six sigma presentation
TRANSCRIPT
DMAIC
The One Methodology for Improvement Projects/Problem
Solving Within NCE
Introduction to DMAIC
2
MH'97
Target 2004+
OperationEXCELLENCE
2007
CI
Time
Performance
2008200520011997
Consumer and customer focus
Business and operations goal alignment
Excellence in leadership and competence development
One model for improving performance
Using world-class tools and best practices
Engaging everybody’s heart and mind
... to sustain ongoing savings to support business growth
NCE, Our Way Forward to Improve Performance
Introduction to DMAIC
3
Leadership DevelopmentNestlé management & leadership principles, business principles, Nestlé on the move ...
Nestlé Integrated Management System (NIMS)Quality, safety, environment, standards, business excellence ...
Goal AlignmentExamples: mission-directed work teams, mini business units, DMAIC problem solving ...
... Measure, Monitor, Organize
Customer Distribution Packaging Raw Material
LEAN Supply Chain
Manufacturing
TotalPerformanceManagement
TPM
Consumer
Audits, Self-Assessment Tools ...
The “One Model”: A Common Language and Way of Doing Things
Introduction to DMAIC
4
DMAIC Introduction in the Foundation Modules
Nestlé Operating Model (NOM):Nestlé Operating Model (NOM):
Operational master planning
and three foundationmodules…
…are part of the goal alignment
dimension
Operational master planning
and three foundationmodules…
…are part of the goal alignment
dimension
Three Foundation Modules:Three Foundation Modules:
MeasuresOperationReviews
ProblemSolving
TPM Pillars:TPM Pillars:
The TPMN problem- solving model and tools are aligned
with the foundations problem- solving module
The TPMN problem- solving model and tools are aligned
with the foundations problem- solving module
Operational Master Planning
Introduction to DMAIC
5
Typical DMAIC Project Goals
• Reduce costs, reduce consumer complaints• Improve productivity• Increase capacity, utilization, availability, flexibility • Inventory—lower costs, faster delivery, reduced scrap• Scheduling, forecast accuracy, availability• Supply chain—cost, inventory, cycle time, quality, availability• Speed—new products to market, service, approvals, delivery • Facilities—design, layout, space utilization, flow • Order processing—improve accuracy, customer satisfaction• Improve quality of services• HR—staffing, benefit administration, employee services• Data management, accuracy, timeliness, access, cost• Transactions—reduce errors and handoffs, increase accountability• Billing—speed of collections, reduce errors and delinquencies
Introduction to DMAIC
6
Ongoing Projects Within Nestlé
Business Product Title
Confectionary Smarties Reduce consumer complaints related to insufficient amount of orange and blue smarties in selling unit
Coffee and beverages
Nescafé Reduce rework due to visual quality deviation ("bubble" or black particle)
Roasted and ground coffee
Nespresso Reduce downtime due to sleeve maker machine from 70 min to 25 min
Roasted and ground coffee
Nespresso Increase the service level in Italy from 95% to 99%
GLOBE Fitgap Increase service level of Fitgap (Fitgap approved within the agreed delay) from 80% to 90%
Nutrition Infant formula Increase line efficiency of optima lines from 50% to the targeted value of 70%
Nutrition Infant formula Reduce the turnaround time from 10 days to 5 days
Purina Dry dog food Increase the average moisture content from 8% to 9% while reducing the variability from 0.8% to 0.5%
Purina Dry cat food Increase the blending quality delivered by automated blending machine
Chilled culinary Liquid batter Reduce overfilling from 0.5% to 0.2%
Purina Wet dog food Reduce the variability of the ratio chunk/gravy
DMAIC ProjectsSAR Projects
Introduction to DMAIC
7
DMAIC: Methodology to Tackle Problems Identified by the Operation
Feedback
Inputs
Outputs
Measures
Ideas
Problems
Information
Request for Support
Issue/Action
Go See Think Do
Increasi n
gly D
if ficult to
So
lve
Formal Problem Solving
DMAIC Success Factors
Introduction to DMAIC
9
Key Success Factors
• Top management actively participates and leads
• The portfolio of projects is balanced
• DMAIC leadership is not left solely to Green Belts
• The finance department is involved in measuring and validating the financial benefits
• Do not use DMAIC to cut jobs
• Remember that it takes time to implement DMAIC on an organizationwide basis
• Break down existing barriers in the organization
Introduction to DMAIC
10
Key Success Factors, cont.
