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Why-Why Analysis Part Two

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    4. The pen doesnt work.

    FIRST WHY:Why doesnt the ink flow over

    the pens point?

    Why does that happen?

    a) Ink isnt reaching the pens point.

    b) Theres no pressure on the ink to thepens point. (Gravity, others)

    c) Theres nowhere for the ink to flow.

    (The ballpoint is blocked.)

    d) The ink doesnt flow over the other

    surface.

    (Writing in the air, or on ice, etc.)

    . Establishing Cause-Effect Relationship.

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    Steps for developing a

    Why - Why Analysis:

    Second Why For each answer to the Why? in the

    previous step, the question Why? is

    asked again.

    The answer in this case, and from here on,

    should consider the 4 - Ms.

    . Establishing Cause-Effect Relationship.

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    How to Verify Causes

    Use the cause and effect worksheet as a guide Go look, listen, feel, ask - Watch with a purpose

    Simulate

    Make the fix (restore) and monitor

    Do the verification on the floor

    Use the safest, quickest, cheapest approach tha

    fits your situation

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    Problem

    Why? 1

    MissingCarton

    Why? 2Seal

    between

    SuctionCup andCarton

    inadequate

    CartonsStickingTo EachOther

    Holding

    FingersMissAdjusted

    HoldingFrame

    TooTight

    Why? 4

    Duston

    Carton

    Scratcheson carton

    SurfaceFinishoutside

    tolerance

    Why? 3

    SuctionCup

    Damage

    PoorCartonSurface

    Condition

    VacuumSettingtoo low

    VacuumLine

    Leaks

    SuctionCup

    Too Small

    SuctionCup

    Wear

    Field Check

    No Wear

    No Damage

    Could be

    Yes

    Yes

    Not True

    No

    No

    Could be

    Phenomenon

    SuctionCup

    InadequateMaterial

    VacuumForceNot

    HighEnough

    ForcesHoldingCarton

    toohigh

    PullingForceNot

    StrongEnough

    Once you have exhausted your Why-Why Questioning, do the Cause-

    Effect Relationships Make Sense and flow back to the Phenomenon ?

    . Logical Review of the Analysis

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    If we solve these causes, (1, 2, ...8)

    is it possible that ZERO will be reached (Branch A)?

    CAUSE # 1

    Branch A

    CAUSE # 2

    CAUSE # 3

    CAUSE # 4

    CAUSE # 5

    CAUSE # 6

    CAUSE # 7

    CAUSE # 8

    . Logical Review of the Analysis

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    Repeat the question branch by branch until

    the entire analysis has been verified.

    BRANCH A

    Main branch AA

    BRANCH C

    BRANCH D

    BRANCH E

    BRANCH F

    BRANCH G

    BRANCH H

    BRANCH B

    . Logical Review of the Analysis

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    . Checking for Standards and SOPs

    Before taking counter measures, check to see if standards for the defined counter

    measure exist. If not, define the standard. Determining if an SOP is needed.

    Use the 4Ms to ensure all required types of standards exist.

    Problem

    Why

    ?

    Why

    ?

    Why

    ?

    Why

    ?

    Why?

    Root

    Cause

    Std.

    sExist?

    Action

    Taken?

    Action

    Standards(4Ms)

    Man

    Machine

    Method

    Material

    SOP

    Exist?

    OK

    NOK

    XX

    X

    Applied?

    F

    i

    e

    l

    d

    C

    h

    e

    c

    k

    Y

    N

    Y

    N Restore

    New

    Std.

    NewMaint.Std.

    YN

    WHY-WHY

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    Analysis Steps

    i. 1. Understanding the Problemii. 2. Defining the Phenomenon to be analyzed.iii. 3. Establishing Cause-Effect Relationship through Why

    questioning and Field Checks.

    iv. 4. Logical Review of the Analysis

    v. 5. Checking for Standards and SOPs

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    Notes and Advice:

    The analysis should be done at the problem area,not in another location that is isolated from the case

    The analysis is a team effort, not by just one perso

    The most important thing is the physical and/or

    logical description of the phenomenon to be studied

    (Step 1) The Analysis ends when countermeasures TO

    AVOID RECURRENCE of the phenomenon are

    found.

