5 problem solving_g8_d_(mo hinh xu li su co)-
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Transcript of 5 problem solving_g8_d_(mo hinh xu li su co)-
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5. Problem solving5. Problem solvingG8D method as Global 8 Disciplines
Process Control - 2013 - M.Brotto
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• 8D (as 8 Disciplines) is a very structured method in 8 + 1 steps (or disciplines)
coming from automotive industry (Ford) and also called G8D (as Global 8D)
• Based on a teamwork to solve definitively problems by :
- Eradicating root causes
- Avoiding problem recurrence
• Ensure total customer protection as soon as the problem is detected (this
supposes to be very responsive = reactive)
Problem solving method : 8D1 - Description
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supposes to be very responsive = reactive)
• Documented at each step of the problem solving process. This supposes problem
traceability and thus capitalization for improvement
When occurring specially :
- customer complaints (internal/external)
- product non conformity
- process dysfunction
2 – When to use ?
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Product Non Conformity
detection
Customer complaint
receipt
Customer care
procedure application
8D
criteria
NC procedure
application
3 – Implementation
Problem Solving method : 8D
Process dysfunction
detection
Process improvement
procedure
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PROBLEM SOLVED
Problem solving with
1 or 2 persons
8D
criteria
met?NO
YES
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8D trigger criteria
• Do the symptoms show that there is a
significant gap between what has been achievedand the expected result ?
• Do we know who’s concerned by the problem ?
To start an 8D analysis it is required to answer by « yes » to the whole
following questions (8D criteria) :
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• Do we know who’s concerned by the problem ?
• Is the root cause unknown ?
• Is symptom complexity such that problem
cannot be solved by only one (or 2) person(s) ?
• Does the management commit itself to supply
resources ?
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8D Process overview
Symptoms appearanceSymptoms appearance
D0 : Prepare oneself to 8D process and if required, implement
Emergency Response Action (ERA)
D1 : Build a team
D2 : Describe the problem
D3 : Implement and verify Interim Containment Action (ICA)
Phase 1 :
Protect the customer
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Problem solvedProblem solved
D4 : Define and verify root cause(s)
D5 : Choose Permanent Corrective Action (PCA)
D6 : Implement PCA and verify its effects
D7 : Prevent problem recurrence : Preventive Action (PA)
D8 : Congratulate your team
Phase 2 :
Eradicate the pb
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8D Process main action steps
PALLIATIVE” ACTION(S) (D0)
• ERA (Emergency Response Action) to protect immediately the customer
CURATIVE ACTION(S) (D3)
• ICA (Interim Containment Action) to protect temporarily and completely the
customer from the effects (symtoms), with a proven effectiveness and easy
implementation.
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CORRECTIVE ACTION(S) (D5)
• PCA (Permanent Corrective Action) to remove definitively the root cause,
without generating new problems, with a proven effectiveness.
PREVENTIVE ACTIONS (D7)
• PA (Preventive Action), if need be, spread and adapted to another situations,
in order to prevent the same problem occurrence elsewhere.
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Palliative action Curative action Corrective action Preventive action
Example
I’m a hotel manager and the customer of room n°10 is complaining about
moisture on his bedroom walls.
He’s allergic to mushrooms.
I apologize/
I propose a discount
on the room rate/
I propose another room
I immediately get the
n°10 room walls
cleaned
I prevent the pb occurrenceeverywhere
I address the pb by acting on the effects
(symptoms)
I install an air
ventilation device
in the room n°10
I deal with the customer
I plan to install
an air ventilation
device in each room
I prevent the pb occurrence by acting on the causes
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8D process rationale
Implement Describe pb Implement Define Implement Implement
Palliative actions
Curative actions
Preventiveactions
Corrective actions
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ImplementERA
(immediat)
Build a team
Describe pb& visiblecauses
ImplementICA
(provisional)
Defineroot
causes
Implement PCA
(definitive)
Implement PA
(preventive)
Problème eradicationCustomer care &
Business continuity
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D0 : Prepare oneself to 8D process
OBJECTIVE :
ACTIONS :
• Verify if it is required to start an 8D analysis
• Protect immediately the customer (ERA)
• Evaluate impact(s) of the problem
• Decide to launch an 8D analysis
• Describe the symptoms
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RECOMMENDED TOOLS :
• Describe the symptoms
• Implement the Emergency Response Action (if required)
• Create and complete the 8D report
• Data collection and representation
• Brainstorming
• Risk analysis (FMEA,…)
• …
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8D Report at D0
D0 : Preliminary action(s) – ERA (Emergency Response Action)
Initial problem description :
In a Smart Card manufacturing, the quality control of a batch makes appear
that the sequence of the credit card numbers is not respected
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Person
responsibleImmediate Actions
(ERA)
Implementation
DateEffectiveness
VerificationStatus
John Prevent 100% of
the next deliveries(mm/dd/yyyy) 100% In progress
/Finished
/ NA
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D1 : Team working oriented problem solving
OBJECTIVE :
ACTION :
Build a team with multidisciplinary knowledge and willingness to work in group.
