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FI - Chapter 5 - Problem Solving Hierarchy
FI - Chapter 5 - Problem Solving Hierarchy
Hierarchy
5.1 FI STRUCTURE
5.2 The Basic Tools for Problem Solving
5.3 Quick kaizen, Standard kaizen, Major kaizen
5.4 Advanced kaizen
5.5 Advanced kaizen examples
5.6 The Seven Steps of PPA
5.7 Problem Solving Level (Especially for Quality
Control)
5.1 Fi Structure
Independent Interrelated
Phenomenon
Basıc Basıc Technıcal Complex Complex Molto Complex
Sporadıc Sporadic Sporadic Cronic Cronic
Professional Maintenance
Ewo 5 Whys Pdca
Skıll To Solve Quality Control
Opl 4M
Team Member
Team Member + Team Work
Team Member + Team Expert Team Work +
Team Expert + Specialista
Leader
2
Pillar activities Expansion
AK AK
AK SK
QK
SK
SK MK QK
MK SK QK
QK
QK SK MK QK
QK MK QK
SK MK
MK QK QK QK
SK SK
MK QK
SK AK MK
QK QK QK
SK MK SK AK
SK MK MK QK QK
MK QK MK
SK QK
SK
SK QK QK MK
SK SK
QK MK MK
QK SK SK SK QK
QK SK MK
QK SK QKSK MK SK
MK QK
SK SK MK QK
SK SK
MK SK QK SK
SK MK SK
SK AK SK
MK SK QK SK
QK MK QK
QK MK
QK SK QK SK
QK
SK SK QK
SK SK QK
MK AK SK
SK MK
QK QK
AK SK
QK MK
QK
QK
428 QUICK KAIZEN MK
47 STANDARD KAIZEN
19 MAJOR KAIZEN
6 ADVANCED KAIZEN
3
3
5.2 The Basic Tools for Problem Solving
Computer can not prevent a failure from happening proactively.
Complexity
of Problem
Advanced
Kaizen
Major Kaizen PPA
Standard Kaizen
Quick Kaizen
5 Why
5W + 1H
5G
1 Week 3 Months Time
Taken
4
Problem Solving Hierarchy
Complexity of Advanced
Problem
5 Why
5W + 1H
5G
1 Week 3 Months Time
Taken
5
Problem and phenomenon
✓ 3G
Phenomena
✓ Observation of the facts
✓ Use your 5 senses
6
Identify the Problem and Phenomena
7
Problem Solving Techniques
5G
– Very straight forward – follow 5 steps
– Restores conditions to standard
– Good standards need to be in place
– Surprisingly powerful
– Practice makes perfect
– Always start here and preferably finish here if you can
– May lead to higher level tools
– Good for simple sporadic and chronic loss types
8
Six sigma DMAIC with 5 G
Rethink Rethink
C-Matrix
Example:
$41,020,061 MXN
Plant Losses
50
45
40
35
Millions MXN
30
25
20
15
10
0
1° Level Stratification
$2’285,967 Mxn
Breakdown by Machine
3,0
2,5 Model
Machine
Millions MXN
2,0
1,5
1,0
0,5
0,0
ROVETTA BERARDI 2 GROB 02 CENTRIFUGAL CENTRIFUGAL BLISS PRAFI GROB 01 L2 CATTANEO BALCONI 2
L1 L2 FURNACE 1
OEE Of The Model Machine (Monthly)
Effective
Production
Availability
Availability by Tool Change
By Unit 3
LOSSES
Availability: 4.9%
Loss time: 1605 min per month
Ind. Mat: $0.1M MXN per month
Outsourcing pieces: $0.6M MXN
5G - GEMBA:
Machine Crankcas
e
GEMBUTSU:
Co Cobalt Mo Molybdenum
GENSOKU:
Test to drills:
We perform a
hardness test
in 4 points of Hardness: 44 a 65 HRC
the drill with
the Rockwell
durometer.
“In some areas of the drill the hardness is higher than the specification
and in this case a greater hardness, greater fragility”.
GENSOKU:
C Carbon
Co Cobalt
W Tungsten
Mo Molybdenum
.5 µm
Cost&Benefits Analysis
Benefit:
Tools: $1’224,084
Outsourcing pieces: $7’149,600
TOTAL: $8’373,684
Cost:
Drills to test: $12,242
Workforce: $10,195
External services: $10,000
TOTAL: $32,438
B/C = 261:1
ICS 14169
Availability by Tool Change
By Unit 7
3
LOSSES
Availability: 2.7%
Loss time: 896 min per month
Ind. Mat: $3542 MXN
Outsourcing pieces: $297,900 MXN
3G - GEMBA:
Berardi II
Axial
GENJITSU:
The machine alarm when the The averge life of a
tool change is necessary. insert is 750
machined blocs,
therefore is under
the specifications
of the supplier that
is 1500.
5W+1H:
WHO: Automatic operation, the
operator places the crankcase but there is
Revised Problem Statement
WHAT: 2.7% of no way to put incorrectly, the lack of skills
of
availability due to
2.7% of availability due to tooltoolmakers
changecould by cause the
tool change by break, at Berardi problem
premature 2’s Unit 7. they perform
because
premature break. the setup of the drills.
Machining L1, it has no relation to any activity
and the lack of skills of the toolmarker
WHERE: WHICH: couldThe problem
cause2’s
Berardi theUnit
problem,
7, we observed at Gemba
is cyclical and happens
that the insert
Machining L1 was rotated after thethebreak.
to all inserts.
Contact area
WHY Poor design Non-contact area
Design proposed by the supplier
needs a different insert
603 inserts in
1st idea
Eliminates
inventory that we can
the break of
not use in other
the insert.
processes = $361,440
B/C = 6:1
Cost:
Inserts to test: $12,242
Workforce: $30,400
Purchase of external parts for testing
time: $206,679
TOTAL: $249,321
B/C = 15:1
ICS 20563
New tool was certified
according to the AQP
methodology.
(1) Do not rely on others’ eyes. Those who have to solve problems must see
them with their own eyes.
(2) We must learn the importance of how to observe problems.
(3) Those who have to solve problems must find a proper way of
measurement. Consider how to measure the problems
in correct ways!
Complexity of Advanced
Problem
5 Why
5W + 1H
5G
1 Week 3 Months Time
Taken
42
5W & 1H 5W's & 1H is a tool to complete the
stratification process
5W's & 1H
WHAT WHO
What thing/product did you see the Is the problem related to skill?
problem on? WHICH
Which trend (pattern) did you
WHEN see the problem?
When did the problem occur? ⚫ HOW
How is the state changed
WHERE from optimal?
Where did you see the problem?
"I keep six honest serving men. They taught me all I know
Their names are WHAT and WHY and WHEN and HOW and WHERE and WHO".
From 'Just So Stories by Rudyard Kipling
43
5W & 1H
WHAT WHEN
WHERE
45
5W & 1H (cont’d)
WHO
WHICH HOW
47
Example: Coffee Lovers all over the World
Problem:
The coffee maker is
periodically producing
coffee of a lower quality,
that does not taste as
good as usual – the
problem occurs most
often when making an
Espresso.
49
Gemba – Go to the Spot:
At the spot we can check for any
external influences and observe the
current conditions
• We can check the materials used,
and the basic condition of the
equipment
• We can discuss the problem with
the operator (Barista) who
completes the task.
• We can observe what is
happening.
Gembutsu – Examine the Object:
•We can examine the coffee beans used and
verify their best-before date.
• We can check that the water used has been
filtered prior to use – and does not taste bitter.
• We can observe that the Barista is using the
correct dosage and disposes of the excess
after use.
• We can check that the basic condition of the
coffee maker e.g. basic operation, no parts
missing.
• We can check that the coffee maker has been
cleaned as per the operator instructions and
observe this process.
Genjitsu – Check the Facts and Figures:
• We can monitor that the coffee
beans are ground within 25-30 seconds, with a
sufficient output.
• We can monitor that on the gauge,
the machine temperature
remains between 92-96°
(the optimum temperature).
• We can monitor whether the machine is able to
deliver an espresso in 25-30
seconds with a consistent
colour.
