E-Book - 8D Problem Solving
E-Book - 8D Problem Solving
E-Book - 8D Problem Solving
QUALITY2019
SIMPLE
CLEVER
EASY TO UNDERSTAND
PROBLEM SOLVING
8D
ROOT CAUSE ANALYSIS NOT ONLY FOR
CLAIM ISSUES
Ing. Jiří Matějček
Started as a car mechanic student and after that earned a bachelor‘s
and master‘s degree at Transport faculty. Have multiple experiences
with the automotive industry during studies and 2 years of experience
as a Quality engineer responsible for die cast and machined aluminum
parts.
1
CONTENT
1 INTRODUCTION..........................................................................4
2 PROBLEM SOLVING WITH 8D REPORT..............................5
2.1 8D report in general..................................................................5
2.2 D1 – Team...................................................................................6
2.2.1 D1 checklist.......................................................................7
2.3 D2 – Problem description........................................................7
2.3.1 D2 checklist.......................................................................9
2.4 D3 – Containment/immediate actions.................................9
2.4.1 D3 Checklist.....................................................................11
2.5 D4 – Root Cause Analysis.....................................................12
2.5.1 Flowchart..........................................................................12
2.5.2 Ishikawa............................................................................12
2.5.3 Brainstormig....................................................................14
2.5.4 Histogram........................................................................14
2.5.5 Control Chart..................................................................15
2.5.6 Tally Sheet (+ tables and forms)...................................15
2.5.7 Pareto Chart....................................................................16
2.5.8 Scatter Diagram..............................................................16
2.5.9 5why.................................................................................17
2.5.10 Problem Solving/Root Cause Analysis.......................17
2.5.11 D4 Checklist...................................................................18
2.6 D5 – Corrective Actions Proposals.....................................18
2.6.1 D5 – Checklist..................................................................21
2.7 D6 – Implementation of Corrective Actions.....................21
2.7.1 D6 Checklist...................................................................22
2.8 D7 – Preventive Actions.........................................................22
2.8.1 D7 Checklist....................................................................23
2
2.9 D8- Closing...............................................................................24
2.9.1 D8 Checklist.....................................................................25
3 TYPES OF 8D, THEIR USAGE AND.......................................26
4 PRACTICAL EXAMPLE OF 8D REPORTS............................28
5 TEMPLATES AND TOOLS.........................................................29
6 REFERENCES.................................................................................30
7 INDEX..............................................................................................31
3
CHAPTER ONE
Introduction
4
CHAPTER TWO
Problem Solving with 8D Report
5
2.2 D1 – TEAM
In the first step is necessary to put together a problem-solving team.
Team requirements are:
• each team member should have knowledge of product and process,
• the team should be composed of members from different
positions/departments,
• solving team should have minimally 3 and maximally 7 team
members,
• the team should have nominated team leader and champion.
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2.2.1 D1 checklist
Is the team multidisciplinary (are there other people from the quality?)
Are team leader and champion nominated?
Do the team members know their roles and responsibilities?
Are contact data available for each team member?
You might be thinking that the first two points are incompatible.
The best description and on the other hand brief and simply, but it
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is possible to fulfill both. Very good for problem description is the
5W2H method.
The 5W2H method is abbreviation from “five why and 2 how”
where we are asking:
Why?
When? What?
PROBLEM Where?
Who?
How How?
many/often?
D2 – Problem description
What? Scratches around the DMC area
Who detect it? Operator at customer side
How was detected? By camera check
When? 19.2.2019, night shift
Where? Customer production
How many (quantity)? 20 pcs
(attachement_mesurement_report)
Batch 0123/2019
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It is clearly visible that the second problem description is more
precise and better than the first one. Also, information at the second
table is better for further work.
It is also good to use IS/IS NOT method, for purposes of properly
defining the problem in some cases.
Problem
IS IS NOT
What? Scratched DMC Crack, dent, additional material
Around the DMC Not on sealing area
Where?
