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What is Quality ?
Usual Responses
Inspection
Responsibility of the Quality Control Department
Measurement Activity Statistics
Technical Activity
Support Function
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Four Phases of MoQ Portion
Phase 1 History of QualityPhase 2 Foundations for the Management of
Quality
Phase 3 Tools for Implementation of Quality
Phase 4 New Trends in Management ofQuality
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Phase 1 History of QualityDefinitions of Quality Evolution of Managing for Quality as a Science :
QC,CWQC,TQC,TQM Definition of TQM
Phase 2 Foundations for the Management of QualityWorks of the Quality Pioneers :
Dr. W. Edwards Deming Demings System of Profound Knowledge Demings14 points andDr. Joseph M. Juran The Juran Trilogy , Cost of Quality
Phase 3 Tools for Implementation of QualityApplication of the 7 QC Tools and Management Tools ( including FMEA , Poka
Yoke )
Phase 4 New Trends in Management of QualityISO 9000 Implementation Status of TQM in India
Four Phases of MoQ Portion
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The first ever article on Quality as we know it today :The Control of Quality in Manufacturing 1917 by
George S. Radford
The first ever book on Quality as we know it today :The Control of Quality in Manufacturing 1922 by
George S. RadfordThe Second Book : The most seminal bookEconomic Control of Quality of ManufacturedProduct 1931 by Walter A. Shewhart
The second book by Shewhart : Statistical Methodsfrom the Viewpoint of Quality Control 1938 editedby W. Edwards Deming
Evolution of Quality
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1900s Inspection
1920s Process Control1950s Process Improvement
1960s Organisational ( Systems ) Improvement
1970s Business Improvement
1980s Business Excellence1990s Customer Value Excellence
2000 Environmental Excellence
Many now associate Continual Improvement of
Quality with Meaningful Sustainable
Development
Evolution of Quality
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The total com pos i te product and serv ice ch aracter is t ics of market ing ,
engineer ing , manu facture , and maintenance through wh ich the produ ctand the serv ic e in use w i l l meet the expectations of the cus tomer
- Armand V. Feigenbaum
A produc t or a serv ice possess es Qual i ty i f it helps s omeone l ive better
mater ial ly and /or otherwise and enjoys a large and sus tainable market
- W. Edwards Deming
Qual i ty is def ined as f i tness for purpo se . To be f i t for purpo se , theprodu ct /serv ice must have features that sat is fy custom er needs and mu st be
delivered free of defic ienc ies.
- Joseph M. Juran
Qual i ty is con formanc e to requirements
- Phi ll ip B. Crosby
Different Definitions of Quality
...degree to whic h a set of in herent character is t ics fulf i ls requ iremen ts
- ISO 9000 : 2008
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A people focuss ed management s ystem that
aims at cont inu al inc rease in cus tomer sat is fact ion
at c on t inual ly lower cost , wo rking ho r izon tally
acros s func t ions and departments , invo lv ing allemp loyees and processes , top to bo t tom ,
extending forwards and backwards to inc lude the
Supp ly chain as well as the Customer chain.
Quality Management
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Quality ofDesign /Redesign
Quality ofConformance
Quality ofPerformance
Customer
Design Product /Service
PurposeCreatingCustomer
Value
Fundamental Quality Management
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Deming : The Early Years
Influence of Walter Shewhart 1920s
Shewhart enlists the 2 types of mistakes anddevelops the Control Theory to reduce effects ofthese mistakes
Deming organises a landmark seminar in 1938 on
Statistics at NYU where Shewhart delivers his 4 daylecture on his Control Theory
Application of this theory to 1940 US census byDeming results in savings to the tune of $200 million
Improvement in productivity during the war inAmerica using Shewharts Control Chart
Sent to lead the 1947 census taking in Japan
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Deming : The Later Years
American Response to the use of the Control Chart (
1942 44 ) and afterward Japanese experience 1950 onwards
How the West finally took notice 1980 onwards
Teachings between 1979 1987
Teachings between 1989 1993
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The marketplace is now global. Basis for trade between countries will bedefined by Quality
The customer is all-important. Seek to cultivate long-term relations with your
customers. Seek to continuously understand consumer needs whendesigning products.
Quality is determined by managers. The Quality of products and services mus
reflect consumer needs. Products must be uniform, be consistent, andperform dependably. The Quality of the product cannot be better than the
intentions and specifications of management. Quality results from the way
managers lead. Production is a system. The supplier is your partner. Make the supplier a
partner and an integral part of the system. The customer is also part of the
system, the most important part of the system.
