Transcripts
1. Welcome & Introduction: Hello. Welcome to Mastering
AT problem solving. Chris is the containment
D one Dvocus. My name is Meta and I'm
thrilled to guide you on this essential journey into mastering the early states
of the AT methodology. Before we dial into the course, let me tell you a
little about myself. I bring over ten years of experience in quality
management and having worked with leading
automotive companies in Turkey and in
the United Kingdom. My career has been
deeply rooted in IATF 16 949 standards, where I gain expertise in, effective problem
solving methodologies in high pressure environments. My goal here is to share
these insights with you to help you excel
in your own journey. Now, let's talk about what
makes this course unique. This course focuses
specifically on the critical D one
and D four states. The first step is
defining problems clearly and then
assessing risk for similar parts and
processes and the next is conducting initial
analysis and the last, creating robust
containment action plan. These early states are the
backbone of successful problem solving because they lay the groundwork for all
the actions that follow. If they are overlooked
or poorly executed, the entire problem
solving process can fail. We will move beyond theory
into practice by exploring a detailed real world casetudy from the automotive
manufacturing industry. This hands on approach
will help you connect the concepts to real challenge you might face in your
professional life. One of the standard
aspects of this course is our focus on often
overlooked arrays. For instance, we will
deep dive into how to perform proper similar part
and process risk assessments. Highlight key points in
initial analysis that are frequently missed even by
experienced professionals. By the end of this course, you will not only understand
the D one and D four steps, but you will also know
how to apply them in a structured and effective way to resolve issues confidently. While the next stage, D five and D eight
will be covered in a separate course to be published
in the upcoming months. This specific course ensures a solid foundation for
structured problem solving. Let's illustrate with an exam. If the fire is the problem, then the extinguishing the fire is the containment action, which should be addressed
in D one and D four. Therefore, in this course, we will learn how to put
out the fire effective. Whether you are Nia
problem solving or looking to
refine your skills, this course is designed
to provide tools, insight and techniques to
set you up for success. Together, we will
work step by step to ensure you are ready
to tackle challenge, head on, and turn problems
into opportunities for growth. If you are ready to dive in, let's get started on
mastering A problem solving together and put out the
fire against the crises.
2. What is 8D: Before going into the steps, let's understand first
what is 80 and why is 80. The term ET stands for
eight disciplines which represent the systematic
steps required to identify, analyze, and resolve
problems effectively. AT is one of the most effective and widely
recognized problem solving methodologies. It was first developed
by Ford Motor Company several decades ago
and quickly became a standard across all
the automotive industry. Over time, its application extended to other manufacturing
sectors and beyond. Let's take a closer look
at these disciplines and understand how they contribute to solving complex challenge. 80 steps can vary depending
on the organization. It is normal to encounter
slight differences in the steps across
various 80 methodologies. However, all of them fundamentally include steps related to
problem definition, emmy de action, root
cause analysis, permanent corrective
and preventive action, and closure with
some lesson learned. In our 80 in the D one, we will explore the
5w2h technique, a high effective tool for
clearly defining a problem. Additionally, we will look at the bot side of the problem. One is about the detection, which can be done
by our customer or next operation in the same
plant or ourselves directly. The second is about the
origin point of the problem, focusing on occurrence details. We will learn how to approach
and ask questions to grasp all necessary details and make a synthesis
of the problem. Moving on to D two, we will assess similar
parts and processes to evaluate the risk of potential
issues in other areas. At this point, we
will learn to manage our doubts regarding other
similar parts or processes. For example, what if other similar parts
have the same failure? Or what if we use the same defective parts
in other products? Or what if we ship the same defective parts to another customer
plant, for example. All those will be clarified
precisely in this step. D three focuses on the initial analysis phase
before the containment action. Where we examine the
non detection point, it is where the failure
should have been detected and why we
couldn't catch this. And the basic conditions
check by checking the relevant production area to understand if any anomaly. This may sound like a
root cause analysis in early stage which is
done in the next steps, but it is not. In this initial analysis step, we will understand
the basic conditions of our process and the non detection
part in order to put effective actions in
the containment actions. D four addresses
containment actions, emphasizing immediate
measures to mitigate the impact
of the issue. We will see what
actions we should get and which ones are
suitable for our problem. Containment actions
are at least as important as the corrective
actions because in this step, we bring under
control decreases, which is extremely critical
for us to be able to manage all problem solving study smoothly and confidently. While this course includes
D one and D four steps, I would like to also go
through the next ones, which will be covered in
the next upcoming months. D five serves as the one
of the course step where we identify the root cause
using three powerful tools. Those are fish
bonuses where we make the brainstorming analysis and failure three analysis
and the 55 technique. Establish a clear connection
between these tools, guiding us to uncover the true root causes
of the problem. The six is the action plan
and the implementation where the corrective
and preventive actions are taken against root causes. Following step, the seven
is the validation of these actions to be sure
they are effective or not. Reproduction of the defect
is the main approach here to demonstrate
the corrective actions are effective or not. And finally, the aid, it serves as the concluding step where listeners are documented, conduct closure
audits and update some standards and celebrate
team's effort and success. Those were the steps
of eight disciplines. Now let's see which areas we
can use this methodology.
3. Where is 8D used: It is a versatile problem solving methodology
that can be applied in almost any context where addressing and resolving
issue is necessary. While it is particularly prominent in the
automotive industry, where it is often required as
part of the IATF standard, its utility extends to a wide range of production
and service sectors, including aospace,
healthcare, manufacturing, and IT, among others. This makes AT a
universal tool for structured problem solving in both technical and
non technical fields. 80 can be applied across various industries and
in numerous sterations. Let's take a look at some of the most common
scenarios with examples. First is the production
quality issues. One of the primary
areas where ATus is in addressing production
related to problems. For example, suppose the
dimensions of parts produced in manufacturing process begin to deviate from the
required standards, or alternatively,
a single defect is identified in an otherwise
stable production line. In such points, AT serves
as an excellent tool to conttisue and implement
listing solutions against the root causes. Second, is customer complaints
and warranty claims. Another significant
use case for AT is managing customer feedback
and product warranty claims. For example, a customer reports an issue where a product
malfunctions after usage or a warranty
claim highlights a recording defect in a
specific batch or products. By employing AD, we
can systematically investigate the issue and
ensure customer satisfaction. Trees, again, the
supplier quality issues. It is invaluable in supplier management to
address quality concerns. For example, a supplier
delivers raw material or components that fail to
meet aggregate specifications, or let's say, there's a recurring issue with delivery timeline or
material handling. Here AD helps not
just in resolution, but also in strengthening the supply relationship
through corrective actions. F is logistic and
supply chain problems. Supply chain and
logistic chains are another area where
AT proves effective. For instance, a
shipment arrives late, disrupting production
plannings, or there's a repeated issue with
inventory mismanagement. Applying AT allows business to pinpoint vulnerabilities and
optimize a supply chain. Five is non conformity in quality management
system audits. Audit findings and
non conformity often require structured
problem solving. For example, an
internal audit reverse a gap in compliance with a
standard operating procedure, for example, AD helps resolve these findings while driving
systematic improvements. Next is safety and
environmental concerns. It is also widely used to address safety and
environmental issues. For example, a workplace
accident occurs or an environmental compliance
breach is identified. Using AD here, ensures preventive measures are
implemented effectively. Next is continuous improvement. Beyond solving the problems, AT can also be applied proactively for
process improvements. For example, identifying and eliminating inefficiencies
in a production line. This makes AT a versatile tool, not just for firefighting, but also for building a
culture for excellence. Next is lastly
project management. It is also utilized in
project management to handle unforeseen
challenges during projects. For example, delays in
project milestone due to resource constraints or
coordination problems among cross functional
teams, for example. With AT, such problems can be systematically addressed
to keep projects on track. These are the main areas where we can use, but not limited.
