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Agenda
Overview of 8D
Definitions
Review of 8D steps
Review of examples of 5-Why
Questions
What is 8D
8D is a structured corrective action process; 8D stands for the Eight
Disciplines of Problem Solving
Root Cause Analysis(RCA) is an integral part of the 8D process
This session will:
Define 8D
Demonstrate 8D process
Train in Root Cause Analysis (5 Whys)
Vocabulary
Containment Actions taken to isolate the problem from any internal/external
customer. Usually expected to be completed within a 24hr 48 hour period.
Corrective Action The action taken to eliminate the cause of the
nonconformity.
Error proofing When a process is designed to prevent an error from
occurring.
Preventive Action The action that is taken to eliminate conditions that could
produce a nonconformity.
Root Cause At its simplest form, you can turn off and on the problem in a
controlled environment. The root cause should explain 100% of the unwanted
problem/defect and that there are no additional reasons that the problem exists.
This training session will not cover Preventive actions as defined above, but
the concept of Preventing recurrence is a key part of the Corrective Action
process.
Steps in an 8D
24 48hrs
2 weeks
30 days
Example of 8D Form
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Degree
Discipline
Decidedly Bad
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24 48 hours
2 weeks
30 days
As long as it takes
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24 48 hours
2 weeks
30 days
As long as it takes
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D1 Checklist
D1: Establish the Team
Checklist :
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Quality
Engineering
Manufacturing
Process Owner
All of the above
The correct answer is E For best results 8D teams are crossfunctional in nature, not every team will need every function,
but the objective is not to make it a one man or one function
event.
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Steps in an 8D
24 48hrs
2 weeks
30 days
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D2 Checklist
D2: Describe the problem
Checklist:
What type of problem is it?
Can we list any resources and documents which might better quantify
this problem?
Is there any evidence this problem has surfaced before?
What is the extent of the problem
Has the problem been increasing, decreasing or remaining constant?
Do we have physical evidence of the problem in hand?
Have failed parts been analyzed in detail?
Is there an action plan to collect additional data if needed?
Do we have the right team members to proceed to the next step?
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4 Ways to handle
Why, What, When, Who, How, How Many
Who, What, When, Where, How, How Many
For workers to help
The correct answer is C Who found the defect, What was the
defect, When was the defect detected, Where was the defect
found/located, How was the defect found, and How Many units
were defective? Why is not part of the equation in Step 1:
Defining the problem. Why comes in during the root cause
analysis stage.
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Assigns blame
Is based on facts
Suggests solutions
Positively describes the pain
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Steps in an 8D
24 48hrs
2 weeks
30 days
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Definition - Containment
Containment is the systematic search and
quarantine of suspected nonconforming product
throughout the supply/delivery chain. (Warehouse,
in process shelves, supplier stock, ) Make sure
you get it all.
In our Containment step we also include a process
to determine if its necessary to notify customers in
the form of a recall, advisory or other
communication.
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Definition - Containment
Containment is more than just getting all the
current product contained.
This step also includes what used to be called
Short Term Corrective Action.
This could be sorting, layered inspection or rework.
Make sure that implementation of the containment
action will not create other problems? i.e., part
shortages or unchecked rework.
It also has to last until the permanent Corrective
Action is in place.
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D3 Checklist
D3: Contain the Problem
Checklist:
What containment actions have been identified? (For Parts in stock, Parts In
transit, Parts at the supplier location, Parts in process at the operators work
station, Parts at the Customer location)
Have all quantities been accounted for and quarantined until disposition can
be made? (BE CAREFUL that they do not end up back in stock)
Have we ensured that implementation of the containment action will not
create other problems? i.e. part shortages, unchecked rework.
Will interim actions last long enough until the Corrective Actions are in
place?
Are responsibilities for containment actions clear?
When will the containment actions be complete?
Have the containment actions been documented?
Do we have the right team members to proceed to the next step?
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B.
C.
D.
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24 48 hours
indefinitely
Until corrective action is implemented
90 days
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Steps in an 8D
24 48hrs
2 weeks
30 days
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SCA Template
Work through the problem, use your team and dont skip steps!
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Acronyms:
CPSD Cooper Power Systems Division
SCA Supplier Corrective Action
DOE Design of Experiments
ANOVA Analysis of Variance
RCA Root Cause Analysis
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You will know it is the Root Cause if you can turn the problem off and on
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Root Cause
Immediate causes are NOT root causes. Typical immediate
causes you may see on Corrective Action reports are:
Operator Error
Failure to Follow Procedures/work instructions
Inspection not recorded by the operator
Gage Not turned in for calibration
Operator not trained
Inadvertent omission
These are NOT root causes, they may be a contributing cause but not the
true root cause!
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Root Cause
Root causes are weaknesses (ineffective
processes or controls) in the system that cause
or allow (fail to prevent) errors and
nonconformance's.
Effective corrective action will PREVENT
recurrence or REDUCE THE FREQUENCY of
occurrence.
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Root Cause
Corrective Action that addresses only the
immediate cause will NOT prevent recurrence.
Example:
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Operator Error
Failure to Follow Work Instructions
Use of expired material
Gage missing calibration sticker
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5 Why Review
5 Why
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5 Whys
If you continue to ask Why? you will discover the
systemic problem, rather than being satisfied with fixing
a symptom. Symptoms that come from contributing
causes
Review 5 Why
example
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The 5 Whys
The stone on the Jefferson Memorial was crumbling
Solution: Delay turning on the spot lights until one hour after
sunset, by which time midge population is down 90%. By doing
this, the food chain is broken and less frequent washings are
required.
