02 Management

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AFA CHAPTER: Management

Management
Logical – Fact Based Approach

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AFA

A trail of clues

Every failure leaves clues as to why it happened.

Therefore a trained person can use basic failure analysis


techniques to diagnose the causes behind a failure.

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AFA CHAPTER: Management

Failure Analysis…

“A thoughtful review of
product and environmental
Facts which leads to
identification of Root Causes
of product problems”

NOT: Warranty evaluation –


troubleshooting – test and adjust

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AFA CHAPTER: Management

Failure Analysis is When:

Parts can’t perform their function

• Worn out early or unusual


• Fractured
• Deformed
• Corroded

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AFA CHAPTER: Management

Root Cause or Result

Fix damage Repeat failure?


Failure

Find rootcause

Facts are “Roadsigns”


that lead to:

Root cause Result

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AFA CHAPTER: Management

When, Where and Who

• When…
– Failure Analysis is best done
immediate after a problem is noticed
and while facts are fresh

• Where…
– At the job site or near the job site

• Who…
– Managed by the local failure analyst.
– Customer, dealer and factory
personnel should gather fact and
assist the failure analyst leader when
necessary

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AFA CHAPTER: Management

Eight Steps of Applied Failure Analysis

1. State Problem Clearly & Concisely


2. Organize Fact Gathering Finding
3. Observe & Record Facts Root
4. Think Logically with the Facts Cause
5. Identify Most Probable Root Cause

6. Communicate with Responsible Party


7. Make Repair as Directed
8. Follow-Up with Customer

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AFA CHAPTER: Management

Step 1…

Define the problem…


Clear - Concise

Deformed
Worn Broken

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AFA CHAPTER: Management

Step 1…

Problem Statement shall include:

1. Specific area or component that is not OK

2. Complaint…
– See
– Hear
– Smell
– Feel
– Something is wrong

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AFA CHAPTER: Management

Step 1…

Example:
 Product area
Cylinder # 4 on C27
engine shows

excessive exhaust  Complaint

temperature.

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AFA CHAPTER: Management

Step 1… Importance

• Focuses analysis

• Prevents mistakes
and needless repairs

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AFA CHAPTER: Management

Step 2…

• Organize fact Gathering

– Plan Ahead
– Think
– Write
– Do It

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AFA CHAPTER: Management

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AFA CHAPTER: Management

Step 2…

Weeks/months
before failure

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AFA CHAPTER: Management

Step 2… Importance

• Plan Ahead

• Get Organized

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AFA CHAPTER: Management

Step 3…

• Observe and record…


FACTS
– Cameras
– Video recorders
– Notes

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AFA CHAPTER: Management

Step 3…

Failure Analysis FACT Sources


1. Job Site

2. Failed Product C

A B

3. Met Lab/ SOS Lab

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AFA CHAPTER: Management

Not All Information is Factual

• False
• Assumptions
• Opinions
• Feelings

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AFA CHAPTER: Management

Example of FACTS or Opinions

1. The surface is discolored


2. The oil level has been too low
3. The surface is scratched
4. This part has been overloaded
5. Corrosion/Rust
6. The Material is too soft
7. Pitting

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AFA CHAPTER: Management

Step 3… Importance

• AFA is built on FACTS


• Facts are the building blocks
that prepare you for Step 4.

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AFA CHAPTER: Management

Step 4…

• Think logically with


the FACTS
– Determine events that
took place
– Place them in a logical
sequence
! Some facts may be
missing due to being
lost or destroyed
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AFA CHAPTER: Management

Step 4…

What To Do

Facts Events

“What does this fact mean”

• Discoloration
• Scratches

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AFA CHAPTER: Management

Step 4…

Determine Events from Facts


E
A
C

B
D
F

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AFA CHAPTER: Management

Step 4…

Sequence Events on Time Line


“Bad”

“Good”

F A
Root cause
E
Failure
D
B
C
Time
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AFA CHAPTER: Management

Step 4… Importance

• Identifies EVENTS in a time


sequence

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AFA CHAPTER: Management

Step 5…

• Identify most probable


ROOT CAUSE

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AFA CHAPTER: Management

Step 5…

Sequence Events on Time Line


“Bad”
What

How

Who “Good”

F A
Root cause
E
Failure
D
B
C
Time
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AFA CHAPTER: Management

Step 5…

Is first event
ROOT CAUSE
or a RESULT?
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AFA CHAPTER: Management

Step 5…

How To Do It • What happened


• How it happened
• Who did it

X
X
Sabotage, the operator does not like the machine
1 Abrasive wear

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AFA CHAPTER: Management

Step 5…

If no root cause fits the problem…

• Check root cause list


• Check problem statement
• Check facts
• Discuss with team

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AFA CHAPTER: Management

Step 5… Importance

• Good Communication
• Accurate Repair
• Controlled Costs
• Improved Relationship

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AFA CHAPTER: Management

Step 6…

How to present a failure analysis report…


• Present a clear picture of
what happened
• Know the customer
• Stick with presenting facts
• Find a way for both of you to
win

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AFA CHAPTER: Management

Step 6…

Sending Messages

• Body Language 58%


• Tone of Voice 32%
• Words 10%
People believe what they see
more than what they hear.

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AFA CHAPTER: Management

Step 7…

Correct the problem


according to the
agreement reached by
all responsible parties

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AFA CHAPTER: Management

Step 8…

• Follow up in person
whenever possible
• Determine if the problem
has been corrected
• Determine if the customer
is satisfied

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AFA CHAPTER: Management

Eight Steps of Applied Failure Analysis

1. State Problem Clearly & Concisely


2. Organize Fact Gathering
3. Observe & Record Facts
4. Think Logically with the Facts
5. Identify Most Probable Root Cause
6. Communicate with Responsible Party
7. Make Repair as Directed
8. Follow-Up with Customer

P.T.O.

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AFA

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