• There is a careful selection of:• Projects• Project sponsors• Green Belts and Yellow Belts
• The project scope is well defined and feasible• Able to be accomplished in a reasonable time• Appropriate for Belt level
• A good “project review” process is employed on a:• Plant basis• Regional basis• Global basis
DMAIC Roles
Introduction to DMAIC
12
DMAIC Roles
Role Description Nestlé
Executive steering committee
Sets direction NCE steering committee
Champions Prioritize and deploy teams
TM, market IP manager, factory manager
Sponsors Assist teams on an ongoing basis
Factory management (factory manager, then dept. heads)
Master Black Belts Serve as experts/ consultants/coaches
Market expert coordinating improvement projects
Green/Black Belts Run medium/big project/serve as coaches of White and Yellow Belts
Can be factory IP manager
White/Yellow Belts Run small projects Line supervisor/shift leader
Improvement teams Deliver and implement results
Factory employee
Notes: • "Belts" are the DMAIC practitioners
Introduction to DMAIC
13
DMAIC Structure Within a Factory
1 Focused Improvement Leader • Either Black or Green Belt• Works on DMAIC full time • Oversees up to 15–20 Belts
3 Green Belts• Serve as project leader and coach• Devote ~25% time to DMAIC
1–7 Yellow Belts/White Belts• Serve as team members or project leaders• Devote ~10–20% time to DMAIC
Notes: • "Belts" are the DMAIC practitioners.• Factories are the first targeted community; the supply chain
can have a similar structure.
Example: Average factory of 300 employees
Factory Manager
Focused Improvement
leader
Green Belt Green Belt Green Belt
Yellow/White Belt
Yellow/White Belt
Yellow/White Belt Yellow/White Belt
Yellow/White Belt
Functional Report
HierarchicalReport
Factory Manager
Focused Improvement
leader
Green Belt Green Belt Green Belt
Yellow/White Belt
Yellow/White Belt
Yellow/White Belt Yellow/White Belt
Yellow/White Belt
Functional Report
HierarchicalReport
Area
Area 1
Area 2
Area n
Introduction to DMAIC
14
Competence Alignment with Project Scope and Complexity of Causes
Scope of Project Complexity of Causes
Competence Dedicated Time (recommended)
Focus in chain High Black BeltAdvanced DMAIC
50% – 100%
Focus in factory Medium Green BeltIntermediate DMAIC
30% – 40%
Focus in area Medium Yellow BeltBasic 2 DMAIC
20% – 30%
Focus in line Low White BeltBasic 1 DMAIC
10% – 20%
Introduction to DMAIC
15
Different Levels of DMAIC Application Within a Factory
TopManagement
TopManagement
Middle Management —
Functional Specialists
Workforce – Front
Line and Staff
Scope
Big
Pro
ject
sB
ig P
roje
cts
Sm
all
Pro
ject
sS
ma
ll P
roje
cts
Day
to
Day
Day
to
Day
MethodsProject Responsibility# of Concurrent
ProjectsDuration
Problem- Solving Module
More Formal
Basic
Green/Black Belt
Mind-set
Less Formal
Go-See-Think-Do
8
3
100
0–1 month
2 weeks–3 months
2–6 months
DMAIC Building Strategy
Introduction to DMAIC
17
Coaching Models
• Green Belts will be coached through the DMAIC phases • Two models of coaching: remote coaching and joint coaching• Goal of coaching is to enable Green Belts to succeed with
their projects and earn a financial gain of at least €20,000 for their project sponsors
Remote Coaching Joint Coaching
How it works • There is a predetermined time for each phase of the training
• The coach and Green Belt are connected by electronic means; they need to be physically together in the same place
• Other Green Belts do not assist in the coaching sessions
• There is a predetermined time for each phase of the training
• The coach and Green Belt conduct their training sessions together in the same place
• Another Green Belt can assist the coaching session, if feasible
When appropriate
• When the Green Belt and his/her coach cannot meet at the same site because they are working at geographically separate locations
• When several Green Belts can meet at one site at the same time
• When a project requires the coach’s physical presence
Introduction to DMAIC
18
Coaching Model
10-12w
DEFINE MEASURE ANALYZE IMPROVE CONTROL
Green Belt coaching should take approximately 14 hours per project:• Three hours for the project setup and DEFINE phase• Three hours for the MEASURE phase• Two hours for the ANALYZE phase• Two hours for the IMPROVE phase• Two hours for the CONTROL phase• Two hours for project presentation, wrap-up, and project
certification (part of the total certification process)
Note: With joint coaching, another Green Belt can help out with the coaching sessions as well as the sponsor.
