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

    49

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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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    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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    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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    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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    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

    70

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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

    71

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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

    72

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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

    QQ

    22WW

    WW

    xx

    VVss

    xxVV

    ss

    V!

    V!

    73

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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

    QQ

    74

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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.

    75

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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

    76

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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

    77

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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.

    78

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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

    !

    !

    !

    79

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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)

    80

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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)

    81

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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

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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

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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

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    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.

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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)

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    Figure 3: Table of x-R control chart coefficien