• We can record the above for a
number of orders and
observe any trends in the data
Analysis following 3G approach for external factors
# Factor Observation Check How OK/NOK
1 Coffee Blend Mixture of beans and Beans used and date Examine beans and
OK
freshness verify date
2 Grinding Beans Grinding should extract Sufficient blend extract Time grinding
sufficient blend in 25 - output for 30 OK
30 seconds seconds
3 Dosing for Coffee Only produce dosage Dose on demand and Visually check
when required e.g. On discard after use operator
Using 3G we can demand and discard
OK
make powerful after use
checks for basic 4 Water Content Water should be filtered Water mineral content Taste water and
standards, and to give consistent check it is not bitter
OK
mineral content
see any visible
problems by 5 Water Temperature Water temperetaure in Temperature 92° to Monitor
checking against the machine constant in 96°C temperature guage
OK
the operating the range 92° to 96°C
53
Measure the results after each change is made
Coffeemaker Operating
Coffee Beans Water
machine Standard
Maintenance of
Referring to theory identifies new factors to check that were not Equipment
known before, (as shown in Red)
Analysis following 5G approach for external factors
• Following # Factor Observation Check How OK/NOK
Theory” we 9 Grinder output for Even particle size output Physical inspection of Observe consistency
coffee beans as concical burrs coffee particles and shape OK
follow the
operating 10 Porta-filter basket16-18 grams coffee Check Porta-filter Visual observation
placed into basket and basket correctly filled
OK
standards covering all straight wall
and now surface
11 Tamping of ground Tamp evenly with 5lbs of Observe Barista Visual check &
have more coffee by Barista pressure, and then completing task measurement of
NOK
finally once with 30ilbs pressure applied
detailed pressure
checks to 12 Coffee Maker Water Water pressure should Check pressure level Measure pressure
Pressure be in the range 9 to 10 and setting of pressure and confirm in
make. atm's at hot water outlet relief valve range
OK
• Check 11
13 Expressor coffee cup Thick walls and narrow Check coffee cup used Physical inspection
was NOK mouth, to preserve compared to
OK
temperature, and aroma standard
and a point
of attention 14 Environmental Ground coffee should Temperature 92° to Monitor
humidity not be exposed to high 96°C temperature guage
was made humidity for more than
OK
relating to 25-30secs
the Tamping 56
task
Measure the results after 5G approach
4. Porta-filter partially
blocked
61
Root Cause Analysis – 5 Why
❑ By repeatedly asking Why (usually up to 5 times) we can identify the root
cause of the problem identified.
❑ It is important to make sure that each line of investigation is pursued logically
and with rigour
❑ Focus on facts and making a logical linkage as each line of investigation is
checked
❑ Make each check with rigour and eliminate the potential root causes, and
ending with the real root cause
❑ Then a countermeasure against the root cause can be developed
5 Why Analysis – Identification of single root cause
3. Seal around
filter holder
periodically
Observed continually
leaks
and no leakage
4. Porta-filter
partially
Operator inspection
blocked
continuously after
serving & clear
63
Root Cause Analysis – Pressure Relief Valve
The Pressure Relief Valve (PRV) fitted to the coffeemaker was malfunctioning due to a
corrosion inside the unit caused by the lack of maintenance.
The maintenance operation of descaling the main unit did not include the PRV and this
was neglected causing corrosion and spring weakness. Periodically the spring did not
maintain the correct pressure, and the flow of water to the porta-filter was not at the
Spring weak, and required pressure
not able to
The pressure reduction in the water caused the coffee extraction to be weaker, damaging
maintain correct
pressure the quality of the Espresso
No descaling
maintenance for
the PRV in place
Replace valve
and then descale
once every 6
months
64
Phenomenon Statement with Sketches
1. Espresso 2. Pressure in
Phenomenon Statement: extraction flow coffee periodically
varies, causing varies
• The Espresso weak coffee
coffeemaker is
producing 12 defects
per 100 servings.
• The extraction flow
varies when a defect
is produced, due to
an intermittent
pressure drop in the
hot water outlet, 3. PRV spring
failed due to lack
caused by a faulty
of descaling mtce
PRV.
• The PRV failed due to
lack of descaling
mtce.
Measure the results after Countermeasure Applied
Machine
cleaning Tamping Espresso
point of
attn Pressure Relief
25
Valve Replaced
20
15
10
5
0 0 0 0 0 0
0
Pre Day 1 Day 2 Day 3 Day 4 Day 5 Day 6 Day 7 Day 8 Day 9 Day 10
Espresso
Complexity of Advanced
Problem
5 Why
5W + 1H
5G
1 Week 3 Months Time
Taken
67
5 why analysis
Problem Solving Technique
5 Why
– Fairly straight forward – follow steps on pro-forma
– Useful in meetings, discussions
– Wide applications
– Used in own right for sporadic failure including breakdown analysis
– Widely used in WCM including other FI techniques
– Discipline needed to verify each step
– Surprisingly powerful
– Practice makes perfect
– May lead to higher level tools
– Good for sporadic failures but not good for chronic losses unless
single cause
69
Line
Machine
Date
5 Why Analysis Sheet
WHY 1
WHY 2
WHY 3
WHY 4
WHY 5
70
Phenomenon
(result)
By repeating “why” search for the
1st cause real cause (try to find logically by
following principles)
2nd cause
Evaluation of
Counter- Influence countermeasures
Item Pheno-
mena Cause measure rate of Degree
s Effi- of
causes cienc Rapidn
y diffi- ess-
culty
Abstract development Problems in If there are
connection several
with the causes,
system it is required
to consider
the
contribution
rate of each
cause If there are several
Operational countermeasures,
Concrete development problems are liable to evaluate all of them
be properly
highlighted
may come
out with
many
branches
72
5 Why Analysis – Example 2
Ideal Conditions
73
5 Why Analysis – Example 2
Excessive Load OK
on the screw?
Wall damaged by
over tightening OK
screw ?
74
5 Why Analysis – Example
The material
Resistance properties of the wall Rawl plug placed in
between rawl are insufficient to mortar
plug and the wall handle the applied
is insufficient load The wall has moved
causing a crack
75
5 Why Analysis – Example 2
Action Taken
76
Development of the 5 Why analysis (2)
1) In case of equipment
Draw a sketch of the phenomenon
2. Understand structure and 2) In case of operations
function Check the sequence of the operations and
points to pay attention and the role of each
operation
77
4-1) Approach for the viewpoint of the optimal condition
Imagine required conditions and list up the conditions as
4. Implementation of investigation subjects.
5 WHY analysis Investigate the listed items with the real objects and analyze
only the objects which do not meet required conditions.
4-2) Approach from the viewpoints of the principle and its
operating standard
Pay attention to the point which caused the problem and
grasp it from the viewpoint of the principle and its operating
standard.
Take this problem as first WHY and continue to ask WHY
with the object.
7. Establish
a viewpoint plan For those of NO, establish improvement plans.
and implement
78
Development of 5 why’s analysis systematically
(1)-1-1
Why does (1)-1 occur?
(1)-1
(1) Why does (1) occur? (1)-1-1
(1)-2 (1)-2-1
Phenomenon Why does the phenomenon occur?
Why does (1)-2 occur?
(2)-1 (1)-2-2
(2) Why does (2) occur?
Final “Why”
(2)-2 (the cause of the
phenomenon)
79
Two good examples of 5 why’s analysis (1)
Phenomenon Why① Why② Why③ Why④ Why⑤ Why⑥ Why⑦
The roller The roller Some foreign
The chain Some force The cover The Vibration
bearing bearing body got into
cover was was contacted fastening took place.
was was worn the bearing.
broken. imposed the chain. bolt of
loosened. out.
from inside. the cover
was
loosened. The bearing
The fastening oil has run out.
bolt of the cover
was not fastened
tight enough after
repairing the Uneven
chain. weight has
been imposed
The chain on the
contracted The chain bearing.
the cover. was The chain was
loosened. stretched.
81
Two bad example of 5 why’s analysis (1)
82
Two bad examples of 5 why’s analysis (2)
Complexity of Advanced
Problem
5 Why
Refer to Chapter 2
5W + 1H
5G
1 Week 3 Months Time
Taken
85
5.3 Quick kaizen, Standard kaizen, Major kaizen
Major Kaizen
Standard Kaizen such as
Kaizen PPA
Quick Kaizen
5 Why
5W + 1H
5G
1 Week 3 Months Time
Taken
86
Quick Kaizen
– Mainly it is activities to be carried out by shop floor people.
– Needs more detail than previous techniques but still straight
forward – follow steps on pro-forma and process description
– Widely used in WCM, very good in AM steps 2 & 3 to make
machine improvements, improve CIL standards
– Discipline needed to complete each step thoroughly
– Good at dealing with simple improvements, often used by 1 or 2
people
– Practice makes perfect
– May lead to higher level tools
– Operators may need some technical support
– Good for general improvements, ideas from suggestion schemes,
applications across the business
87
Quick Kaizen- Example 1
88
PDCA
The Improvement Cycle
Plan
Act Do
Check
89
Quick Kaizen- Example 2
90
Line
Machine Quick Kaizen Process Description
Date Started
Date Completed SK NoEquipment Theme Team
Circle the areas of impact that this SK contributes to S Q P C DM Detail the chosen solution
PLAN Describe the solution and use sketches.
DO
Give a clear phenomena description Use 5W, 1H to clarify the phenomena.
Note - the more specific your description, the easier your problem will be to solve. For example:
What does the phenomena look like? Use sketches, provide evidence or examples if possible. What product, machine, material was being used?
What size?
When did the phenomena occur? When in the sequence of operation; startup, continuous running, intermittent problem, shutdown, changeover?
Where did you see the phenomena? Where on the equipment or material did you see the phenomena?
Who does it effect? Everyone? Or is it less of a problem for some individuals or teams? (If so, what info can they offer?) Is it skill related?