3h 3h 2h 2h 2h 2h
DMAIC Schedule
Introduction to DMAIC
20
Summary
• DMAIC will be the one improvement method used within NCE
• DMAIC will be used across the value chain, first focusing on manufacturing (focused improvement pillar)
• DMAIC brings benefits to the whole organization
• DMAIC requires a variety of new roles across the organization (from practitioners to sponsors)
• Nestlé will progressively build DMAIC capability before becoming self-sufficient
Introduction to DMAIC
21
The essence of
Six Sigma
Introduction to DMAIC
22
Brief History of DMAIC
1979 - Motorola quality imperative “roots of Six Sigma”
1981 - Motorola challenge to improve 10 fold in 5 years
1988 - Motorola wins Malcolm Baldrige Quality Award
1991 - Motorola Six Sigma Research Institute established
1992 - Motorola, Texas Instruments, IBM, Kodak, and others initiated efforts to develop the 6σ Black Belt program
1995 - GE mandates Six Sigma rollout; estimates current performance at 3.0 Sigma
1997 - GE invests $250M to train 4,000 Black Belts and 60,000
Green Belts out of workforce of 222,000; recoups $300M same year
1998 - GE calculates Six Sigma payoff at $1.25B
• Mikel J. Harry is called the father of Six Sigma
Introduction to DMAIC
23
Who uses DMAIC - Six Sigma...in India
• Whirlpool• LG Electronics• Samsung• GE Group• Samtel• Phillips• Maruti• TVS Group• Delphi• TATA Steel
• Wipro• Escotel• Crompton Greaves• Motorola• DHL• Asian Paints• Honeywell• VIP Industries• Escorts Hospital• Jubliant• Agilent Tech
• Citibank• AMEX• ICICI• Hindustan Times• Accenture• HCL• Daksh• Vertex• Patni• Infosys• Airtel
…. Now it is Nestle too !!
Module 1.3: Identifying the Customers
What You Can Learn: The Kano Model
DelightersM
ore Is
Bet
ter
Must Be
Delight
Neutral
Dissatisfaction
Cu
sto
mer
Sat
isfa
ctio
n
Degree ofAchievement
FulfilledAbsent
ΤΙΜΕ
“Hygiene Factors”Taken for granted
Basic
SpokenMeasurableRange of Fulfillment
UnexpectedUnknown
Module 1.3: Identifying the Customers
The Kano Model and VOC
• Must Be characteristics: • Generally taken for granted
• Unless they are absent; fix these first
• More Is Better:• Additional features customers
would appreciate
• Delighters:• Generally not mentioned, since
customers are not dissatisfied with their absence
• The primary objective of the Kano model is to capture the most important customer requirements from the customer’s perspective
• By working on the critical requirements, you will keep your project focused and increase your chances of success
• Anything below customer specification is defect and above is quality
Delighters Mor
e Is
Bette
r
Must Be
Delight
Neutral
Dissatisfaction
Cu
sto
mer
Sat
isfa
ctio
n
Degree ofAchievement
FulfilledAbsent
Resignedto Reality
Pleased
NotPleased
Taken forGranted
Introduction to DMAIC
26
What is Quality?
Non conformance to customer specification
“ …conformance to the agreed customer specifications and requirements...”
Quality & Defect
What is Defect?
Introduction to DMAIC
27
Would you use this cannon to shoot a fly?
We need to use the most cost effective tool to make the a sustainable impact….
No…
Introduction to DMAIC
28
What is DMAIC?
• A Measurement SystemA Measurement System
• A Problem-Solving ApproachA Problem-Solving Approach
• A Disciplined Change ProcessA Disciplined Change Process
““THE SIX SIGMA BREAKTHROUGH STRATEGY”THE SIX SIGMA BREAKTHROUGH STRATEGY”
MMeasureeasure AAnalyzenalyze IImprovemprove CControlontrolDDefineefine
Introduction to DMAIC
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Why 99.7% is Not Good Enough?
