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NAEM 2007
Saving Millions Saving Millions Integrating Lean, Ergonomics and Six Integrating Lean, Ergonomics and Six
Sigma (LESS)Sigma (LESS)TM TM
at Boston Scientificat Boston Scientific
Leonard Sarapas, PE, PH Corporate Director EH&S
Scott Smith, CPE, Six Sigma Green Belt Global Ergonomics Practice Leader, EORM
Leonard Sarapas, PE, PH Corporate Director EH&S
Scott Smith, CPE, Six Sigma Green Belt Global Ergonomics Practice Leader, EORM
© 2007 EORM, Inc.. 2
Presentation Topics
Who is Boston Scientific?
Strategy of integrating Lean, Ergonomics and Six Sigma (LESSTM) tools into BSC’s program
Tools and methods used to deploy LESS
Results & lessons learned
© 2007 EORM, Inc.. 3
Who is BSC?
BSC is one of the world’s largest medical device manufacturing companies
29,000+ employees
Annual sales of $8 billion/year
22 manufacturing plants located in the USA, Ireland and Costa Rica
© 2007 EORM, Inc.. 4
In the Beginning - 2004
Ergonomic injuries were the root cause of over 60% of BSC’s workplace injuries
Ergonomic injuries were costing us over $3 MM in 2004
Disrupt work flow and restricted work activities (Walking Wounded)
Organization’s goal was to be world-class in all aspects of manufacturing including EH&S
© 2007 EORM, Inc.. 5
In the Beginning - 2004
BSC was seeking help with reducing injuries within a fairly decentralized company
Ergonomics maturity across facilities was not consistent
Lean manufacturing was the dominate operational improvement program with some grass roots Six Sigma in development
© 2007 EORM, Inc.. 6
In the Beginning - 2004
Our goal was to address ergonomic issues without developing a formal ergonomics program
We partnered with EORM because of their experience related to large corporate deployments as well as their experience with Lean Manufacturing and Six Sigma
Together we developed a comprehensive approach to deploying ergonomics that leveraged the Lean and Six Sigma
© 2007 EORM, Inc.. 7
Strategies for Integration
Uses a combined Lean/Ergo/Six Sigma and floor support approach
Not a new or additional program; augments and expands existing skill sets
Supports lean core metrics and goals
Assessment tools are quick, effective and quantitative
Focuses on both ergonomic risk and improving the company’s bottom line
© 2007 EORM, Inc.. 8
BSC Operations Excellence
SQP
9 Panel
Core 5
Work Content
40-20-25-50
Waste Elimination
© 2007 EORM, Inc.. 9
BSC’s Strategy for Integration
Step 1– Strategic pilot study to build a strong value
statement and buy-in from upper management and Lean Council.
Step 2– Train and create “Lean/Ergo Subject Experts”
Step 3– Deploy 3 to 5-day Lean/Ergo kaizen events
Step 4– Leverage ergonomics impact to integrate into
“kaizen” and create long-term sustainability
© 2007 EORM, Inc.. 11
Lean Tool Kit
Cell and workstation Value Stream MapsTAKT Time vs. Cycle Time chartsTeam Brainstorming/PrioritizingKaizen Process – 3P (Lean/Ergo Events)8 Wastes – VA & NVA – Waste of Motion
5S – Sort, Simplify, Sweep, Standardize, Self-discipline
Heijunka – Load leveling Root cause analysis (5Ms and 1P)Poka Yoke – Error ProofingWIP ManagementMulti-process, Multi-machine
© 2007 EORM, Inc.. 16
Six Sigma Tool Kit
Statistics – Comparison of risk vs cycle time reduction– Regression
• Fitted line plots to look at relationship between ergonomic risk reduction and cycle time reduction.