Which trend or pattern does the phenomena have? E.g. Is the phenomena more frequent on Monday mornings? After a change-over? Or is it random in nature? Which
direction does the phenomena happen in? (Note: Not many phenomena are truly random!)
How is the state of the equipment changed from the optimal? How many times does the problem occur?
Etc, Etc. Find as many ways as necessary to describe the phenomena accurately.
What kind of loss is resulting? Safety Risk? Yield loss? Sporadic / Chronic loss? Minor / major stoppage? Speed loss?
Material / Packaging Loss? Non-value added activity?
What is the COST of this loss?
Note: This process is designed to provide the motivation for solving the problem.
i.e. Why it is worth pursuing this loss. Use cost / loss deployment information? Consider resultant loss.
For example: Express the loss in terms of ‘opportunity cost’£’s, or waste product (£’s)
Or in terms of hours per year, or products (Square metres, Kg)
Or in terms of a risk analysis score if it is a safety issue.
Determine root cause
Use simple analysis tools, such as 5G, 5 WHY.
Who is responsible for implementation?
Consider possible solutions (Aim for 3 to 5 solutions)
Think about critical / desirable success factors. Consider ease and cost of implementation. Sketch possibilities.
Picture
Set your TARGET By when will it be implemented?
What level of improvement are you aiming for? Elimination? Reduction? How much?
Use SMART (Specific / Stretch, Measurable, Achievable / Agreed, Realistic / Resourced, Time bound)
Dust How much will it cost?
Dust
Collector Is it worth implementing? - Yes/No
What further action is required to achieve the target? What level of improvement has the chosen solution given?
Give the SK numbers for further improvements. Provide evidence! e.g. Before and after tally charts, OEE data etc.
What further action is required to ensure the new standard is sustained across all shifts? Attach Has the target been achieved? Yes/No
copies of fully signed off One Point Lessons and Autonomous Maintenance Inspections. Has any new unforeseen hazard been introduced?
Yes/No/Detail
Can this Speedy Kaizen be applied elsewhere? Yes/No To check, refer again to the Change Control Checklist, and seek advice as
ACT If ‘YES’, state where and give the SK numbers for each further application.
Review Date
Necessary.
If ‘Yes’, what actions are required to control it? CHECK
.
91
Quick Kaizen- Example 3
Lubricator Lubricator
Rubber
ring
Visual
indication
Visual control
92
Quick Kaizen- Example 4
Water supply [ After ]
[ Before ] display lamp
OK !
Scale
Washing
booth
Tank of washing
liquid Cover Float
• Noticeable in case of
• Paint defects due to shortage of washing water
shortage of washing liquid
• Safe inspection
• Unnatural posture when to
inspect liquid level • Early confirmation of
replenishment of washing
• No scale on tank liquid
• Automatic signal when
washing liquid is full 93
Useful idea for recording an
improvement result -1 page report
94
Prevention of overheat of bearings of the
1. Theme Loss : Labor cost loss Engineering dept.
rotating mill
2. Reason for selection 3. Target value 4. Results
The rotating mill is the main equipment and overheating mill bearings will Breakdown : 0 Saving of repair cost : $19,700 / breakdown
create a serious breakdown. Saving of labor cost : $1,010 / year
Complexity of Advanced
Problem
5 Why
5W + 1H
5G
1 Week 3 Months Time
Taken
97
Standard Kaizen:
– Provides the basis for giving the problem greater visibility.
– Provides a methodological approach to gathering and
investigating the history. Man-Machine-Method-Materials.
– Phenomena facts provide the basis for root cause analysis.
– Good at dealing with improvement of intermediate level, often
used by 3 or 4 people.
– SK root cause methodology analysis ensures clarity on the
verification process.
– SK is much more effective to manage compared to multiple QK.
– SK supports sustaining the obtained results.
98
Build Project Team
Stratification
99
Standard Kaizen – Example 1 (Cable Intarder)
100
Initial Situation
2.500 €
2.129,20 € 2.213,70 €
1.909,50 €
2.000 € 12 6 VEHIC U LOS
13 1 VEHIC U LOS
1.520,80 €
1 1 3 V E H I C U LO S
Reworks
1.500 €
9 0 V E H I C U LO S
1.000 €
500 €
0€
October '07 November '07 December '07 January '08
101
Standard Kaizen – Cable Intarder
102
Root Cause:
The method is not OPTIMAL, because the
connectors are the same and this creates a
human errors.
103
Problem
106
99466090 99466089
107
PK PK
Poka-yoke Impossible!!!
110
Today
2.213,70 €
2.500 €
2.129,20 € 13 1 VEHIC U LOS
2.000 €
12 6 VEHIC U LOS
1.520,80 €
Reworks
1.909,50 €
1.500 €
113 VEHIC U LOS 9 0 VEHIC U LOS
1.000 €
0 VEHICLES
500 €
0,00 € 0,00 € 0,00 €
-€
07 07 07 '0
8 8 '08 ' 08
er' r' r' y '0
ch ril
ob be be ar ry ar p
ct nu rua M A
O em em Ja b
v c Fe
No De
28/01/08
Introduction Of Countermeasure
TOTAL PROJECT
Benefit: 21.376 €
Cost: 3.504 €
B/C: 6,10
112
(3) Major kaizen
Complexity of Advanced
Problem
5 Why
5W + 1H
5G
1 Week 3 Months Time
Taken
113
Major Kaizen
– Heavyweight tool for improvement with larger teams and longer
timescales
– Need to consider whether this is a full or part time activity
– Can be used as a Kaizen Blitz where there is a short burst of high
activity with a heavily resourced team
– Normal team size is 3 to 7 people, odd number preferred (Blitz
higher)
– Facilitation and technical expertise needs to be built in
– Detail is increased further and process becomes more involved
– Work is recorded on visual board which may need a separate board
for each step
– Team leader / facilitator need to maintain step discipline
– Office / sales / marketing inclusion can add great value by offering
“fresh” perspective 114
The seven steps of major Kaizen
Step 7 Step 1 Ensure you are
Further where the problem
Action is (5G)
Step 6
Act
Monitor Step 2Clearly
Monitor
Solution
Solution Check define the problem
Plan
Step 5 Do Step 3
Implement Identify Reasons
Solution Validate Reasons
Step 4
Generate&
Prioritise
Solutions
115
The seven steps of major Kaizen
1. Ensure you are where the problem is (5G) 4. Generate Several Solutions
What is the impact of this problem (Time, Money)
Make clear observations - use senses Prioritise These Solutions
Time required to implement
Understand how the system or process Cost required to implement
works (5G) Likelihood that solution will work
116
1. Select the issue to be improved.
• What indicator changed?
• What needs improving?
• State why the issue is important.
• Identify the factory measure this issue affects:
― Cycle time
― Throughput
― Defect density
― Yield
― Cost Measuring
― Productivity, etc.
• Once the problem is selected, the owner should decide what
resources are needed to tackle the next few steps in the PDCA
cycle. If a team is needed, identify its members by name.
(Note: anyone can initiate a PDCA to capture a problem, but the
problem discover does not have to become the problem owner.)
2. Analyze the current situation.
• What?
― Describe the problem in detail. Include evidence germane to the
problem.
― Describe the situation that needs improving. Identify the critical
measure(s).
• Where?
― Identify the area in the factory, the equipment, and/or the part of
the organization involved.
• When?
― Include a history of the situation.
• Who?
― Include shift information, people who know about this situation,
and who discovered it.
― Set an improvement goal for the measure.
3. Analyze the root cause of the problem.
• Use a 5-why analysis or other failure-analysis method to try to
understand the root cause of the problem. Other tools may also be
helpful.
― Histograms
― Pareto charts
― Trend charts
― Cause-and-effect diagrams (fish-bones)
― Check sheets
― Flow charts]
― Control charts
― Scatter diagrams or any other form of date plot
― Experiments
4. Implement prototype solutions.
• Solution to the problem will relate to the root-cause analysis. The
purpose of a solution is to either control or detect the problem:
― ”Control” solutions are proactive and designed to prevent the
problem from occurring
― “Detect” solutions cannot prevent the problem but stop the
manufacturing process when the problem is detected
• For a documentation problem, a solution requires two things:
― Officially released document
― Proper training
• Solutions may be:
― Administrative solutions-new procedures to prevent a future
occurrence of the problem
― Engineered solutions-new equipment designs which prevent a
future occurrence of the problem
― Combinations of engineered and administrative solutions
• Evaluate alternative solutions for:
― Effectiveness/robustness
― Cost
― Timeliness
― The most appropriate solution from the team’s perspective
• Design a test of the proposed solution. Outline the test procedures:
― What tasks need to be performed?
― Who owns them?
― What is the schedule for the test?
― Determine the success criteria for the test ―how will the team
know if the solution is effective?
• Does this plan correct the root cause?
• Identify the customer ―the person representing the area affected by
this issue ―and schedule a checkpoint to review the solution plan.
• Assess team needs to determine if additional resources are
necessary to proceed successfully.
5. Evaluate the results.
• Test the proposed solution.
• Compare before-and-after data.