At customer In field
When? 19.2.2019, night shift Not before 19.2.2019
0 pcs from batch
How many? Whole batch
0123/2019
2.3.1 D2 checklist
Below are written checklist questions for D2 step – problem
description
Are there written information about the problem?
Are data for traceability available? (production batch, date of
production, DMC,…)
Is a range of problems available (amount of wrong parts?)
Are attachments/pictures available for better clarity?
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a customer or receive a huge bill for NOK final products from
customer, etc. For containment actions are necessary to perform
risk analysis which seeks to limit and identify the problem. For
those actions is good to have information about production batches
which were affected.
From those data, you could estimate what was changed at your
process, what batches could be affected, etc.
Blocking
Communication + information sharing
Checking
situation/data
Substitute
delivery
Shorting DA
Rework
100% output
control
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but of course first you need to block all suspected parts and after
that you could sort out whole stock, you could send substitute
delivery (if you have OK parts), you could agree with customer
about DA for suspected parts, you could rework parts. Everything
is possible, but the main thing is communication. Good and quick
information sharing within the team and also with the customer is
the key.
In automotive is Rework something like a swear-word, but
in some cases it is possible, but usually is needed a customer
approval. Rework is something like the last chance when parts are
not possible to sort out due to some reasons, there is no chance to
receive a substitute delivery (lack of parts at supplier e.g.) and DA
was not approved. Nevertheless, if parts are reworked and rework
is approved by the customer, parts should be clearly marked with
special labeling and in some cases, parts are released after a rework
under DA for limited amount of time.
2.4.1 D3 Checklist
11
2.5 D4 – ROOT CAUSE ANALYSIS
Root cause analysis is the most important part of 8D problem-
solving. If the root cause is not detected correctly all work after D4
step is done for nothing, completely unnecessary and this is a waste
of time and money and other problems could occur.
Root cause analysis is the beginning of real problem-solving.
During problem-solving, you could use basic quality tools and for
example, 5Why, Brainstorming or other tools and those ones will
be explained in the next text. For better clarity, each of the tools
which could be used will have separate subchapter.
2.5.1 Flowchart
A flowchart is one of the seven basic quality tools and this chart
is used for illustration of process steps.
Most commonly is a flowchart used for visualization of production
process steps. On the internet, you could find a lot of articles about
the creation of flowcharts and also rules for it. If you want a learn
more, check chapter 5 where you will find some useful links.
2.5.2 Ishikawa
Fishbone or Ishikawa diagram is the second of seven basic quality
tools. Ishikawa diagram is named after its creator Kaoru Ishikawa
and it helps with categorizing of all potential causes into 6 main
areas. Those areas are:
• Mother nature/Environment
• Material
• Men
• Method/Process
• Machine
• Measurement
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As a Mother nature or environment, we mean for example
temperature, humidity, noise, lighting (such as a lighting condition
at the final inspection station) and so on.
As a Material, we mean a product which we are producing or
component from which are product assembled/produced.
Men include all people who have an influence on product/
process such as production operator, machine setter, operator of
final inspection and others.
Method/Process means the way how the product is produced
or other specified process requirements such as the sequence of
actions, specified time of adhesive hardening or for example
interval for tool change and so on.
As a Machine, we call production machines which could have
an influence on the problem. For example, when casting aluminum
it could be mold, an automatic robot that pulling castings out of
the mold, trimming machine, shot blasting machine, machining
center, washing machine and so on.
The last area is called Measurement and as measurement we
refer to measurement methods, measuring interval for calculating
SPC …
The most often is Ishikawa created after brainstorming where
are written down all potential causes and after that are those causes
assigned to one of the categories.
Men
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2.5.3 Brainstormig
Yes we started to introduce basic quality tools which could
be used for root cause analysis, but Brainstorming is very well
connected to previous tool so it is good to introduce it also.
Brainstorming is a team activity and this activity has some rules
which needs to be followed to receive the best results.