• Build a team with the following roles :
- Sponsor : owns authority to implement actions
- Leader : leads the team according to the methodology
- Expert members : have product or process knowledge
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RECOMMENDED TOOLS :
- Expert members : have product or process knowledge
- Team membership : have a naive point of view (from the expert one)
• Complete the 8D report
• Team working : consensus tools
• Leading meeting : schedule, meeting points,
manage people…
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8D Report at D1
D1 : Team building
Role Name Job Extension phone N°
Sponsor
Leader
Jack
John
Production manager
Quality manager
1234
2222
1212
Team member
Team member
Team member
Paul
Alan
David
Engineering
Embedding operator
QC operator
6666
9999
0101
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D2 : Describe the problem
OBJECTIVE :
ACTION :
Describe the problematic situation with an analytic and factual approach in
quantifiable terms (write what is really the problem, what are the symptoms that
the customer is really seeing….)
• Look for useful information to treat the problem
« A problem well defined is a problem half-solved »
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RECOMMENDED TOOLS :
• Look for useful information to treat the problem
• Fill in the form using 5W2H tool (Laswell grid)
• Describe the problem
• Complete the 8D report
• Laswell grid (5W2H)
• Data analysis Tools (data collection, Pareto chart…)
• Previous 8D reports (if available, normally they should be !!!!)
•…
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8D Report at D2
D2 : Detailed problem description
After the study, it seems the sequence between cards number is only not
respected for the last box of each batch of 10 K cards.
In addition, investigations showed that affected cards ranged from number
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In addition, investigations showed that affected cards ranged from number
100 001 to number 149 999
The study also showed that Z customer (bank sector) can be potentially
affected by the problem (but the customer has never complained)
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D3 : Implement and verify ICA(if necessary)
OBJECTIVE :
ACTION :
Define and implement Interim Containment Action (ICA) to isolate the
problem from customer (internal/external) until permanent corrective
action (PCA) is implemented
• Make sure this action is better than ERA
• Search and implement ICA
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RECOMMENDED TOOLS :
• Search and implement ICA
• Verify its effects (potential impacts on the whole process)
• Remove ERA
• Complete the 8D report
• Brainstorming
• Process flowchart
• Decision matrix
• Planning tools
• FMEA
• …
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8D Report at D3
D3 : Interim Containment Action(s) – ICA (Optional)
Person
responsible
Containment Action
ICA
Implementation
DateStatusEffectiveness
Verification
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Paul Reinforce the quality
checking on the last
box of each batch
mm/dd/yyyy 100% In progress
/ Finished
/ NA
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D4 : Search and verify root cause
OBJECTIVE :
ACTION :
Identify root cause among potential causes which could explain the problem
occurrence
• Search changes in the process which might have generated the problem
• List possible causes according to D2 (problem description)
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RECOMMENDED TOOLS :
• Find out root cause from whole possible causes
• Make sure the root cause can “turn on/off” the problem
• Complete the 8D report
• Process mapping
• Fishbone/5 M
• 5 Why?
•…
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8D Report at D4
D4 : Root cause
Root Cause
During Quality checking, cards are picked up within
the whole box (the last box of the batch) and card 100%
% Contribution
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the whole box (the last box of the batch) and card
position is not marked out.
When cards are replaced in the box, they are not
placed at the same position by the operator.
People aren’t trained (risk non identified).