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    ALWAYS make a sketch or drawing of the phenomenon

    The 4-Ms dont always apply to every cause to beanalyzed, but we should always consider them so as noto forget possible causes of causes.

    The more simplicity and objectivity in steps 1 and 2, theasier it is to ensure that all possible causes arecovered.

    Practice develops skill.This tool makes us more objective in our way of lookinat things.

    Notes and Advice:

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    Why/Why - NOT!!!

    Problem Why Why Why Why Why Action Plan

    Already had the answer,

    used the tool to document it

    Brainstorming,

    in a room,

    no verification

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    Real WHY-WHY Analysis Example

    Problem: Through put of the line 23 is below ideal.

    Phenomena: Carton not Picked off the supply stack.

    Result: This causes a loss in through put. (Missing Carton)

    MissingCarton

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    Phenom

    enon

    Why

    ?

    1

    MissingCarton

    PullingForceNot

    Strong

    Enough

    ForcesHoldingCarton

    toohigh

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    Why? 1

    MissingCarton

    PullingForceNot

    Strong

    Enough

    ForcesHoldingCarton

    toohigh

    Why? 2 SealbetweenSuction

    Cup andCarton

    inadequate

    Vacuum

    ForceNotHigh

    Enough

    CartonsStickingTo EachOther

    Holding

    FingersMissAdjusted

    HoldingFrame

    TooTight

    Phenomenon

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    Why? 1

    MissingCarton

    PullingForceNot

    Strong

    Enough

    ForcesHoldingCarton

    toohigh

    Why? 2 SealbetweenSuction

    Cup andCarton

    inadequate

    Vacuum

    ForceNotHigh

    Enough

    CartonsStickingTo EachOther

    Holding

    FingersMissAdjusted

    HoldingFrame

    TooTight

    SuctionCup

    Wear

    Why? 3

    SuctionCup

    Damage

    PoorCartonSurface

    Condition

    VacuumSettingtoo low

    VacuumLine

    Leaks

    SuctionCup

    Too Small

    SuctionCup

    InadequateMaterial

    LooseCartonStack

    Flapsfolded

    Backward

    P

    om

    o

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    Why? 1

    MissingCarton

    PullingForceNot

    StrongEnough

    ForcesHoldingCarton

    toohigh

    Why? 2Seal

    betweenSuction

    Cup andCarton

    inadequate

    VacuumForceNot

    HighEnough

    CartonsStickingTo EachOther

    HoldingFingers

    MissAdjusted

    HoldingFrame

    TooTight

    Why? 4

    Duston

    Carton

    Scratcheson carton

    SurfaceFinish

    outside

    tolerance

    Why? 3

    SuctionCup

    Damage

    PoorCartonSurface

    Condition

    VacuumSettingtoo low

    VacuumLine

    Leaks

    SuctionCup

    Too Small

    SuctionCup

    InadequateMaterial

    SuctionCup

    Wear

    LooseCartonStack

    Flapsfolded

    Backward

    P

    om

    o

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    Why? 1

    MissingCarton

    PullingForceNot

    StrongEnough

    ForcesHoldingCarton

    toohigh

    Why? 2Seal

    betweenSuction

    Cup andCarton

    inadequate

    VacuumForceNot

    HighEnough

    CartonsStickingTo EachOther

    HoldingFingers

    MissAdjusted

    HoldingFrameToo

    Tight

    Why? 4

    Duston

    Carton

    Scratcheson carton

    SurfaceFinish

    outsidetolerance

    Why? 3

    SuctionCup

    Damage

    PoorCartonSurface

    Condition

    VacuumSettingtoo low

    VacuumLine

    Leaks

    SuctionCup

    Too Small

    SuctionCup

    Inadequate

    Material

    SuctionCup

    Wear

    Field Check

    Not worn

    Not Damag

    Could be

    No Dust

    Not true

    Problem

    Found to be

    Some Leak

    Correct Size

    Phenome

    non

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    y

    WHY-WHYProb

    lem

    Wh

    y?

    Wh

    y?

    Wh

    y?

    Wh

    y?

    Why?

    Root

    Cau

    se

    Std.s

    Exist?

    Act

    ion

    Tak

    en?