4. D1 Problem Definition - 5W2H Overview: D one, problem definition. This is the first step
in the AD process. And here, we will use five WH methodology to create a comprehensive
problem definition. So let's explore these
steps in detail now. 5w2h methodology is a
structured approach to thoroughly analyze
and define a problem by addressing seven
key questions. First is, what is the problem? It clearly describes the issue, including any
relevant details such as defect type or process issue. We should simply understand
the issue when we read this. The clarity level
should also have as much as details such as
required and actual status. This can either
be a dimension or some visual curterias
let's give an example. A five windshield has
a crack in the corner. Here, basically, as part
of the question what? We understand the
relevant product. It is a five windshield and we understand
the problem itself. It is crack in the corner. This could be fairly enough for initial and clearly
describe the problem. However, if they have more
data like crack level, it is depth or length, we should absolutely identify to improve the city
level of the problem. In that case, it would be like a five windshield has a
four millimeter long, 1 millimeter deep
crack in the corner. So now we understand the frame
of the problem correctly. Second is where, where is the problem occurring and
where was it first detected. Specify the location
or a affected here, whether it's a
specific workstation, production line or
region is useful. For example, Warwick Plant, second production
line, Operation 20. As much as details we'll make
this description better. This was the occurrence place, but we should also identify the detection place
for this question. Let's say for this London
plant car assembly line. This is the detection place. Basically, we have
two answers of those questions to describe
the problem better. One is focusing on
occurrence and the other is focusing on detection or
the submissione site. Let's review the
next question, this. When did the issue occur and when was it
first identified? Here, the provide timeline highlighting whether
the issue is consistent or singular and not any
relevant trends is useful. In that point, it is important
to use some graph to see the trend of the problem if
it is not a singular case. This will show all the relevant
variation of the problem, which will help us to
resolve it properly. But on the other hand,
for the singular case, that means if the
problem seen just on one product or one
case in process, we can identify the exact date and time of the issue
without a trend graph. It will be like January 3, 2025 night shift 3:00 P.M. This gives us the data when
did the problem occur. But as mentioned above,
in addition to this, we should also define the date of detection of the problem. This was the time that
the problem occurred. Then when it was detected
after a few days or just the same time
when for this example, let's say, January 5, 10:00 A.M. It is important to identify both occurrence and
detection point in the problem definition. Next is who is
involved or impacted. Here are the identified
involved stakeholders, such as operators, customers, or suppliers is important. By the way, the problem doesn't
have to be related with the operator as sometimes machine can fail
due to some issues. But here, the main
purpose is to collect accurate data from
the key person who involved the problem. Therefore, it is important
to identify those. Let's give an example. Problem was detected by
JL in customer plans. We can also write his operator
identification number, but for the occurrence, let's say relevant
operator name is MT. Those identifications
matter for us to get prompt and fast data
by contacting them. In case the occurrence is not
related with the operator. Let's say, even one operator doesn't work in the
relevant production line, it is fully automatic.
In such cases. We can identify the problem is independent from the
operator for such cases. Next is why? Why is this a problem? Here, basically, we need to justify whether it
is indeed a problem by comparing the actual state of the standard
requirement in order to determine if there's
a deviation. This question is often
misunderstood and using why this problem
happened, but it is not. We don't question
here why did it occur because it is part of
the root cause analysis. Our focus here is
to understand why it is a problem. Let's
give an example. We can use the previous windsheld
crack example for this. Why is it a problem? Because windsheld quality
requirement is no crack. That's why this
crack is a problem. In that case, we can just
indicate that the part doesn't comply with the
quality requirements. Because requirement
is no crack and the actual status is
crack in the corner. Apparently, this
doesn't complies. This is how we explain
this question. In case the quality
requirements are different by the way for both
customer and manufacturer, we can also indicate
both separately as well. In this example we just gave as. So our next question is how is the problem manifesting and also how was it detected?
What is the story? Here we describe the mechanism, process or sequence of eons
that led to the issue. Let's give an example for this. During the windshield
assembly to the car, operator notice that there is a small crack in the corner. This clearly explains how
the issue was detected. Let's give you an
example for the manufacturing site
for documents. We need to answer
for the question of how did the issue
occur in that point. The crack occurred during
normal production process when the windshield was
being shaped and tempered, resulting in stress
at the corner. So we understand how did
it occur with this answer. In addition, we ensured whether the process was in
normal condition or not. That means we checked if there's any additional
operation or rework, the additional
control, et cetera. So basically, any difference flow from the normal process, as it is important because
as part of the how question, we should also identify whether the defect occurred in a
normal process or not. It is important. So another
thing in that point, for example, if you are not sure that the occurrence
point, if you don't know. For example, maybe
it occurred during the transportation due
to an external damage, not in production,
and we don't know. In those uncertain cases, we can identify
this by considering the relevant possibilities
and we can update the section letter after
collecting accurate data. Last question is how much? Here, we try to
understand what is the severity of the
problem at initial. Is the singular issue
singular part or are there many parts affected
quantify impact in terms of the
defect rates here. From the same example, we can say one car affected at customer side and six wind
shelt detected at crack, and there are 400
windsht are suspect. In this point, we indicate
the initial status. It may be all those 400
parts are defective as well, but we don't know currently
because we didn't check yet. We just know that one car has already been detected during the assembly and
six more wind shots have also detected S not okay, which are stored by
the car assemble line. That's why we just addressed
all points clearly. So by addressing all these
points systematically, we enjoy a comprehensive
understanding of the problem, pairing the way for
effective analysis. At this point in the course, now we will continue
with the case study and we'll have practical wave
for all those theories. Let's dial in and
see what we have.
5. Exploring the Case Study: So now to illustrate
the AT process, we will work with a case study. Now imagine we are a company
and our name is MK hinge. Our core business is producing bonnet hints for the
cars seen on the screen. And our customer, a car
manufacturer company and named liver cars. They use our hints
into their vehicles. Basically, we produce
bonnet hints, ship them to liver cars, and they use these hints
for their car assembly. This simple supply
chain sets the base of our case study
where we will walk step by step through
the AT process. Now we have received a problem notification
from our customer. Let's listen careful to what they're saying
about the problem. Hello, we have a quality
issue on a 49 bonnet hinges. The holes are not matching. We cannot assembly
the part to the car. Please solve it immediately
because we cannot produce our cars car assembly line just stopped because
of this problem. So the customer mentions an assemble issue with
our A 49 bonnet hints. They state that the
holes are not aligning, it's preventing them from
completing the assembly. This has caused their
production line to stop. Let's ask ourselves, did we fully understand the problem
with that description? Let's read again. We have a quality issue on
a 49 bonnet hints. This A 49 is the project code of our hinge and the holes
are not matching, and that's why they cannot
make the assembly to the cars. Please so immediately because their assembly
line just stopped. So at this point, the customer's statement might seem like a tangled
ball of iron. While it is clear that
there is an assembly issue with the A 49 bonnet ins
due to the whole mismatch, we don't have enough
specific data to move on because what
hole, which hole, how the problem occurred, maybe they didn't
assemble the operation well and our parts may be okay. We don't know anything. We just have information of
our parts hole are not okay. It is quite limited information. So to proceed effectively, we need to understand by asking all those details
to our customer, the problem submission site because they raise the problem. Also, we need to ask question our relevant production area because we produce those parts. So first, let's start by taking a look at how we produce
the bonnet hinges. So this is our
process to produce bonotinsF we begin by receiving sheet metals
from our suppliers, which are then stored in the receiving
material warehouse. Then those sheet metals are fed into the
press operations. At first, we produce the first semi product at
the first press operations, and these semipducts
are then stored in an intermediate storage area located by the production line. And after that, we produce the second sempduct
like the first, these components
are also stored in the intermediate stock
area by the line. In the final operation, we assemble these two
semi products to produce the complete bonnet hinge and
the finished products are initially stored in
the intermediate area by the production line and then move to the
shipment warehouse where they await for dispatch. So from there, we ship the complete bonnet
hinge to our customers. Basically, as a summary, our production process
involves creating two sempducts that are assembled to form
the final product. It means bonnet hinge. The thing that we noticed here, the part has the horse which was mentioned by
the customer during the problem notification
is produced in the second operation because only the part has hole
is produced in there. So basically, our focus point in the production process
seems will be here, the second press operation. It is the key place
that we need to focus on during the
problem solving. This is our process
and now we know how we produce those bonnet
hints in our production. But we still don't know about the problem details
because initially customer had just said that the whole mismatch about how
and which whole, how many parts, a lot of questions in our mind
because we don't know yet. Now let's go to D one
problem definition where the 5w2h method will help us to identify
all those details.
