deviated from UCL and LCL are different from those in
the population mean value .
0W
0Q
x
0W
0Q
x
Distribution ofx)(0 xQ
W3s
W
(Conventional distribution)(Use new data for a test.)
Determined as abnormality
107
What Are Control Limits UCL and LCL? (2)What Are Control Limits UCL and LCL? (2)
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With small dispersionWith small dispersion With large dispersionWith large dispersion
Defects hardly occur.Defects hardly occur. Defects occur.Defects occur.
The control limits are inside theThe control limits are inside theproduct specification.product specification. The control limits are outside theThe control limits are outside theproduct specification.product specification.
Upper specification limitUpper specification limit
66WW 11
WW 11
UCL
UCL
LCL
LCL
Lower specification limitLower specification limit
66WW 22
WW 22
UCL
UCL
LCL
LCL
Upper specification limitUpper specification limitLower specification limitLower specification limit
What Are Control Limits, UCL and LCL? (2)What Are Control Limits, UCL and LCL? (2)
108
Wh i l h ?Wh i l h ?
How to Prepare and Use Control ChartsHow to Prepare and Use Control Charts
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What is an control chart?What is an control chart?
j Basic control chart for control chart method
j Arbitrary intervals can be set as a group.
For example, to check the stability of quality characteristics for a
whole day, set one day as a group.
j Samples of4 or5 units (sample size: ) are taken from each group.
j These control the statistic (average and range ).
n
1x 2x 3x 4x
1R 2R 3R 4R
1x 2x 3x 4x
1R 2R 3R 4R
Average
Range
Rx
Rx
Group No. 1
109
Example of Dot Position Calculation for Control Chart
Calculate and plot
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20 groups x 5 samples
GroupSample No.
Averagex RangeR
and R values
for each groupx
Overall mean
110
Supplement 1
Supplement 1: How to Prepare Control Chart
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How to prepare xHow to prepare x--R control chart (for process analysis)R control chart (for process analysis)
Calculate control limits from the data for the process (statistic).
Step 1: Collectdata for20to25consecutive groups.
DatasheetSample size
Number of groups
Characteristic value
of sample
Individual value
5!n
20!k
x
.,, 21 xx
Supplement 1
Date and time GroupNo.
Measurement value
111Supplement 1: How to Prepare Control Chart
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Step2: Calculatetheaverageof
samples foreach group.
Step 3: Calculatetherangeof
samples foreach group.
n
xxxx
n!
.21
x)(minimal-x)(maximalR!
Datasheet
Date and timeGroup
No.
Measurement value Total Average Range
112
Control chart
Supplement 1: How to Prepare Control Chart
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g
x
R
5!n
g
x
R
5!n
Horizontal axis: Group No.
Vertical axis: Rx and
Step5: Plot
Control chart
Step 4: Formatthe
controlchart
form.
Rx and
Sample size of group
Plot dots.
Group No. Group No.
113
S
Supplement 1: How to Prepare Control Chart
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Step 6: Calculatethecontrollines.
Formula for calculating control lines
x
kxx !
RAx 2
RAx 2
xcontrol chart
Center line (CL)
Upper control limit (UCL)
Lower control limit (LCL)
999.52
20
98.1059
groupsofNumber
ofTotal
!!
!x
x
322.53
56.0577.0999.52
2
!
v!
! RAxUCL
676.52
56.0577.0999.52
2
!
v!
! RAxLCL
A2
is a control chart
coefficient determined by n.
Control line x control chart
Center line (CL)
Upper control limit
(UCL)
Lower control limit
(LCL)
114Supplement 1: How to Prepare Control Chart
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Figure 3: Table of x-R control chart coefficien