3 Sigma Process3 Sigma Process
Less than 38 newborn babies accidentally
dropped by doctors and nurses each year
No electricity for 9 minutes in 5 years
One short or long landing every two years
2 railway accidents per year
1.4 minutes of unsafe water every 5 years
3.4 Defects per Million Products
Less than 38 newborn babies accidentally
dropped by doctors and nurses each year
No electricity for 9 minutes in 5 years
One short or long landing every two years
2 railway accidents per year
1.4 minutes of unsafe water every 5 years
3.4 Defects per Million Products
6 Sigma Process6 Sigma Process
More than 110,000 newborn babies
accidentally dropped by doctors and nurses
each year
No electricity for 85 hours each year
Four short or long landings per day
16 railway accidents per day
16 minutes per week of unsafe water supply
66807 Defects per Million Products
More than 110,000 newborn babies
accidentally dropped by doctors and nurses
each year
No electricity for 85 hours each year
Four short or long landings per day
16 railway accidents per day
16 minutes per week of unsafe water supply
66807 Defects per Million Products
Introduction to DMAIC
30
What's Six Sigma?
Introduction to DMAIC
31
Average River
Depth - 5ft
Focus on Average can turn any business “Red”Focus on Average can turn any business “Red”
Mean
12 Feet
6 Feet
What causes Defects?What causes Defects?
VVaarriiaattionion
Introduction to DMAIC
33
Count the number of times the 6th letter of the alphabet appears in the following text:
The necessity of training farm hands for the first class farms in the fatherly handling of farm live stock is foremost in the eyes of the farm owners. Since the forefathers of the farm owners trained the farm hands for first class farms in the fatherly handling of farm live stock, the farm owners felt they should carry on with the family tradition of training farm hands of the first class farmers in the fatherly handling of farm live stock because they believe it is the basis of good fundamental farm management.
How Variation Occurs
Introduction to DMAIC
34
What Does “Sigma” Tell Us?
Process Sigma (or σ) is a statistical term that represents how much variation there is in a process relative to customer specifications
Sony Automation – Paper Blow
Introduction to DMAIC
36
TargetWeight
X XXX X XX XXXX
XX
XXXXX
XX
XX
XX
X
XXX
XX
XX XXX
XXXX X
X
X
X
Every Human Activity Has Variability...Customer
Specification
defectsdefects
Understanding Variability & Customer specification Is The Essence of Six Sigma
Concept of Variability
USL
CustomerSpecification
LSL
Introduction to DMAIC
37
Mean
Customer
Specification
Mean CustomerSpecification
1σ
2σ
3 σ
A 3σ process because 3 standard deviationsfit between target and spec
3σ
6.6% Defects
Before
1σ2σ
3σ4σ
5σ6σ
After
6σ !No Defects!
Reducing Variability Is The Key To Six Sigma
What is Six Sigma
Introduction to DMAIC
38
Area under the curve
Introduction to DMAIC
39
DPMO – Know your Sigma
• A product has five areas where defect can occur we produced 30 Products with a total of 15 defects. What is the DPMO?
