NCM DB - 8D Problem Solving Training Ver 1.1

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  • 7/18/2019 NCM DB - 8D Problem Solving Training Ver 1.1

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    Copyright Autoliv Inc., All Rights Reserved

    Problem Solving trainingwith 8D for suppliers

    Owner: Quality / AHO

    Author: F. GermainJuly 2011

    This training includes guiding

    notes in the notes page

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    Content

    Why this training?What is 8D process?

    The 8D Problem Solving Process

    How to ensure 8D is a living process?

    How to behave as a manager during application of 8Dprocess?

    What did you learn from this training?

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    Why this training?

    During this training you will learn:

    What is the 8D process and its Disciplines

    What activities are carried out during each step

    How to behave when involved in 8D problem solving?

    How to ensure a living 8D process?

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    The 8D Process

    Aims at systematically guiding the teams thoughts andactions to solve a problem.

    Can be used for any problem great or small

    Is especially efficient with problems requiring a Team

    effort Is required by Autoliv to solve:

    Supplier/ Customer issues,

    Improving deviation on [CC]/[SC],

    Repeated internal issues

    Describe

    the

    Problem

    Form a

    Team Implement

    Containment

    Actions

    Identify

    Root

    Cause

    Choose

    Implement

    Corrective

    Actions

    Evaluate

    Results

    Prevent

    Recurrence

    Congratulate

    the Team

    1 2 3 4 5 6 7 8

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    8D Problem Solving Process

    D1Form a Team

    D2Describe the Problem

    D3Implement Containment

    Actions

    D4Identify Root Cause

    D5Choose and Implement

    Corrective Actions

    D6Evaluate Results

    D7Prevent Recurrence

    D8Congratulate the Team

    The 8 Disciplines needed to solve problems using a team

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    Describe

    the

    Problem

    Form a

    Team Implement

    Containment

    Actions

    Identify

    Root

    Cause

    Choose

    Implement

    Corrective

    Actions

    Evaluate

    Results

    Prevent

    Recurrence

    Congratulate

    the Team

    1 2 3 4 5 6 7 8

    D1Form a Team

    Team creation results from a thinking process to get the bestresult with:

    Good Team leader - Who is the best person to lead this team? Does

    this person have time to lead the team? The right people in the team - Whose people (skills and ability) are

    needed based on the type of problem? (customer / supplier internal

    external specialist?)

    Recommended team size (from 3 to 7 people)

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    Apply Go & See approach to find out evidences

    Use Pictures / Sketches of actual / desired condition

    Compare OK and NOT OK conditions

    Describe it in your view and the customers point of view byanswering the following questions: What is the problem, Where was the problem discovered, When did the

    problem occur, Who discovered the problem, Why is it a problem?

    How many problems were detected? / How often did the problem occur?

    Use method IS / IS NOT to clarify and narrow conditions whenproblems do and dont occur (use Swap method to clarify

    conditions)

    D2Describe the Problem

    Describe

    the

    Problem

    Form a

    Team Implement

    Containment

    Actions

    Identify

    Root

    Cause

    Choose

    Implement

    Corrective

    Actions

    Evaluate

    Results

    Prevent

    Recurrence

    Congratulate

    the Team

    1 2 3 4 5 6 7 8

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    First Reaction to a Problem is toProtect the Customer

    Contain the Problem:

    From Problem start point To Problem Stop Point (First certified goodshipment to the customer)

    Put in Quarantine all potential NOK products / components

    Sort products: Where appropriate, with instructions adequate to detect problem

    (efficiency statistically validated)

    Use sorting results to improve knowledge of the problem

    D3Implement Containment

    Actions

    Describe

    the

    Problem

    Form a

    Team Implement

    Containment

    Actions

    Identify

    Root

    Cause

    Choose

    Implement

    Corrective

    Actions

    Evaluate

    Results

    Prevent

    Recurrence

    Congratulate

    the Team

    1 2 3 4 5 6 7 8

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    D4Identify Root Cause

    Describe

    the

    Problem

    Form a

    Team Implement

    Containment

    Actions

    Identify

    Root

    Cause

    Choose

    Implement

    Corrective

    Actions

    Evaluate

    Results

    Prevent

    Recurrence

    Congratulate

    the Team

    1 2 3 4 5 6 7 8

    Identify the root cause is key because:

    Problem will be solved by fixing root-cause(s)

    Problem will not re-occuriftrue root cause(s) are corrected

    Effective root cause analysis

    results in the ability to turn theproblem ON and OFF at will

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    HOW? 2 tracks for investigation:

    Why did the problem occur?