– Analysis of Variance (ANOVA)
Box Plots – Cycle time variation analysis– Use in the analysis and improve phase
© 2007 EORM, Inc.. 17
Fitted Line Plots/Box Plots
Risk Reduciton
Cycl
e Ti
me
Red
ucti
on
908070605040302010
80
60
40
20
0
S 12.1263R-Sq 21.8%R-Sq(adj) 18.1%
Regression95% CI95% PI
Fitted Line PlotCycle Time Reduction = 14.70 + 0.4234 Risk Reduciton
Differences403020100-10-20-30
X_
Ho
Boxplot of Differences(with Ho and 95% t-confidence interval for the mean)
Dat
a
Re-alignPassUnloadRemoveOpenCycleCloseSetFluxAlignLoadPick
40
30
20
10
0
Sample Cycle Time Plot with Variation
Takt Time
© 2007 EORM, Inc.. 18
Ergonomic Tool Kit
Risk Assessments– Rapid screening tools (STARTTM)– Comprehensive measurement (STEERTM)– 3D Human CAD modeling
Cycle Time Measurement – Quick measurement tool (PASSTM)– Comprehensive (MOSTTM)
© 2007 EORM, Inc.. 19
Lean/Ergonomic Tool Kit
START – High Level Screening Tool
STEER – Comprehensive Analysis
© 2007 EORM, Inc.. 22
How Does it Fit Together?
Look to the 8 Wastes– Waste of Motion, Over Production,
Transporting, Storage
Theory of Constraint Management – Point of Motion Constraints
Bottom line – High ergonomic risk = waste and more
time to complete the same task as compared to the same task with reduced barriers
Key: Look at Internal vs External Productivity
© 2007 EORM, Inc.. 24
Results – Predicting Risk (STEER)
0
10
20
30
40
50
60
70
LH RH LE RE LS RS N B L E
Before After
© 2007 EORM, Inc.. 25
Results – Predicting Cycle Time Improvements
15% Reduction in Current Cycle Time
Current
45.78
37.92
0
5
10
15
20
25
30
35
40
45
50
Cycle Time
Actual
© 2007 EORM, Inc.. 26
Musculoskeletal Progression
MSD
Pain
Discomfort
Difficulty
Ergonomic Risk
Human Limitations
Reactive Approach
Proactive Approach
© 2007 EORM, Inc.. 27
Six Sigma View of Musculoskeletal Progression
Defect– A nonfulfillment of an intended requirement or
reasonable expectation for use, including safety considerations
Classifications:– Class 1 Critical
• Leads directly to severe injury or catastrophic economic loss
– Class 2• Serious, leads directly to significant injury or
significant economic loss– Class 3
• Major, major problems with respect to intended normal use
– Class 4• Minor, minor problems with respect to normal used
Source - The Certified Six Sigma Black Belt Handbook, ASQ Quality Press, 2005
© 2007 EORM, Inc.. 28
Six Sigma View of Musculoskeletal Progression
Defective– An entire unit that fails to meet
acceptance criteria (low risk) regardless of the number of defects within a unit
Source - Quality International Six Sigma Black Belt Training, 2005
© 2007 EORM, Inc.. 29
Six Sigma View of MSD Progression
MSD
Pain
Discomfort
Difficulty
Ergonomic Risk
Human Limitations Minor Defect
Critical Defect
Proactive Approach
Q: How do I get here?
Serious Defect
© 2007 EORM, Inc.. 30
Results – Predicting Risk (STEER)
0
10
20
30
40
50
60
70
LH RH LE RE LS RS N B L E
Before After
UCLDefects
© 2007 EORM, Inc.. 31
Born Lean Philosophy Human performance is shaped by the design of:– Tools– Parts– Workstation layout– Process flow
Injuries are just results of poor performance and can be minimized early on
Retrofitting is a waste of time and ultimately needs to be minimized
© 2007 EORM, Inc.. 33
Clean Sheet Design
Current vs. Proposed Changes
High risk potential (defects) was identified very early in the design phase
© 2007 EORM, Inc.. 34
New Paradigm Shift for Ergonomics Related to Lean & Six Sigma
WMSD
Pain
Discomfort
Difficulty
Ergonomic Risk
Human Limitations
Critical
Minor
Lagging
Leading
© 2007 EORM, Inc.. 35
Summary of Results
Over a two year period, more than 90 high risk operations have been reviewed following the DMAIC process
Implemented improvements have generated approximately $6 Million in improved manufacturing
Ergonomic improvements have impacted all aspects of lean metrics (scrap reduction, cycle time, efficiency and space)
© 2007 EORM, Inc.. 36
Lessons Learned
For ergonomics to be credible, one must be able to accurately define and measure ergonomic risks and project impact
Use the metrics of the organization to your advantage
Eliminating waste will reduce risk and reduce time to complete tasks