• Was the test successful?
• Were the success criteria satisfied by the solution?
• Do results show the root cause has been eliminated?
• Does this solution guarantee that the problem will not reoccur?
• Are resources available to implement this solution?
• Does the customer agree with the plan to implement this solution?
6. Take appropriate action to implement changes
• Change hardware if an engineering change is being made
• Use the change process for affected documentation
• Plan personnel training where required
• Do issues remain? What plans are in place to address them?
124
Problem Description: 5W+1H
Initial
Phenomenon
ENGINE CONTROL LIGHT IS ENERGIZED ON INSTRUMENT PANEL
* What
* Anydoes the phenomena
variation amonglook like? What
people product,
involved machine,
in the material
operation? Funzionamento irregolare motore.
What was being used? What size?
(shifts, new operators, temporary staff, floaters) Veicoli motorizzati F1A
* Where did you see the phenomena? Where on the equipment or material
Where did you see the phenomena?
In cabina di collaudo funzionale o in linea di carrozzatura
* Who does it effect? Everyone? Or is it less of a problem for some L’operatore di collaudo su banchi o l’operatore che effettua la prima
Who individuals or teams? (If so, what info can they offer?) Is it skill related? delibera statica in carrozzatura.L’anomalia può essere generata dagli
operatori che eseguono il montaggio o per problemi di forniture
* Which trend or pattern does the phenomena have? E.g. Is the
Which phenomena more frequent on Monday mornings? After a change-over? Or is
it random in nature? Which direction does the phenomena happen in? (Note: Random
Not many phenomena are truly random!)
* How is the state of the equipment changed from the optimal? How many
How Accensione spia controllo motore su quadro di bordo,
During Static/Dynamic Vehicle Functionality Check The Engine Control Light
times does the problem occur?
sul 30 % produzione F1A
1 2
7 8
Fix solenoid valve on Fix pipe fastening clamp on Fix engine support Attach on EGR
air filter support engine cable clamp pneumatic valve side
6 5 4 3
126
Data Collection (Defects Rate)
Dife ttos ità im pianto EGR
9%
8%
% of vehicles KO
6,0%
6%
5,0%
% Difettosità
5%
Target: 0 defects / 0 rework
4,3%
4%
3%
2%
1%
0%
MAR APR MAY JUN JUL/AUG SEP OCT NOV/DEC JEN
Month
127
4M Analysis
Solenoid valve
functionality
OK KO
Pipe size is compliant
Incorrect Lay-Out
Clean pipe
Packaging
KO
Pipe is not attached
No Electric connections
128
5 Whys
System re-engineering
Eccessiva
necessità di
Malfunzionamento Lay-Out
deformazione
impianto EGR impianto non
corretto
tubazione
Design critico
L Reingegnerizzazione impianto
durante il
montaggio
129
5 Whys
Operazione non
definita a ciclo J Training
Fase di lavoro
Tubazione non Operatore non Formazione
connessa
non eseguita
correttamente
segue il ciclo non idonea L Formazione
Ciclo non
Malfunzionamento
corretto J
impianto EGR
Operazione non
definita a ciclo J Training
Connessioni Fase di lavoro
elettriche non
effettuate
non eseguita
correttamente
Operatore non
segue il ciclo
Formazione
non idonea L Formazione
Ciclo non
corretto J
130
Before Modification
BEFORE
Possible interference
with body and/or
filmse
131
After Modification
AFTER
Training
133
Check Results
Vehicles reworked in Testing area
Dife ttos ità im pianto EGR
10% 9,3%
Introduction of
the new solution
9%
8%
6,7%
7% 6,3%
6,0%
6,0% 5,7%
6,0%
6%
5,0%
% Difettosità
5% 4,3%
4%
3%
2%
1%
Month
134
Standardization
PRELEVARE ED INSERIRE
1 AthePRESSIONE
Pick and manually
clamp2on MOLLETTA
press the
MANUALE
engineSUcarter.
Pick the servobrake pipe
PRELEVARE
from the kitTUBO SERVOFRENO
and place on theDA
CARTERINO MOTORE KIT E POSIZIONARE SU MOTORE,
2
engine; detectINNESTO
INDIVIDUARE the quick
RAPIDO ED
INNESTARE,
coupling andPOSIZIONARE
insert; placeTUBO IN
MOLLETTA E CHIUDERE, ED ESEGUIRE
the
UNApipe in the clamp
CONNESSIONE SU and
MOTORE
fasten, and connect on
➢ MOLLETTA engine. Nr.1
500369641 Scivolante
Kluber Plus
CLIC!!
Nr.1
➢ TUBO
CLIC!!
SERVOFRENO
➢ TUBO
SERVOFRENO
135
Another Major Kaizen Example –
Sporadic and Chronic problems
Manufacturing
problems
(2)
Sporadic Chronic
QM,
5W+1H, PPA,
5 why Microscopic
approaches, etc.
Two kinds of problems: sporadic and chronic.
Bolt diameter
Contributing
mass Bore diameter
Complexity of Advanced
Problem
Kaizen such
Major as PPA
Standard Kaizen
Kaizen
Quick Kaizen
5 Why
5W + 1H
5G
1 Week 3 Months Time
Taken
141
Knowledge Inventory
Which tool for which pillar and losses
I dont know which
tool and how to use
it
Search new
Search No Method&Tool
Gather
Attack losses from Method& Applicable? and add to
theoretical
Safety-C matrix- Tool Knowledge
information
QA Matrix-5yrs CD in Knowledge Inventory
by Tool Box
Inventory
Yes
Training
Deploy the Examine
other Check the Apply the case
possible results solution studies
areas
➢ In very easy way we can find right and effective method or tools
to attack specific losses or problems
➢ We know immediately which pillar / person should be involved
➢ We know how many methods and tools we have applied till now
FI Activity Example : ADVANCED TOOLS
Identificacion Standardization
& Doing
People Projects Results Extension
Selection
2009
What: REGRESSION,
CORRELATION, ANOVA )
PROCESS ENGINEERS
AND SPECIALISTS 2010
POPULATION What: DESIGN OF
EXPERIMENTS
2011
What: TAGUCHI
143
When we are not able to identify
phenomena and their root causes, we
should think that we are not watching the
phenomena in detail enough. To be able to
observe the phenomena we must go into
detail enough until we are able to see the
phenomena.
Various microscopic problem solving approaches
Step 7
Step 6 Grasping of
cause and
Step 5 Colletion of
effects
data
relationship
Step 4 Observation
of operation
Step 3 Determination
of the
Determination observation
Step 2 of aim method
Analysis of
Step 1 output
Problem
recognition
Improve the precision of observation
1. Narrow the range of observation
2. Dimension
--- from 1mm to 1/1000 mm
3. Time
--- from second to1/10000 second
In other words,
Magnify the object, point of observation and time.
In order to solve a problem, first
(1) observe the phenomena behind the problem
carefully
and
(2) narrow the range of observation step by step
and then
(3) improve the precision of the observation
(4) not from the viewpoint of the order of operation,
but do observe from the output to the input step by
step
(5) Take a video and watch it from backward by
slowing down the speed or take video by high
speed camera and observe it backward.
Seven lessons of the microscopic problem solving approach
(1) Perceive operations which have not been perceived yet.
Don’t think that the reason why operational dispersion
doesn’t exist is because there is no operational dispersion
but that simply we are not able to see it yet.
Shiftability Problem
QUALITY PROBLEM
Phenomenon
Description
154
Q Component identification: example WERA Machine
Workhead
Spindle
Bearing
ToolHead
Spindle
Bearings
Elastic Pliers
BEARINGS: pointed out by “X Matrix”
Direct impact on PRODUCT QUALITY:
Shiftability Phaser
155
Worn ToolHead Spindle Bearings
156
Right Axis of Rotation
157
How to inspect stressor variation
Q Component bearing – WERA Machine
Vibration
control
Control of vibration
through CBM
measurement
techniques
158
How to inspect stressor variation
Q Component bearing – WERA Machine
Breakthrough
Data collection is
ANALYSIS OF VIBRATION
IN BEARING – ON LINE
done during machine
operation, simultaneously
to production.
Data
Bearing Collector PC
Trend Management
159
5 Questions for zero defects
Q Component bearing – WERA Machine
160
Advanced kaizen – Example 2 ( Skin pass problem)
1
0,9
0,8
% Internal reject
0,7
0,6
0,5
0,4
0,3
0,2
0,1
0
ag 5
05
06
m 5
-05
m 6
-05
-05
-06
-06
5
-05
6
5
-06
6
5
-0
r-0
r-0
e-0
o-0
e-0
p-0
v-0
u-0
u-0
t-0
ar-
ar-
jul
ay
dic
ay
jun
jun
feb
feb
oc
ab
ab
no
ac
ac
en
en
se
m
m
161
Skin-pass feathering is a distortion
of the strip at the entry of the skin-
pass due to an irregular elongation.