    To understand the conditions leading to the failure mode

    To evaluate the occurrence

    Why was the problem not detected?

    To understand what failed in the detection process To determine how to improve detection if occurrence cannot be

    corrected

    D4Identify Root Cause

    Describe

    the

    Problem

    Form a

    Team Implement

    Containment

    Actions

    Identify

    Root

    Cause

    Choose

    Implement

    Corrective

    Actions

    Evaluate

    Results

    Prevent

    Recurrence

    Congratulate

    the Team

    1 2 3 4 5 6 7 8

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    Which method? What type of tool? Go & See: watch & review the process / the condition for default

    appearance

    Already some evidence to support root cause?

    Use 5 WHY method and link to the evidences

    Lack of evidence with repeated occurrence?

    Use PPS (Practical Problem Solving technique) to reveal conditions asevidence of root cause (Swap; IS, IS NOT; )

    Then 5 Why

    Lack of evidence and problem is new:

    Use Fish Bone diagram (5M) + Brainstorming

    Then 5 WHY

    Describe

    the

    Problem

    Form a

    Team Implement

    Containment

    Actions

    Identify

    Root

    Cause

    Choose

    Implement

    Corrective

    Actions

    Evaluate

    Results

    Prevent

    Recurrence

    Congratulate

    the Team

    1 2 3 4 5 6 7 8

    D4Identify Root Cause

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    The purpose of D5 is to choose, validate & implementcorrective actions:

    Choose correctiveaction to fix root causes identified at D4 to

    improve Detection and/or to Prevent occurence

    Confirm that corrective action is effective with no negative side effects

    Plan actions by assigning responsibles & target date for completion

    (PDCA)

    Define evaluation criteria to validate corrective action efficiency

    D5Choose and Implement

    Corrective Actions

    Describe

    the

    Problem

    Form a

    Team Implement

    Containment

    Actions

    Identify

    Root

    Cause

    Choose

    Implement

    Corrective

    Actions

    Evaluate

    Results

    Prevent

    Recurrence

    Congratulate

    the Team

    1 2 3 4 5 6 7 8

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    Check that corrective action implemented is giving theexpected result:

    By Go & See and reviewing the actual value on criteria defined in D5

    How long time did it take and how many parts did we produce without

    seeing the problem?

    If the problem re-occurred, was it successfully detected again?

    If corrective action is not giving expected result: Problem reoccurred anyway, return to D4 as the true root cause may not be

    known

    The target is not achieved, but significant improvements were attained;

    significant, discuss if the improved level can be accepted; if not return to D4

    D6Evaluate Results

    Describe

    the

    Problem

    Form a

    Team Implement

    Containment

    Actions

    Identify

    Root

    Cause

    Choose

    Implement

    Corrective

    Actions

    Evaluate

    Results

    Prevent

    Recurrence

    Congratulate

    the Team

    1 2 3 4 5 6 7 8

    1 2 3 4 5 6 7 8

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    How to ensure no re-occurrence: on similar product / process

    at company level or as supply base level

    Step 7.1: prevent repeat problem on similar product process

    Step 7.2: Ensure sustainable control of corrective actions

    => 8D team is responsible

    Step 7.3: prevent future re-occurrence; drive sustainablesystemic changes

    Step 7.4: Capture and share knowledge; check systemicchanges are applied

    => Management is responsible

    D7Prevent Recurrence

    Describe

    the

    Problem

    Form a

    Team Implement

    Containment

    Actions

    Identify

    Root

    Cause

    Choose

    Implement

    Corrective

    Actions

    Evaluate

    Results

    Prevent

    Recurrence

    Congratulate

    the Team

    1 2 3 4 5 6 7 8

    1 2 3 4 5 6 7 8

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    Step 7.1: Look across similar products, machines, Processes

    Carry out Read Across:

    Share problem with your peer if relevant (Locally Regionally Globally)

    Look at similar products, processes or areas (Go & See)

    Evaluate if problem likely to occur with same consequences

    (Occurrence / Severity); Evaluate if corrective actions are required.

