问题解决+Problem+Solving+Tree(ENG)课程.pptVIP

5 Why-Case Study AN EXAMPLE - Part C WHY DID THE SYSTEM (QUALITY) ALLOW THIS TO HAPPEN? Potential failure mode not identified on PFMEA Why 1: Incoming dunnage failure modes not addressed Why 2: Scope of PFMEA restricted to value add process Why 3: WE NOW KNOW WHY THE PROBLEM OCCURRED AND WHY IT WAS NOT DETECTED. BUT, IS THERE MORE? MISSING PIECE Path to Investigate system 5 Why-Case Study B – Modify machine to sense for presence of rivets Lessons Learned: ? 1. Make supplier part of APQP activities. 2. Make PFMEA’s comprehensive of entire system Reference No. _______________ (Spill, PR/R…