6. 5W2H: Applying the What, Where, When Questions to the Case Study: So since we understand
our process, we can begin defining
the problem using the 5w2h method in D one
problem definition step. So the first question was? What is the problem? In this point, it is
crucial to contact the customer or the
next operations depending on the problem type. Who reported the issue to gather any missing data and
clarify uncertainties. For example, customer head declared that the holes
are not matching, but we need to understand
which hole is it fully misaligned or assembly is possible with some
additional force to define the problem more precisely
by clarifying these details, we can absolutely refine the problem definition
to ensure it is clear. After reviewing the
process and collected the missing data from the
customer by contacting them, we can identify that
the second hull of the A 49 bonnet hinge is misaligned and making it impossible for the
customer to assemble. As you see on the vision, there are three holes on
both bonnet and the hinge. But the second hole of
the hinge is mislocated, not matching with
the bonnets hole. Defining the problem basically from the customer's perspective, it is a 49 bonnet hinges cannot be assembled to the cards because the
holes are not matching. This was the description
that customer notified. But from our perspective, after reviewing the issue
and collected data, we can identify
the second hole of the a 49 bonnet
hinge is mislocated, making it impossible for
the customer to assemble. This problem description
will be our guide instead of the customer's one
because we refined the problem description
after collecting more data. This is what we did.
So now we know that, what is the problem, which was the first
question of the 5w2h. But in this point, we
also need to ask that. Did we encounter
this problem before? Is it a new problem
or recurrence one? This question helps
in leveraging past data because if we had
the same problem before, then we can check our
pest analysis and the actions and can understand why it didn't
work at that time. So we can consider
those previous data in our current analysis. But in our current case problem, in our case study,
we assume that it is a knee failure,
not repetitive. Second question is where, where was the problem detected and where did the problem occur? We need to address both areas as they provide
distinct insights. The detection area
highlights where the issue was identified
and submitted, and the occurrence a focus on
where the issue originated. From the customer's perspective,
the detection area, we need to gather
specific details such as which customer, which plant, which
assembly line. After collecting this
data from the customer, who raised the problem
in our case study, we can identify the
detection areas, liver cars, London plant,
third assemble line. And additionally, from
the supplier perspective, it is occurrence area. We focus on more
detailed production data like plant, which
production line, which production step once
we have this information, we can define occurrence arrays. MK hints Glasgow plant, fourth production line, second press, le
piercing operation. By answering these questions, we now clearly defined for both the detection
and occurrence areas. What we do is here collecting the missing data from the
stakeholders to identify those and this
stakeholder can borrow own plant and colleagues
or the customers, depending on the problem type, and of course, depending
on our organization. We can now proceed to the
next question in the five WH. Then in this step, we focus on identifying the
timeline of the failure, covering both when the problem was detected and
when it occurred. The aim here is to define
the time period of potentially affected beds using
traceability information. Because this helps us determine if the
defect is an isolated, it means a single ratio, or if it impacts multiple beds within a
specific time frame. So first we ask, when was the problem detected? According to the customer, the issue was detected on 22nd November during
the night shift. We captured this
because we collected this data from the customer
by contacting them. And next, we investigate
when did the problem occur? To answer this, we need to check traceability information
for the faulty part reported by the customer. By analyzing this data, we establish the
following timeline. The press part,
production date is Vk 46. It is semipduct and finished product production
date is 18 November, it is the final part, final inch last the shipment
date is 19 November. So now we know those specific details of this defective part because
when it was detected, it is clear 22nd
November at night shift, we got this information from the customer who
raised the problem. Now we also know that when we produce this
defective part, we check the traceability data, which includes
production date and part specific information
and seeing that we produce this defective part in November 18 and shipment
just in the next day. All those are clear
and simple for now. However, it is critical
to consider whether other parts produced during the same time period
might also be affected. To do this, we need to check
the bats produced around the same time and we need to
identify the last okay part. This is a crucial threshold
as it helps us to determine the point after
which defects began occurring. In our case study, last part, production
latest 16 November. This means all parts produced in the second press were good
up until 16 November. Because after that date, something's change,
we don't know yet and resulting in defects. Basically, our suspected time
period includes the part produced between 16
November and 22nd November. 22nd is the date the
claim was received, so that it is the last date
as we didn't continue to produce defective parts again after received the
problem notification. So now, simply, we clarify the suspected batch
time period and we know in which dates we produce
those not okay parts. It seems it is not
a singular part, it's a chain, a lot of parts affected because
it's a time period. Additionally, we can review the production
records to assess to see who trend in case it
also occurred before that. However, in this case, it is clearly a new failure, not a occurrence, no past
occurrence recorded. It is limited between
those specific dates.
7. 5W2H: Applying the Who, Why Questions to the Case Study: This step, we focus on
identifying who detected the problem and who was involved in the creation
of the problem. First, we determine who detected
and reported the issue. According to the customer data, the problem was identified by Libor cars car
assembly operator and ID number 87. Clear and simple. We just get this data from
the customer or it could be a next operation or directly our plant
regarding our organization. Next, we investigate who was involved in the
production process, where the issue occurred. Since the defect originated at the second press operation, where the holes are pierced
in the semi product, we need to identify
the operator, which operator working at that station during the
time of the defect. In this case, it was the MK hints press operator,
idea number 27. However, it's also important
to highlight that. Identifying the
operator doesn't mean that they created or
contributed to the defect. It just simply means
they were working at that station during
the issue occurrence. This information is crucial for collecting additional data
directly from the source. In some cases, for example, in the station, no
operator working, a fully automatic systems. It is okay to note
that the issue is independent
from the operator. But other than capturing
who was working at the time helps establish a point of contact for
further investigation. Because our goal here
is not to place blame, but to gather accurate
information from the appropriate individuals to better understand the situation. Maybe there was some animally
during the operation, operator or related supervisor
might know what happened. Maybe there was some
extra operations or rework at that time. That's why it is very
important to identify the relevant person for further investigations
if available. Next one is why is
this a problem? This question is often
mistaken for why did it occur? As we already mentioned
in the previous lecture. But the purpose here is not
to analyze the root cause. Instead, we aim to determine whether this
situation is truly a problem or not by asking
why is this a problem? From the customer's perspective,
the problem is clear. They cannot assemble the parts and their assemble
line has stopped. This downtime results
in financial losses, which will likely
to be passed on to us because the issue
is causing pos. To answer this question
for the customers, parts cannot be
used and assembly is impossible and the car
assembly line has stopped. That's why it is a
problem for the customer. So now let's consider this from the perspective of the
bonnet hinge manufacturer. It is us in this case study. This question is
critical to confirm whether the issue is
truly a defect or not. In the other words, customer or the next operations can have some problem by
using our products, but maybe it is not
about our products, maybe about their process. For instance, if the
customer experiences, assembly problem due to
variations in the bonnet that are unrelated to our parts. We will inspect and verify that our products meet
the specifications, our products are
okay, in such a case, our answer for these
questions will be no, and we will conclude that there is no
problem with the hints. The issue lies elsewhere. So that this question
as part of 5w2h is very important to justify whether it's
a problem or not. However, based on our current findings
for this case study, we know that the whole on
our part is misaligned, meaning it is out
of tolerance and doesn't comply with the
required specifications. This confirms that the problem
originates from our site. To answer this here, P dimensions are out of tolerance and don't comply
with the specifications. With this justification,
we confirm that why this is indeed a problem
regarding those answers, we can enhance those
by identifying the part dimensions
to demonstrate the issue clearly,
which is the best way. In our case example what we kept a bit simply to
easy understanding. Now we addressed all
aspects of the five W. We can proceed to the
next to discuss about two H, how and how much.
