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    TQE

    VII

    John R. Grout October 31, 1995

    Towards Achieving Zero-Defect Quality:

    Mistake-Proofing

    John R. Grout, Cox School of Business

    Southern Methodist University

    ASQC: Texas Quality Expo

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    John R. Grout October 31, 1995

    If you like a copy of what you see here

    or would like additional information:

    Leave your business card with a note

    Pick up my card and call, fax, or write Email to [email protected]

    Visit the World Wide Web site

    http://www.cox.smu.edu/jgrout/tqe.htmlhttp://www.cox.smu.edu/jgrout/pokayoke.html

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    John R. Grout October 31, 1995

    What will Quality be in the

    year 2000? It will continue to be defined by the customer

    It will be less of a competitive advantage

    I

    t will be more taken for granted (expected) It will require informed use of existing

    quality tools

    It will require more cost effective

    improvements & solutions

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    VII

    John R. Grout October 31, 1995

    What causes defects?

    Cultural factors

    Variance Complexity

    Mistakes

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    John R. Grout October 31, 1995

    What tools are used to achieve

    zero defects? Cultural factors:

    Teams, Driving out fear, management commitment

    Variance SPC, Taguchi & DOE,

    Complexity Process Mapping, DFMA

    Mistakes Mistake-proofing, Poka-Yoke, or ZQC

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    John R. Grout October 31, 1995

    Motorolasfindings about Cp >2

    ...it became evident early in the project thatachieving a Cp greater than 2 would go only

    part of the way. Mistake-proofing the designwould also be required ... Mistake-proofingthe design is an essential factor in achievingthe [total number of defects per unit] goal.

    Smith, B. IEEE Spectrum 30(9) 43-47

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    VII

    John R. Grout October 31, 1995

    Evidence of the Effectiveness

    of Mistake-proofing

    Source: Productivity Inc. and Shingo prize profiles

    AT&T Power Systems is first USmanufacturer to win the Deming prize.Average outgoing defects reduced by 70%

    A washing machine drain pipe assembly lineproduced 180,000 units without a singledefect (6 months).

    TRW reduced customer PPMs from 288 to 2.

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    VII

    John R. Grout October 31, 1995

    Mistakes: to err is human

    Have you ever done the following:

    Driven to work and not rememberedit?

    Driven from work to home when youmeant to stop at a store?

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    John R. Grout October 31, 1995

    It happens to workers too.

    Workers finish the shift and dontremember what they have done.

    After building green widgets allmorning, the workers put green partson the red widgets in the afternoon.

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    VII

    John R. Grout October 31, 1995

    You have two options:

    Demand vigilance. Exhort workers to

    be more careful!

    Mistake-proof. Eliminate the chance of

    making the mistake

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    VII

    John R. Grout October 31, 1995

    A New Attitude towardPreventing Errors

    Think of an objects user as attemptingto do a task, getting there by imperfect

    approximations. Dont think of the useras making errors; think of the actions asapproximations of what is desired.*

    *Source: The Design of Everyday Things, by D.A. Norman, 1988, Doubleday

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    John R. Grout October 31, 1995

    A New Attitude towardPreventing Errors

    Make wrong actions more difficult

    Make it possible to reverse actions to

    undo themor make it harder to do whatcannot be reversed.

    Make it easier to discover the errors thatoccur.

    Make incorrect actions correct.

    *Source: The Design of Everyday Things, by D.A. Norman, 1988, Doubleday

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    VII

    John R. Grout October 31, 1995

    What would YOU do?GM welding machine

    A) Make a worker responsible for it

    B) Track the proportion of missing nuts on achart

    C) Increase preventative maintenance

    D) Make the machine stop when the isnt

    presentE) Change the fasteners to a clip-in device

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    VII

    John R. Grout October 31, 1995

    What would YOU do?L

    HotelL

    ouis XI

    VA) Hire a floor manager who can unlock

    doors when needed

    B) Rent only half the rooms in the hotel

    C) Tear down and build new building with abathroom for every room

    D) Use a leather strap to keep both doors

    closedE) Use electric door locks like a car

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    VII

    John R. Grout October 31, 1995

    What would YOU do?Nissan Stanza Van

    A) Put a warning label on the fuel door and thesliding door

    B) Reinforce the fuel pipe to withstand impact

    C) Create a locking system that must beactivated in order to take the gas cap offwhich keeps the sliding door from opening

    D) Move the fuel door etc. out of the way of thesliding door (e.g. to the other side)

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    VII

    John R. Grout October 31, 1995

    Approaches to

    Mistake-Proofing

    Source: Yoshikazu Tsuda, in Quality through Engineering Design (ed. Kuo) 1993.

    Mistake prevention in the workenvironment

    Mistake detection (Self-checks)

    Mistake prevention (Source inspection)

    Prevention of the influence of mistakes

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    VII

    John R. Grout October 31, 1995

    Examples of Mistake-Proofing

    3.5 diskette

    Binney and Smith

    Trinity Industries Automobiles

    Computer Software

    Mail-order computer

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    VII

    John R. Grout October 31, 1995

    Where Mistake-ProofingWorks Well

    1. manual operations where worker vigilanceis needed

    2. where mispositioning can occur.

    3. where adjustment is required

    4. where teams need common-sense tools andnot another buzz-word.

    5. where SPC is difficult to apply orapparently ineffective.

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    VII

    John R. Grout October 31, 1995

    Where Mistake-ProofingWorks Well

    6. where attributes not measurements are important.

    7. where training cost and employee turnover arehigh.

    8. where mixed model production occurs.9. where customers make mistakes and blame the

    service provider.

    10. where special causes can reoccur.11. where external failure costs dramatically exceedinternal failure costs.

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    VII

    John R. Grout October 31, 1995

    Where Mistake-Proofingdoes NOT work well

    1. Destructive tests.

    2. Production rate is very fast.

    3. Shifts occur more rapidly than they canbe responded to.

    4. Self-checks when control charts are

    used effectively.

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    VII

    John R. Grout October 31, 1995

    Shingo Shigeo :

    Defects = is

    absolutely possible!

    John Grout:

    If Defects = is possible,

    Mistake-proofing will be in thetoolbox of those who achieve it.

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    VII

    John R. Grout October 31, 1995

    Lets not wait 30 years...

    John P. Lafferty wrote:

    Shingo brought his Poka-Yoke devices toAmerica in the mid-80s...Unfortunately, thereception to Shingos methods in this countryis similar to our response to Dr. W. EdwardsDeming in the 50s. It took us 30 years tobecome convinced Deming was right aboutstatistical control. Must we wait 30 more tobelieve Shingo?

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    VII

    John R. Grout October 31, 1995

    Thank You!