“Smart” Part Numbers Strike Again: Wrong Part Shipped

I own two dishwashers in two homes, different models from the same brand, bought in the same store, and both on a service contract. For the first one, the model number  is SHE55R56UC; for the second one, SHE65T55UC. Today, we needed help on the first one, but customer service shipped us parts for the second one, which the repair technician discovered when unpacking them.

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What Poka-Yoke Are And Are Not, And How To Sustain Them

Chet Marchwinski recently exhumed a 2011 discussion about Poka-Yoke that had been started by the following question:

I’m a manufacturing engineer and since I have started participating in kaizen workshops, I have noticed that production supervisors tend to disconnect some of the poka-yokes we’ve put in place in the machines. When I challenge them about this they argue that operators can’t run production and cope with the complexity of our machines. I am perplexed by this and wondered whether you’d have a comment.

In short, I can think of two reasons for production supervisors to disconnect Poka-Yoke:

  1. No production supervisor in his right mind would disconnect devices that make the work easier for operators. If they do disconnect them, the most likely explanation is that the devices described as “Poka-Yoke” actually add work for the operator. If you have to pick a part from one of ten open bins in front of you, you will spend precious seconds finding the right one; if all bins are covered with lids except the right one, not only are you physically prevented from picking the wrong one but you don’t have to look for it. It makes your job easier. On the other hand, if you have to scan a bar code on the part to validate the pick, it adds to your work load and your supervisor will pull the plug on the next production rush.
  2. The manufacturing process is not ready for Poka-Yoke. A production supervisor is quoted in the question as saying “operators can’t run production and cope with the complexity of our machines.” This suggests that the line has process capability issues that must be addressed before implementing Poka-Yoke.

The following paragraphs elaborate on these points.

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Where Have The Scatterplots Gone?

What passes for “business analytics” (BI), as advertised by software vendors, is limited to basic and poorly designed charts that fail to show interactions between variables, even though the use of scatterplots and elementary regression is taught to American middle schoolers and to shop floor operators participating in quality circles.

But the software suppliers seem to think that it is beyond the cognitive ability of executives. Technically, scatterplots are not difficult to generate, and there are even techniques to visualize more complex interactions than between pairs of variables, like trendalyzers or 3D scatterplots. And, of course, visualization is only the first step. You usually need other techniques to base any decision on data.

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Tradition, Tradition, Data Visualization, and Pareto Charts

Some of the standard charts used in manufacturing for decades don’t meet today’s criteria for effective visualization. But using them is now a tradition; they are taught in school and their value is unchallenged, but it is time to challenge it. If we were to see these charts for the first time in 2015, would we consider the information they provide useful, and would we want to use the classical formats? This post suggests answers in the case of the venerable Pareto chart.

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Origin of One-Piece Flow at Toyota | Chip Chapados | LinkedIn

According to Chip Chapados, the concept of one-piece flow emerged from the need to rapidly detect defects in engine castings when Kiichiro Toyoda was reverse-engineering a Chevrolet engine in 1934, and it was originally called “one-by-one confirmation.”

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The World’s Most Dangerous Job? | James Lawther

“You shouldn’t believe everything you read on the internet, but according to some of the more reliable sources, during World War II:

  • Over 12,000 Bomber Command aircraft were shot down
  • 55,500 aircrew died.
  • The life expectancy of a Lancaster bomber was 3 weeks
  • Tail-gunners were lucky if they survived four missions.”

Source: www.squawkpoint.com


Michel Baudin‘s comments:

This is a great story both about effective visualization of series of events in space-time and about proper interpretation in the face of sample bias.

Manufacturing, thankfully, is less dangerous than flying bombers in World War II was, but it is still more dangerous than it should be. Posting the locations of injuries on a map of the human body is also an effective way to identify which body parts are most commonly affected, and which safety improvements are most effective.

But are all injuries reported? Many organizations blame the victims for lowering their safety metrics, and discourage reporting. As a consequence, we can expect under-reporting and a bias towards injuries severe enough that reporting is unavoidable.

If you get data on an entire population, or if you thoughtfully select a representative sample, you can avoid bias, but many of the most commonly used samples are biased, often in ways that are difficult to figure out.

