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ANSI National Accreditation Board Cause Analysis and Corrective Action Webinar August 28, 2019

Cause Analysis and Corrective Action - Qualtrax...Preventive action The laboratory should identify and implement the corrective action(s) most likely to: Correct the problem Prevent

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Page 1: Cause Analysis and Corrective Action - Qualtrax...Preventive action The laboratory should identify and implement the corrective action(s) most likely to: Correct the problem Prevent

ANSI National Accreditation Board

Cause Analysis and Corrective Action

WebinarAugust 28, 2019

Page 2: Cause Analysis and Corrective Action - Qualtrax...Preventive action The laboratory should identify and implement the corrective action(s) most likely to: Correct the problem Prevent

Key Takeaways

Definition of cause analysis

Understanding the changes in ISO/IEC 17025 from 2005 to 2017

Understanding the corrective action process

Understanding the difference between correction and corrective action

How to evaluate the significance of nonconforming work

Page 3: Cause Analysis and Corrective Action - Qualtrax...Preventive action The laboratory should identify and implement the corrective action(s) most likely to: Correct the problem Prevent

“Laboratories that conform to this document (17025) will also operate generally in accordance with the principles of ISO 9001.”

ISO/IEC 17025:2017 DOES include requirements of

ISO 9001:2015

ISO 9001:2015 & ISO/IEC 17025:2017

Page 4: Cause Analysis and Corrective Action - Qualtrax...Preventive action The laboratory should identify and implement the corrective action(s) most likely to: Correct the problem Prevent

ISO 9001:2015 & ISO/IEC 17025:2017

Option A

Option B

• Address management system requirements (Clause 8)

• Establish and maintain a management system in accordance with requirements of ISO 9001

• Capable of supporting and demonstrating fulfillment of requirements in Clauses 4 to 7, and 8.2 to 8.9 in ISO/IEC 17025

Page 5: Cause Analysis and Corrective Action - Qualtrax...Preventive action The laboratory should identify and implement the corrective action(s) most likely to: Correct the problem Prevent

Much less prescriptive…

React to nonconformity

Evaluate the need for action

Implement actions, as needed

Update risks and opportunities

Maintain records

Page 6: Cause Analysis and Corrective Action - Qualtrax...Preventive action The laboratory should identify and implement the corrective action(s) most likely to: Correct the problem Prevent

Effective cause analysis

Key to determining corrective actions

that yield long-lasting results

Address the cause, not

the symptoms

CorrectionCorrective actionPreventive action

Page 7: Cause Analysis and Corrective Action - Qualtrax...Preventive action The laboratory should identify and implement the corrective action(s) most likely to: Correct the problem Prevent

The laboratory should identify and implement the corrective action(s) most likely to:

Correct the problem Prevent recurrence

The suitability of a corrective action cannot be determined without an identified cause

Page 8: Cause Analysis and Corrective Action - Qualtrax...Preventive action The laboratory should identify and implement the corrective action(s) most likely to: Correct the problem Prevent

Definition of Cause Analysis

Determination of a potential problem’s underlying cause or causes

Process of identifying all causes that have or may have resulted in an undesirable condition, situation, nonconformity, or failure

Analytical technique used to determine the basic underlying reason that causes a variance, defect, or risk

Page 9: Cause Analysis and Corrective Action - Qualtrax...Preventive action The laboratory should identify and implement the corrective action(s) most likely to: Correct the problem Prevent

Potential Causes Related to

Inputs Customer requirements

People skills Training

Planning Design

Equipment Standards

Policies Methods, procedures

Consumables Materials

Outputs Reports, records

Page 10: Cause Analysis and Corrective Action - Qualtrax...Preventive action The laboratory should identify and implement the corrective action(s) most likely to: Correct the problem Prevent

Common Techniques

Ishikawa (fishbone) diagram

5 why’s

Failure mode and effects

analysis (FMEA)

Pareto chart

Page 11: Cause Analysis and Corrective Action - Qualtrax...Preventive action The laboratory should identify and implement the corrective action(s) most likely to: Correct the problem Prevent

Ishikawa (fishbone) Diagram

6 M’s 4 S’s 8 P’s

Machine Systems Price

Method Skills Promotion

Materials Surroundings People

Maintenance Suppliers Processes

Man Place

Mother Nature Plant

Policies

Product

Ishikawa diagram category examples

Page 12: Cause Analysis and Corrective Action - Qualtrax...Preventive action The laboratory should identify and implement the corrective action(s) most likely to: Correct the problem Prevent

Five Whys

The first response is usually a symptom

• Keep asking “Why?” until you get to a real cause

• You may get to a cause before asking “Why?” five times

• If you keep asking, you may identify additional causes

Page 13: Cause Analysis and Corrective Action - Qualtrax...Preventive action The laboratory should identify and implement the corrective action(s) most likely to: Correct the problem Prevent

5 Why Example

I fell downWhy did I hurt my arm?

Page 14: Cause Analysis and Corrective Action - Qualtrax...Preventive action The laboratory should identify and implement the corrective action(s) most likely to: Correct the problem Prevent

5 Why Example

I tripped backwards

over the dog

Why did I fall down?