162
Plan activities
Si Mn Ni Cr Fe
164
How scratches are spreaded
When we magnify a skin pass scratch, it looks like an extremely tiny point-like
quality defect: Once a small foreign body sticks to the surface of a skin pass
roll, foreign bodies get accumulated to the point one after another.
The mechanism of generating skin pass scratches
At the time of skin pass operation, alcohol is dropped in order to remove dirt
on the surface of a roll and at the same time to improve elongation percentage.
After start up, rolls are warmed up and alcohol easily evaporates. If there is
defect on a roll surface, or if a foreign body escaping from the scraper sticks to
it, alcohol will condense and eventually evaporate at this point. Foreign bodies
will be accumulated at this point one after another, and the point will become
visible and grow as defect.
The problem
Metal pieces caused by rolling mill are unavoidable. At the annealing, removal
of oil fat is to be made and rolling oil can be removed, but metal pieces remain
on the surface of the product.
165
Step 4 : Consider and implement countermeasures
(3rd means)
Establish standards of acid
(2nd means) density
(Object) (1st means)
Install nitric acid cleaning
equipment
Establish cleaning standard
Eliminate metal
dust from material
surface Install the equipment of
removing stuck metal Establish roll replacement
dust standard
Dirt collector
Double Replace at the time of skin
scraper pass roll replacement
Brush roll
Replace twice/month Material : bleached cotton cloth
Pressure : 10 + 2 A Replace after 2 coils or after stopping more
Wiper than 30 minutes
Pad
Replace after 1 coil
Pressure : 0.5 Kgf/cm2
pattern
element
PCB
No. 1 2 3 4 5 6 7 8 9 10
No. of 15 0 42 11 0 5 0 36 6 0
defects
Step3: Determination of aim
Never set a sloppy, not concrete aim.
No blow holes at the end of
soldering process
NC boring Surface
Cupper plating Solder plating
smoothing
Epoxy board
1st Investigation of possible causes :
• Deformation of PCB’s
• The flow condition of the solder surface
• The movement of a PCB when it passes on the soldering vet
Results: There was no correlation between the number of defects of a
PCB and them.
2nd Investigation of possible causes:
• The quality of solder : Is there a difference between new and old
solder?
• The quality of flux
The shape of soldering in case
of new solder and old solder
(a) (b)
The foot of the The foot of the
element after element after
soldering (solder: soldering (solder:
new) old)
When the solder is new , solder foot configuration looks like (a) with gloss
When the solder is old, solder foot configuration looks like (b) without gloss.
The old one contains more chemical element B
The difference of chemical element contents between new solder and old one.
Element A B C D E F
New 63 0.006 0.002 0.004 0.001 0.033
Old 62 0.09 0.36 0 005 0.007 0.043
Major difference
After renewing solder, inspection of blow hole defects has been carried out.
No. 1 2 3 4 5 6 7 8 9 10 Ave.
Old 15 0 42 11 0 5 0 36 6 0 11.5
New 0 11 5 1 0 0 21 0 0 16 6.3
Result: There is difference between the new and old ones: The number
of defects per board has been halved but not to zero.
The mistakes of the two investigations are due to looking at the PCB level.
We need to look at individual defective hole.
Lesson learned:
As far as we see from the summed up data
or the average ones,
we are not able to find root causes.
We must go deeper and watch each defect in detail.
Let the perception of the problem meet the reality:
The viewpoint of quality control and the sloppy viewpoint / the
viewpoint of looking for the average are completely different.
3rd Investigation of possible causes :
We must look at the hole where there is a defect (blow hole)
foot of element
[Magnified: 50 times ]
The figures show the back sides of the defective holes, exhibiting how
gas spouts from the inside of the holes
Step 4: Determination of the observation method
The soldering situation on the soldering vet has been carefully observed
by making a device shown as follows:
PCB’s are purchased from
The device to watch by a
two makers K and I.
magnified glass how gas
Two PCB’s ; one from K co.,
bubbles up and a blow hole
marked by o , the other from
is generated has been
I co., marked by x.
developed.
Magnifying glass
PCB
Number of defects
Solder tab
Phenomena description of
how a blow hole comes out
Magnified by
50 times
Understand that there exists unknown domains.
Because of this the problem takes place.
cupper plating
cupper plating
Hole surface Hole surface
solder surface solder surface
The process of drilling holes in PCB’s 1) Make a hole of the upper plate
2) Make a hole of the middle plate
3) Make a hole of the lower plate
4) Remove the drill
Lower
plate
The condition of a hole of the upper plate planking
1) At the time of making a hole of the
upper plate
2) At the time of making a hole of the
middle plate
3) At the time of making a hole of the
lower plate
4) At the time of removing the drill
Drill
Upper plate drill from A drill from B
A,8000rpm B. 8000rpm
Comparison of holes of K co., and I co.
Co. Co.
Surface
roughness
After melting plating layer by chemicals
the part of epoxy layer, which was not torn
was magnified by 100 times
Perceive
operations which
have not been
perceived before.
Perceive
operations which
have not been
perceived before.
Magnified by Magnified by
400 400
Gas bubbles up at the outlet of belch out, showing
how cupper plated layer has been damaged. Raise the
precision of
Multiplied by 100 observation to
a further detail
(one and/or
two digits
deep)
glass
Fragments of glass
and holes can be
observed in the
grass layer
Step6: Collection of data
The condition of a
The condition of a The condition of a The condition of
hole of the upper
hole of the upper hole of the upper a hole of the
plate
plate plate upper plate
1) At the time of
2) At the time of 3) At the time of 4) At the time of
making a hole of
making a hole of making a hole of removing the
the upper plate
the middle plate the lower plate drill
Conclusion: at the time of 1) the surface is already fluffy and not smooth.
Observe from output to input step by step, but not
from the viewpoint of the sequence of operation
Splint plate
upper plate
middle plate
lower plate
Lock pin
planking
glass
glass
Magnified by 400
Fragments of glass
and holes can be
observed in the
grass layer
Conclusion: The root cause of the soldering defect is
due to improper use of the cutting drill
If we have not reached zero losses we
should think that we have only identified
symptoms of the problem. With this
approach the problem will sooner or later
come back again. When we are not able to
analyze the problem and must rely on
DOE/Taguchi methods, do not forget to
show phenomena after identifying major
parameters.
Advanced Kaizen –Example 4 (microbiological
contamination due to method )
0 0 0 0 0 0 0 0 0 0 0
January january
16 17 19 20 21 22 23 24
198
Method - Microbiological Contamination
Action:
1. Passivation of the
Process/Filling Area
2. Frecuency of
analysis increase 4
times.
Unilever Gmp
Home Care
Section 1
UNILEVER
GMP
HOME CARE
Section 2
201
17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
Desinfection Current & before starting
Procedure production after Long
Planificado
1 Identificacion de la perdida A. Baldi
Real
Planificado
a Tomar datos y graficar Real
Planificado
P b Valorizacion de la perdida y graficar Real
Planificado
2 Descripcion del problema
L a Describir el problema (5W1H)
Real
Planificado
Modification
Real
A
Factory stops period (4
Planificado
b Realizar Sketches (Dibujos) Real
Definir Objetivos Planificado
3
N (Pérdida y Economica)
Definir objetivo de reduccion de
Real
Planificado
a
perdida Real
Definir objetivo de reduccion de Planificado
b
perdida economica Real
days)
Planificado
4 Establecer contramedidas Real
Planificado
2nd Action:
Planificado
e Entrenamientos Real
Implement a monthly
Monitor Tend
Analysis
BEFORE AFTER
Method - Microbiological Contamination
Does the method (process and It is not sufficient, high It´s effective, but a margin of In 100% of cases good results
3 product) lead to good results risk of error error still exists can be achieved
3 5
60 76
Advanced Kaizen –Example 5 (Raw Material Interaction
Due To Man )
The defect:
Consumers complained to the Customer Care Center that their
Rexona Bamboo deodorant stopped working.
Product not coming out from hole .
Rexona Bamboo Blockage Cc.
Consumer complaints of
Aerosol blockage
Consumer complaints
Produced on January 16th
Verification
ROUTE CAUSE
1° Why 2° Why 3° Why 4° Why 5° Why Root Cause 4M
4 M’s ANALYSIS:
(OK / NOK)
Porque el spray
100% channel no esta bien Porque la tapadora no lo
Material
50% 50%
colocado
Porque el locking
coloco en forma correcta
THE
50% device del actuador Porque el material vino
esta roto defectuoso
Material
OPERATOR DO
Porque esta tapado el
0% Material Man
esta tapando el spray
channel/ inserto
Porque el Activo tiene
tamaño de particula por
porque el material no
fue chequeado en el Material NOT RESPECT
fuera de especificacion ingreso
Fragance
encaps
agglomeration
But Why?
Rexona Bamboo Blockage Cc.