8. 5W2H: Applying the How, How Much Questions to the Case Study: This stage answers
two key questions. How was the problem detected and how was the
problem occurred? Essentially, this is where we narrate the story
of what happened. From the customer side, the car manufacturer, the sequence of event
is straightforward. The operator placed a
hinge on the bonnet. Tightened the first hole, but the second hole
was misaligned. As a result, the assembly
couldn't be completed. The operator then disassembled the part and informed
the line manager. This explanation
gives a clear picture of how the problem
detected at customer site, which is the first part
of this how question. Now let's consider our site, the bonnet hinge manufacturer. This needs to answer for second question of how
was the problem occurred? At this point, providing a detailed account is challenging without
further analysis, as we don't yet know exactly
what happened during our production process
because the free story will emerge during the
analysis phase of 80. However, it is crucial to identify and document as
much data as possible here. For instance, we already know that which press and
operation were involved. How the operation is
typically performed. So that we can identify it
is in a normal process. During the whole piercing
operation at press, second hole was pierced
in a wrong position. In that point, our failure mode is about the hole location. We know that in which
operation this happened. Therefore, we identify that it was the whole
piercing operation, second hole was pierced
in a wrong position, and this description basically tells the story of
how it was occurred. In addition to this,
we ensure whether any difference from
standard process occurred during the
production or not. For example, were there any revers or additional
operations at that time? These questions allows
us to identify whether the operation went in a normal
process conditions or not. Input from the operators
and spare wsors involved in the operation at that time is also valuable
for this purpose. And that is the reason we identify this in
a normal process. There was no work and
additional operation. Operation steps were
same as always. This statement narrates
the issue while confirming that operation was in a normal process when
the defect occurred. Currently, we have two
stories here which tell how was the problem
detected and occurred. Now let's see what we have
in the next question. How much. The focus is on understanding the scale and
severity of the problem. To achieve this, we evaluate each process stage step by step. At customer site, the
customer has informed us that the hints are not
usable due to assembly issue. Using the information
from the VN stage, if remember, we identify
the suspected pads. First, we evaluate the
customer stocks to determine how many
defective parts they have. Then we consider the
possibility of problems in subsequent operations like
the finish or salt cars. In this case, since the
defect prevents assembly, we can confidently state that no defective hinds made
it into finished cars. This eliminates the
risk of further issues. However, just imagine,
in other scenarios, undetected defects could lead to costly inspections
of finished cars at the customer's end. But in this problem, it is beside the point because defective parts
couldn't be assembled, so it is not possible to have defective cars because
of this problem. So that we say the
cars are okay, the problem didn't go after
the car assembly operation. For this specific problem, we can identify as all bats delivered to the
customer are defected, total eight boxes and 320 parts. In the next at our site, we evaluate our
internal operations, starting from raw material for the production
and transport states. Identifying suspected
parts along the way. Let's review together. First is raw material. It is the sheet metal. The issue is not about
the raw material, it's about the whole location. So we don't have anything
about raw material. This tap is cleared. There's no problem. Second is
the first press operation. This operation produced
the initial semipduct unrelated to the defect because our defect is about
the whole misalignment. In this operation,
the parts are clear. It is not relevant. Next is the second
press operation. So this is the operation where the defect
occurred, misaligned. So all stocks after the
states are suspected. Next is the assembly operation. Here, the defective sempducts were assembled into
finish bonnet hints. So consequently, all parts
at this stage are also suspected because we use the defective sempducts in
this assembly operation, which were produced
in second press. Regarding the next one,
all finished parts in the shipment warehouse, which were produced during the identified period
are also suspected. After that, intransit
parts are also suspected. So quantifying the
defective parts using data from 16 and 22nd
November period. As this was the result that
we found in van question, we identify 18, 20
suspected parts. This includes both semi
products and finished products. If you make a breakdown of this, we have total 360
sempducts in the line, 200 finished parts in
the assembly line, 860 finished parts
in the warehouse, and 400 finished parts
in transit on the way. All those parts are suspected and we will
need to isolate them effectively to prevent
further risk to the customer as part of the containment action
in the next step. So now we completed all
the answers of five WH, so we can make a summary
and finish this section. Let's go to the next
lecture to do this.
9. Summarizing the 5W2H Analysis: Now that we have
completed the steps of 5w2h and finalized our D
one problem definition. But one of the most
important points, part of D one is visualizing the problem in the simplest
and clearest way possible. Our issue is straightforward. The second hole of the hinge
is not aligned with the hole on the bonnet, making
assembly impossible. On the other hand, an okay
part aligns perfectly, allowing assemble
without any issue. To effectively
communicate this problem, the best approach is to use a visual representation that contrasts not okay
part with O part. For instance, we can
create a side by side comparison like
in the picture. In the not okay frame, we clearly highlight
the misalignment of the holes in the okay frame. We show the proper alignment. We need to always emphasize the defective point
on the visuals to focus attention and ensure the problem is easily
understood at a glance. This clarity is crucial when presenting the
issue to the teams, customers, or relevant
stakeholders. By visualizing the problem in this way, we simplify
communication, avoid unnecessary confusion, and set the stage for the next
steps in the AT process. So customer site
problem definition. Now let's summarize the 5w2h, which we already went through detailed earlier in
the presentation. First is, what is the
problem for the customer? It is a 49 bonnet hints cannot be assembled to the cars
due to whole misalignment. The second is where
was it detected? The issue was detected at Liver cars London plant
on the third assemblage. Next is when was it detected? The problem was identified and submitted on the
22nd, November 2024. During the night shift
in these questions, if we have more specific
time, we could add that, but this is the level of
detail we have, it is enough. Next is who detected. The person who
detected the issue was the car assembly operator
and the ID number was 87. Next is why is this a
problem for the customer? Because the parts
cannot be used. Assembly was impossible,
so as a result, the car assembly
line just stopped. This is why it is a
problem for the customer. Next is how it was detected. The issue was detected when the operator placed the
hinge on the bonnet, tightened the first hole, but seeing that the second
hole was misaligned, the assembly couldn't
be completed. That's why the
operator disassembled the part and notified
the line manager. This sequence explains how the issue was detected
and reported. Next is how much? All hinge beds at the
customer site are defective with a total of
eight boxes, 320 parts. This concludes the customer
site problem definition. Now let's move on to the hinge manufacturer side of the problem definition
and see what we have. So before this, we focused on the customer side and ask questions based on
their perspective. But now, our focus shifts
to the manufacturer, so we will be looking at the occurrence point
rather than the detection. First is what is the problem for the supplier for the
hinge manufacturer? It is a 49 bonnet hints have
a mislocated second hole, making assembly impossible
at the customer's end. This description simply
but effectively cows situation as demonstrated by the visuals already at before. Next is, where did it occur? The issue occurred in the
MK hinge Glasgow plant, specifically on the
fourth production line, second press at the Hoy
piercing operation. Here we started from the
plant address and drill down to the specific
operation to describe better. Next is when did it occur? We utilize the not okay part traceability information
for this data. Based on that, our semi product press part production
date was week 46 with the complete hinge
production date on 18 November the shipment was
just the next day of it. It's the 19 November. The suspected batch time period
is 16-20 second November. This is a dirty
batch time period. It is crucial to have this
traceability data as sometimes we can only have weekly
based dates in this example, it is week 46, which is typical for
large volume parts, especially in
stampings generally. Next is who was involved
or created the failure. The purpose here is
to collect more data from the right contact
for analysis and action, not to identify the
person responsible for the failure as highlighted
before, not for the blame. And next is why is
this a problem? The problem arises because the hinge dimensions
are out of tolerance, meaning they don't comply with the specified requirements. This explanation also clearly identifies why it is a problem. Next is how did it occur to
understand how this happened? We needed to check production
process condition. Were there any anomalies like additional operations
such as rework, ask all those questions. These factors are
important as this could be the potential
causes of the issue also. Based on the control, we confirmed that in
a normal process, there was no rework or
additional operation. During the hole piercing
operation at press, the second hole was pierced
in the wrong position. There was no extra
operation or rework. Issue just happened in the
relevant press operation. Next is how much? How many parts were
affected by this problem? So the answer is here, total, it is 18 20 parts are affected. This includes 360 sempducts in the line and 200 finished
parts in the line, and 860 finished parts in the warehouse and
400 finished parts in transport on the way. We can also visualize the
production quantities history on time basis to
see the entire picture. This is very helpful, especially in chronic
problems as we can easily see the trend and
any peak point if there is. Another important point is sometimes we may
face missing data. It is crucial to gather
the missing data, but we shouldn't delay the solution process
while waiting for it. The best approach
here is to move forward with the available
data and in the meanwhile, collect the missing pieces
as soon as possible. But of course, if the missing
data is the problem itself, it is the important
part of the problem, we cannot take more
steps without that. We should immediately
clarify it in such cases. This concludes the D one
problem definition step of the AT process. We defined here all
5w2h questions for both problem raiser and which is the customer in our case
and for the supplier, which is the hinge
manufacturer in our case. Now we can move on to the quiz
to reinforce our learning.