Customer surveys of product quality, for example, are biased by self-selection of the respondents. Are unhappy customers more likely to take the opportunity to vent than happy customers to praise? If so, to what extent? The effect of self-selection is even stronger for posting reviews on websites.

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Hong Kong Power Company Holds QC Circle Convention | Quality Alchemist

CLP Power Quality Control Circle (QCC) Convention was established in 2002. It aims to offer our staff a platform to submit any creative ideas they may have to improve processes, procedures and overall operations in the form of a proposal. CLPP QCC Convention is one of key quality culture activities and HKSQ exco members were honored to be invited as guests for the Convention. Moreover, our former chairman Dr. Aaron Tong was one of judges.

Source: qualityalchemist.blogspot.com

Michel Baudin‘s comments:

The QC circle, born in Japan in the early 1960s and the object of a short-lived fad in the US and Europe in the 1980s, lives on as a useful tool in organizations that stuck with it, including many companies in Japan, China, India, and other Asian countries.

CLP Power has been an electrical utility serving Hong Kong for 100 years. In the jury that awarded prizes to circle projects at this convention was my friend Aaron Tong, former chair of the Hong Kong Society for Quality (HKSQ).

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Review of “Engineering the Revolution” by Ken Alder

This book will entertain and inform you if you have been struggling with issues like the proper role of government in the economy and in technology development, gaining acceptance for new technology in a society, the nature of the engineering profession and its social role, engineering education, or meritocracy in general. It is about events that happened between 200 and 300 years ago in France, but the technical, political and social challenges it describes are still with us today, worldwide.

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Why we Need a Quality Department

Implementing Lean in a factory does not result in disbanding its Quality department. Even in organizations where all members are responsible for the quality of their output, you still need a quality department to (1) interact on quality matters with customers and suppliers, (2) organize and lead the organization’s response to quality emergencies, (3) monitor quality practices inside the organization and raise alarms when they slip, and (4) watch for new developments in technical tools and methods of quality management. Compared to the Quality Assurance(QA) department of a mass production organization, with its emphasis on inspections done by QA technicians, the Lean quality department has about half the size and twice the authority. The real question is not whether the Quality department should exist, but what its role should be, who should work in it, and how large it should be.


What follows is a summary of my posts in a thread from the TPS Principles and Practice discussion group on LinkedIn, started by , who asked whether we need to have a Quality department at all.. He thinks we don’t.

Other participants included Bill Austin,  Javier Gonzalez, Kris HallanFrederick Stimson HarrimanJeff Johnston, Ph.D., Daniel LangManikandan Manoharan,  Roy McFarlane CEng MIETMarc Rose, and Bill Shump.

The Duties of a Quality Department

Customers issue quality problem reports to the company, but not to the manager in charge of a shop floor operation. These reports land in the Quality department, which routes them where needed and reports back to the customer on countermeasures and permanent solutions in the format mandated by the customer. And the shoe is on the other foot with supplier quality problems.

In emergencies, the Quality manager has the authority to stop production, and organize recalls. When you respond to a quality emergency, external and internal quality have to be managed jointly, because you simultaneously have to interact with aggrieved customers, stop further shipments of defectives, and solve the problems that caused them.

During product launches, the Quality department sends technicians to dealership to observe customer returns, and customers’ reactions to the product’s features. Not all companies do this, but it is a sound practice, which results in detecting and solving problems early.

In response to customer mandates, the Quality department ensures that the company is properly certified. Some customers will mandate that your company be ISO certified. It does nothing to improve quality, but it is a cost of doing business. Someone has to be in charge of ensuring that you get and keep that certification, and that job usually falls to the Quality department, to minimize the impact on everybody else.

Management changes and employee turnover always put the company’s quality practices at risk of slipping, and it is part of the quality department’s job to keep this from happening, and make sure that up-to-date instructions are posted, that instruments and gauges are properly calibrated, and that mistake-proofing devices are not cast aside.

Finally, quality practices evolve. New technology appears, be in auto-ID or analytics; new management methods appear like Toyota’s JKK (jikotei kanketsu, 自工程完結,  or “autonomous process completion”) or Nissan’s QRQC (Quick-Response Quality Control). It’s the Quality department’s job to know what these are and recommend the implementation of relevant innovations in the company.