Page 15: Cause Analysis and Corrective Action - Qualtrax...Preventive action The laboratory should identify and implement the corrective action(s) most likely to: Correct the problem Prevent

The dog was behind me trying to see what

was in the shower

Why did I trip backwards over

the dog?

5 Why Example

Page 16: Cause Analysis and Corrective Action - Qualtrax...Preventive action The laboratory should identify and implement the corrective action(s) most likely to: Correct the problem Prevent

5 Why Example

There was a bat in the shower

Why was the dog trying to see what

was in the shower?

Page 17: Cause Analysis and Corrective Action - Qualtrax...Preventive action The laboratory should identify and implement the corrective action(s) most likely to: Correct the problem Prevent

5 Why Example

The fireplace screen is broken

Why was there a bat in the

shower?

Page 18: Cause Analysis and Corrective Action - Qualtrax...Preventive action The laboratory should identify and implement the corrective action(s) most likely to: Correct the problem Prevent

I hurt my arm…

I fell down

Why?

I tripped backwards over

the dog

Why?The dog was

behind me trying to see what was

in the shower

Why?

There was a bat in the shower

Why?The fireplace

screen is broken

Why?

Page 19: Cause Analysis and Corrective Action - Qualtrax...Preventive action The laboratory should identify and implement the corrective action(s) most likely to: Correct the problem Prevent
Page 20: Cause Analysis and Corrective Action - Qualtrax...Preventive action The laboratory should identify and implement the corrective action(s) most likely to: Correct the problem Prevent
Page 21: Cause Analysis and Corrective Action - Qualtrax...Preventive action The laboratory should identify and implement the corrective action(s) most likely to: Correct the problem Prevent

ISO/IEC 17025 Changes17025:2017• 8.7.1 When a nonconformity occurs, lab shall:

a) React as applicable:• Take action to control and correct it• Address consequences

b) Evaluate need to eliminate cause• Review and analyze nonconformity• Determine cause(s)• Determine if similar issues exist or could occur

c) Implement any action needed

17025:2005• 4.11

• 4.11.1

• 4.11.2 Root Cause Analysis

• 4.11.3 & 4.11.5

Page 22: Cause Analysis and Corrective Action - Qualtrax...Preventive action The laboratory should identify and implement the corrective action(s) most likely to: Correct the problem Prevent

17025:2017• 8.7.1 (cont.)

d) Review effectiveness of corrective actionse) NEW: Update risks and opportunitiesf) Make changes to management system, if

necessary

17025:2005

• 4.11.4

• NEW

• 4.11.3

ISO/IEC 17025 Changes

Page 23: Cause Analysis and Corrective Action - Qualtrax...Preventive action The laboratory should identify and implement the corrective action(s) most likely to: Correct the problem Prevent

17025:2017• 8.7.2 Corrective actions shall be appropriate

• NEW• 8.7.3 Shall retain records:

• Nonconformities, cause(s) and actions• Results of corrective actions

Related to 4.13.1.1

17025:2005• 4.11.3

ISO/IEC 17025 Changes

Page 24: Cause Analysis and Corrective Action - Qualtrax...Preventive action The laboratory should identify and implement the corrective action(s) most likely to: Correct the problem Prevent

React to the nonconformity

Control and correct it

Address consequences

Evaluate need for action to

eliminate cause(s)

Implement action

Review effectiveness

Update risks and

opportunities

Make changes to

management system

Retain records

Corrective Action Process

Page 25: Cause Analysis and Corrective Action - Qualtrax...Preventive action The laboratory should identify and implement the corrective action(s) most likely to: Correct the problem Prevent

Corrective Action vs. Correction

Corrective Action• Treats the cause• Comprehensive

actions

Correction

• Treats the symptoms

• Individual actions

Page 26: Cause Analysis and Corrective Action - Qualtrax...Preventive action The laboratory should identify and implement the corrective action(s) most likely to: Correct the problem Prevent

Evaluating the Significance of Nonconforming Work

Impact analysis on previous results

Controls, reference standards, reference materials

Acceptability of nonconforming

work

Page 27: Cause Analysis and Corrective Action - Qualtrax...Preventive action The laboratory should identify and implement the corrective action(s) most likely to: Correct the problem Prevent

Wrap-up

There are many ways to perform cause analysis and arrive at the cause

of a nonconformity

Select the analysis method that suites your

organization and the specific nonconformity

being addressed

Page 28: Cause Analysis and Corrective Action - Qualtrax...Preventive action The laboratory should identify and implement the corrective action(s) most likely to: Correct the problem Prevent

Effective cause analysis

Saves time and money by solving a problem onceEnsures that nonconformity does not recur

Page 29: Cause Analysis and Corrective Action - Qualtrax...Preventive action The laboratory should identify and implement the corrective action(s) most likely to: Correct the problem Prevent

Training OfferingsIntroduction to ISO/IEC 17025:2017

Approaches to Risk-based Thinking in Laboratories

Internal Auditing to ISO/IEC 17025

Fundamentals of Measurement Uncertainty

Introduction to Data Validation

And more…

www.anab.org/training

Coming Soon!

Page 30: Cause Analysis and Corrective Action - Qualtrax...Preventive action The laboratory should identify and implement the corrective action(s) most likely to: Correct the problem Prevent

ANSI National Accreditation Board

Thank youMelanie Ross

Training Products Specialist414-501-5345

[email protected]