The chain reaction. If you improve your processes and product, your costs wi
decrease and you will capture the market with better Quality and lower prices,thus allowing you to stay in business and provide jobs and more jobs.
Japan must see itself as a system. There must be trust and cooperation
throughout all of industry along with government , education and healthcare in
Japan. A common commitment to cooperation must sweep through Japanlike a Prairie fire
Deming in Japan 1947 to 1950
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Production Viewed as a System
Customers
Suppliers ofMaterials andEquipment
Receipt and Testof Materials
Consumer FeedbackDesign andRe - design
Distribution
Production Assembly Inspection
Tests of Processes , Machines , Methods , Costs
I believe this Diagram made the difference in Japan.the greatestway I accomplished anything there was through this diagram
W. Edwards Deming
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Improve Quality
Costs Decrease because of less rework, fewer mistakes , fewer delays , snags ;
better use of machine time andmaterials
Productivity Improves
Expand the Market withbetter Quality , Lower
Price , Diversification , Innovation
Stay in Business Provide Jobs and more Jobs
Deming Chain Reaction 1950 ( revised 1988 )
Improve Qualityfurther
And so on
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THE DEMING PRIZE ESTABLISHED IN1950 BY THE JAPANESE UNION OF
SCIENTISTS AND ENGINEERSPeace and happiness through prosperitywas in fact at the root of my thoughts
when in 1950, in Japan, I wrote thefollowing inscription on the medal for theDeming Prize, given annually by theDeming Prize Committee to a companythat has successfully and effectivelyadvanced the Quality of their systems :The right Quality and Uniformity are the
foundations of Commerce, Prosperity, andPeace.Quality brings commerce. It brings
people together from different parts of theworld, makes friends, and brings respect.. . .Quality does not stand still, however.Invention and design of new products areessential parts of Quality. Design,manufacture, marketing, service, testing,all go on forever in a cycle.
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Demings view of Quality
Begins with meeting real needs of customers ( inuse )
High degree of Uniformity , predictability
Beyond mere conformance ( to requirements /specifications )
Joy in Ownership through Joy in Work
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Four prongs of Quality
Innovation in products and services
Innovation in process
Improvement of existing products andservices
Improvement of existing processes
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Quality aimed at , to meet the needs of the consumer , must be
stated in terms of specified Quality characteristics that can be
measured . It is necessary to predict what Quality characteristics
of a product will produce sat is fact ion in use.
Quality , however , to the consumer , is no t a set of s peci f icat ion s.
The Quality of any product is interaction between the product , the
user , his expectations , and the service that he can get in case the
product fails or requires maintenance .
The needs of the consumer are in continual change . So are
materials , methods of manufacture , and products .
Quality of a product does not necessarily mean high Quality . It
means con t inual improvement of the process, so that theconsumer may depend on the uniformity of the product and
purchase it at low cost .
..W. Edwards Deming
1980
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People are the most important part of a System .They must work in a System to create value for the
Customer . The Managers Job is to work on theSystem and continually improve it with help from
the people and the Customer
A Managers Job
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System of Profound Knowledge
Culmination of Dr. Demings philosophy
A Theory of Management founded in four different but deeplyinterconnected sciences
Systems Theory
Human Psychology
Statistical Thinking and Methods
Learning how we learn and Improve
A tool for the quest of wisdom
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System of Profound Knowledge
A different view of events and happenings around us Not as incidences rather as outcomes
Not isolated rather deeply connected
Helps us get the complete picture
A lens with which we view the landscape
To see things we normally wouldnt see
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Appreciation for a
System
Understanding
Variation
Understanding a
Theory ofKnowledge
UnderstandingPsychology
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What Is A System?
A System is a Network of Interdependent
components that work together to achieve the Aim of
the System .
