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    Corrective Action Workshop

    CAPA

    Based on 8D MethodologyAngelo G. Scangas

    President, Quality Support Group Inc.

    978-430-7611

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    At the conclusion of this module, you should:

    Have an understanding of the basic tools and the knowledgeneeded to collect and analyze data to solve problems thataffect the quality of your products and services.

    Be better able to implement solutions and containment actions.

    Have a full understanding of the key elements of the problemsolving process (Root Cause Analysis).

    Develop a verification process to prevent re-occurrence

    Share a uniform basis and approach in the methodology of

    problem solving.

    Objectives Training expectations

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    Order of topics in training module.

    Trigger points for problem solving activity

    Case Study

    The Problem Solving Approach

    Problem Statement Interim Action / Containment.

    Problem Definition and Analysis of Root Cause.

    Define Root Cause and Escape Point.

    Choose and Verify Corrective action.

    Implement and Validate Corrective Action.

    Prevent Recurrence.

    Congratulate the Team

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    The Eight Disciplines

    D0 Recognize SymptomsD1 Establish a Team

    D2 State and Describe the Problem

    D3 Contain the Symptoms

    D4 Find and Verify Root Cause

    D5 Select and Verify Corrective ActionD6 Implement and Verify PermanentCorrective Action

    D7 Prevent Recurrence and Correct SystemFlaws

    D8 Recognize the Team

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    Problem-

    Solving

    Process

    Become Aware

    of Problem

    EstablishTeam

    Describe Problem

    Contain Systems

    Select & VerifyCorrective Actions

    Implement and

    Validate Corrective

    Actions

    Prevent Recurrence

    Recognize Team

    Find Root Cause

    Identify Potential

    Causes

    Select Probable

    Causes

    Is Probable

    Cause a

    Root

    Cause?

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    Trigger points for problem solving activity.

    What trigger points have you experienced?

    Customer Complaints Non-Conformances

    Process Control Indicators

    Cost Reduction Effort

    Continuous Improvement Effort

    Suggestion

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    Problem StatementProblem Statement

    The problem statement is a statement that

    clearly and concisely identifies the object

    of a problem, and the unsatisfactory

    condition for which the cause is not

    known.What is the problem?

    Why is it a problem?

    Based on what evidence?

    Whats The Problem?

    A problem well-defined is a problem half-solved.

    Problem statement

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    1. Problem Statement.

    2. Interim Action / Containment.

    3. Problem Definition and Analysis of Root Cause.

    4. Define Root Cause and Escape Point.

    5. Choose and Verify Corrective action.

    6. Implement and Validate Corrective Action.

    7. Prevent Recurrence.

    The Problem Solving Approach

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    Containment does not eliminate the root cause of

    the problem.

    Inform Customer of problem and actions taken to contain it.

    Customer Loyalty is an organizations greatest asset!

    Remember...

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    1. Problem Statement.

    2. Interim Action / Containment.

    3. Problem Definition and Analysis of Root Cause.

    4. Define Root Cause and Escape Point.

    5. Choose and Verify Corrective action.

    6. Implement and Validate Corrective Action.

    7. Prevent Recurrence.

    The Problem Solving Approach

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    What is the Problem Definition?

    Problem definition and analysis

    The Problem Definition is a detailed

    description of the relevant facts of the

    problem, assembled from information readily

    available, as well as additional fact finding

    and data collection.

    Fact List

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    What does the Problem Definition do?

    It defines the boundaries of the problem in

    terms of what it IS, and what it could be but

    ISNOT.

    It looks at all the possibilities, and eliminatesthe ones that are not part of the problem.

    It clarifies and pins down the facts.

    Problem definition and analysis

    It limits the search by excluding logical

    impossibilities.

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    Is/Is Not

    Is Is Not

    What

    What object has the problem?

    What is the defect?

    What similar object could have the problem

    but does not?

    What defect could the object have but does

    not?

    Where

    Where is the object locatedgeographically when the defect is

    noticed?

    Where is the defect located on the

    object?

    Where could the object be located but it isnot?

    Where could the defect be located but it is

    not?

    When

    When was the defective object first

    noticed? When has it been observedsince?

    What is the timing pattern (continuous,

    random, or cyclical) and trend?

    When could the defective object been noticed,

    but was not?

    What could the timing pattern and trend be but

    is not?

    ExtentHow many objects have the defect?

    How extensive is the defect?

    How many objects could have the defect but

    do not?

    How extensive could the defect be but is not?

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    What is a Root Cause?

    A root cause is the reason for a condition or an action

    at its origin or source.