2 Fragance Encapsulated
Consulted Experts
APA GDC Aerosol
& DeosTechnology
Dictionary Corn Starch
Encaps
Share
Encaps
Raw Materials Interaction APA Process
Visual Tortuguitas
Título:
Responsable:
Leccion de un Punto
Adición Correcta de Fragancias Encapsuladas
Antonella Miletti
Responsable SHE Responsable Calidad
Fecha: 22/09/2015
Responsable de Produccion
Nº
01
OPL &
SHE Calidad Caso problema
Conocimiento x Otros Caso de Mejora
La receta está cargada en el PLC de manera tal que la adición de Encaps se realice de forma intercalada
con el AACH.
Para todas aquellas recetas que lleven encaps se deberá seguir los pasos de adición tal como lo indica el
PLC, y como se muestra en el siguiente ejemplo para la Receta Rexona Fanatics.
Cuando se llega al paso de Dosificación de Encap, procurar dosificar en el siguiente orden y cantidad:
Visual
1
dosificación.
Aids in 3
4
P21: Dosificar AACH
Process
5 P21: Dosificar AACH
Floor
Resultados
Fecha
Instructor
Participantes
Training Generate
document and training
to understand the
materials interaction,
APA process &
consecuences if
process is not follow in
FP related to
Consumer complaints:
Blockage
Rexona Bamboo Blockage Cc.
To move
forward with
the next step
the operator
must press ok
on the PLC.
ok
BEFORE AFTER
The inclusion of this middle stage reduce the complexity: replacing the
addition of 4 consecutive powder dosing steps, by 2 consecutives steps.
Zero blockage
due to encaps
agglomeration
Score
Before After
1 3 5
Are the error and root cause being Error is monitored but root cause Error is monitored. Root cause and solution tool is
1
monitored at Q gate?
Error is not monitored
hasn´t been defined clearly defined 1 5
5G Gembatsu Genjitsu
Genri Gensoku
Gemba (Observe (Analyse
(refer to the (follow
(shopfloor) and facts and
theory) standard)
examinate) figures)
Calibration
Replace
Shutters AFTER
BEFORE
Broken
plate
Filling Process Improvement- Corniani 3
Filling Process Improvement- Corniani 3
Cp >1,33
Filling Process Improvement- Corniani 3
STEP 5 X Matrix
x Celda de carga x x
x Plato de llenado
X Matrix x
x
x Electro valvula del cilindro
Picos
Cilindros
x
x
x
Aligment
Proper conditions
Masa
3. Subsystem / Component
3055-3075
1. Defect Mode
Score
1 3 5 Before After
1Are the conditions clear? Defined Standards Simple checking method Simple visual check 1 5
Difficult to set up, lack of rererence
2IsMACHINE
it easy to set conditions? Funcionalidad del obturador
points Easy to set-up, presence of reference points Automatic Presentting 1 5
3Are the conditions variable? During normal production Only during setup Score Exceptionally 5 5
1 3 5 Before After
4Is the variability condition easily checked Difficult to check visually Standard measuring system Continuously monitored 1 3
1Are the conditions clear? Defined Standards Simple checking method Simple visual check 1 5
5Are the conditions easy to restore? By Maintanance expert
Difficult to setde
up,Cilindro
lack of rererence
By trained operator Automatically 1 3
MACHINE Electrovalvula
2Is it easy to set conditions? points Easy to set-up, presence of reference points Automatic Presentting 361 3
84
Score
3Are the conditions variable? During normal production Only during setup Exceptionally 5 5
1 3 5 Before After
14Are
Is the
thevariability
conditionscondition
clear? easily checked Difficult Standards
Defined to check visually Standard
Simple measuring
checking system
method Continuously
Simple monitored
visual check 13 3
5
5Are the conditions easy to restore? By Maintanance expert
Difficult to set up, lack of rererence
By trained operator Automatically 3 3
2IsMACHINE
it easy to set conditions? Sello de cilindros
points Easy to set-up, presence of reference points Automatic Presentting 1
52 3
76
Score
3Are the conditions variable? During normal production Only during setup Exceptionally 3 3
1 3 5 Before After
41IsAre
thethe conditions
variability clear? easily checked
condition Defined to
Difficult Standards
check visually Simple checking
Standard method
measuring system Simple visual monitored
Continuously check 11 15
5Are the conditions easy to restore? Difficult
By to set up,
Maintanance lack of rererence
expert By trained operator Automatically 1 3
2Is it easy to set conditions? points Easy to set-up, presence of reference points Automatic Presentting 1 3
MACHINE Celda de Carga 28 60
3Are the conditions variable? During normal production Only during setup Score Exceptionally 3 3
4Is the variability condition easily checked Difficult to check visually 1 Standard measuring system 3 Continuously monitored 5 Before 1 After 1
15Are
Are the conditions easy to restore?
the conditions clear?
By Maintanance expert
Defined Standards
By trained operator
Simple checking method
Automatically
Simple visual check
1
1 3
5
28 60
Difficult to set up, lack of rererence
2Is it easy to set conditions? points Easy to set-up, presence of reference points Automatic Presentting 1 3
3Are the conditions variable? During normal production Only during setup Exceptionally 3 3
4Is the variability condition easily checked Difficult to check visually Standard measuring system Continuously monitored 1 3
5Are the conditions easy to restore? By Maintanance expert By trained operator Automatically 1 3
28 68
Advanced Kaizen –Example 7 (Minor Stoppage Due To
Contamination )
NO OK Define the problem OK
Problem
description
STEP 1 2 3 4 5 6 7
5G
3
1
4
Define the problem
1. CUP :
It is the object that uses negative fluid 1 Atmospheric pressure
measured in liters
3.Vacuum Generator:
The compressed air A, filtering, non-
lubricated, is ejected through the nozzle 3 C
D and increases its velocity. It then
passes to mixer E and then introduced E
into the muffler B. The vacuum comes B A
from depression created in the chamber D
surrounding the nozzle D. Thus, the air
sucked C takes the same direction and
moves to muffler B
Target for minor stoppages
0,00% 20,00%40,00%60,00%80,00%100,00%
Classify Potential Root Causes :
5 why
1. Unknown selection cups criteria
2. Vacuum generator is plugged
3. Vacuum flow is plugged
1 CUPS
Vacuum
2 Generator
3 Vacuum Flow
Classify Potential Root Causes :
WEIGHT:
136.6
g
CUP
Model SIZE MATERIAL
F=5N F = 44 N
SUCTION CUPS
Cup material
WEIGHT:
136.6
g
For inclined,
smooth, arched,
SUCTION
Model sensitve surfaces
CUPS
3
1
Vacuum 4
Generator
2
CUP´S
COMPONENT A vision system called
borescope, helped to
FILTE inspect inside the suction
R cups and verify that the
vacuum system did not
have any problem.