10. D2 Similar Parts & Processes Analysis: Overview: In this step of the AT process, we will assess the risks related to similar
parts and processes. So far, in the problem
definition phase, we are focused on the
defective part itself. However, as process owners, we must now evaluate our entire processes to prevent the production
of defective parts. Now let's review
the key questions we need to ask in this step. Here, our aim is to detect other effective parts
or beds or processes. Before starting those questions, let's give a simple example
to better understanding. Imagine you have
two chairs and you use the same screws and
process to build both them. After a few months, one chair
becomes vobly and breaks. The first questions you
will ask in that position, will the other chair also
become vobly and break? This makes sense because
both chairs were made the same way using
the same scripts. If there's a problem
with one chair, it could mean there
is a similar risk for the other chair too. This is the logic of this setup. Now let's look at those
guidance questions. First is other
models and versions. For example, our part might
come in different colors or variations like left
and right or up and down, or different parts we can
have from the same processes. Those parts can be
risky either if the process itself
has some variation. Or this could be a carryover
part, for example, it can be a different project, but these parts may still share the same sempduct that
carries the defect. We will assess all
those possibilities in the other models and
versions guidance question. The next question is to consider is whether there
are any similar processes. We might have similar
or identical processes used to produce different parts. If the defect is related
to the process itself, such as process parameters
or process methodology, then this similar process
could also be at risk. We will evaluate
these risks as well. Last one, we need to consider
other customer plants. We might be sending
the same parts or other potentially
defective parts to different plants
of the same customer maybe or directly
to other customers. In these cases, we
must ensure that other customer plants are protected from the same failure. Now we reveal those
guiding questions and to understand better, let's go to our case study
and make this step on that.
11. Applying the risk assessment for Similar Parts & Processes to the Case Study: When assessing the risk of
other models and versions, we should ask some
specific questions to address it better. The first one is, are there any other models of
the parts such as right left versions or color
variants or counterparts? In our case study, the defective part
had an issue with the second hole location
being misaligned. And when we check the other
models, in this case study, we find the opposite site hinge, which is almost the same
as the defective one. And these two hinges are used on the same bolt as right and left. We need to absolutely
ensure that if these parts have
the same defect. We are checking the whole
locations for the second part, and in this case study, we are confirming this as okay. There is no problem on
the opposite side hinge. It is fully functional, so we tick this is as okay then. Let's see the next question. Are there any different parts being produced at
the same process? Here we focus on
the process itself. We suspect that if there's
a problem with our process, it might affect other parts
produced by the same process. Let's bring our process here. This was the press where the defective parts
were produced. This particular
press is used for two different project parts with completely
different geometries. Since the dies, which are the key for the
geometry are different, it is very unlikely that we see the same issue
on those parts, especially since their whole structures
are also different. However, since the
process are the same, just to enjure, we can check their dimensional
conformity to ensure. In this case study, as expected, they're okay, no problem
on those parts too. The final question,
it's a bit different. Is the part produced from the suspected process used in
any other finished product? In the other words, are we using the same part in different
finished products, such as carryover
or common parts. Let's remember, this was a defective semipduct which
has whole location problem. We produce it in the
press operation, then assembled it in
the next operation. But what if the
specific semipduct is used in other
finished products, possibly for different projects or even different customers? In this case study,
when we check, we are finding that
the same semi products is also used in another part. That means we have potentially one
more defective part which belongs to a
different project. This is identified as
risky because we used the same semipduct which was
identified as defective. This is crucial to investigate
further. Let's cross it. So for the first guidance
questions of D two, we checked other
models and processes and flagged one more
potentially defective part. Now, let's continue with
the other questions in D two and see what else
we need to assess. In this step, we need
to check if we have any other similar processes that might follow the
same production way. In our case study,
our failure process was the whole piercing
operation in press. Let's say our press is A, and the part was this
seen on the picture. Now we need to evolate other
similar processes we have. One of the similar
processes is press B, which produce a different part, another similar
process is press C, which also produce
a different part. So at this point, the part iometers are
completely different, the dies are also
different as well. Therefore, we don't suspect any issues with the whole
locations for those parts. We can absolutely
confirm that there is no risk for those
other processes. Sometimes our failure
mode can be different. For example, it
could be related to the sheet metal like
rust problem, let's say. In such cases, we need
to evaluate the risk very carefully because if
the material is defective, then all other processes using the same material
could be at risk. What we are doing here is a
risk analysis to ensure if any other parts or processes are affected by the
same failure mode. The last question is about
the other customer plans. Do we send these or
other risky parts to other customer plans? This could be a
different customer or it could be a same customer, different locations
like different plants. In our example, our customer
was Liver cars London plant, and the part we are
discussing was this one. Now we have another part here that have the
same sempduct as the issued part as we
already identified during the other models inversions analysis in the previous page. So we need to find
out where we send these parts to ensure other
customers are protected. In our case, we ship these
parts to Bosa car company, a different customer in
a different country. So fundamentally, we now have
two different customers to check who could potentially be affected by the whole
misalignment failure modes. First is the liver
cars London plant, which we ship the
issued part and the second is Pusa car company. We ship them the other
potentially risky parts. This was the last question in the two similar parts
and processes analysis. Now, let's summarize what we've covered so
far in this step. I D two, the similar
parts and processes step, we answered all the questions. The first question was about
other models and versions. We reviewed that process and found another part affected by the same failure mode as the part has the same
defective semipduct. I captured the D 38
bonnet hinge as affected. The next question was about
other similar processes. We had checked the
other processes and confirmed there was no risk. So no parts were suspected from the other
similar processes. The final question was about
the other customer plans. We checked if we had sent
the defective part to any other customer or to different plants of
the same customer. And we confirmed that
the defective part was only sent to one
customer and one plant. So no problem here. However, we did find another
potential risky part. It is Dtorte Bonnet hinge, which was shipped to
Bursa car company. So that we are also defining
this information here. Currently, we have to
formalize summary of dt and we know that what parts and
processes are affected, therefore, the customers are also affected by
the failure mode. Now we have completed the D two similar parts
and processes step. Let's do a quick practice with some quiz questions to
reinforce our learnings.