    In the context of problem solving, a root cause is one

    considered to be far enough into the sequence of

    causes and effects, that removing it will eliminate the

    effect completely and permanently.

    Problem definition and analysis

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    Problem Definition and Analysis process

    How to do it.

    1. Develop a list of facts to record all relevant

    information that is known with certainty.

    This list serves as a database for an accurate description

    of the problem.

    Information must be factual, not inferred.

    Problem definition and analysis

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    Data collection techniques

    Check-sheets

    Observations

    Interviews Statistical Process Control charts

    Process Capability Studies

    Design of Experiments

    Test reports

    Scrap reports

    Problem definition and analysis

    Methods used to conduct or facilitate collection of data

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    Cause-and-Effect Diagram

    Used to structure data collection and analysis to find the

    root cause of a problem.

    Problem

    Methods

    EnvironmentMaterials

    PeopleMachines

    Analysis Tools

    Problem definition and analysis

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    Cause-and-Effect Analysis

    Effect

    Cause (Machine) Use for grouping ideas. Any grouping that make sensecan be used. The most common are:

    Methods, Machines, Materials, People and

    Environment

    The Problem

    1st why?

    2nd why?

    3rd why? 4th why?

    5th why?

    Analysis Tools

    Problem definition and analysis

    Cause (Method)

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    Analysis techniques

    Brainstorming Repeated Whys

    Why it happened, why it wasnt detected

    Problem definition and analysis

    .

    Other analysis techniques

    3W1H

    What, Where, When, How big

    5W2H

    What, Why, When, Where, Who, How, How many

    Timeline of changes to people, material, machines, suppliers,

    measurements, methods, environment, specifications.

    Comparative analysis: IS versus IS NOT

    Comparative analysis: Should Vs. Actual

    Reproduction of the problem

    Review of Failure Mode and Effects Analysis

    S

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    The output from the Problem Definition andAnalysis process is a list of potential root

    causes each of which could explain the

    occurrence of the problem.

    Output from the Problem Definition and

    Analysis process.

    Problem definition and analysis

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    1. Problem Statement.

    2. Interim Action / Containment.

    3. Problem Definition and Analysis of Root Cause.

    4. Define Root Cause and Escape Point.

    5. Choose and Verify Corrective action.

    6. Implement and Validate Corrective Action.

    7. Prevent Recurrence.

    The Problem Solving Approach

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    Define root cause and escape point

    The root cause is the one identified that satisfies the

    requirement of completely explaining the effect. It is the

    single verified reason that accounts for the problem. The root cause is supported by the facts without

    contradiction.

    The root cause is the one whose removal should make the

    effect stop permanently.

    Which is the Root Cause?

    Define root cause and escape point

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    Inability to detect the problem at a

    control point is NOTa root cause.

    (Conversely, the ability to detect the problem

    does not remove the root cause.)

    Which is (NOT) the Root Cause?

    Define root cause and escape point (continued)

    Define root cause and escape pointS

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    The Problem Solving Approach

    1. Problem Statement.

    2. Interim Action / Containment.

    3. Problem Definition and Analysis of Root Cause.

    4. Define Root Cause and Escape Point.

    5. Choose and Verify Corrective action.

    6. Implement and Validate Corrective Action.

    7. Prevent Recurrence.

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    Criteria for a Permanent Corrective Action

    What does a good corrective action do?

    Fixes the problem at the root causelevel

    Generates no additional problems Has been verified to work

    Its best if the corrective action can bedesigned so it does not require detection.(Mistake proof)

    Choose and verify corrective action

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    The Problem Solving Approach

    1. Problem Statement.

    2. Interim Action / Containment.

    3. Problem Definition and Analysis of Root Cause.

    4. Define Root Cause and Escape Point.

    5. Choose and Verify Corrective action.

    6. Implement and Validate Corrective Action.

    7. Prevent Recurrence.

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    Corrective Action implementation plan

    Implement and validate corrective action

    Develop a detailed implementation plan. Be sure to

    include What, Where, When, Who, and How

    (4W and 1H).

    Involve those who will be affected.

    Inform those who need advance notification.

    Secure approvals when necessary.

    Track timing of implementation.

    Control any product affected by a change.

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    4Ws and 1 H

    What( will be done)

    Where(will it be done)

    When(will it be done)

    Who(will do it)

    How(will it be done)

    Implement and validate corrective action

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    The way to prevent recurrence of the problem is

    to standardize the corrective action and the

    lessons learned into the operating system for the

    process.

    Prevent Recurrence

    Prevent Recurrence

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    Thats a wrap!Thank you!

    Any further questions?

    +s and s