    SOP

    Ex

    ist?

    Appl

    ied?

    F

    i

    e

    ld

    C

    h

    e

    c

    k

    Duston

    Carton

    Scratcheson carton

    Surface

    Finishoutsidetolerance

    SuctionCupDamage

    VacuumSettingtoo low

    VacuumLine

    Leaks

    SuctionCup

    Too Small

    SuctionCup

    InadequateMaterial

    SuctionCup

    Wear

    Ntrue

    Ntrue

    True

    True

    True

    NTrue

    Y

    Y

    N

    Standards(4Ms)

    hu

    Man

    equipM

    Method

    Mat

    erial

    XX

    X

    XX

    X

    X

    NN

    Appl

    ied?

    Tra

    DevSt

    YYY Develop SOP

    Tra

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    Another example:

    General Problem:

    Five Port Valve

    Air cylinder

    Air piston moving too slow

    in both directions

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    Draw the problem

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    Get an understanding of the process:

    Drawing, Parts, Process

    Exhaust

    Five Port Valve

    Adjustable

    Restrictor

    Air cylinder

    Bottom

    seal

    Rod seal

    Bush

    Pipes P0

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    Get an understanding of the process:

    Drawing, Parts, Process, Forces, Counterforces

    Exhaust

    Five Port Valve

    Adjustable

    Restrictor

    Air cylinder

    Bottom

    seal

    Rod seal

    Bush

    Pipes P0

    Forces

    Counterforces

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    Piston slow

    moving in Both

    irections

    Phenomena 1. Why 2. Why 4. Why 5. Wh3. Why

    Conduct Why/Why

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    Piston slow

    moving in both

    irections

    Defect 1. Why

    1. 1 Force (pressure)

    too low

    1. 2 Counterforce

    too high

    2. Why 4. Why 5. Wh3. Why

    Fie

    ld

    Verification

    Not True

    True

    Conduct Why/Why

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    Defect 1. Why

    1. 1 Force (pressure)

    too low

    1. 2 Counterforce

    too high

    2. Why

    1.1.1 pressure p0

    too low

    1.1.4 adjustable

    restrictor closed

    1.1.2 5 port valve

    defect

    4. Why 5. Wh3. Why

    1.1.3 blocked pipe

    1.1.5 air leakage

    Fiel

    d

    Verification

    Not True

    True

    Not True

    Not True

    Not True

    Piston slow

    moving in both

    irections

    Conduct Why/Why

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    Defect 1. Why

    1. 1 Force (pressure)

    too low

    1. 2 Counterforce

    too high

    2. Why

    1.1.1 pressure p0

    too low

    1.1.4 adjustable

    restrictor closed

    1.1.2 5 port valve

    defect

    4. Why3. Why

    1.1.3 blocked pipe

    1.1.5 air leakage

    Piston slow

    moving in both

    irections

    1.1.1.1 not adjusted

    after c/o to

    shampoo

    1.1.1.2 Air leakage

    Field

    Verification

    True

    Not Tr

    Conduct Why/Why

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    Defect 1. Why

    1. 1 Force

    (pressure)

    too low

    1. 2 Counterforce

    too high

    2. Why

    1.1.1 pressure p0

    too low

    1.1.4 adjustable

    restrictor closed

    1.1.2 5 port valve

    defect

    4. Why3. Why

    1.1.3 blocked pipe

    1.1.5 air leakage

    Piston slow

    oving in both

    rections

    1.1.1.1 not adjusted

    after c/o to

    shampoo

    1.1.1.2 Air leakage

    1.1.1.1.1 No Procedure

    1.1.1.1.2 Lack ofKnowledge

    F

    ield

    Verification

    Conduct Why/Why

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    4. Why3. Why

    1.1.1.1 not adjusted

    after c/o to

    shampoo

    1.1.1.2 Air leakage

    1.1.1.1.1 No Procedure

    1.1.1.1.2 Lack of

    Knowledge

    Possible Counter measures

    - Develop Procedure

    - Retraining, One Point Lessons etc

    - Visual controls to make easierto see if off...