12. D3 Initial Analysis: Overview: D three, initial analysis. In this step, we will begin examining our
production processes to determine why defective parts were released to the customer. Where should we have detected
tos, not okay parts. Alongside this, we will also evaluate the production
process itself. Checking the basic
conditions for any anomalies or signs
that something went wrong. Our primary goal
here is twofold. First is to identify where
non detection occurred. We can address this gap
initially and can take a proper containment
action not to make same mistake again at
the control activities. The second is about
the production check. It is to assess
the current status in production, if any anomaly. All those are to ensure we take effective actions in the
next containment actions. This is crucial because if we don't understand where
detection failed, the containment actions in
the next step might not be effective because we can make the same mistake if we don't identify where and why we
release the not okay parts. Let's dive into see what kinds questions we have in this initial
analysis step. Our first essential point is to identify the
non detection point. Where should the part
have been detected? What is the control? Is frequency and the
control location. In this point, our primary
reference is the control plan, which includes all those data. This first question is about detection is quite important
in this step because this will provide us an
essential input to put effective control activities in the containment action section. And the second question is, why was it not detected? Why the controls
were ineffective. There wasn't a control
about the failure mode, or it was but not effective
due to some reasons. The main purpose of these two questions about
the non detection is to identify where the
issue should have been detected and why was
it not detected. Because without
this information, we cannot determine what went wrong and why the defect was
relates to the customer. So that we cannot get effective contamination,
which we will need. One important point here is the question of why
was it not detected, is not for the deep
root cause analysis. It is just initial reason of the non detection to
understand and address it. Let's give an example. P should have been
detected during 100% visual control
in operation 20. However, it wasn't detected due to operators lack of training. So this just gives us an initial overview
of the non detection, which will be needed to put effective containment
action in the next step. After learning this
for this example, we can train the operator in the containment
action or assign the trained operator
and we can check the parts and detect
if any not okay parts. In that way, we wouldn't solve the root cause
of the problem, but we would have fixed
the problem temporary. In other words, we
will put out the fire as part of the
containment action after this initial analysis. So far, those two
questions were about the non detection point as
part of the initial analysis. Now, we will focus the production process,
basic conditions. The next question is the
anomalies in the process. It is to determine if there are any anomalies or
differences in the process. This could include
production variations higher than usual scrap
rates, for example, or machine breakdowns
or anything else that deviates from normal
operating conditions. Because these small details are significant as they could even point to the root
cause of the problem. But in the step as
mentioned again, our aim is not to root cause. It is to ensure our process
working well because we will set our containment actions in the next step based on
this data as mentioned. So the next is process
in normal condition. In here, we check if the process was running under
normal conditions or if there were any
additional operations like rework or extra
processes introduced. While these temporary
change like rework can sometimes
be necessary, they may lead to
undesirable outcomes if they are not
properly controlled. It is essential to
confirm whether the process was
operating normally not. The next is about the
process conditions. Here, we evaluate
various process factors, including machine settings,
process control records, operator trainings, maintenance
or breakdown recalls, process layout, and any other relevant
process parameters. These aspects help us to understand if everything was
functioning as intended. For example, maybe the machine was not set up correctly or the operator wasn't
adequately trained or there was an unexpected
change in the process layout. These checks will help to
unfold all those points. The last one is operator or relevant
supervisor feedbacks. Here, we gather feedback
from the origin point. This can be operators,
supervisors, or even the part designers
depending on the problem type. These individuals are
closest to the process and have the most accurate insights into what might have happened. Engaging with them
is crucial for collecting reliable
data for our problem. In summary, this step
involves identifying anything that deviates from regular process
activities or conditions. The first two questions were about the non
detection and address the non detection point
which is very important to put effective control
activities in the next step. The other questions were about the basic conditions
check of the process. Here we basically
examine any differences, anomalies or unusual
occurrences in the process. Now let's move on to the
next and explore how we will conduct this initial analysis
on our case study. Oh
13. Applying the Non-Detection Initial Analysis to the Case Study: In the initial analysis, our first question is, where should the defective
part have been detected, which is identify the non
detection point as initially. At this stage, we need
to examine our process and identify the key steps
related to the failure mode. Let's review the process
of our case study. First point is the
reception warehouse. This is where the raw
material is stored. However, since the failure mode was about the whole position on the sempduct this cannot
be a detection point. Next one is the first
press operation. While in step we produce a part, the failure is unrelated
to this operation because our defective part
was the which have holes. Therefore, this also cannot
be a detection point. Next is the second
press operation and here is where the defective
sempduct is produced. This should be a
critical detection point as the issue originates here, we cross marks here. Next is the assembly operation. The defective semi
product is used here in order to assemble
with another part. This is another key point where the issue could
have been detected. The last one is
dispatch warehouse. Finished products are stored
here before shipping. As we store our
finished products here, which are defective, this place, again, is a potential
detection point as well. Now we have marked
the critical points in our process where the failure could
have been detected. The cross marks indicate that proper checks at these points could have identified defect. However, we still don't know where we check
the failure mode. It is in all these
three operations that we cross marks or
just in one of them, or maybe in none of them. Let's move on next and examine these points
to understand better. So in this point, we are
specifically reviewing the controls in place based on the official
process documents. The primary document to
reference is the control plan. Although we can also check
additional documents such as work instructions or
risk analysis of process. However, the control plan is the main source to confirm
the existing controls. It is, what is the control and its frequency and where it is. From the key points we
marked on the previous page, we now refer to the
control plan to review the controls
against the failure mode, which in this case is
the whole position. So let's bring our defective
part and process here. The first relevant
operation was the press. At the press operation, there is a control fixture check with a frecuen we
have five parts per h. We understand this by
checking the control plan. So the next at the
assembly operation, there is a 100 assembly
fixture control. It means all parts whole are
checked during this step. And the last in the warehouse, there is no control mechanism in place for this failure mode. The critical question
now becomes, why were the defective parts not detected and
shipped to the customer despite having two
different control mechanism in the production process. Now we need to resolve these
questions by addressing those gaps in order to put effective containment
actions in the next step. Regarding the control in
the press production, there's a control
fixture in place. This control requires
five parts to be checked every 1 hour during
the production process. Basically, the parts are
placed on the fixture and the operator confirms
whether they are okay or not based
on this control. This is the normal
process of control. Basically, what we expect
normally from the process. However, then what happened here and why wasn't the failure
detected during this control? To answer this, we need
to gather data from the production records and the relevant team to
understand the situation. In our case study, the production
records revealed that the control was not performed
for the affected parts because control
fixture was sent for calibration and the team continued production
without this. At this point, we could ask a lot of questions
to dig deeper. Why wasn't the fixture returned from the
calibration on time? Why did the team proceed with production despite missing
the control device? What decisions or approvals
led to this situation? While it is valuable to collect as much data as possible
during this step, Our purpose here is not to perform a full
root cause analysis. This step is part of
the initial analysis, focusing on identifying
relase points to take effective actions in the next step,
containment actions. So we will not deep dive into the underlying
reasons at this stage because our priority
is to produce good parts and protect
customer in those steps. Now we have identified the first release
point in our process. Let's move on to the next one. In the assembly control, we use an assembly fixture where two semi products are
placed and assembled. During this operation, we also
check the whole existence using pins to ensure hoists
are present and aligned. While this may not be the
most sensitive control, it is certainly capable of detecting if a hole is
missing or misaligned, like in our failure mode. So then why wasn't the
failure detected here? Because this control always shows that if the
parts are assembled, then holes should
exist and aligned because parts cannot be assembled without pins
passing through the holes. Let's check the actual status during the production
of the defective part based on the production records and feedback from the teams. It turns out we had
the control fixture, but the middle pin was missing. As a result, when the operator placed
the semi products on the assemble fixture, the part passed through the check without
detecting the issue. As the middle pin, we checks
the second hole is missing. At this point, we
should also recall the other suspected part we identified in D two similar
part and process analysis. You might remember this part as another risky part because it used the same semipduct
as the defective part. In our case study, we use the same assembled
fixture for both parts, adjusting the fixture tools accordingly so that the same
fixture also checks the D 38 bonnet g. That means there is no
different process that we need to investigate. Explains the issue. So now we understand why the
defective parts were not detected and
released to the custom. Despite having two
different controls in the production process, we have controls in place, but those are just ineffective
due to some reasons. Before we move on to
the next section, I want to consider a different example to better understand. So just imagine what
if we didn't have any control for whole
locations in the control plan? How would we approach the
situation in such case? In such cases, we would refer to the risk analysis where the
controls are determined. It is specifically PFMEA, process failure mode
and effect analysis. In PFMEA, we can easily see whether this failure mode
was evaluated or not. We should also contact the
origin point of the issue, whether it production method or quality teams to understand
what went wrong. By reviewing the data, we can gain clarification
on this issue. Now let's proceed to the next questions of D
three initial analysis.
14. Applying the Basic Conditions Check to the Case Study: In the basic conditions check, our focus are a is the
production process. We had some guidance
questions to identify if there is any anomaly or difference at the
current process. Let's bring our questions here and start to review
our production process. This is the press
operation where we produce the
issued semi product. Normally, the process works
like raw material comes in and we stump it and
three holes are created. But the question is here, why is the middle hole misaligned t in the
defective parts. To understand this,
the best approach is to go to the
actual workstation, run the process with the
relevant team and observe. When we check and test the
process, we see the issue, the stamping operation produced
misaligned hole because the piercing punch in the die had been incorrectly
placed at time over. This point, we could ask
further questions to understand more details and this will be especially useful during
root cause analysis. However, right now, our priority is not to dive
deep into the reasons, but to focus on
putting out the fire. This means taking
immediate actions to produce good parts and supply our stocks for the customer or the next operations
regarding the problem. Since this is the
initial analysis, we have identified that
the problem is clearly related to the die as the
issue is not singular, all the defective parts have the same level
of misalignment. So the die needs to be fixed
immediately in that point. Otherwise, we cannot fit the stocks and ship good
parts to customers, which means containment
actions will fail. So that our address in
this point is clear. In some cases, for example, if the issue was related
to a singular part caused by a process variation
or any other factors, it would be more challenging to identify the exact
occurrence point. So instead, in those scenarios, we will systematically check all the process factors
we mentioned in the guidance questions to ensure everything is
working properly. But in our case, since the defective parts
share the same issue, we can pinpoint the problem
to the die and act quickly to recover production and
restore stock levels. Before we proceed to next, let's review our findings with
these guidance questions. The first is, is there any
animal at the process? The answer is yes, we found one animal during the
production check, which is the piercing
punch location in die. It was wrong located. Next is is the process in normal conditions or any different operations
such as rework. And the answer is, no, there is no different
operation or rework. Process was in normal condition. Next is are the
process conditions okay such as machine settings, process control records,
operator trainings, et cetera? Our answer is here, process conditions are not okay. As we also found that the
part controls couldn't be conducted by the operators due to problems in
the control fixtures. But other than all
machine settings, operator training,
machine maintenance, breakdown status seems as okay. The last one, any other thing that was reported by operator. The answer is no, for
our case example, operator didn't report any
different thing that we found during production checks
at initial analysis step. Now fundamentally we did a basic conditions check
of the current process. Our reference documents were the process standards
such as control plan, instructions, and even FMEA. We basically compare
the current status with those standards to ensure
all is okay or if any gap. While doing this,
we also observe the process to ensure if
any anomaly or difference. Now let's move to
the next and make a summarize for the
three initial analysis.