Every System must have an Aim , Without an Aim
there is no System
The Three most important words are
Network Interdependent
Aim
System Thinking
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System Thinking
Cause and Effect are not closely related in time orspace
Outputs are a result of a myriad of inputs
Inputs affect each other also
The extent to which inputs affect each other need to bedetermined
Effect of environment on the inputs need to be studied
Effect of the inputs on the environment need to be
studied
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System Thinking
Important points about a system :
Should have an aim . Without an aim there isno system ( as before )
Aim is for all the components to gain overthe long term
Aim is to make life better for everyone
impacted by the System
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System Thinking
Pattern Relationships that determine the SystemsCharacteristics
Structure The Physical Layout of the System
Processes Activities that take place in the Structure
Meaning The Purpose of existence of the system
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Appreciation for a
System
Understanding
Variation
Understanding a
Theory ofKnowledge
UnderstandingPsychology
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Questioning
Confirming
Experimenting
Hypothesis
Explorat ionVerif ication
Improvement
System of Learning
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Appreciation for a
System
Understanding
Variation
Understanding a
Theory ofKnowledge
UnderstandingPsychology
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Appreciation for a SystemUnderstanding that cause and effect are notclosely related in time and space
Understanding that outputs are the results
of a myriad of inputs .Understanding the importance of a common
aim or purpose for the system.
Understanding a Theory of
KnowledgeUnderstanding the importance of theory tointerpret observations ( experience ) .
Understanding the importance of theory and
practice .
Understanding how to learn faster .
Understanding VariationAwareness of the distinction between
Common and Special Causes of Variationand how to interpret Control Charts
Learning how to think statisticallyUnderstanding that reducing variation is
synonymous to increasing Quality .
PsychologyUnderstanding that people are inherently good -
they want to do a good job .Understanding that people learn differently , and
hence think differently . Working on peopleslearning processes rather than exhorting themwould be better .
Understanding that ranking destroys people .
Peter Scholtes portrayal of Dr.
Demings System of Profound
Knowledge
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Viewing an event with Theory 1
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Viewing an event with Theories 1 & 2
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Viewing an event with Theories 1 , 2 & 3
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The true picture What was your guess ?
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D i 14 i t f t
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Important points to keep in mind:
Not his philosophy but 14 consequences of his philosophyNot a list of instructions, techniques, check list or
prescription.
Vehicles for opening up the mind to new thinking radically
different ways of managing.Lay the foundation for the transformation a change of
magnitude never imagined
"The 14 points all have one aim : to make it possiblefor people to work with joy."
Demings 14 points for management.
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Demings 14 points for management.
Appreciation for a SystemUnderstanding Variation
Understanding PsychologyUnderstanding a Theory of
Knowledge
Point 1
Create a statement of the aim and purposeof the organisational system.
It must bring out the long term vision of theorganisation preferably stating how itintends to stay in business through creatingvalue for all those impacted in any way .
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Appreciation for a System
Understanding Variation
Understanding Psychology
Understanding a Theory of
Knowledge
Point 2
Adopt the new philosophy of win winwhere everybody wins .
Teach and practise this philosophy with all
customers , suppliers and competitors .Focus on expanding the market rather thancapturing it .
Demings 14 points for management.
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Appreciation for a SystemUnderstanding Variation
UnderstandingPsychology
Understanding a Theory ofKnowledge
Point 3
Use the system of inspection to understand thegaps in how you perceive a Customerrequirement and how the Customer actuallyperceives it .
Try to reduce these gaps by first trying tounderstand customer requirements thoroughly then deploy this learning throughout theorganisation .
Design Quality in .
Demings 14 points for management.
f
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Appreciation for a SystemUnderstanding Variation
UnderstandingPsychology
Understanding a Theory ofKnowledge
Demings 14 points for management.
Point 4
Work towards having an arms-around relationshipwith your suppliers .
Invest in them through education and training sothey can contribute effectively towards the
organisation .When purchasing , do not focus on price alonewithout a measure of Quality .
Reduce Variation by practising co-operation with
your suppliers .
D i 14 i t f t
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Appreciation for a SystemUnderstanding Variation
Understanding PsychologyUnderstanding a Theory of
Knowledge
Point 5
Look for better ways of understanding andanalysing the processes/systems you work in .
Keep improving and innovating continually .Systemise this philosophy .
Find out problems before they find you out .
Demings 14 points for management.
D i 14 i t f t
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Appreciation for a SystemUnderstanding Variation
Understanding PsychologyUnderstanding a Theory of
Knowledge
Point 6
Training must not only focus on how the job isdone but also the purpose of the job beingcarried out .
Everyone must know how they are contributingto the entire system . Training must also aim atcreating learners .
This forms the basis for continual improvement
and motivates intrinsically .
Demings 14 points for management.
D i 14 i t f t
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Appreciation for a SystemUnderstanding Variation
Understanding PsychologyUnderstanding a Theory of
Knowledge
Point 7
Create Leaders . Managers are no longer justplanners/instruction-givers . They must be leaders.