Sigma DPMO YIELD Sigma DPMO YIELD
6 3.4 99.99966% 2.9 80,757 91.9%
5.9 5.4 99.99946% 2.8 96,801 90.3%
5.8 8.5 99.99915% 2.7 115,070 88.5%
5.7 13 99.99866% 2.6 135,666 86.4%
5.6 21 99.9979% 2.5 158,655 84.1%
5.5 32 99.9968% 2.4 184,060 81.6%
5.4 48 99.9952% 2.3 211,855 78.8%
5.3 72 99.9928% 2.2 241,964 75.8%
5.2 108 99.9892% 2.1 274,253 72.6%
5.1 159 99.984% 2 308,538 69.1%
5 233 99.977% 1.9 344,578 65.5%
4.9 337 99.966% 1.8 382,089 61.8%
4.8 483 99.952% 1.7 420,740 57.9%
4.7 687 99.931% 1.6 460,172 54.0%
4.6 968 99.90% 1.5 500,000 50.0%
4.5 1,350 99.87% 1.4 539,828 46.0%
4.4 1,866 99.81% 1.3 579,260 42.1%
4.3 2,555 99.74% 1.2 617,911 38.2%
4.2 3,467 99.65% 1.1 655,422 34.5%
4.1 4,661 99.53% 1 691,462 30.9%
4 6,210 99.38% 0.9 725,747 27.4%
3.9 8,198 99.18% 0.8 758,036 24.2%
3.8 10,724 98.9% 0.7 788,145 21.2%
3.7 13,903 98.6% 0.6 815,940 18.4%
3.6 17,864 98.2% 0.5 841,345 15.9%
3.5 22,750 97.7% 0.4 864,334 13.6%
3.4 28,716 97.1% 0.3 884,930 11.5%
3.3 35,930 96.4% 0.2 903,199 9.7%
3.2 44,565 95.5% 0.1 919,243 8.1%
3.1 54,799 94.5%
3 66,807 93.3%
• DPU = 15/(30*5) = 0.1
• DPMO = 0.1*1000000 = 100000
• Sigma from table = 2.75
• Also Yield = 90.0%
Introduction to DMAIC
40
Consider the example of Delivery Time of two Supplier.
• Delta Services has a mean of 5.2 Days
• Omega has a mean of 5.7 Days
• Target Mean is 5.5 days
S.No Delta Services Omega Services1 2 42 9 63 2 34 9 65 2 66 4 87 11 58 3 79 2 5
10 8 7Average 5.2 5.7
Delivery time of two supplier in days
Which one is Better ????
and Why ????
SD 3.61 1.49
Six Sigma focuses on reducing Variations in Processes
Customer Feels the Variation and Omega is Consistent.
Variation
Introduction to DMAIC
4141
μ
USLUSL
T
μ
USLUSL
T
USLUSL
T
μ
Precise but not Accurate
Accurate but not Precise
Accurate and PreciseShift towardsTarget
ReduceVariation
• Shift towards Target
• Reduce variation
6 3.4 5 233
4 6,210
3 66,807
2 308,537
σ PPM
DMAIC Objective
Objective of DMAIC
Introduction to DMAIC
42
Overview of DMAIC
1
2
3
4
5
DEFINE
MEASURE
ANALYZE
IMPROVE
CONTROL
43
Introduction to DMAIC
43
DEFINE
MEASURE
ANALYZE
CONTROL
DEFINE: • Problem• SIPOC• VOC
• Root-cause investigation• Test (verify) causes• Analyze map
• Standardize process• Train personnel • Monitor performance
Solutions:• Set criteria• Develop• Select • Anticipate failure mode
IMPROVEData:• Collect• Plot • Analyze• Map process
Implementation:• Plan• Implement• Human side
The DMAIC Process
Introduction to DMAIC
DEFINE Road Map
NeedCustomerdrivers CTQs
Who What When
Introduction to DMAIC
45
SIPOC
S I
P
O CSuppliers Inputs
Process
Outputs Customers
Process Boundary
33
44
5511 22S I
P
O CSuppliers Inputs
Process
Outputs Customers
Process Boundary
33
44
5511 22
High Level Process map from Customer Perspective
Introduction to DMAIC
46
ScrapScrap
90% 90% Customer QualityCustomer Quality
ReworkReworkHidden Factory
NOTOK
Yield After Inspection or Test
OperationOperationInputsInputs InspectInspect First TimeFirst TimeYieldYield =
OK
RTY is 66%RTY is 66%
Process1 2 3
Rolled Yield 81 % 73 %
4
66 %
Final Test
=90%90%YieldYield
90%90%YieldYield
90%90%YieldYield
90%90%YieldYield
90%90%YieldYield
Rolled Yield Versus First Time Yield
Introduction to DMAIC
47
Why Measure?
Is it advisable to attack a problem without measuring it?
Thus it’s advisable to:
• Develop Data Collection plan
• Validate Measurement System
• Data Collection
What gets measured gets done …
Introduction to DMAIC
MEASURE Road Map
Introduction to DMAIC
49
Operational Definition
An operational definition is a precise description that
tells you how to get A value for the characteristic you
are trying to measure. It includes what something is and
how to measure it.
