48 2 1MB
Lessons Learnt Cards in Incident Management System
April 2006 1
Property of Valeo – Duplication prohibited April 2006
Lessons Learnt Cards in SRM What is a Lesson Learnt Card (LLC)? It is the capitalization of experience: what have we learnt from an incident? It is a synthesis of acquired experience classified by root cause
Why LLC? To capitalize experience on C1, recurrent incidents, Warranty Returns… To help Suppliers to structure their experience
2
Property of Valeo – Duplication prohibited April 2006
LLC process overview PROCESS WITHOUT LLC Check Act < 10 Days
Plan Do < 5 Days
Supplier submits Analysis Plan Do
Supplier submits Analysis Check Act
OK/ NOK
Close
OK/ NOK
Close
PROCESS WITH LLC Plan Do < 5 Days
Supplier submits Analysis Plan Do
OK/ NOK
Close
Check Act < 10 Days
Supplier submits Analysis Check Act
LLC At “Check Act” screen, the Supplier has to complete the LLC
OK/ NOK
Close
New data 3
Property of Valeo – Duplication prohibited April 2006
When is LLC requested? LLC requested at “Plan Do” LLC mandatory in case of: –C1 incident –Recurrent incident –Warranty Return
Valeo can also request a LLC for a specific incident
4
Property of Valeo – Duplication prohibited April 2006
New “Check Act” screen when LLC requested At “Check Act” screen, supplier completes the LLC 1. Fill in the 5W2H in English 2. Select main root cause(s) 3. Enter data regarding the main root cause
LLC must be completed in ENGLISH 5
Property of Valeo – Duplication prohibited April 2006
Selection of main root cause(s) (1/2) By default, the “Occurrence” screen is displayed To switch from one root cause to another, just click on the corresponding root cause
6
Property of Valeo – Duplication prohibited April 2006
Selection of main root cause(s) (2/2) Supplier has to select at least 1 root cause type When a root cause is selected…
… All data related to the corresponding root cause becomes mandatory and must be filled by the supplier
It is possible to select several root causes 7
Property of Valeo – Duplication prohibited April 2006
Upload of attachments For a selected root cause Attach photos/schemas for “Bad part” and “Good part”
Attach photos/schemas for ”Process before” and “Process after”
Once LLC is completed, click on “Submit Analysis Check Act” to submit to Valeo 8
Property of Valeo – Duplication prohibited April 2006
Examples of Lesson Learnt Card To display the LLC when completed, click on “Lessons Learnt Card”
It will display a LLC file in PDF format
The LLC is a way to Have a global view of the incident Capitalize experience
Check the following slides to see examples of LLC
9
Property of Valeo – Duplication prohibited April 2006
Example of LLC on Occurrence WHAT WAS THE PROBLEM? (5W + 2H)
What happened? Fork lift damaged bulk package Why is it a problem? Products damaged When did it happen ? 17 March 2006 Who has detected it ? Cars International Where has been detected? Overseas shipping area How has it been detected? Visual inspection at reception How many ? 3 pallets out of 7
WHAT IS THE CAUSE? PROCESS\Packing
To be able to read label, pallet was oriented in a way that could potentially cause damage to parts during fork lift maneuvers
BEFORE
AFTER
Physical pallet issues No standard to define location of label on the pallet. If the pallet 2 is aligned along the wrong side, the fork lift taking pallet 1 damages the packaging and parts of pallet 2 Bad Part
Label is systematically put on package length so that fork lift can take packages on side A
Process Before
Good Part
Process After
(broken)
ITEM (Control Factor) Label position
WHAT WE LEARNED METHOD Visual check by Logistic operator
10
CRITERIA Label put systematically on side A Property of Valeo – Duplication prohibited April 2006
Example of LLC on Non-detection WHAT WAS THE PROBLEM? (5W + 2H) What happened? Wrong part assembly (cap of wiper arm) Why is it a problem? Part not corresponding to the right vehicle When did it happen ? 19 March 2006 Who has detected it ? Autocars, inc. Where has been detected? Customer line How has it been detected? Not possible to mount part on vehicle How many ? 29
WHAT IS THE CAUSE? PROCESS\Test and measurement equipments Visual check of parts, not physical. Part reference on package not checked at start of shift
BEFORE Mix of part numbers
AFTER Gauge added to check if cap is the appropriate
Part checked visually Bad Part
ITEM (Control Factor) Diameter of cap
Process Before
Good Part
WHAT WE LEARNED METHOD Place cap in gauge
11
Process After
CRITERIA Cap fits to gauge Property of Valeo – Duplication prohibited April 2006
Example of LLC on Management WHAT WAS THE PROBLEM? (5W + 2H) What happened? Delivery of mixed parts (T5 found in container of B5) Why is it a problem? T5 do not have the same specifications as B5 When did it happen ? 22 April 2006 Who has detected it ? EuropAuto GMBH Where has been detected? End of line How has it been detected? Abnormal noise How many ? 36
WHAT IS THE CAUSE? STRUCTURE Mix of references during sorting operations (due to internal issue)
BEFORE Mix of references
AFTER
Two references processed in the same area, as One reference sorted at a time and in the same allowed by work instructions. Non-standard area. Barcode check to verify product, packaging process not managed like standard process and label (same as standard process) Bad Part
Process Before
Good Part
(mixed references)
ITEM (Control Factor) Number of references simulteneously packed in the same area
Process After
(single reference)
WHAT WE LEARNED METHOD 1 reference sorting at a time and barcode check
12
CRITERIA Adequation between part, packaging, label Property of Valeo – Duplication prohibited April 2006
APPENDIX – Detail of available root causes 1st Level
DESIGN
PROCESS
COMPONENT
OCCURENCE 2nd Level Part /components Process / tools design Software Hardware Specifications QAPp Late modification Insufficient QAP process Disrespect of process parameters/instructions Maintenance / Tool breakdown Not capable process Men Rework / downgraded process Organization Flow organization Start of production / batch exchange Worn out tools Unauthorized process modifications Raw material / component use Packing Design Manufacturing Validation Counterfeit Identification
1st Level
DESIGN
PROCESS
COMPONENT
13
NON-DETECTION 2nd Level
MANAGEMENT 1st Level 2nd Level
Non-respect of validation phases Test coverage QAPp not-sufficient
Non-respect of Control Plan Lack of self control Training of operators Test and measurement equipments 5S not applied
Incoming inspection Tier 2 QAPp not sufficient
SYSTEM
(none)
STRUCTURE
(none)
SKILL
(none)
STRATEGY
(none)
Property of Valeo – Duplication prohibited April 2006