People are the most important part of a System .
They must work in a System to create value for theCustomer . The Managers Job is to work on the
System and continually improve it with help fromthe people and the Customer by leading people ,
coaching them and counselling them in a non-judgmental manner .
Demings 14 points for management.
D i 14 i t f t
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Appreciation for a SystemUnderstanding Variation
Understanding PsychologyUnderstanding a Theory of
Knowledge
Point 8
Create a climate of openness , trust and two-waycommunication .
People must not be afraid to voice their problems/ constraints they are facing thatprevent them from doing a better job .
Demings 14 points for management.
Demings 14 points for management
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Appreciation for a SystemUnderstanding Variation
Understanding PsychologyUnderstanding a Theory of
Knowledge
Point 9
Encourage systems thinking in the organisationwhere everybody focuses on creating value for thecustomer and not just meetingdepartmental/sectional objectives .
Optimise the efforts of everyone do notmaximise individual efforts .
Demings 14 points for management.
Demings 14 points for management
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Appreciation for a SystemUnderstanding Variation
Understanding PsychologyUnderstanding a Theory of
Knowledge
Point 10
Do not create a superficial leadership culture byusing impressive-sounding but shallow slogans,posters and exhortations and arbitrary numericaltargets.
A genuine leadership culture focuses on improvingthe work environment so that people areintrinsically motivated to do productive work and,if useful, create their own slogans and posters .
Demings 14 points for management.
Demings 14 points for management
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Appreciation for a SystemUnderstanding Variation
Understanding PsychologyUnderstanding a Theory of
Knowledge
Point 11
Do not attempt to manage the organisational systems andprocesses solely by irrelevant and arbitrary measuressuch as quotas and targets . These are merely singledimensional aspects of very multi-dimensional entities
Instead, encourage systems thinking i.e. understandingand establishing interdependencies between the differentparts of the system and thus looking beyond theblinkered view presented by quotas, numerical targets andobjectives.
Deming s 14 points for management.
Demings 14 points for management
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Appreciation for a SystemUnderstanding Variation
Understanding PsychologyUnderstanding a Theory of
Knowledge
Point 12
Develop a sense of ownership in everyemployee working in the system so thats/he could take pride and joy in the work
they do .
They must feel one with their work thus
creating results themselves .
Deming s 14 points for management.
Demings 14 points for management
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Appreciation for a SystemUnderstanding Variation
Understanding PsychologyUnderstanding a Theory of
Knowledge
Point 13
Encourage learning . Develop learners .People are the only living parts of anorganisation . For an organisation to grow fastand move in the right direction , it is essential
that people are growing and learning .Pay is not as much a motivator as learning is .Continual learning leads to Continualinnovation and improvement .
Deming s 14 points for management.
Demings 14 points for management
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Appreciation for a SystemUnderstanding Variation
Understanding PsychologyUnderstanding a Theory of
Knowledge
Point 14
Create a structure and a system in theorganisation that embodies all of the aboveprinciples .
Nurture relationships . Extend the
boundaries of the organisation to includeall those impacted .
This will result in long term profits beyond
measures and long term survival .
Deming s 14 points for management.
Create a constancy of purpose towardimprov ement of product and service,
with the aim to be come competitive and
to stay in busine ss and to provide jobs
Eliminate slogans, exhortations, andtarge ts for the work force demanding
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Appreciation for a System
Knowledge of Psychology
Knowledge of Variation
A Theory of Knowledge
to stay in busine ss, and to provide jobs.
Break down barriers between departments.People in research, design, sales, and
production must work as a team, to foresee
problems of production and in use thatmay be e ncountered with the product or
service.
Remove barriers that rob people ofpride of workmanship.
Adopt the new philosophy of win win. Weare in a ne w economic age. Western
management must awaken to thechallenge, must learn their responsibilities,and take on leadership for change.
Cease dependence on massinspe ction to achieve quality.
Eliminate the need for
inspection on a mass basis bybuilding quality into the
product in the first place.
a)Eliminate work standards (quotas) on thefactory floor. Substitute leadership.
b)Eliminate management by objective.Eliminate management by numbers,numer ical goals. Substitute leadership.
Institute training on the job.
targe ts for the work force demanding
zero defects and new levels of
productivity.
Drive out fear so that everyonecan work e ffectively for the
company.
Adopt and institute leadership. Theaim of leade rship should be to help
people and machines do a better job.