    Conduct Why/Why

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    Case StudyWhy-Why Analysis

    Problem Description Problem Picture Phenomenon

    Company A is located on the 30th floor of a

    high-rise building. Customers often complainthat elevators are slow in coming, and there is

    a fear that it may have an adverse effect on the

    company's sales performance.

    A study revealed that more visitors come to the

    company between 13:00 and 15:00 hours and

    that their waiting time averages around 30 sec.

    Please solve this problem by appling why-why

    analysis

    Problem Statement What does success look like?

    Phenomenon Why (1) Why (2) Why (3) Why (4) Why (5) Countermeasures

    Have you verified the cause?

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    WHY - WHY ANALYSIS

    REVIEW VS. OBJECTIVES:

    Understand the definition of Analysis

    Clarify the procedure for developing a Why - Why

    Analysis.

    Stress the importance of each step of the Why - Why

    Analysis.

    ELIMINATION

    OF LOSSES

  • 8/14/2019 Why-Why Analysis Part Two

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    MaintenanceCircleTeam Page 1 November 16th , 2009

    Maintenanc

    If you like to improvise this article or contribute or comment please mail us at:[email protected]

    This document contains information for reference only. We assume no responsibility for its implication.

    Maintenance circleNNEEWWSSLLEETTTTEERR FFOORR MMAANNUUFFAACCTTUURRIINNGG CCOOMMMMUUNNIITTYY

    Solution for Last week Techuzzle

    Across

    5. LEAST COUNTExpand LC, commonly used in measuring instruments7. FISHBONECommon name for Ishikawa Diagram is _____ Diagram

    Down1. HISTOGRAMChart which looks like tall buildings next to each other2. PROCESSP stands for _____ in SPC3. ASSURANCEA stands for _______ in QA4. CONTROLC stands for ______ in QC5. LIMITL stands for _____ in LCL or UCL6. ANALYSISA stands for _____ in RCA

    1 2 3 4

    5 6

    7

    L

    I

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    S

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    S

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    mailto:[email protected]:[email protected]:[email protected]:[email protected]
  • 8/14/2019 Why-Why Analysis Part Two

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    MaintenanceCircleTeam Page 2 November 16th , 2009

    Maintenanc

    If you like to improvise this article or contribute or comment please mail us at:[email protected]

    This document contains information for reference only. We assume no responsibility for its implication.

    Maintenance circleNNEEWWSSLLEETTTTEERR FFOORR MMAANNUUFFAACCTTUURRIINNGG CCOOMMMMUUNNIITTYY

    Solution for Quality Month Special Techuzzle

    Across

    1. MILLIONSix Sigma implies appearance of 3.4 defects per ____ (Million, Billion, Thousand)5. SEVENBroadly, how many steps are involved in Six Sigma Methodology (Ten, Seven, Twelve, Six)7. MIKEL HARRYThis person founded Six Sigma Academy (Mikel Harry, Jurong, Taylor)

    Down1. MOTOROLAThis company was instrumental in developing Six Sigma Concepts (Motorola, Mercedes, Ford)2. BLACKSecond Belt of Six Sigma3. DEVIATIONSigma, in statistics, is a basic indication of Standard _____ (distribution, deviation, dispersion)4. CHAMPIONThird (FInal) Level of Six Sigma6. GREENFirst Belt of Six Sigma

    1

    2 3

    4 5

    6

    7

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    mailto:[email protected]:[email protected]:[email protected]:[email protected]
  • 8/14/2019 Why-Why Analysis Part Two

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    MaintenanceCircleTeam Page 3 November 16th , 2009

    Maintenanc

    Maintenance circleNNEEWWSSLLEETTTTEERR FFOORR MMAANNUUFFAACCTTUURRIINNGG CCOOMMMMUUNNIITTYY

    This week Techuzzle

    Across

    2. H stands for _______ in RoHS, an environmental standard4. S stands for ______ in MSDS supplied with many materials8. ISO 14644 standard is common referred to as ______ standard

    Down

    1. This is the ISO standard for ambient air quality3. TS 16949 is the widely used standard for _______ sector5. ISO 22000 integrates _____ standards for food industry6. ISO 147 explains standards for _____ quality7. I stands for ________ in AIT, one of the important part of ISO 14000 environment standards

    1

    2 3

    4

    5

    6 7

    8


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