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5 Why
5 WHYS? Analysis
5 Whys? Analysis consists of team members identifying a possible root cause by asking Why? until the root cause is
uncovered. It may take more or less than five Whys? To get to the Root Cause: Five is typical in most cases.
Lets consider the gage calibration nonconformance illustrated on the CA and Root Cause tab:
Nonconformance: Functional gage past due for calibration
Why?
Gage Tech did not calibrate the gage before the due date.
Why?
Why?
Why?
Why?
a.) Gage Tech didnt know the interval when the gage was
the master list
b.) Gage Tech didnt follow up to enter the interval later.
entered in
GageTrak does not force entry of the interval when entering gages in
the master list
Now that a possible Root Cause has been identified, generate a solution, implement it and check for proof that its effective.
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5 Why Summary
What if the team does not identify the Root Cause?
Possibly the problem was not defined well.
Possibly working on symptoms instead of the real problem
(problem definition!)
Possibly some of the facts are not true confirm with data.
Possibly the team doesnt include the right people to fully
understand the problem.
Possibly skipped a step or two, missing critical information
better to take baby steps.
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5 Why Review
Each response needs to be confirmed with data:
Run experiments to confirm that the teams response to each
why is accurate.
Dont allow a dominant team member to state a fact without
confirming it.
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D4 Checklist
D4- Define/Verify Root Cause
Checklist:
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Desk: 262-524-4421
Supplier Quality
Manager CPSD
Charlette
Mueller
Eugenia
Raigoza
Dave Chovan
Tom Caravella
Transformers and
PDD SQE
Switchgear and
PRD SQE
Desk: 262-524-4369
Desk: 011-52-442-211-3411
Desk: 414-768-8242
Desk: 414-570-4757
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Steps in an 8D
24 48hrs
2 weeks
30 days
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Error Proofing
Error Proofing comes from a
Japanese term Poka Yoke.
True Corrective Actions result in
Error Proofing in the Process or
Design to prevent similar problems.
Successive layer Detection
(Inspection) is a form of error
proofing.
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D5 Checklist
D5 Select and Verify the Corrective Action
Checklist:
What risks are associated with this choice and how should
they be managed?
Will this create other problems?
What methods will be used to verify the effectiveness in the
short and long term?
Have dates been set to verify the effectiveness?
Has responsibility been assigned to verify the short and long
term effectiveness?
What do you plan to do if this action does not satisfactorily
solve this problem?
Do we have the right team members to proceed to the next
step?
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Perfect
A soft boiled egg
Error-proof
Defect free
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Steps in an 8D
24 48hrs
2 weeks
30 days
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D6 Checklist
D6
Checklist:
Has an action plan been defined?
Have responsibilities been assigned to implement the
Corrective Action
Has timing been established?
Has required support been identified?
What indicators will be used to verify the outcome?
What controls are in place to assure the fix is as intended?
Do we have the right team members to proceed to the next
step?
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It isnt
To make sure the root cause was addressed
To ensure no other issues were caused by the
corrective action
To close the form
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Steps in an 8D
24 48hrs
2 weeks
30 days
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D7 Checklist
D7
Checklist:
Has the practice been standardized?
Have all appropriate personnel been notified of the changes?
Have all changes been integrated to our existing system (work
instructions, procedures, FMEA, Control Plans etc.)?
How will the practices be shared?
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Employee Roster
Control Documentation (Control plans, pFMEA, Flow
charts, Work instructions)
Quality Manager
Vendor Master
The correct answer is B essentially all documentation that
controls the production process needs to be reviewed for
updates to incorporate any actions that resulted from the
corrective action plan, to allow the fix to be sustainable.
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Containment
Root Cause Identification
Sharing Lessons Learned
Problem Definition
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Steps in an 8D
24 48hrs
2 weeks
30 days
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Summary of 8D
8D in the automotive industry has been very effective in driving
improvements
Our 8D format must be utilized for all Corrective Actions
Submitted to Cooper Power Systems:
Quick Containment Within 48 hours!
True Root Cause determination
Use Effective Tools
Utilized the 5 Why
Address both Detection and Occurrence
Implement Systemic Corrective Actions to drive
improvements!
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8D Checklist
D8 Recognize the Team
Checklist:
Have we recorded the teams work appropriately so that others facing
similar problems in the future may refer to them?
What unfinished Business remains?
Have individual team members been informed that it is now
complete?
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Quality Manager
OPEX VP
Person responsible for closure approval
Value Stream Manager
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Summary
Weve covered:
All steps of 8D
Detailed discussion of RCA
Training in 5 Why Analysis
The 8D Corrective Action process is necessary for continual
improvement immediate need is to drive reduction in Customer
Complaints!
Everyone needs to use these tools 8D needs to become part of our
culture.
8D needs to become part of our culture, ingrained into our DNA!
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Review
Down load the form from the link
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Review
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Review
Q-Pulse will send you reminders every other day until
you summit your Corrective Action to your SQE and
your SQE closes out the Corrective Action in the QPulse system
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System Maintenance
Make sure we have the right contact's in our system
The Quality Contact is the person who will be getting the email
notification.
If you need to change a contact information you will need to GO to the
same Cooper Supplier web site and open a Change of Contact
information form
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Questions
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Acronyms
4W2H Who, When, Where, What, How, How Many
ANOVA Analysis of Variation
CPSD Copper Power System Division
DOE Design of Experiments
FMEA Failure Mode and Effects Analysis
RCA Root Cause Analysis
SCA Supplier Corrective Action
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