Who is Responsible for Quality?

The problem is not the existence of the quality department but the tasks it has been traditionally assigned, essentially relieving production of responsibility for quality. You could produce defectives and rely on inspectors from the quality department to filter them out. Then, when defectives escaped to customers, it was the inspectors’ responsibility. We now know that it is more effective to make everyone responsible for the quality of their own output. Even when you use a machine or assemble purchased components,you are supposed to take action as soon as you notice defects, for example by stopping the line.

In the 1960s, Volkswagen used to brag about inspections

In society at large, it is fair to say that fire prevention is everybody’s responsibility, but it doesn’t mean you do without professional firefighters. No matter how dedicated everyone in the company is to quality, you will still have instances like horse meat mixed with beef in processed foods, unintended acceleration in cars, or rockets that blow up. The question is: who is the first responder? A problem report arrives from the outside world. Who receives it? There has to be a department within the company to take these calls, take immediate countermeasures, organize the search for a permanent solution, and communicate back with customers.

There is plenty of other work to do to achieve and maintain quality. Does it ever stop? You start a new fabrication process with, say, 30% of defectives. You bring it down to 3%, then .3%, then 500 ppm, then 20 ppm, then 1 ppm… And whatever quality you achieve, you must maintain it, as new people join the production team while machines and tools age. Meanwhile, the external mandates don’t stop. And then you have to start over with the next generation.

We may not like having a Quality department, but we will have it as long as there is work to be done in that area that requires a special set of skills and is best done centrally as opposed to delegated to all other departments.

Quality and Public Relations

Another responsibility with respect to the outside is nurturing the company’s reputation for quality which, in many markets, is its crown jewels. Delivering high quality is not enough; excellent performance also has to be publicized, and reputation sometimes defended against attempts by competitors to besmirch it.

There have been cases of competitors making and selling defective copies of a company’s products in order to ruin its reputation. 100 years ago, NCR did it to corner the market for cash registers. 40 years ago, a supplier of taxi meters was driven out of the Egyptian market when taxi drivers started reporting malfunctions, which in fact were in counterfeit meters designed to fail.

Today, social media on the web are an arena where a company can receive not only genuine feedback on quality, but also be the target of malicious campaigns.

The ideal state is something you move towards in your internal operations, the part of the world that is under your control. The external environment is not under your control. You can wish for it to be different and better, but you have to deal with the way it is.

Internal versus External Responsibilities

The initiator of the discussion, , kept bringing it back to only actions that can be taken inside the organization — on production lines or in product design — to satisfy only one external constituency — customers.

In fact, managing quality requires you to take many actions that involve external interactions — like monitoring product launches or organizing recalls — and it involves multiple constituencies — including not only customers but also suppliers, complementers, competitors, and government.

That you need to worry about supplier quality is obvious. Following Abhijit’s reasoning with respect to production line managers, supplier quality should be left up to purchasing. But Purchasing is not properly equipped to vet potential suppliers for their quality or help existing suppliers improve theirs.

Complementers are companies that sell to your customers products that enhance the value of yours. If you sell computers, vendors of software that runs on your computers are complementers. These are companies you make alliances with. They have a stake in the quality of your output, as you do in theirs.

Competitors do not always have an interest in hurting your reputation for quality, for example when there is an overriding need for the public’s trust in the entire industry. Airlines do not try to raise doubts about the practices of other airlines, because they would suffer too if the public lost its trust in aviation. In this case, you need to organize some level of collaboration with your competitors, for example through industry groups or professional societies.

And government may step in with regulations if quality problems with your products put the public at risk.

For all these reasons, most organizations find it necessary to have a quality department.

The Quality Department at Toyota

As a few Google searches confirm, Toyota has a “Chief Quality Officer” for North America and a Quality division. The following is translated from a 2012 report on the Toyota website:


Basic Approach for Quality
Quality is achieved by cooperation among, design/development, procurement, production, sales, and customer service. If efforts are missing in any one of these areas, we cannot satisfy our customers, and it is not possible to deliver the quality.
And to practice “customer first” and “quality first” in order to go continue to meet the expectations of customers and society, each employee in each field has a very high awareness of the issues. We will strive to improve in each field and in cooperation with the other fields to improve customer satisfaction.