15. Summarizing the D3 Initial Analysis: Now let's summarize the
initial analysis step. The first thing we
tackled here was non detection point where the defective part should
have been detected. It is in the stamping process. We have a control
fixture to check the middle hole position at a frequency of five
parts per hour. However, the fixture
wasn't used because it had been sent to an external
company for calibration. This was the first
miss detection point that we identified during
the initial analysis. The next detection point was
in the assembly operation. There is an assembly
fixture where all semi products are
placed for assembly, and the middle hole is supposed to be
checked here as well. However, the middle pin of
this fixture was missing, so the defective parts pass
through as undetected. Now for the current
status analysis, which is the second phase of
the D t initial analysis, we had checked the
production process to identify if there is any
anomaly or difference. We focused on understanding what went wrong in the process. When we check the
current status here, we observed the process
and we found that the male piercing punch in the die was incorrectly placed, which led to the misalignment of the middle hoy during
stamping production. So at this stage, now we
completed the initial analysis. We didn't conduct a root
cause analysis here yet, but we have identified
the main reasons for the non detection and also the occurrence during
the production check. This allows us to implement the right controls to
produce good parts, which is what we will focus on the four
containment actions. Then, that was the end of
the three initial analysis. Now let's move on to the quiz and reinforce our learnings.
16. D4 Containment Action: Overview: So now we have reached the step where we
actually implement the immediate actions based on all the information that
we have gathered so far. This is where we apply
contained actions, which are essentially
temporary solutions aimed at addressing
the issue right away. It is like putting out the
fire while we prepare for a deeper investigation and long term solutions in
the following steps. By this point, we have done a rigorous analysis
of the problem. We have defined it,
assess the similar parts, and processes risks, and pinpoint the factors
through initial analysis. The containment actions we take here will focus on ensuring that no further defective parts are produced or shipped
to the customer. It's a critical step because in this point we
extinguish the fire, contain the creases and
makes time to carry out a detailed root
cause analysis and develop containment
actions later. What's the next step
to put out the fire? Well, the answer is
straightforward. We will take everything
we have uncovered in the previous steps and turn those findings into
actionable steps. These actions will serve as a temporary solution
of the problem. Now let me be clear. This isn't about fully
solving the problem just yet. Instead, it's about stopping the production and shipment
of defective parts. By doing this, we will
ease the pressure and buy ourselves time to
be able to work on further step analysis. Containment action is
a basic action plan, which have the immediate
actions like this one. Here, we describe the actions, assign the owners,
and set the dates. But the question
is, what actions we will identify on this table? We have some basic types
of actions we need to consider in this
step. Let's review them. The first one is
stopping the production. If our process keeps producing defective
parts continuously, we should stop production
until we have fixed the issue and ensure the
production of good parts. However, if the issue is
singular or occasional, we can't just stop
everything until it's fixed. Instead, we need to focus on
sorting activities to make sure only good parts are
shipped for such issues. Next up are sorting and
control activities, which are crucial. At this point, we set up control activities across
all relevant parts of the supply chain and segregate defective parts for
either scrap or rework. These activities aren't
limited to current stock. They should also cover any parts that will be produced
in the future. Why? Because until the
permanent corrective actions are in place and validated by
the end of the AT process, we can't be sorting whether the problem
will recur or not. That's why it is
essential to manage sorting activities across
all potentially risky bets. Most of the time
issues are isolated or occasional rather than
affecting every single batch. In these cases, it is
important to secure both current stock and any
parts produced going forward. But if the process is producing continuously defective
parts because of some reasons that cannot
be fixed immediately, then checking every single
part might not be necessary. In such cases, it might be
more efficient to isolate entire whisky bats instead of individual parts and of course, stop the production to cut it. Another important thing here is about the documentation of
these control activities. How we will check,
what is the method. All those need an instruction
to describe clearly, even for those additional
control activities in the containment action. Let's give an example. We can apply 100% visual control with a slightly different
way than normal, or we can adapt the quality wall to one
more check for all parts. So we should document these
kind of activities with some instructions to describe clearly to the
control operators. Next is the training activities. Sometimes it can be necessary to train the operators regarding the new control
activities that we put in use or the other details
of the failure mode. Next is the rework activities
and additional operations. These are operations that aren't part of the
standard process, but are introduced
temporarily to ensure parts meet
quality requirements. Sometimes defects can be easily fixed with
rework activities that can be done manually by operators or automatically
by machines. For instance, if a product
has excessive burs, grinding operations
could help remove them. Or if a whole diameter is slightly out of
tolerance in a part, we may introduce an
additional measuring step temporarily to bring the part
back into specification. However, this should only be
considered after conducting sufficient trials
and validations and after obtaining
customer approvals. Because these actions are
usually only considered when defects are too large to isolate and rework is the
only viable solution. But it is a riskier approach
because it could create new problems while
resolving the existing one. In the automotive industry, we generally avoid rework
unless it is required. Another type of action is
temporary process adjustment. In some cases, we may need to adjust process
parameters temporarily. While this adjustment may deviate from the standard
process requirements, they might be
necessary to maintain part quality and keep
production going. For example, if a
welding operation isn't assuring the required strength due to material variations, we might increase the
welding temperature beyond the standard
parameter temporarily as a containment action. Again, we need to ensure
that these adjustments are validated and we have
approval for the deviations, as we will be working out
of the standard process. The next type of containment
action is replacement. This is usually
applied to recover defective or suspicious
stocks from customer. Let's give an example. If there is doubt about customer stocks and it is
difficult to check them all, we can simply swap the suspected parts
with the good ones. It is a straightforward
approach, just a replacement. Then the next one, we
have substitution, which is a bit
tricker and should only be used when
really required. Substitution involves using an alternative part
or material that meets the functional
requirements but differs from the
original specification. For instance, if a
specific sealant isn't available due to
supply chain issues, we might use a
compatible sealant with similar properties as
a temporary solution. However, this action
requires significant effort because it typically involves a full validation and
approval process. The next is scrapping, scrapping the not okay parts. After sorting and
control activities or replacement actions, any defective parts that
have been segregated and isolated must be scrapped if they are not
going to be revoked. The scrapping is another
contained action that should be considered in the
contained action section. And the final type of the contempt action is
controlled shipments. Up until now, we have
focused on segregating defective parts
and ensuring that only good parts are produced
and shipped to customer. But at this point, we manage the shipment of the good parts and
specifically marking them, labeling them with
appropriate definitions. And informing the customer as well and the other
relevant stakeholders. It is important to clearly identify the
status of the parts, whether they are okay
or still defective, as this is a traceability
necessity for the new parts. In that point, we can mark the products directly after the agreement with the customer. Also we can directly define the batch with some
definition label like controlled parts
or 100% checked that. One other important point in the content induction
is about the timing. The general acceptance timing, especially in the automotive
industry is 24 hours. That means we need to define and submit the containment
actions within 24 hours, including all previous
steps complon depending on both internal and customer standards as well. But general acceptance
is 24 hours due to its urgency because each
single hour we lose money, sometimes even repetition
of the company. It is very critical to be
in line with the timing. Now that we went
over the overview of containment actions
and understand the steps we should take. Now let's dial into
our case study and explore what we
will apply accordingly.