Before starting the brainstorming the leader of meeting should
be named. This leader is trying to lead conversation, name the
problem and the aim of meeting and ask the right questions to get
expected result. Before brainstorming leader should familiarize the
team with rules:
• Not judging any of ideas
• It is possible to say anything even if it could be stupidity
Those two rules are very important to have the best results. If the
team is not well concentrated it is good to start brainstorming with
short game (telling the story where everyone tell one word or saying
as many words as possible to random letter).
When Brainstorming starts leader or an authorize person
writing down all ideas.
The second option of Brainstorming is Brainwriting, rules are
similar, the only difference is that ideas are not spoken aloud, but
are written by each participant on paper. This solution prevent
situation that somebody will be affraid to say something stupid or
that someone brainstorming does not take part in and opts for the
opinion of others.
2.5.4 Histogram
Histogram is a graph which shown to us interval distribution of
frequency. Basically it is a bar chart and the height of the column
shows the frequency.
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Histogram is very good for basic statistic and for quick overview
of data. Histogram could show to us how many parts are in each
interval group or it is used in connection with SPC. When working
with histograms we are evaluate its shape. From the shape we
could recognize lot of things. As a basic shape we call the Normal
distribution of probability. If you are interested in this topic, check
chapter 6, where you will find link to article about histograms.
Example:
In December were found in production 188 pcs of NOK parts
with visual failures. This description is not enough specified for
further work so it is better to clarify it with a detailed description
as is written in the table below.
15
Failure mode Ammount
Cracks 10
Pressed burr 12
Porosity/shrinkage 35
Scratch on sealing area 42
Sharp edges 53
Burrs in threads 36
Total 188
When the data are collected it is much easier to work with this
information than if someone told you that 188 pcs were NOK. If
there are a lot of failure modes, a lot of variables generally this table
is a good base for Pareto chart.
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A B C
4 4
50
40 3 3
30
2 2
20
1 1
10
0 0 0
01 02 03 04 05 0 01 02 03 04 05 0 01 02 03 04 05 0
The picture above is divided into three parts where are visible
some of the variants of the scatter diagram. Variant A show to our lot
of dots almost across all area which signalize very low dependence
between variables.
Part B shows direct correlation, and in part C, the correlation is
indirect. See chapter 6 where is a link for the web with more information
if you are interested.
2.5.9 5why
5Why is a great tool for problem solving and identification of
the root cause of the problem. A better name for this tool will be
X-times why or Why-Why as is a literal translation from Japanese
“naze-naze”.
Sometimes people think that they must ask five times or that the
root cause will be identified after the fifth question, but standardly
we are asking until the root cause is identified/detected and there is
no space for next question why because we will not be able to answer
because we could only think what was the reason.
Good 5Why is performed if we are able to create “backward
path” using a word, therefore. If we are able to check 5Why also
with the backward path the 5Why analysis was performed well.
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What was the reason of the problem (the root cause) and the second
part is called detection, which means – OK problem occurred, but
why we did not detect it? Why our systems, control plans, FMEA or
our set process was not able to detect the problem?
This is very important and we saw a lot of 8D reports where was
performed root cause analysis only for one path.
If you perform the analysis only for occurrence, how you
could be sure that you will find a similar problem in the future.
Or the second problem is if you will perform the analysis only for
detection, how you could call it root cause?
It sounds funny, but a lot of problem solving is aimed only for
detection and identify the “root cause” of the problem the worker
of final inspection that he did not detect failure part. But quality
is not about control, quality is about producing good parts and
control is there only to be sure that parts are really OK.
2.5.11 D4 Checklist
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2.6 D5 – CORRECTIVE ACTIONS PROPOSALS
The fifth step of the 8D problem-solving method is sometimes
called as a “choosing and verification problem corrective actions”
and in this step are basically introduced proposals of corrective
actions which should eliminate the problem.
Sometimes people think that in this step there should be
corrective actions which you will implement, but we think it is
wrong. In D5 step you are thinking about the problem and you are
trying to eliminate the problem with corrective actions.
There you could think about various corrective actions, but after
verification or management meeting or cost-benefit analysis, you
will pick those which help and costs a reasonable amount of money.
A cost-benefit analysis was mentioned above, but what is it? Costs
are important but also the timing is important so for decision is used
“decision triangle” maybe it is not the real term but it could help.