Customer First Promotion Headquarters (CF Headquarters) to strengthen and promote customer-first, and quality-first activity

[,,,]Customer service and Quality Assurance were integrated into the CF Headquarters in April 2012 […]”

Toyota had a quality emergency in 2010, and did not respond by disbanding its quality function.

Quality and Job Rotations in Support Groups

There is an assumption in many of the discussion’s posts that whoever works in quality is a specialist who doesn’t know production. It is in fact a common way to run organizations where people move from one support department in one company to the same department in another, allowing individuals to spend there entire careers in just quality, or just production control, or just IT.

While this is expected to result in a higher level of specialized expertise, it does not promote mutual understanding and cooperation across departments. Among the many possible countermeasures is the systematic rotation of some employees between departments every few years.

It is common in Japan. When doing business with Hitachi, I worked with a person in Production Control who had been a Design Engineer for 5 years and, as a result, had no problem understanding engineering issues. Working in the quality department does not have to be a lifetime commitment. You can come from Production, spend a few years in Quality, and go on to Maintenance.

People who rotate in this fashion may have a lesser depth of specialized technical knowledge but more perspective on how the organization works. Incidentally, this practice makes them both more valuable to their current employer and less to others.

Of course, nothing works perfectly and everywhere. Rotating high-potential individuals in this fashion is done with varying degrees of effectiveness worldwide. In a European multinational, I met a German engineer who was doing a great job as a production supervisor in Italy, and accumulating experience that was preparing him for bigger jobs.

But there are also companies where the tours of duty are too short for the individuals to be committed, and where they are rewarded for not making waves. In such cases, the rotation policy does not do much good.

Centralized versus Distributed Organization for Quality

In almost every support function, the same tension exists between forms of organization. Should this particular form of support be provided by a department of specialists for the whole organization, or should it be distributed and put under the responsibility of line managers? You have the same dilemma in quality, engineering, maintenance, production control, information technology, … and there is no single, universal answer.

The department of specialists is criticized as being bureaucratic, out of touch with the needs of the production floor, and managed in pursuit of goals that may not be in line with those of the business as a whole. But when you break it up and assign its members to production lines, you may make it impossible to assemble the critical mass of support needed to solve a particular problem, and you have these specialists report to bosses who do not understand their specialty, which causes retention problems.

As Kris pointed out, the size of the organization matters. The smaller it is, the more hats each member has to wear. As a rule of thumb, if the entire management team fits in a small conference room, you don’t have the problem of centralized versus distributed organization.

In larger organizations, the policy I described earlier of rotating some of the professionals between departments in one approach. A matrix structure is another. In it, you have each professional reporting “solid-line” to an operational manager and “dotted-line” to a functional manager of the same specialty, who can provide guidance in career development and skills maintenance.

As an engineer supporting a production line, you report to the line manager, but also stay connected with an engineering manager who can help you stay current with technology, attend appropriate conferences, receive continuing education, and figure out how to get where you can be 5 years from now.

On a case by case basis, you have to consider the nature of the support that is needed. How deep is the required specialized knowledge? You would not rotate people between open-heart surgery, rocket science, and baseball, but maybe you can between production control and quality assurance.

Other questions include:
o What is the work required?
o How much work is there?
o How variable is the work load?
o Is it all internal, or does it involve interacting with customers, suppliers, government agencies, etc. ?

You can’t have a one-size-fits-all approach, and cannot look to organization structure for perfect solutions. In the end, smart, motivated, ethical people will find a way to function in spite of the organization structure. As far as I can tell, if you just look at organization charts, the support structure at Toyota looks traditional.

Dr. Deming: ‘Management Today Does Not Know What Its Job Is’ (Part 2) | Quality content from IndustryWeek

“The usual procedure is that when anything happens, [we] suppose that somebody did it. Who did it? Pin a necklace on him. He’s our culprit. He’s the one who did it. That’s wrong, entirely wrong. Chances are good, almost overwhelming, that what happened, happened as a consequence of the system that he works in, not from his own efforts. In other words, performance cannot be measured. You only measure the combined effect of the system and his efforts. You cannot untangle the two. It is very important, I believe, that performance cannot be measured.”

Source: www.industryweek.com

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