To remove ambiguity• Everyone has the same understanding
To provide a clear way to measure the characteristics
• Identifies what to measure
• Identifies how to measure
• Makes sure that no matter who does the measuring, the results are essentially the same
Definition
Purpose
Introduction to DMAIC
50
Sampling
Introduction to DMAIC
51
Types of Sampling
Introduction to DMAIC
52
Sampling
• Develop data collection plan and collect data…
Introduction to DMAIC
53
Example: On-Time Delivery
• This company was having trouble delivering products due to delays in receiving materials from their suppliers
• Data from the past 40 weeks on delivery dates from their two main suppliers is on the right
• Based on this frequency plot, which supplier would you recommend?
Note: A negative number indicates that the delivery was early
Supplier A40 Deliveries
0.5
0
0.5
1
1.5
2
2.5
3
3.5
4
4.5 Supplier B40 Deliveries
Days fromTarget
Introduction to DMAIC
54
• Now look at the time plot of the same data shown previously on the frequency plots
• What is your interpretation now that you’ve seen time and frequency plots? Which supplier would you recommend using?
Time Plot of Suppliers A and B — Late Deliveries(40 weekly deliveries each)
0.5
0
0.5
1
1.5
2
2.5
3
3.5
4
4.5
1 3 5 7 9 11 13 15 17 19 21 23 25 27 29 31 33 35 37 39
= Supplier A
= Supplier B
Example: On-Time Delivery, cont.
Introduction to DMAIC
55
Analyze – with proper tools
Support different situations by specific tools
Introduction to DMAIC
ANALYZE Road Map
Introduction to DMAIC
57
Identify Causes of Variation
Tools for Identification of causes of Variation :
• Process Map Process Map
• Fish Bone AnalysisFish Bone Analysis
• ParetoPareto
• 5 Why5 Why
• Control/ImpactControl/Impact
Introduction to DMAIC
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Focus of Six Sigma
x
Introduction to DMAIC
59
Process Map Analysis
• Steps That Are Essential Because They Physically Change The Product/Service.
• The Customer Is Willing To Pay For Them And Are Done Right The First Time.
• Steps That Are Considered Non-Essential To Produce And Deliver The Product Or Service To Meet The Customer’s Needs And Requirements.
• Customer Is Not Willing To Pay For Step.
VA
NVA
Stage 1 Stage 2
Stage 3 Stage 4
Stage 5 Stage 6 Stage 7
Reduce or Eliminate
Analyzing Process Map helps in identification of steps
Value Adding
Non-Value adding
Introduction to DMAIC
60
Fish Bone Analysis
• Also called Cause & Effect Diagram or Ishikawa Diagram
• Used to identify Possible Causes
• Uses the concept of Brainstorming to generate ideas E
ffectMachineMan
Material Method
Module 2.3: Data Analysis II: Looking for Patterns Not Related to Time
The Pareto Principle
• The Pareto principle is often described by the “80/20 rule,” which says that, in many situations, roughly 80% of the problems are caused by only 20% of the contributors
• The Pareto principle implies thatwe can frequently solve a problemby identifying and attacking its“vital few” sources
Module 2.3: Data Analysis II: Looking for Patterns Not Related to Time
Examples of Pareto Charts
0
10
20
30
40
50
60
70
Sch
ed M
ntn
c
Har
dwar
e F
ailu
re
Upg
rade
s
Sof
twar
e B
ugs
Pow
er O
uta
ges
Un
expl
ain
ed
Reason
Computer DowntimeAugust 1–31
0
10
20
30
40
50
60
70
80
90
100
Pe
rce
nt o
f To
tal
Coun
t
Perc
ent
Reasons
Count32.8 17.1 13.0 12.9 10.7 10.3 3.1
Cum % 32.8 49.9
76.10
62.9 75.8 86.6 96.9 100.0
39.70 30.20 30.00 24.90 24.00 7.18Percent
Other
SPLIC
E MISSING
M/C S
TART &
STOP
DE LA
MINAT
E
PHOTOCEL
L AUTO
TUNE
OVERLA
P
ROLL
CHANGI
NG
250
200
150
100
50
0
100
80
60
40
20
0
Pareto Char t For Laminate Losses
Laminate loss reduction on TOPACK line
Y= f(x1,x2,x3…)
Introduction to DMAIC
IMPROVE Road Map
Introduction to DMAIC
64
Once the Root Causes have been identified, it becomes easy to build solutions around these causes. The project team should get together to build self sustaining solutions.
