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    07 Failure Modes andEffects Analysis

    (FMEA)

    Measure ControlImproveAnalyzeDefineRecognize

    2004 American Society for Quality. All Rights Reserved.

    Six SigmaGreen Belt Training

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    AnalyzeMeasure ControlImprove Page 2 FMEA Version 2.1

    Define

    ControlImproveAnalyzeMeasureDefine

    About This Module

    Six Sigma, A Quest for Process Perfection Attack Variation and Meet Goals

    An FMEA is a systematic method for identifying, analyzing,and documenting potential failure modes and their effectson the system, the product and process performance. Thepossible causes of failure can then be prioritized.

    \DataFile\Fishbone.mtw\DataFile\FMEAform.xls\DataFile\CopyProc.ppt\DataFile\CopyFMEA.xls\DataFile\CpultPM.ppt\DataFile\CauseEff.ppt

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    AnalyzeMeasure ControlImprove Page 4 FMEA Version 2.1

    Define

    ControlImproveAnalyzeMeasureDefine

    Sample FMEA

    Company: Copying Company Project: Copying Process

    Part/process

    FailureMode

    FailureEffects

    S

    E V Causes

    O

    C C Controls

    D

    E T

    R

    P N Action Recommended Resp.

    Person Schedule

    Date Action Taken

    ActualCompl.

    Date p S p O

    p D

    p r

    p n

    R i s k

    RiskX

    prpn

    RetrieveCopies

    NoCopies

    Mustredocopy 7 Paper Jam 9

    PeriodicMaint. 7 441

    Ensure proper weight and typepaper avail for copiers Key Opr 3/1

    Ensured propersupplier used to

    provide copypaper 2/15 7 3 7 147 3 441

    Set SizeRequired

    Copy iswrongsize

    Mustredocopy 7

    Usermisset size 7

    Existingnotes oncopier 5 245

    Place sign over copier outliningstandard size enlarge/reduce orreliable mach to clearly indicate

    standard reduce/enlarge Key Opr 2/20Place sign over

    mach 2/15 7 3 2 42 1 42

    Set Light/Dark Copytoo light

    Must

    redocopy 7

    User

    missetcontrol 5

    Existing

    notes oncopier 4 140 Place sign to encourage user toutilize auto settings Key Opr 2/20 Place sign overmach 2/15 7 2 2 28 1 28

    PlaceDoc intoPosition

    Copynot

    alignedproperly

    Mustredocopy 7

    Usedlandscapeinstead ofportrait orvice versa 8

    TraySelection 2 112

    Place note on ruler re trayselection Key Opr 1/20 Placed Note 1/15 8 2 1 16 1 16

    PlaceDoc intoPosition

    Copynot

    alignedproperly

    Mustredocopy 7

    alignmarkingnot clear 4

    Use AutoFeeder /

    align ruler 3 84Enlarge marks for 8.5 " paper on

    ruler Key Opr 1/15 Enlarged marks 1/14 7 2 1 14 1 14

    PlaceDoc intoPosition

    Copynotalignedproperly

    Mustredocopy 7

    Docmovedwhen lidclosed 5

    Use AutoFeeder /

    align ruler 2 70

    Place sign over copier re"Ensure align prior to copying or

    use auto Feeder" Key Opr 1/15 Displayed Sign 1/14 6 1 1 6 1 6

    SelectPaperTray

    Copy onwrongpaper

    Mustredocopy 7

    Userselected

    wrong tray 3

    Autoselect

    function 3 63

    Place sign over copier toencourage user to use auto tray

    select Key Opr 2/25Place sign over

    mach 2/20 7 2 3 42 1 42Place

    Doc intoPosition

    Spotson

    copies

    Mustredocopy 7 Dirty Glass 6

    PeriodicCleaning

    SOP 1 42Place cleaning material near

    copier Maint. 1/15Placed Cleaning

    Matl 1/15 6 1 1 6 1 6

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    2004 American Society for Quality. All Rights Reserved.

    AnalyzeMeasure ControlImprove Page 5 FMEA Version 2.1

    Define

    ControlImproveAnalyzeMeasureDefine

    Why Use FMEAs?