Costs
Quality Timing
19
On the picture above is shown the decision triangle. Using this
method you are trying to balance between three main areas. One
area is costs, second is quality or the benefit of proposed corrective
action and the third area is timing.
It is obvious that you will not pick corrective action which will
cost a huge amount of money, implementation will take a year and
problems will not be removed anyway.
It is good to mention the Poka-Yoke solution, which is the best
way how to solve the problem to prevent that they will not occur
again. Poka-Yoke is from Japanese and it means Fool/stupidity
proof. Originally was this method named as a Baka-Yoke and Baka
means Fool in English. Poka-Yoke is basically the solution which
for example prevent material insertion in a different way that is
specified.
Credit: https://thepixabay.eu/poka-yoke-cadcam-group.html
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and why it was not detected. During the verification of presented
corrective actions is good to think about other process and products
from your production, because maybe other productions could be
also affected.
2.6.1 D5 – Checklist
21
parts must be 100% checked for this diameter and this is a very
important thing. Some people think, that in D3 you check (sort or
100% check) stock at the customer, parts in transport and stock at
supplier and that’s all, but it is not so easy. If the problem occurred
and there is no corrective action set how you could be sure that
problem will not occur again?
2.7.1 D6 Checklist
Were picked corrective actions the best solution for the elimination
of problem in long-term point of view?
Were all affected the (changed) process, procedures and documents
updated?
Were all parts from D3 step used?
No parts from old stock were not used after the clean date?
Was containment action (D3) discontinued? (after implementation/
verification of CA)
Are the parts from new production (with implemented corrective
actions) properly marked?
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(control plan), maybe the sample size of measured parts, maybe
the interval of measuring.
2.8.1 D7 Checklist
23
2.9 D8- CLOSING
Closing of the 8D report is the last step. There is good to arrange
a meeting with the team and discuss LL and summarize all data
about the problem and the process of problem-solving.
All documents and attachments should be reviewed and
attached to the 8D report and finally,report should be signed by
Champion of 8D.
Here is the point why there is the team leader and champion,
the champion is someone from management who is responsible
for the quality of the product (Quality Manager) and if there is
on 8D report signature from QM, the report is more reliable and
there is a proof that all information in report is true. No one sign
document with incomplete or false information.
Once the 8D is complete and closed, it is time for evaluation.
If you are a supplier you probably have some evaluation sheet
from the customer or on the other hand if you are customer and
supplier sent to you report, it is good to have a standardized metric
for evaluation of the 8D report.
One part for evaluation is a timeline of 8D and second should
be the content of the report.
Timeline is probably not strictly given and it depends on
customer requirements or on the nature of the problem (a type of
claim) but standardly we could say, that timeline could be as it is
written in table below.
24
The timeline could be different, but it is clear that within 24
hours the team should be created, problem should be named and
as soon as possible should be performed containment actions to
secure customer and minimalize damages and losses.
2.9.1 D8 Checklist
25
CHAPTER THREE
Types of 8D, Their Usage and
Similar Tools
26
5Why and Ishikawa even if it was performed.
Usually, A3 reports are used for a quick overview of problems,
for communication with management or for internal problems.
27
CHAPTER FOUR
Practical Example of 8D Reports
28
CHAPTER FIVE
Templates and tools
With the creation of this book, we used free software and free
templates which you could find on the internet. Yes, there are a lot
of better formats and also every customer could have different
template or requirements for 8D at customer portals, but that in-
formation is confidential so for demonstration of 8D report topic
we used free versions.
8D blank/fulfilled templates
As was written in chapter 4, fulfilled examples of 8D reports you
will find at The Way of Quality website. If you like used formats of
8D, you could find them by clicking the link below:
https://www.thewayofquality.com/en/blog/
29
References
MATĚJČEK Jiří and Ivan JADRNÝ, 2019. Six Sigma: Learn easily
about Six Sigma methodology with examples from practice. Amazon.
ISBN 978-1796903614.
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Index
31
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