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1 ©1996-2013, John Black and Associates LLC Licensed Materials USA Copyright Laws Apply Mod 13 Autonomous Maintenance 13 Autonomous Maintenance v20130530 Jidoka (human automation) Global Production System Product/Patient Quantity Analysis Kaizen Kaikuku Just-in-Time Measures Standard Operations Heijunka (Leveling) Continuous Flow Total Productive Maintenance Poka-yoke (mistake proofing) Kanban Setup Reduction Changeover Multi-process Operations GPS MUDA MUDA Visual Control Andon TAKT TIME ONE PIECE FLOW PULL PRODUCTION R e d e p l o y m e n t Committed Leaders Profit = Price - Cost TAKT Time Map Capacity Tables Cost Reduction By Eliminating Waste GPS Depth Study NVA/VA- Functions/Mgrs Quality Cost Delivery Morale Safety Value Stream Mapping 5S Sorting Simplifying Sweeping Standardizing Self Discipline 3P Prod Prep 7 Flows Medicine 7 Wastes RPIW 7 Flows Factory 4 Nos © 1996-2013, John Black and Associates LLC (modified from Hiroyuki Hirano, Productivity Press). Autonomous Maintenance Module 13

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1 ©1996-2013, John Black and Associates LLC

Licensed Materials – USA Copyright Laws Apply

Mod 13 – Autonomous Maintenance

13 Autonomous Maintenance

v20130530

Jidoka (human

automation)

Global Production System

Product/Patient Quantity Analysis

Kaizen Kaikuku

Just-in-Time

Measures

Standard

Operations

Heijunka

(Leveling)

Continuous

Flow

Total

Productive

Maintenance

Poka-yoke (mistake

proofing)

Kanban

Setup Reduction

Changeover

Multi-process

Operations

GPS

MUDA MUDA

Visual

Control

Andon

TAKT TIME ONE PIECE FLOW PULL PRODUCTION

R

e

d

e

p

l

o

y

m

e

n

t

Committed Leaders

Profit =

Price - Cost

TAKT Time Map

Capacity Tables

Cost Reduction By Eliminating Waste

GPS Depth Study

NVA/VA-

Functions/Mgrs

Quality Cost Delivery

Morale Safety

Value Stream Mapping

5S • Sorting

• Simplifying

• Sweeping

• Standardizing

• Self Discipline

3P Prod Prep

7 Flows Medicine

7

Wastes

RPIW

7 Flows

Factory

4 No’s

© 1996-2013, John Black and Associates LLC

(modified from Hiroyuki Hirano, Productivity Press).

Autonomous

Maintenance

Module 13

Mod 13 – Autonomous Maintenance

13 Autonomous Maintenance

v20130530 ©1996-2013, John Black and Associates LLC

Licensed Materials – USA Copyright Laws Apply 2

Autonomous Maintenance: Key Points

The four types of maintenance are:

1. Preventative maintenance.

2. Predictive maintenance.

3. Breakdown maintenance.

4. Autonomous maintenance.

Equipment operators share the responsibility for the

performance and health of their equipment.

Autonomous maintenance is an eight-step process.

3 ©1996-2013, John Black and Associates LLC

Licensed Materials – USA Copyright Laws Apply

Mod 13 – Autonomous Maintenance

13 Autonomous Maintenance

v20130530

Equipment and Machines are an

Integral Part of Healthcare

Mod 13 – Autonomous Maintenance

13 Autonomous Maintenance

v20130530 ©1996-2013, John Black and Associates LLC

Licensed Materials – USA Copyright Laws Apply 4

Preventive Maintenance: Daily activities designed to

maintain basic equipment conditions.

Predictive Maintenance: Detects equipment deterioration

through condition-based analysis. Speed reduction,

vibration analysis, lubricant contamination, etc.

Breakdown Maintenance: Corrects equipment

deterioration after the occurrence of a breakdown.

Autonomous Maintenance: Equipment operators accept

and share responsibility with maintenance for the

performance of their equipment

Types of Maintenance

Mod 13 – Autonomous Maintenance

13 Autonomous Maintenance

v20130530 ©1996-2013, John Black and Associates LLC

Licensed Materials – USA Copyright Laws Apply 5

8 Steps to Implement Autonomous Maintenance

Energy Awareness

Establish a Baseline

Critical Cleaning is Inspecting

Eliminate Contamination and Simplify

Visual Management

Equipment Lubrication

Consumables

Equipment Maintenance

6 ©1996-2013, John Black and Associates LLC

Licensed Materials – USA Copyright Laws Apply

Mod 13 – Autonomous Maintenance

13 Autonomous Maintenance

v20130530

To Establish the Baseline

Condition of a Used Car

• Check for body

damage.

• Look for leaks.

• Check tire wear.

• Vibration.

• Observe the gauges.

• Listen for vibrations

and noises.

• Check for unusual

odors.

7 ©1996-2013, John Black and Associates LLC

Licensed Materials – USA Copyright Laws Apply

Mod 13 – Autonomous Maintenance

13 Autonomous Maintenance

v20130530

Establish a Baseline:

Determine the

Condition of your

Crash Cart

Is the cart free

of:

Dirt / Dust.

Faulty wheels.

Missing items.

Expired items.

Is the cart

difficult to:

Move.

Inspect.

Reach.

Clean.

Can you identify

the following?

Safety hazards.

Go-no-go points.

Items in need of

maintenance.

Mod 13 – Autonomous Maintenance

13 Autonomous Maintenance

v20130530 ©1996-2013, John Black and Associates LLC

Licensed Materials – USA Copyright Laws Apply 8

Q: Do you wash your car by hand or in a car

wash?

Cleaning is Inspecting

Mod 13 – Autonomous Maintenance

13 Autonomous Maintenance

v20130530 ©1996-2013, John Black and Associates LLC

Licensed Materials – USA Copyright Laws Apply 9

Simplify equipment for easy and safe cleaning,

inspection, and maintenance.

Simplify

Mod 13 – Autonomous Maintenance

13 Autonomous Maintenance

v20130530 ©1996-2013, John Black and Associates LLC

Licensed Materials – USA Copyright Laws Apply 10

EKG Machine

IV Pump Ask “Why?” five times.

What can the answers tell you?

You still have to take action!

The Five Whys

Mod 13 – Autonomous Maintenance

13 Autonomous Maintenance

v20130530 ©1996-2013, John Black and Associates LLC

Licensed Materials – USA Copyright Laws Apply 11

How would you know what the

normal operating range is?

How would you know if there

were problems developing?

Abnormal? Unknown? Normal?

12 ©1996-2013, John Black and Associates LLC

Licensed Materials – USA Copyright Laws Apply

Mod 13 – Autonomous Maintenance

13 Autonomous Maintenance

v20130530

Mod 13 – Autonomous Maintenance

13 Autonomous Maintenance

v20130530 ©1996-2013, John Black and Associates LLC

Licensed Materials – USA Copyright Laws Apply 13

Autonomous Maintenance Summary

Autonomous Maintenance is a

partnership between equipment

operators and maintenance

personnel who share responsibility

for the performance and health of

the equipment.