Flexible
borescope
used
Classify Potential Root Causes :
Filter inspection:
Spectrophotometry
Samples
1280 x 1024
Clean Dirty
Corrugated
specification
Technical
Tolerance
Caracteristics
3mm external and 5mm
Unseal liner
internal corrugated
Long +-3mm
High +-3mm
Width +-3mm
For L<= 1200MM; max 4%
Cambered
For L> 1200MM; max 3%
Humidity -50% relative humidity
Classify Potential Root Causes :
3
Vacuum Flow
1
CUP
S
2 Vacuum
Generator
Establish solutions :
4
5
Establish solutions :
Absolut relative
pressure pressure
A vacuum gauge is installed giving visibility to the operator when it losses vacuum in the
extraction system
Porous surfaces
Necessary
vacuum
Positi Up date
ve cleaning
gap 30% - standards
35%
INSPECCIÓN
MAQUINA: ORDENADOR LINEA: LINEA 1
Frecuencia Estado de la Dispositivos de
PUNTOS NO ESTANDAR MALO BUENO ACTIVIDADES A SEGUIR Responsable Tiempo Como
T.D. S. M. máquina seguridad
EQUIPO BASICO
MANUAL Y VISUALMENTE
OBSERVAR QUE LOS VERIFICAR QUE LOS PERNOS DE
PERNOS DE CANJILONES UNA VEZ POR LOS CANJILONES ESTEN
1 PERNOS NO ESTEN
RECTOS
OPERADOR
SEMANA
PARADA 5 ALINEADOS, QUE ESTEN BIEN
CHUECOS FIJOS CON LAS TUERCAS, QUE
MIN NO TENGAN MOVIMIENTO,
EQUIPO BASICO
MANOMETRO DE PRESION
DE AIRE GENERAL DE MANOMETRO DENTRO DE OBSERVAR QUE EL INDICADOR
UNA VEZ POR DEL MANOMETRO NOS MARQUE
2 MAQUINA FUERA DE CONTROL VISUAL EN OPERADOR
SEMANA
TRABAJANDO 1 RANGO DENTRO DE LA PRESIÓN
CONTROL VISUAL RANGO RANGO DE TRABAJO 6 BAR DE 6 BAR
DE TRABAJO MIN
EQUIPO BASICO
MANOMETRO DE
MANOMETRO DENTRO DE OBSERVAR QUE EL INDICADOR
SUMINISTRO DE AIRE DE
CONTROL VISUAL EN UNA VEZ POR DEL MANOMETRO NOS MARQUE
3 SOPLETE #1 FUERA DE
RANGO DE TRABAJO 2.0 A
OPERADOR
TURNO
TRABAJANDO 1 RANGO DENTRO DE LA PRESIÓN
CONTROL VISUAL RANGO DE 2.0 A 2.5 BAR
2.5 BAR
DE TRABAJO MIN
EQUIPO BASICO
EQUIPO BASICO
MANOMETRO DENTRO DE
MANOMETRO DE
CONTROL VISUAL EN MANUALMENTE CON TRAPO
SUMINISTRO DE AIRE DE SECO LIMPIAR LA CARA ACTIVA
RANGO DE TRABAJO UNA VEZ POR
5 SOPLETE # 3 FUERA DE
FORMATO FEMENINO 2.0 A
OPERADOR
TURNO
TRABAJANDO 1 DE SENSOR, OBSERVANDO QUE
CONTROL VISUAL RANGO SE DESPRENDA TODO EL POLVO
3.0, FORMATO MASCULINO DE CORRUGADO
DE TRABAJO MIN
2.5 A 3.5 BAR
EQUIPO BASICO
MANOMETRO DENTRO DE
MANOMETRO DE CONTROL VISUAL EN OBSERVAR QUE EL INDICADOR
DEL MANOMETRO NOS MARQUE
SUMINISTRO DE AIRE # 4 RANGO DE TRABAJO EN UNA VEZ POR
6 FUERA CONTROL VISUAL FORMATO FEMENINO 4.0 Y
OPERADOR
TURNO
TRABAJANDO 1 RANGO DENTRO DE LA PRESIÓN
DE 4-6 BAR SEGÚN FORMATO A
RANGO DE TRABAJO FORMATO MASCULINO 6.0 TRABAJAR
MIN
BAR
implemention
QX
matrix
TRAININGS AM
STEP 4 Correct evaluation of B and
1
C for each step
PNEUMATIC Machine classification 11
2
TRAINING based on P,Q,C,D,S,M
3 4 categories of operators
4 AM step 4
5 Fixataion: Nuts
FIxation 6 Fixataion: Screws
TRAINING 7 Fixataion: Bolts
8 Fixataion: Washers
9 Pneumatic: Maintenance
10 Pneumatic:Valves
11 Pneumatic:Suction Cups
Q POINTS
QX MATRIX
X X X
X Vacuómetro X
X Punzon X
2 rondanas esquina
X X X 4 X
X
X
X
X
X
2 rondanas esquina
3
2 rondanas esquina
2
X
X
15
X X X 2 rondanas esquina 1 X
X X X 2 roldanas esquina 4 X
X X X 2 roldanas esquina 3 X
X X X 2 roldanas esquina 2 X
X X X 2 roldanas esquina 1 X
X X X X X 2 tornillos esquina 4 X
X X X X X 2 tornillos esquina 3 X
X X X X X 2 tornillos esquina 2 X
X X X X X 2 tornillos esquina 1 X
Guías Vacuómetro Punzón Roldana de presión Roldana plana Tornillos 3. Componente de la máquina
Alineación de postes
Diámetro menor
Diámetro menor
Diámetro mayor
Diámetro mayor
Guías laterales
4. Parámetro de la máquina
Guía superior
Diámetro
Longitud
Material
Cuerda
Torque
Grosor
Grosor
2. Condición anormal
Vacío
D53 USA Derecho: 177 mm
D45 LATAM 129 mm.
D53 LATAM 172 mm.
Se pierde el vacío en
están alineados
218 mm Izquierdo: 129 mm
(-0.35)-(-0.6) BAR
mm. D45 LATAM Derecho:
Los tornillos de la
desajustan con el
Los postes no
20 mm +- 1 mm
2 mm +- 1 mm
18 mm +- 1 mm
30 mm +- 1 mm
8 mm +- 1 mm
2 mm +- 1 mm
6 mm +- 1 mm
6 mm +- 1 mm
visual) 20 N/m
correctamente
1 mm +-1 mm
movimiento.
el sistema de
extracción.
matriz se
ajustadas.
a 90°.
+- 1 mm.
A2 70
90°
1. Modo de defecto
Caja mal pegada por
tornillos de matriz
desajustados
X
Extracción de cajas X
Extracción de
corrugado X
Advanced Kaizen –Example 8 (Why do teapots drip? )
• The flow rate was important. The slower the pour, the more likely the
teapot was to drip. With a fast pour the tea has less of a chance to
slow down, change direction and drip down the spout.
Step 7
MQ Analysis
Step 5
Details of checks /
Step 4 tasks
List process
points and Evaluate
evaluate functions and
standards Step 3 necessary checks
Analyze data
& select study List the systems
area and sub-systems
Step 2
Step 1
253
1. What is Processing Point Analysis?
Lathe Cutting
(4)The processing
point of the arc
welding machine
is the point where
each part and the
core wire is
welded by arc. By
continuously
transferring the
processing point
at fixed speed,
the two parts are
welded.
259
Processing Point Examples
(5) The processing
point of plating is
the contact
surface of the
work piece and
the fluid. By
feeding electric
current on the
contact surface,
plating film on the
work piece
surface is formed.
260
(6) The processing point of assembly is the
contacting point or plane for sub assembling and
fixing more than two parts.
“Quality of every part and
workpiece can be assured by
continuously and stably moving
the processing point.”
(3) Dispersion of the processing point
In the machining or assembling process of parts
or workpieces, if the processing point moves
unevenly, defectives will be produced.
For machines and equipment, the following six
systems should be considered, except jigs and
tools and machining conditions.
① Lubrication system which moves rotating parts,
sliding sections and contacting sections
smoothly.
② Oil pressure system which assures the smooth
movement of the processing point in linear and
rotational movements by oil pressure.
③ Air pressure system which assures quick
and smooth movement of the processing
point by air pressure.
④ a. Driving system which changes natural
energy into power,
b. Transmission system which increases
or decreases the power,
c. Power system which changes power
transmitted from the transmission
system into the power of operational
unit to maintain the continuous
movement of the processing point.
⑤ Electric control system which is concerned with
the three elements; the formation, positioning
and continuity of the processing point, by
changing electric energy.
⑥ a. Main equipment system which maintains the
balance in processing and the datum level
and the required rigidity of the machine.
b. Fastening system which sub-assemble many
parts to the main equipment and assures
accurate operation of each system.
Depending on the machining purpose,
each equipment has several or all of these
systems.
Dispersion of the processing point
267
(4) Processing point analysis
Base
Electric control Machining material
Level adjustment Bolts, nuts Oil lubrication
system bolt system
Machining conditions
Main switch of electric box Base bolt Screws Lubrication oil
Oil tank
Control board Main flame Suction filter
Operating board Workpiece Pump unit
Datum level Pressure control valve
Relay box Washers Non-return valve
Tools Piping, joint
Detector Solenoid valve
Distribution valve
transmission
Lubrication section
transmission
Transmission
The Grease
Grease pack
Piping unit
Lubrication
Operating
transmission
Grease
Chain
motor
Brake
clutch
Shaft
section
Piping
processing
Joint
Cam
system
lubrication
operating
point system
system
Actuator
Oil supply nozzle
Air volume control valve Actuator
Cock
Direction control valve Piping joint
Oil amount control valve Piping, joint
Piping, joint
Oiler Direction control valve Oil amount control value
Line filter Pressure control value
Air pressure control valve
Pressure control valve Pump unit
Filter Pump unit Suction filter
Air pressure source system
Suction filter Cutting oil tank
Operation oil tank Cutting oil
Lathe Cutting
Turn chucked 1.Turn workpiece
workpiece, applying at the specified
Chuck the cutting tool to its RPM and check
surface. Move for absence of
cutting tool parallel wobble.
to the workpiece’s
2.The cutting tool
Workpiece rotational axis to
should always
remove material
move in a
from its surface until
straight line.
specified shape and
dimensions are 3. Make sure
obtained. workpiece
center is
aligned with top
Cutting tool edge of cutting
tool.
1.Turn the drill at
While drill is the specified
rotating,press it RPM and check
Drilling (feed forward) to for absence of
enable the drill and evenness and
chisel edge to wobble.
Drill
remove material
from the workpiece 2.Make sure drill’s
and expel the cutting edges are
material via the drill the same shape
grooves.A band and size all
around the drill’s around (check
perimeter provides drill length and
a hole guide and angle)
Workpiece helps the drill 3.Make sure the
penetrate in a spindle moves in
straight line. a straight line.
272
1.Align center of
Internal Grinding Using two shoes workpiece with center
to support the of grindstone.
workpiece, turn it 2.Make sure of the
Packing plate on the drive plate. workpiece rotational
Grindstone Turn the centers and
grindstone at high grindstone are parallel.
speed and
repeatedly apply it 3.Make sure the
to the workpiece workpiece and
surface until grindstone are both
enough of the turning at the specified
surface has been RPM and are free of
Shoe Workpiece wobble.
removed to obtain
the specified 4.Run only at the
shape and specified cutting
dimensions. speed.