    (use Read across matrix )

    Implement same corrective actions or customize according to local

    situation Review relevant documentation in the identified areas to be updated

    (D&PFMEA, Control Plan, SWI, )

    D7Prevent Recurrence

    Describe

    the

    Problem

    Form a

    Team Implement

    Containment

    Actions

    Identify

    Root

    Cause

    Choose

    Implement

    Corrective

    Actions

    Evaluate

    Results

    Prevent

    Recurrence

    Congratulate

    the Team

    1 2 3 4 5 6 7 8

    1 2 3 4 5 6 7 8

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    Step 7.2 : Ensure sustainable control of correctives actions

    Cover all activities to ensure the change will be sustainable in

    long term:

    Detailed implementation of corrective actions at site level

    Creation or modification of relevant documentation (SWI, check list,

    SPC, preventive maintenance,)

    Risk monitoring on each product / process line

    To manage implementation of corrective actions it isrecommended to use a Yokoten matrix at site level / regional /

    global level if required

    D7Prevent Recurrence

    Describe

    the

    Problem

    Form a

    Team Implement

    Containment

    Actions

    Identify

    Root

    Cause

    Choose

    Implement

    Corrective

    Actions

    Evaluate

    Results

    Prevent

    Recurrence

    Congratulate

    the Team

    1 2 3 4 5 6 7 8

    1 2 3 4 5 6 7 8

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    At this step of 8D, the team carried out main actions toprevent recurrence under conditions similar to what wasexperienced

    However, this does not necessarily ensure that the problemwill not re-occur

    Corrective actions need to be implemented at systemic levelto address root cause

    At this stage, involvement of management is mandatory toidentify systemic root causes and provide guidance onnecessary improvements

    D7Prevent Recurrence

    Describe

    the

    Problem

    Form a

    Team Implement

    Containment

    Actions

    Identify

    Root

    Cause

    Choose

    Implement

    Corrective

    Actions

    Evaluate

    Results

    Prevent

    Recurrence

    Congratulate

    the Team

    1 2 3 4 5 6 7 8

    1 2 3 4 5 6 7 8

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    Step 7.3: Prevent long term recurrence by identifying systemicroot cause(s):

    Why was the problem not prevented in the manufacturing phase

    Why was the customernot protected from the problem?

    Why was the problem not predicted in the planning/development?

    Perform a 5 Why analysis until recurrence prevention is reached

    (Never re-happenning)

    Employ cross-functionnal team with management representatives from

    all concerned functions Management representatives will be the owners of the analysis

    outcomes

    D7Prevent Recurrence

    Describe

    the

    Problem

    Form a

    Team Implement

    Containment

    Actions

    Identify

    Root

    Cause

    Choose

    Implement

    Corrective

    Actions

    Evaluate

    Results

    Prevent

    Recurrence

    Congratulate

    the Team

    1 2 3 4 5 6 7 8

    1 2 3 4 5 6 7 8

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    5 Why on systemic root cause analysis

    Systemic root cause analysis shall be performed as a

    minimum on all Cat A issues

    Why not

    Prevented?

    Occurrence Root Cause

    and evidence

    Why

    Why

    Why not

    Protected?

    Detection Root Cause

    and evidence

    Problem Statement

    Why

    Why

    Why not

    Predicted?

