07 failure modes and effects analysis
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07 Failure Modes andEffects Analysis
(FMEA)
Measure ControlImproveAnalyzeDefineRecognize
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Six SigmaGreen Belt Training
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AnalyzeMeasure ControlImprove Page 2 FMEA Version 2.1
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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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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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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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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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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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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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Header Accessible fromView Header/Footer
in Excel
Workbook in Excel
FMEA Form
\DataFile\FMEAForm.xls
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Cause(xs)
FailureMode
Effect (ys)
Cause-Failure Mode-Effect Continuum
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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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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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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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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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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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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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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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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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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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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