Create an arc in 1.Do not allow the
Arc Welding
an inert gas current to fluctuate
between the base during welding.
material and the
2.Maintain a constant
electrode and use
distance between
Electrode the heat of the arc
the electrode and
to melt and fuse
the base material.
(weld) the base
material. 3.Hold the electrode at
the specified angle
Arc when moving it
forward to weld
Base along the base
Material material.
2. Basic points of processing point analysis
Oil filter
Upper board
Tank Packing
Checking items
•By cleaning the oil level gauge, check if the oil level gauge is broken or not, if
the upper and lower limit lines have disappeared or not and if the oil level is
appropriate or not.
Improvement directions in the case of “no”
•Change the oil level gauge.
•Draw the upper and lower limit lines of the oil level gauge.
•Supply lubrication oil up to the upper limit line.
Oil tank
Checking items
Oil filter
(4) Check the oil inlet
and the filter
Oil tank
•By putting a magnet bar from the oil inlet and checking the bottom of the tank
by the magnet, check if there is any metal or alien substance stuck to the tank.
Improvement directions in the case of “no”
•Wash the tank
•Apply the rust inhibitor, which does not influence oil, on the inside wall of the tank
•Remove the source of rust
・Deterioration of the seals on the upper board of the tank and/or the piping section.
・Clogging of the element in the air breezier
・Oil pot
Step 7
MQ Analysis
Step 5
Details of checks /
Step 4 tasks
List process
points and Evaluate
evaluate functions and
standards Step 3 necessary checks
Analyze data
& select study List the systems
area and sub-systems
Step 2
Step 1
303
Understanding PPA
• The Processing Point is the point of contact between the drill and the
material
• Defects are caused if the drill does not perform this operation perfectly
every time
• There are five systems that can influence the performance of the drill
1. Lubrication system
2. Driving transmission and power system
3. Electric control system
4. Main equipment
5. Fastening system
304
Step 1
Analyze data & select
study area
305
PPA Step 1
Analyze data & select study area
306
Step 2
List process points and
evaluate standards
307
PPA Step 2
List process points and evaluate standards
308
Step 3
List the systems and
sub-systems
309
PPA Step 3
List the systems and sub-systems
310
PPA Step 3
List the systems and sub-systems
MANUAL
Once the principle and FEED BELT DRIVE X 3 PULLEY
SETS (SPEEDS)
operating standards of the CHUCK &
DRILL STOCK
processing point are DRILL
BIT
established, its contributing VICE
BASE
311
PPA Step 3
List the systems and sub-systems
312
PPA Step 3
List the systems and sub-systems
313
PPA Step 3
System & Sub System Map
Base
Electric control Machining material Oil lubrication system
system Level adjustment Bolts, nuts
bolt
Machining conditions
Main switch of electric box Base bolt Screws Lubrication oil
Oil tank
Control board Main flame Suction filter
Operating board Work piece Pump unit
Datum level Pressure control valve
Relay box Washers Non-return valve
Tools Piping, joint
Detector Solenoid valve
Distribution valve
Driving Electric motor
transmission
Transmission
transmission
Lubrication section
Transmission
Grease
Grease pack
Piping unit
Lubrication
transmission Operating
Chain
Grease
motor
Brake
The processing
clutch
Shaft
section
Piping
Joint
Cam
lubrication
system
operating point
system system
Actuator
Oil supply nozzle
Air volume control valve Actuator
Cock
Direction control valve Piping joint
Piping, joint
Piping, joint Oil amount control valve
Direction control valve Oil amount control value
Oilier
Line filter Pressure control value
Air pressure control valve
Pressure control valve Pump unit
Filter Pump unit Suction filter
Air pressure source system
Suction filter Cutting oil tank
Operation oil tank Cutting oil
314
PPA Step 3
System & Sub System Map
Washers
Screws
Shaft Transmission
Fastening System
Bolts & Nuts
Belt Transmission
Equipment
Tools
Contactor Box
Electric Motor
315
Step 4
Evaluate functions and
necessary checks
316
PPA Step 4
Evaluate functions and necessary checks
Analyze for possible causes of deviation within the system or sub systems.
Use the six factors to analyse the system or sub systems:-
•Name - The system or sub system
•Purpose - What it does within the system
•Function - How does the component provide the purpose
•Components - List the components within the system or sub system
•Principle - How do the components fit together to perform the function
•Operating standards - Necessary conditions and maintenance
317
PPA Step 4
Example of the 6 Factors
FUNCTION To convert 415v, 3 phase, 50hz electrical energy into mechanical rotation at
1420rpm
318
Step 5
Details of checks / tasks
319
PPA Step 5
Check Method Sheet Example 1
CHECKING ITEMS
320
PPA Step 5
Check Method Sheet Example 2
CHECKING ITEMS
Lower Limit
Check the level on the oil
level gauge.
Clean oil level gauge & Gauge broken Change the oil level gauge Oil leakage will occur from the
check the oil level. gauge, this will result in lowering
of the oil level.
Increase oil usage through
wastage which results in cost
Dirty oil gauge makes it difficult
to check level.
Allow entry of dust/water into oil
tank causing contamination.
Check if the upper & lower No limits Mark on the gauge the upper & Unable to determine level in reservoir.
level limits are indicated visible Lower oil level limits Could result in running below
on the gauge. minimum level causing damage /
wear to the machine.
Can result in overfilling creating mess
affecting machine performance and
creating a hazard.
321
PPA Step 5
If the answer to the criteria for checking is NO and the solution is not obvious,
carry out a know-why analysis as in the example below (based on example 2)
322
PPA Step 5
Check:-
Correct belt tension
Correct belt alignment Check motor speed
Belt for signs of wear/damage Under load
Belt pulleys for wear/damage
Belt tensioner for security
Bearings
323
Step 6
MQ Analysis
324
PPA Step 6
325
Machine (CP, CPk) To find relationships between the machine and materials,
we need to use MQ analysis.
Cutter
Feed width position
Roller
Crown crown Crown
Roller shape Diameter: 0.25 quantity
Offset: 5/1000
Roller Offset
Roller Degree of influence
shape quantity
clearance
M: machine
Q: product characteristics
Fig. MQ analysis 326
PPA Step 6
QM Matrix
Range Freedom
Tool Sharpness
Tool Condition
Belt Tension
Motor RPM
Feed Rate
Security
Parameter
Standard Value 118 degrees SOP 125 1420 10 mm deflection 50mm / min 200 / 0 Zero movement
Measurement Tool Drill gauge Audible Tachometer Steel rule Slide scale Visual inspection Visual inspection
Frequency 10 pieces Constant 3 monthly Daily Constant Daily Constant
Operator / Technician Operator Operator Technician Operator Operator Operator Operator
Standard SOP 125 SOP 125 SOP 126 SOP 127 SOP 127 SOP 127 SOP 125
Supervisor Daily check Checklist Checksheet Checksheet Training matrix Checksheet Daily
327
Step 7
The five zero defect
questions
328
PPA Step 7
The five zero defect questions
We need to check that the technique achieved the goals
set in Step 1?
If not go through the process again, applying the 5
questions:
329
PPA
Activity Boards
Stratification
LOGO
LOGO
LOGO
LOGO
Step 1 Step 2 Process Points Step 3 Systems & Step 4 Functions &
Sub Systems checks
Phenomena
330
The seven steps of focused improvement
Step 5 – Project work using appropriate technique
PPA Activity Boards
Stratification
331
Other example:
Machine Tools
332
5.7 Problem Solving Level (Especially for Quality Control)
Qualified people
Problem solving level (especially for quality control)
Basic level Intermediate level Advanced level
Steps to solve a 1. Analysis of the 1. Recognition of the 1. Recognition of the
problem present situation problem problem
2. Observation of the 2. Determination of 2. Determination of
operation aim aim
3. Inspection 3. Observation of the 3. Observation of the
4. Implementation of operation operation
a solution 4. Investigation of 4. Investigation of
cause and effect cause and effect
5. Implementation of 5. Implementation of
a solution a solution
Conscious level of The data used for 1. Because there are 1. Understanding that
problem recognition analysis of the unknown cause and because there are
present situation effect relations, the unknown cause and
does not reflect the quality of output effect relations the
quality of output of varies. quality of output
the present situation. 2. The number of varies.
They are either repetition = the 2. Looking for
summed up data or number of operations dispersion due to not-
the average ones. yet perceived
operations
Basic level Intermediate level Advanced level
Conscious level of Sloppy aim, not 1. Dealing with only 1.Dealing with
determining aim concrete limited number of unlimited number of
operations operations
2. Aiming to look at 2. Aiming to look at
operation the dispersion of
operations
Conscious level of 1. Making efforts to 1. Making efforts to 1.Trying to find
observing find causal find operations operations that
operations operations. which generate generate the similar
2. Liable to think that dispersion. dispersion as the
when no dispersion 2. Thinking that one of the quality of
among operations when operations output
can be found then generating 2.Thinking that when
there is no dispersion dispersion cannot operations
among operations be found it is generating
because of poor dispersion cannot be
observation found it is because
of poor observation
Basic level Intermediate level Advanced level