    Identify ... critical product characteristics and process variables

    Prioritize ... product and process deficiencies in support of downstreamimprovement actions

    Help focus ... on prevention of product and process problems

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    AnalyzeMeasure ControlImprove Page 6 FMEA Version 2.1

    Define

    ControlImproveAnalyzeMeasureDefine

    Benefits of FMEAs

    Improves the quality, reliability and safety of products.

    Helps increase customer satisfaction.

    Reduces product development timing and cost.

    Reduces the amount of rework, repair and scrap.

    Documents and tracks actions taken.

    Prioritizes deficiencies to focus improvement efforts.

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    AnalyzeMeasure ControlImprove Page 7 FMEA Version 2.1

    Define ControlImproveAnalyzeMeasureDefine

    Process - Level #1

    Step #1 Step #2

    Process - Level #2

    Step #1 Step #2

    Process - Level #3

    Step #3

    Step #1 Step #2 Step #3

    FMEA - Level #1

    FMEA - Level #2

    FMEA - Level #3

    Step #3

    Process and FMEA Hierarchies

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    AnalyzeMeasure ControlImprove Page 8 FMEA Version 2.1

    Define ControlImproveAnalyzeMeasureDefine

    Process FMEA Steps

    1. Identify Heavy Hitter Process Step

    2. Identify Associated ys (ProductParameters)

    3. Failure Mode

    4. Identify Failure Effects/Rate Severity

    5. Identify Causes/Rate Occurrence

    6. Identify Controls (if any)/Rate Detection

    7. Calculate RPN

    8. Prioritize by RPN Order

    9. Determine Actions/Plan

    10. Recalculate RPN Based on Plan

    11. Take Action

    Prior to FMEA: Charter TeamDevelop andCharacterizeProcess Map

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    AnalyzeMeasure ControlImprove Page 9 FMEA Version 2.1

    Define ControlImproveAnalyzeMeasureDefine

    Header Accessible fromView Header/Footer

    in Excel

    Workbook in Excel

    FMEA Form

    \DataFile\FMEAForm.xls

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    AnalyzeMeasure ControlImprove Page 10 FMEA Version 2.1

    Define ControlImproveAnalyzeMeasureDefine

    Cause(xs)

    FailureMode

    Effect (ys)

    Cause-Failure Mode-Effect Continuum

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    AnalyzeMeasure ControlImprove Page 11 FMEA Version 2.1

    Define ControlImproveAnalyzeMeasureDefine

    The Cause and Effect Diagram Example

    Admin/Service Example

    First produced in 1950 byProfessor Kaoru Ishikawa- Also called the:

    Ishikawa Diagram Fish Bone Diagram

    Developed to representthe relationship betweensome effect and allpossible causesinfluencing the effect.

    FailureEffect

    Failure Mode(Defect)

    Measurements Materials Personnel

    Environment Methods Machines

    \DataFile\CausEff.ppt Enter causes for each of the 6M branches. Expand or add text boxes as required.

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    Cause and Effect Diagram Example (cont.)

    The Memory Jogger TM

    Lab Results Delays Room too hot

    Room too cold

    Patient not in room

    Cant procurespecimen

    Courtesy visits

    Info desk delays

    Centrifuge not avail

    Info link

    Analyzers not avail

    Time of bag spec

    Order slip delays

    Specimen notsufficient

    Multiple ResultsPoor identification

    Analyzer out of cal

    Plastic bags

    Ice

    Environment MachinesMethods

    Measurements Materials Personnel

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    AnalyzeMeasure ControlImprove Page 14 FMEA Version 2.1

    Define ControlImproveAnalyzeMeasureDefine

    Process: Making a Copy

    INPUTS

    INPUTS (Xs) OperatorCopy MachinePaperPowerInstructionsDocument to Copy

    Set SizeRequired

    PlaceDoc into

    Position in/onCopier

    .

    SetLight/DarkSettings

    .