Improve
• Automations – Elimination of Human intervention
• Mistake Proofing – Prevent Errors from happening
HomeAutomated thermostat controlsIron shutoff switchesGround fault circuit breakers in bathroomTamper proof packaging on consumer productsPlastic covers for the electrical outlets
OfficeLock-out / tag-out maintenance proceduresBarcoding-Dual palm button machinery
Introduction to DMAIC
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Mistake Proofing
The Problem: Automobiles are crossing thetrain tracks and getting hit by a train.
The “ C ” Fix: Place flashing cross signs at the crossing to alert vehicles.
Dilemma: Vehicles are alertedof oncoming trains but can still cross. Problem not solved.
Introduction to DMAIC
66
The “ B ” Fix: Place cross gates at crossing tofurther deter crossing of vehicles.
Dilemma: Vehicles are alerted and have limited crossing ability; however does not prevent those whoarbitrarily want to cross. Problem detered but not solved.
The “ A ” Fix: Build overpass for vehicles to crosstrain tracks without incident.
Dilemma: None. Problem solved.
Mistake Proofing
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Fail-safing Connection to the FMEA
Process Step/Input
Potential Failure Mode Potential Failure EffectsSEV
Potential CausesOCC
Current ControlsDET
RPN
Actions Recommended
What is the process step/ Input under
investigation?
In what ways does the Key Input go wrong?
What is the impact on the Key Output Variables (Customer Requirements) or internal requirements?
How
Se
vere
is t
he
eff
ect
to
the
cu
sotm
er? What causes the Key Input to
go wrong?
How
oft
en
does
ca
use
o
r F
M o
ccu
r? What are the existing controls and procedures (inspection and test) that prevent eith the cause or the Failure Mode? Should include an SOP number.
Ho
w w
ell
can
you
d
ete
ct c
ause
or
FM
? What are the actions for reducing the
occurrance of the Cause, or improving detection? Should
have actions only on high RPN's or easy
fixes.
0
0
0
Good Failsafing devices drive down
occurrence and detection rankings
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Fail-safing Connection to the FMEA
FunctionPart/Process
Failure Mode
Effects
Causes
Controls
Severity(1-10)
Occurrence(1-10)
Detectability(1-10)
RPNRisk Priority Number
RPN = S x O x D = 1 to 1000
RPNRisk Priority Number
RPN = S x O x D = 1 to 1000
How it Works
Introduction to DMAIC
CONTROL Road Map
Introduction to DMAIC
70
Control Phase
0.20
0.25
0.30
0.35
0.40
0.45
0.50
0.55
0.60
Average
Lower Control Limit (LCL)
Upper Control Limit (UCL)
Da
y 1
Da
y 2
Da
y 3
Da
y 4
Da
y 5
Da
y 6
Da
y 7
Da
y 9
Da
y 1
0
Da
y 1
1
Da
y 8
Measurement,# of Defectives,etc..
A Control Chart is simply a Run Chart with a statistically determined upper control limit (UCL) and lower control limit (LCL) drawn on either side of the process average. The normal variation in the process is used to calculate the control limits.
Process Noise (Common Cause)
Process Signal (Special Cause)
Process Noise (Common Cause)
Process Signal (Special Cause)
A process is said to be in statistical control when only common causes of variation are present.
Control Charts
Introduction to DMAIC
71
Now count the number of times the 6th letter of the alphabet appears in the following text:
The necessity in training hired hands in the strange handling of valuable live stock in premier operations is a priority in the eyes of the operations owners. Since the ancestors of the owners trained the hired hands in premier operations in the strange handling of valuable live stock, the operations owners thought they should carry on with the happy tradition of training hired hands in the premier operations in the strange handling of valuable live stock because they believe it is the basis of good basic operations management.
The Inspection Exercise
Thank You!!!DMAIC is a journey
Not a destination….
Introduction to DMAIC
73
Introduction to DMAIC
74
Mistake Proofing
PREDICTION/PREVENTIONSome cameras willnot function when
there is not enoughlight to take a picture.
DETECTIONSome laundry dryers have a device
that shuts them down when overheating is detected.