8DTeamorientedproblemsolving分析.ppt

June 19, 2000 ●Team composition check 团队检查 ●Corrective actions address the cause of the problem, not the effect 纠正措施针对问题的原因，而不是针对问题的结果。 ●Choose best PCA (Risk Analysis) 选择最好的PCA（风险分析） ●Verify and validation of PCA (pilot run) PCA的验证和确认（引导管理） ●Inform customer 告知顾客 ●Reevaluate D3 ICA in terms of life expectancy, scope, cost, etc. 根据平均寿命、范围、成本等条件对D3的ICA再评估 Develop contingency plans to react if something does go wrong after implementing PCA (for high risk factor associated corrective action) 在执行PCA后如果发生问题时，逐步用失控计划去解决。（适用于与纠正措施有关的高风险因素） Change Question变化问题 What has changed什么已变化 IN里面 On上面 AROUND周围 Or ABOUT或者附近 ? The difference差异 Note: There may be more than one or no answer. 注：可能不只一个答案也可能没有答案。 D4:DEFINE VERIFY ROOT CAUSES D4:定义和验证根本原因 Develop Change - How Theory逐步展开如何变化的推论: How could this change have created ? 变化能引起怎样的 ？ Operational Definition操作性定义 Or或者 b) In what ways might this CHANGE create @ cause ? 哪些方面可能使变化引起 。 Operational Definition操作性定义 Eg. How could this new operator have create clogging on Charlie? 例子：在Charlie上新操作员怎样引起堵塞？ D4:DEFINE VERIFY ROOT CAUSES D4:定义和验证根本原因 D4:DEFINE VERIFY ROOT CAUSES D4:定义和验证根本原因 “Theory Testing”测试推论 If (Change-how theory) is the cause of ＿ (Operational Definition) of does it explain why only the (Is) is affected, but never the (Is Not)? 如果 （怎样变化的推论）是 （可操作性定义）的原因，那么它可否解释 （是）受影响而 （否）不受影响的原因？ + = Yes Both Is and Is Not explained ＋：“是” 是与否双方的说明 = No Does not explain Is and/or Is Not －：“否” 说明是或否 ? = Need additional information to draw conclusion ？：需要附加说明以定结论。 D4:DEFINE VERIFY ROOT CAUSES D4:定义和验证根本原因 Reminders提示 ☆ Note and check out assumptions记录并检查假设 ☆ In the event you end up with a large number of likely causes: 结果你以很有可能的原因的大量数据结束 －－Re-ch