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Error proofing
by Subramaniam “Mani”
Manivannan
Error Proofing is a process
improvement designed to prevent a specific defect from occurring. It is
a process improvement system that prevents personal injury, promotes job
safety, prevents faulty products and prevents machine damage. As you
will see, this is a powerful tool for creating and sustaining
reliability in any operation, be it production or maintenance.
Shigeo Shingo’s poka-yoke
Shigeo Shingo introduced the concept of poka-yoke in 1961, when he was
an industrial engineer at Toyota Motor Corporation. The initial term was
baka-yoke, which means “fool-proofing.” In 1963, a worker at Arakawa
Body Company refused to use baka-yoke mechanisms in her work area
because of the term’s dishonorable and offensive connotation. Hence, the
term was changed to poka-yoke, which means “error-proofing” or
“mistake-proofing.”
The Error Proofing
triangle
There are three components of poka-yoke; physical, operational and
philosophical, and each must be present in the solution for the system
to work.
Physical Error
Proofing involves installing components like fixtures or sensors to
eliminate conditions that may lead to an error.
Operational
Error Proofing involves making modifications or installing devices that
reinforce the correct procedure sequence.
Philosophical
Error Proofing involves identifying situations that cause defects and
doing something about it – which includes empowering the workforce.
Approaches to Error
Proofing
Prevention: Prevents errors from creating defects
Detection: Detects defects and immediately
initiates
corrective action to prevent multiple defects from
forming
Definition of a defect:
A defect is the result of any deviation from product specifications
that may lead to customer satisfaction.
To classify as a defect:
1. The product has deviated from manufacturing or
design specifications
2. The product does not meet internal and/or external
customer expectations
Definition of an Error:
An error is any deviation from specified manufacturing process. There
can be an error without a defect, but there cannot be a defect without
an error.
Error Proofing as it is
understood and practiced today is an outgrowth of the quality movement,
specifically the “Zero Defects initiative.” It is a team-based plant
floor improvement strategy that focuses on production processes and
operations. Error Proofing aims to prevent errors and deviations from
standards of all kinds that can impact quality, safety, manufacturing
costs, and customer satisfaction.
The zero defects system

All the manufacturing/process issues are prioritized to help identify
opportunities for greatest impact for customers and return for
investment. The most common tool used to identify/prioritize the issues
is Process Failure Mode and Effects Analysis (PFMEA). The Process FMEA
method is used by cross functional team approach to answer all process
related questions and to quantify the results in the form of a Risk
Priority Number (RPN).
|
Question |
PFMEA Column(s) |
|
|
What steps/processes are important? |
Function/Requirements |
|
|
What can go wrong? |
Potential Failure Mode |
|
How could the failure affect the
customer
(internal/external)? |
Effects of Failure |
|
|
How serious is the effect of the
failure mode on the customer? |
Severity (rating from 1-10) |
|
|
Why would the failure occur? |
Cause of Failure |
|
|
How often will it happen? |
Occurrence |
|
|
What are the controls used by the
process? |
Current Process Control |
|
|
What is the probability that current
process control will detect a problem? |
Detection
 |
Error Proofing |
|
What can be done to improve the
process? |
Recommended
Action(s)
 |
Error Proofing |
The PFMEA tool helps the
team to ask the key questions, also to identify and implement the proper
Error Proofing to improve the process.
Why
use Error Proofing?
Competitive advantage: In a global market the cost of
quality is part of the competitive advantage. It costs far less to
prevent defects from occurring in the first place than to catch them
later through inspection and have to rework or repair them.
Knowledgeable workers:
When every employee understands the principles of Error Proofing, work
teams can see more easily how defects are generated and can then
effectively eliminate them. They can participate in the design and
improvement of parts processing and assembly operations in order to
prevent defects from occurring. These methods can be employed in our
offices as well to eliminate errors in paper processes.
Predictability:
If our machines (manual or robotic) include error-proofing devices, then
we are assured that the end product will be defect free. This eliminates
inspection and rework operations, as well as scrap, which all increase
manufacturing costs.
Reduced variation:
Error Proofing devices also ensure that subassembly and assemblies are
exactly the same. There will be little chance of part-to-part variation
if the machines are designed or modified to prevent errors and their
resulting defects.
Human error is natural. But
sometimes when errors can be traced back to the operator’s interaction
with the process, there is a tendency to blame the operator. We
encourage the operator to try harder NOT to make mistakes. But the root
cause of the error is usually failure to account for the possibility of
human errors or omissions – by people who design machinery, layouts or
operating procedures. Error Proofing can correct this.
One of the most important
facts to realize about human error is that errors are inevitable – they
are part of human nature. Few workers make errors intentionally; most
strive to prevent errors. Error Proofing alters the work environment to
reduce the opportunity for human errors.
When incorporating Error
Proofing into the work environment, understanding human limits is
essential. These limits include:
• Vision: People vary in ability to distinguish details,
colors, or adjust vision to lighting.
• Hearing: Individual upper and lower thresholds of
hearing change when background noise is added.
• Repetition ability: Muscular efficiency and mental
tracking decrease as rates of repetition increases.
Six Sigma and Error
Proofing
In a DMAIC (Define-Measure-Analyze-Improve-Control) project, this step
is usually performed in the Control phase to prevent a specific defect
from occurring. It is next to impossible to reach Six Sigma type results
without applying Error Proofing concepts. The steps involved in
initiating and driving a Six Sigma project in your plant are the subject
of the next article in this series.
The following checklist is a
very good tool for checking the Error Proofing devices in your plant and
verifying that they are in good working order.
Subramaniam “Mani”
Manivannan is a Quality Coach/Assessor – PTO Quality manufacturing
process and product support engineer for Ford Motor Company in Dearborn,
Michigan. He can be reached at
313-323-7719; e-mail:
smanivan@ford.com.
This article appeared in the
December 2006/January 2007 issue of MRO Today magazine. Copyright 2006.
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