Institute a v igorousprogramme of
education and self-
improvement.Improv e constantly andforever the system of
production and service, to
improv e quality andproductivity, and thus
constantly decrease costs.
End the practice of awardingbusiness on the basis of price tag
alone . Instead, minimise total cost.
Move toward a single supplier for
any one item, in a long-termrelationship of loyalty and trust.
Take action to accomplish the transformation.
The Product . Your own
t t f th P d t
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tests of the Product
in the laboratory and in
simulations of use .Testof the Product in
service .
Training of Customer .Instructions for use . Training of
Repairmen . Service . Replacementof Defective Parts . Availability ofParts . Advertising and Warranty :
What did you lead the Customer
to expect ? What did your
Competitor lead him to expect ?
The Customer and the way he
uses the Product . The way heinstalls it and maintains it . For
many products , what the
Customer will think about your
Product a year , three years , five
years from now is important .
The Three Corners of Quality
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1. Idea for placing importance on Quality
2. Responsibility for Quality
3. Research
4. Standards for Designing and
Improvement of Products
5. Economy of Manufacturing
6. Inspection of Products
7. Expansion of Sales Channels
8. Improvement
1.Design the Product (with appropriate
T t )
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Customer
Tests)
2.Make it, test it in the
Production Line and
in the Laboratory
3. Put it on the
Market
THE DEMING WHEEL
manufacturer the user andthe non user
Plan a change or a testaimed at improvement
Act - Adopt the change ,or abandon it ,
th h th l
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Do - Carry out the changeor test ( preferably on asmall scale )
Study the results .What went wrong?What did we learn?
or run through the cycleagain
Impact Traditional view of quality Enlightened view of Quality
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Products Manufactured GoodsAll products and services
whether for sale or not
ProcessesManufacturing or visibleprocesses
All processes
Viewed as A technological opportunity A Business opportunity
Customer Clients who buy products All those impacted
Evaluation
Conformance to
specifications, procedures,
standards
Responsiveness to
Customer needs, extent to
which Customer value is
created
Improvement Departmental Companywide
Initiatives led by The Quality Manager Top Management
Freedom from Features that lead to
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Deficiencies
Less Waste
, Less
Scrap
LowerCosts
Less
Warranty
Costs
Less
Cycle
Time
Increase in Profits
Customer Satisfaction
Increased
Demand
Increased Market
Share
IncreasedPrice
Freedom from
Deficiencies
Features that enhance
Customer satisfaction
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Deficiencies
Reduction in errors
Reduction in wastes Reduction in failures
at the Customers end
( field failures )
Reduction in
inspection and tests
Reduction in
Response times
Increase in yield and
capacity Increase in delivery
performance
Customer satisfaction
Increased Customer
Base Increased Market Share
Premium Price
The Juran Trilogy
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QualityImprovement
%
of
Defects
5
10
15
20Quality Planning
Sporadic
Spike
Quality Control
Lessons Learned
Determining
theCostofQuality,
Wherearewerigh
tnow?
Whatdoweneed
todevelop?
Original Zoneof
Quality Control
New Zone ofQualityControl
Time
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Revenue : All the money that a company takes in , in any givenyear
Costs : All the items which use or take a companys cash to run
the business
Assets : Company owned items which can be converted into
cash
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Return on Assets =
Revenue minus Costs
Assets
Cost of Quality = Cost of Conformance +
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Cost of Conformance = Cost of Prevention +
Cost of Appraisal
Cost of Non Conformance +
Cost of Lost Opportunities
Cost of Non Conformance = Cost of Internal Failure +
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Cost of External Failure +
Cost of Exceeding
Requirements
Cost of Lost Opportunities = Cost of Lost Opportunities
Costs of Prevention
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Costs of Prevention
Cost of activities that prevent failurefrom happening
Planning for Quality
TPM
Process Design Process Control
Quality Audits
Supplier Evaluation
Training for Quality
Cost of Appraisal
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pp
Cost incurred to determine conformance with
Customer requirements after the work has been
completed
Inspection and Tests ( Incoming , Inprocess and
Final stages )
Document Reviews
Accounts Reconciliation
Maintaining accuracy of Test Equipment
Reconciliation of Stocks , Equipment , etc
Cost of Internal Failure
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Cost of correcting products or services which do not
conform to internal customer requirements or are identified
prior to delivery as not meeting the requirements of externalcustomers
Failure to meet Customer Requirements and Needs
Scrap
Rework
Missing Information
Failure Analysis
100 % Sorting
Reinspection , retests Changing Processes
Redesign of Hardware and Software Downgrading
Cost of Internal Failure
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Cost of Inefficient Processes
Variability in Product Characteristics Unplanned Downtime of equipment
Inventory Shrinkage
Non value added activities
Costs of External Failure
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Costs to correct products or services after delivery to
the Customer
Warranty Charges Complaint Adjustments
Returned Material Allowances
Penalties ReworkCost of Exceeding Requirements
Cost of providing Information or Services which are
not necessary or for which no requirements havebeen established
Cost of Lost Opportunities
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Lost Profits due to the company not satisfying or
being able to satisfy , the requirements of externalcustomers
Evolution of the Cost of Quality over time
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Implementation of the Quality Initiative through time
LO
C
NC
LO
C
NC
LO
C
NC
Quality Goals Identify Customers
Quality Planning
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APPLY
MEASUREMENTSTHROUGHOUT
Quality Goals Identify Customers
Identify NeedsTranslate Needs
Establish Measures Develop Product
Develop ProcessOptimise Process
Transfer to Operations
1. Define the Project
Quality Planning
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1. Define the ProjectWhat do we need to bu i ld ?