17. Developing the Defective Parts Statement for the Case Study: Before we dive into preparing the
containment action plan, we first need a simple table to see the current status
of the defective parts. This table is important
as it helps us to manage sorting activities and
recover stock efficiently. Let's break it down. In the first column, we'll list the relevant
areas of the supply chain. It starts with the supplier then moves to the
receiving warehouse, the production area,
this page warehouse, and followed by parts in
transit, external warehouse, if applicable, and
customer stocks, and finally, the end users
if relevant for the problem. Across the top row, we have our defective parts. The first part is
the semi product, which have three holes. Next, we have the
A 49 bonnet hinge, which is the final product that we received
quality claim for. After that, we have the
Dtortate bonnet hinge, another finished product
that we identified as defective doing similar parts
and processes analysis. And finally, there is the vehicle itself
because in some cases, the defect might not be detected in the next
operations with the customer and the cars might be sold with
these defective parts. The vehicle can be an important element in this
table regarding the problem. While the main control
areas are mostly the same, this can change depending
on the issue at hand and its specific
supply chain structure. Similarly, the parts listed
in the first row can also change depending on the
problem organization or production steps. Now let's go over the defective
parts in this matrix. We will start with the supplier. Since the defect occurs
in the press operation, both the supplier and the
receiving warehouse are clear. There is no defector. Next is the production area. Here we have defective
semi products and a 49 bonnet hinge. Moving to the
dispatch warehouse, we have got both the defective
a 49 and D 38 bond hints which are waiting for shipment. Then there are parts in transit. Right now, we only
have defective a 49 bontins on the
way to the customer. And after that, we have
the external warehouse. Sometimes there is one or more
external warehouses after the main plants warehouses
where parts are shipped and stored before final delivered to the customer. This depends on the supplier and customer organization and
the agreement as well. But in our case example, there is no external warehouse. Our parts go directly from the production plant
to the customer. Next is the customer stock. The customer has a
certain number of defective parts as they have
notified us of the issue. In this case example, over 300 defective
a 49 bonnet hints are at the customer site. These parts were
going to be used if there hadn't been
a quality issue, but now they have been isolated and are waiting
to be shipped back. And finally, we'll look at the end users or varianty areas. Since the defective
parts haven't been assembled into
the vehicles yet, there are no issues at customer
site or with end users. We have a significant
amount of defective parts, both semi products and
finished products. This raises the question, can we rework these parts
to not to vest them? In our case, it is not
possible because we can't change the whole
locations on stamping parts. However, if the issue
or something like the birds that could be reworked with
additional operations, we would consider
rework activities with the necessary controls
and customer approvals. But that's not the case
here for this example. The plan is to scrap
defective parts and replace the ones
in customer stock. So the numbers are 360
defective semi products, 17 80 defective a 49
finished products and 11 20 defective D
38 finished products. How we have received
those numbers? If you remember, we had
done five WH analysis where we had the data for
defective part date period. We know the last part
production date. Referencing this K date, we determined the dirty batch and easily took these
numbers from the system. In our containment action, the goal is to
eliminate the defects from all areas as
quickly as possible. Until the containment
action is in place, we are still in a crisis, so we need to reduce the tension
by putting out the fire. Now let's move on and look at the containment actions we will put into place to address those.
18. Containment Action Planning for the Case Study: First of all, this
action plan format in the content action can vary. However, it should basically
include the action, the responsible
person, due dates, and status if possible. At the previous phases, we addressed the problem
and determined that all parts produced after a
certain date were defective. The first priority should
be fixing this issue to be able to produce
and ship good parts. So our first action
is to correct the die punching as its
location on the die was wrong. As I already mentioned
in the earlier stage, it is not always possible to identify the occurrence
during the initial analysis, especially in singular cases. This is because the
initial analysis is not a deep investigation, but rather a basic
conditions check. In such cases, we
will start with the sorting activity to segregate
the good and bad parts. However, in our case example, we need to immediately begin producing good parts as
the only way to recover the stock and meet the
customer's needs was to address and fix
the occurrence point because our process was
producing continuously not okay parts due to wrong
placement of the die punch. Next action is we need to put
effective controls in place to ensure our shipments to the customers are
okay, defect free. To achieve this, we
relied on the findings of the initial analysis and address the non detection point
identified in step D three. Now to implement an
effective control, we fix the control fixture which is used for frequency
control and the press production and the
assembly fixture which is used for 100% for aligning
the whole locations. With these corrections now, we are ready to produce good parts and we
are ready to verify their quality to ensure they
meet the required standards. After that, we train the operators on
the failure mode and the status checks of the control equipment to be sure these control equipments
working well. Don't have any
problem like before. This training is necessary
to ensure they could also recognize similar failures if occur again during the
containment action. Our next action is to produce new parts to recover
customer stock. After that, once these
parts are produced, we verify them using the
fixed control fixtures in the process that we just put in use to ensure they are okay. Now we produced good parts, check them, and so that
we have good parts. Currently, we can send
them to the customer. However, before doing so, it is critical to
ensure traceability in case feature
identification is needed. This might involve marking
the parts themselves, defining the bats or both. In our case example, we do both. We mark the parts and define the shipment bats with labels. If the problem had been internal and not
customer related, it will still have been important to identify
the parts with special marking or definitions to ensure they
performed correctly. Because without
traceability, managing further identification would
have been very difficult. So afterward, the
next action is we inform our customer about the first control
batch information, the first shipment date, quantities and
other relevant data regarding the first
shipment because this allows them to identify the parts and plan their
production accordingly. This information
submission is important. The final step is scrapping
the defective parts since rework is not possible due to the nature of
this failure mode. So now the most
significant point regarding the
containment action is maintaining it until the corrective and
preventive actions are validated as
mentioned before. This is critical
because even if we take the necessary emtd
actions to put out the fire, the problem could arise again if the root cause has
not been resolved. In the specific case example, we will continue sending the
parts with defined label until the final validations are completed as already
defined a action here. This will show that
we are still checking our parts 100% with
the control fixture, even though it is
normally done as frequency five parts per hour. In some cases,
extra controls can be introduced to the product
in contained actions. This might include
temporary new controls or temporarily increasing the frequency of
existing controls. For example, adapting
a quality well for extra 100% check for all parts or adding 100% visual inspection
to the current process, or increasing the frequency of the gauge control, let's say. So in some of the case, we should consider those
extra control actions as well as the
sorting activities. Because if our controls
are not effective, we can fail again if we apply the same controls
without any changings. But however, in
our case example, we didn't consider
some quality or extra control actions
or control fair cons increase because the
current actions were already effective with
properly functioned equipment. The problem was those controls were not being applied
to some failures. So we sorted out those failures, made those controls effective again as part of
the contamductions. In this case example, we didn't make a
sorting activity to segregate the defective
parts to clean the bets. The reason is because
the failure was a chain, it means all parts
were defective. The sorting activity was not required for
the current stocks. However, if we do some sorting activities
when it is necessary, depending on the problem, it is very important to
follow the results as daily, to be able to see whole
picture of the problem. In such cases, we can
follow the results with some simple table as daily, which is easy and useful. So this concludes the
containment action, which also marks the end of
the lectures in this course. In this step, we identify
our immediate actions, resolve the quizzes by
controlling our process and ensure that only good parts
are shipped to our customers. Now let's make a practice
with a quick quiz.
19. Closure & Next Steps: I extend my sensors
congratulations on successfully completing the
mastering AD problem solving Chris's the containment, D one, D focus. I deeply appreciate you joining
on this learning journey. My hope is that the
invaluable insights and practical techniques we
have explored here will empower you to confidently and effectively navigate
challenge that arise in your professional life. This foundation course
has equipped you with the essential toolkit and strategic framework for
robust problem solving. We have delve into
critical areas such as precise problem definition, insightful analysis of
similar paths and processes, conducting thorough initial
analysis and implementing crucial containment actions and essentially containing decreases
in containment action. In the coming months,
I'm delighted to announce the upcoming
release of the next course, D five and D eight, including the root
cause analysis, corrective and
preventive actions, action validations,
and the closure. This next step builds on the foundation you
have established, focusing on advanced
problem solving strategies to help you fully master
the 18 methodology. Thank you once again for your time, dedication
and commitment. I look forward to potentially encountering you
in future course, and I really eagerly
anticipate the continuation of our collective learning
journey. Thank you, Again.