    SelectPaperTray/Source

    Set Numberof

    CopiesNeeded

    OUTPUTS(Ys) Copies with:

    rightnumber rightcontrastcorrectorientation right size on rightpaper

    OUTPUT

    (xs ) N Hinges on LidCR Auto FeederN Glass Clean

    (xs)

    C # CopiesButton

    CR # CopiesRequired

    (xs) N Size displayC Size buttons

    (xs)

    C DarkerButton

    C LighterButton

    C AutoButton

    (xs) C 8.5 X 11:Landscape

    C 8.5 X 11Portrait

    C 8.5 X 14Landscape

    C 8.5 X 14Portrait

    C 11 X 14

    C Trays withadequatesupply of paper

    Product ( ys ) Doc setcorrectlyDoc setincorrectly

    UpsideDownSideways

    Product ( ys )Correct # ofCopiesIncorrect # ofCopies

    Product ( ys ) Right sizeselectedSize tooSmallSize tooLarge

    Product ( ys )RightcontrastToo LightToo Dark

    Product ( ys ) Correct TraySelectedIncorrect TraySelected

    PressCopy Button

    (xs) CRCopy ButtonN Leds

    Product ( ys )MachineproducingcopiesMachine notproducingcopies

    RetrieveCopies

    (xs) C Output Tray

    Product ( ys )Copiesavailable

    KEY for (xs) Process Parameters

    N Noise ParametersC Controllable Process ParameterS SOP ParametersCR Critical Parameters

    \DataFile\CopyProc.ppt

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    AnalyzeMeasure ControlImprove Page 15 FMEA Version 2.1

    Define ControlImproveAnalyzeMeasureDefine

    Step 1: Identify Heavy Hitter Process Step

    From the Process Map, identify the process step with themost likelihood of having failure modes with significanteffects.

    Use defect data and/or team knowledge about failuremodes when selecting process steps.

    Significant impact to the business? (COPQ, cycle time,fill rate, ...)

    Use a Cause and Effect Diagram to capture brainstormingresults.

    After completing FMEA Steps #2-7 for all failure modes

    associated with this process step, return to this step andselect the next most likely Heavy Hitter process step.

    Not all process steps will need to be analyzed by theFMEA.

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    Step 5: Identify Causes/Rate Occurrence

    Identify the most likely causes for each failure mode using aCause and Effect Diagram :

    CAUSES are the conditions that bring about the Failure Mode.

    Transfer the resulting information to the FMEA form.

    Assign an occurrence value (1-10) to the likelihood that eachparticular cause will happen and result in the failure mode.

    The occurrence score for each cause should be related to thelikelihood of that cause resulting in the failure mode and producingthe specific associated effect.

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    AnalyzeMeasure ControlImprove Page 20 FMEA Version 2.1

    Define ControlImproveAnalyzeMeasureDefine

    Organize Brainstorming Ideas

    What other causesshould we add?

    Copy Misaligned

    Copy Process Fishbone

    Out of cal Wrong size paper Select wrong orientation

    Humidity Doc moved whenlid closed Align marking not clear

    Environment MachinesMethods

    Measurements Materials Personnel

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    AnalyzeMeasure ControlImprove Page 21 FMEA Version 2.1

    Define ControlImproveAnalyzeMeasureDefine

    Creating a Fish Bone Diagram in Minitab

    Lets create the fish bone diagram on the previous page usingMinitab

    Minitab will allow you up to six bones on your fish

    For manufacturing, the bones are typically

    Measurements

    Materials Personnel

    Environment

    Methods

    MachinesGive the bones any name you wish

    Identify a measurable undesirable effect for the head

    Brainstorm causes and assign each cause to a bone

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    Fish Bone Diagram in Minitab (cont.)

    Approach:

    Open Data FileFISHBONEThe data have beenentered in columns C1 through C6 (normally,you would enter yourown data)Go to Stat > QualityTools > Cause-and-Effect

    The dialog box Causeand Effect Diagram willappear as shown

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    Fish Bone Diagram in Minitab (cont.)

    1. Highlight Personnel2. Push Select3. Personnel will appear

    in the Causes windownext to the Label forPersonnel

    4. Repeat for all Labels

    1

    2

    3

    4

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    AnalyzeMeasure ControlImprove Page 25 FMEA Version 2.1

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    Fish Bone Diagram in Minitab (cont.)

    MisalignedCopy

    Environment

    Measurements

    Methods

    Material

    Machines

    Personnel

    Selected wrongorientation

    A lign marking not clear

    Wrong size paper

    Doc mov ed when lid

    closed

    O ut of calibration

    Humidty

    Copy Process Fishbone

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    AnalyzeMeasure ControlImprove Page 26 FMEA Version 2.1

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    Step 6: Identify Controls (if any)/Rate Detection

    Identify the current mechanisms in place which prevent thecause from occurring, or detect it before the product reachesthe customer. Some examples of controls are SPC, training,maintenance, inspection, SOP etc.