    Systemic Root Causeand evidence

    Why

    Why

    Why

    Why

    Why

    Why

    Why

    Why

    D7Prevent Recurrence

    Describe

    the

    Problem

    Form a

    Team Implement

    Containment

    Actions

    Identify

    Root

    Cause

    Choose

    Implement

    Corrective

    Actions

    Evaluate

    Results

    Prevent

    Recurrence

    Congratulate

    the Team

    1 2 3 4 5 6 7 8

    1 2 3 4 5 6 7 8

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    Step 7.4: Learn Lesson from problem by fixing the systemic rootcauses

    Document Lesson (What did we learn from that problem? What

    systemic corrective action is needed) in our core processes anddocuments (Master documents, FMEA, Design Guidelines, Standards

    as ...)?

    Learn the Lesson by implementing systemic corrective actions

    Train your team to the updated standard

    Check Lessons are shared and new updated processes and standardsare applied

    D7Prevent Recurrence

    Describe

    the

    Problem

    Form a

    Team Implement

    Containment

    Actions

    Identify

    Root

    Cause

    Choose

    Implement

    Corrective

    Actions

    Evaluate

    Results

    Prevent

    Recurrence

    Congratulate

    the Team

    1 2 3 4 5 6 7 8

    1 2 3 4 5 6 7 8

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    Why?

    To reinforce behavior and value of team work

    To recognize success

    To give a clear sign to the team that process ended and closure is

    possible.

    => CONGRATULATE THE TEAM

    Describe

    the

    Problem

    Form a

    Team Implement

    Containment

    Actions

    Identify

    Root

    Cause

    Choose

    Implement

    Corrective

    Actions

    Evaluate

    Results

    Prevent

    Recurrence

    Congratulate

    the Team

    1 2 3 4 5 6 7 8

    D8Congratulate the Team

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    Key management points to check during 8D process

    D1

    Form a

    Team

    D2

    Describe the

    Problem

    D3

    Implement

    Containment Actions

    D4

    Identify Root Cause

    D5

    Choose & Implement

    Corrective Actions

    D6

    Evaluate

    Results

    D7

    Prevent

    Recurrence

    D8

    Congratulate

    the Team

    How have the teams efforts and results been recognized? Are you ready to close the 8D?

    What are the details of the Yokoten plan / Read Accross? Were priorities defined in the

    plan? (Quality/Timing/Cost) is the Yokoten plan tracking application of corrective

    actions. What are systemic root causes identified and addressed? Did you select most

    important topics to be processed for LL? Did you set priorities, allocate ressources &

    follow-up implementation?

    What is the progress on implementing the C/A plan? Review the data available to

    support effectivenesss of corrective action. Would you decide to stop 100% check

    based on these Data?

    How Was it verified that the Corrective Action (C/A) turns the problem Off? What other

    C/As were considered? What criteria is used to conclude that C/A is effective.

    Read Why the problem happened from the technical root cause analysis. Check that

    the root causes identified allow to turn ON / OFF the problem. Check whether rootcauses were likely at the time problem occurred.

    How complete is the containment plan and what are the results to date? Did

    containment plan allow to improve Problem knowledge?

    Find out how the team leader is and what additional resources they may need.

    What progress has been achieved so far versus expected?

    In what way is the Problem Statement complete or incomplete? Check for What, When,

    Where, How many

    What would be considered by the team as success, and how will it be measured.

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    How to ensure 8D process is a living process?

    Management follow up on 8D process is essential

    Autoliv Problem Solving Database is one tool for tracking open 8Ds until closure

    Make visible status of 8D on site through 8D Visual Board

    Set-up 8D review Board and carry out regular management 8D reviews andtrack progress

    Set priorities to the teams when needed

    For efficiency reasons 8D process shall meet Target Lead Time

    8D Lead Time target is usually defined by the customer

    Required Lead Time for 8D in Autoliv is: D1 & 2: hours after problem has been notified

    D3 / from 3 to 24 hours max after claim notified D4 / 5 days max after claim issued

    D5 / 6: 10 days max after claim issued unless agreed upon differently

    D7 & 8: 60 days max after claim issued

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    What did you learn from this training?

    Can you answer these questions:

    What is 8D and its Disciplines

    What activities are carried out during each step

    How to behave when involved in 8D problem solving?

    How to ensure a living 8D process?