The quality control is randomly made on some final
batches (detection)
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OBJECTIVE :
ACTION :
Select the most effective action(s) to remove root cause without
undesirable side-effects
• Search solutions and evaluate their risks
• Select PCA and verify its effectiveness
D5 : Search and verify PCA(Permanent Corrective Action)
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RECOMMENDED TOOLS :
• Select PCA and verify its effectiveness
• Complete the 8D report
• Brainstorming,
• Solutions diagram, Decision matrix
• FMEA
•…
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8D Report at D5
D5 : Chosen Permanent Corrective Action(s) – PCA
Final action chosen Effectiveness criterion
2020
Supply red cards to Quality control
operators in order to mark the card’s
position (within boxes)
Perform a double check during
15 days.
Then implement autocontrol
(people to be trained)
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D6 : Implement PCA and verify its effects
OBJECTIVE :
ACTION :
Implement the best permanent corrective action (PCA) with on-going
controls to ensure the root cause elimination
• Build the action plan for the permanent action implementation
• Implement action and verify its effects
• Build a long term monitoring plan (and respect it)
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RECOMMENDED TOOLS :
• Build a long term monitoring plan (and respect it)
• Remove action ERA or ICA (it depends on the case)
• Document changes on procedures, documents, etc….
• Complete the 8D report
• Planning tools
• SPC (statistical tools for manufacturing processes)
• Poka yoke (misproofing tools)
•…
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8D Report at D6
D6 : Implement Permanent Corrective Action(s) – PCA -
Person
responsiblePermanent Action
(PCA)
Implementation
DateStatusEffectiveness
Verification
John Make red cards
larger than
standard ones
mm/dd/yyyy 100% In progress
/ Finished
/ NA
In progress Test new work
2222
Alan
Modify
documentationPaul
Paul Extend to all
concerned
production lines
mm/dd/yyyy
mm/dd/yyyy
mm/dd/yyyy
In progress
/ Finished /
NA
In progress
/ Finished /
NA
In progress /
Finished
/ NA
100%
100%
100%
Test new work
instruction before
approval
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D7 : Prevent problem recurrence
OBJECTIVE :
ACTION :
Prevent recurrence of this problem and another similar ones by implementing
preventive actions (PA) e.g. modify the management systems, practices and
procedures, choose on-going controls, include mistake proofing methodology…
• Search systems, practices and procedures elsewhere which might
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RECOMMENDED TOOLS :
contribute to this kind of problem occurrence
• Recommend actions (to the sponsor)
• Complete the 8D report
• Audit
• Flowchart
• FMEA
• …
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8D Report at D7
Person
responsibleActions Implementation
DateStatus
D7 : Action(s) to prevent recurrence
John - Warn operation manager about (mm/dd/yyyy) In progress
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John - Warn operation manager about
similar risky processes
- Inform industrial coordination
about implemented solutions
(mm/dd/yyyy) In progress
/Finished
/ NA
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D8 : Congratulate the team
OBJECTIVE :
ACTION :
Close the teamwork and congratulate everyone
• Document the whole study and record the results
• Archive all documents
• Recognize collective efforts
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RECOMMENDED TOOLS :
• Recognize collective efforts
• Dissolve the team
• Complete the 8D report
• Company information letter
• Intranet
• Various incentive systems
•…
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8D Report at D8
D8 : Final Decision (Congratulate the Team)
Final
Decision
Company
warranty
Analysis Ending
Date
Report
AuthorQuantity
Text Under company Figures (mm/dd/yyyy) John
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- The group classified and archived documents in the relevant folders
- The excellent work done by the team will be communicated within the
Company through the information letter. Thanks everybody
- Group dissolution today
Text Under company
name approvalFigures (mm/dd/yyyy) John
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Exercise
Symptoms of the problem :
In a supermarket, after a customer complaint, it appears that the cost
of milk-can displayed at the checkout is higher than the actual cost
mentionned on the shelf (price tag).
Additional information :
The technician usually in charge of updating daily and manually the
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The technician usually in charge of updating daily and manually the
tags but also of checking cost consistency was away at this present
day.
Try to solve the problem by using the process
of 8D method (only D0 ERA, D3 ICA, D4 root cause,
D5 PCA, D7 PA)
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See GoodSeat Company 8D analysis report
(Excel File)
Practical application
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