    Assign a detection value (1-10) based on an assessment ofthe likelihood that the current control mechanisms will detectthe cause of the failure mode before it reaches the customer.

    Dont agonize over detectability.

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    AnalyzeMeasure ControlImprove Page 27 FMEA Version 2.1

    Define ControlImproveAnalyzeMeasureDefine

    The product of the estimates of severity

    occurrence and

    detection .

    The RPN provides a relative priority for taking action;the bigger the RPN, the more important to address.

    RPN = SEVERITY x OCCURRENCE x DETECTION

    Step 7: Calculate Risk Priority Number (RPN)

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    8: Prioritize by RPN OrderUse the Sort command in Excel to order the spreadsheet indescending order of Risk Priority Number (RPN).

    9: Determine Actions/PlanBased on the causes found, determine actions that willminimize the effect of each cause, in priority order.

    Steps 8 and 9

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    10: Recalculate RPN Based on Plan

    Assuming the actions are carriedout successfully, reassignseverity, occurrence anddetectability.

    Place these new ratings in thepredicted columns (ps, po & pd).

    Assign a rating from 1 to 5 foreach action that will show therisk associated with each action(5 being the greatest risk ). Placethe rating in the risk column.

    Steps 10 and 11

    11: Take Action Based on the riskmitigation column(Risk * prpn), take theactions indicated orreassign actions.

    Complete theactions indicated by

    the times stated!

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    AnalyzeMeasure ControlImprove Page 30 FMEA Version 2.1

    Define ControlImproveAnalyzeMeasureDefine

    Steps 1-11:

    \DataFile\CopyFMEA.xls

    Company: Your CompanyProject: Copying Process FMEA

    Page 1 of 1Printed on 4/5/00 2:37 PMOwner__Key Operator__

    Step 5Step 3 Step 10Step 7 & 8

    Step 2ID ys

    Part/process

    FailureMode

    FailureEffects

    SEV Causes

    OCC Controls

    DET

    RPN Action Recommended

    Resp.Person

    ScheduleDate Action Taken

    ActualCompl.

    Datep S

    p O

    p D

    p r p n

    Risk

    RiskX

    prpn

    RetrieveCopies

    NoCopies

    Mustredocopy 7 Paper Jam 9

    PeriodicMaint. 7 441

    Ensure proper weight and typepaper avail for copiers Key Opr 3/1

    Ensured propersupplier used toprovide copy

    paper 2/15 7 3 7 147 3 441

    Set SizeRequired

    Copy iswrongsize

    Mustredocopy 7

    Usermisset size 7

    Existingnotes oncopier 5 245

    Place sign over copier outliningstandard size enlarge/reduce orreliable mach to clearly indicate

    standard reduce/enlarge Key Opr 2/20Place sign over

    mach 2/15 7 3 2 42 1 42

    Set Light/Dark

    Copytoo light

    Mustredocopy 7

    Usermissetcontrol 5

    Existingnotes oncopier 4 140

    Place sign to encourage user toutilize auto settings Key Opr 2/20

    Place sign overmach 2/15 7 2 2 28 1 28

    PlaceDoc intoPosition

    Copynot

    alignedproperly

    Mustredocopy 7

    Usedlandscapeinstead ofportrait orvice versa 8

    TraySelection 2 112

    Place note on ruler re trayselection Key Opr 1/20 Placed Note 1/15 8 2 1 16 1 16

    Step 11Step 4 Step 9Step 6

    Step 1

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    AnalyzeMeasure ControlImprove Page 33 FMEA Version 2.1

    Define ControlImproveAnalyzeMeasureDefine

    Sample Process FMEA

    Part/process

    Failure

    Mode

    Failure

    Effects

    S

    E

    V Causes

    O

    C

    C Controls

    DET

    RPN

    Actions Plans

    PS

    PO

    PD

    PrPn

    OBTAIN PARTS NO PARTS CAN'T BUILDPARTS 10

    FAILED TO ORDER