2. Identify the Customers .Who w i l l be impacted by ou r efforts ?
3. Discover Customer Needs .What benef i t do the Customers want ?
4. Develop the Product / Service .What Product features w il l create that
benef i t ?
5. Develop the Processes .How w i l l we produ ce the produ ct features?
6. Develop Controls / Transfer to Operations .How do we ensu re i t wo rks as designed ?
C t N d
Spreadsheets in Quality Planning
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Custome
rs
I
Customer Needs
Understanding
Matrix
Design
Matrix
Process
Matrix
Operations
Matrix
Cus
tomerNeeds
Product Features
Product
Features
Process Features
Process
Features
Process Controls
ConceptInitiation / Approval
Programme
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PRODUCTQUALITY
PLANNING
TIMING CHART
Planning
Product Design and Development
Process Design and Development
Product and Process Validation
Production
Feedback Assessment and Corrective Action
Planning
Approval Prototype Pilot Launch
PLAN ANDDEFINE
PROGRAMME
PRODUCT DESIGN ANDDEVELOPMENTVERIFICATION
PROCESS DESIGN ANDDEVELOPMENTVERIFICATION
PRODUCT
ANDPROCESS
VALIDATION
FEEDBACK ASSESSMENTAND CORRECTIVE ACTION
The Control Pyramid
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Informational Controls
Supervisory Control
Operator Control
Automatic Controls
Error Proofing
C t l
What Control means to different people
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Control
SubjectsMechanism Decisions
Operator
Control
ProductSpecifications
Process
Parameters
Tools , Gauges ,Fixtures ,
Templates ,
Check Lists
Extent of
Conformance
Supervisory
Control
ProductCompleteness
Product
Usability
Tests , Checks ,Capabilities of
Products /
Processes
Extent of
Performance
ManagerialControl
Product
CostingProduct
Saleability
Feedbacks , Field
Intelligence ,Customer
Surveys
Extent of Sales, Profits
Choose the control subject What do we want to regulate ?
A Negative Approach :
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A Control Subject emerges out of a Bitter Experience orCatastrophic Failure
A Positive Approach : ( A Deliberate Effort to unearth
Control Subjects moving up the Control Pyramid )
Highly Repetitive Activities ( Fool Proofing and / orAutomation )
Effect of failures are obvious and localised and losses
occurring are minor ( Operator Control )
Coordination , Discipline , Fluidity of Operations , High Risk
Factors ( Supervisory Control )Matters of Company Performance , Hierarchal or Geographic
factors , Extensive Analysis , Great Risks ( Informational
Establish Measures How can these be expressed in termsof units , ratios , indexes etc. ?
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Create a Sensor How can these measures be captured in a
timely manner ?Establish Standards What are the instances which will
warrant concern ( indicators ) ?
indicate normalcy ?
Measure continual performance ( frequency ) Decidewhere , who , when and how to measure actual performance
Compare to Established Standards Decide on who does
this and how this is to be done
Take action on the difference Is the difference pronouncedso as to precipitate a systemic change , process change ,
task change , etc ?
Process Sensor Goal1
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Actuator Umpire
2 3
4
5
1 Sensor plugged into the Process to evaluate actualperformance
2 Sensor reports performance to the Umpire
3 Umpire compares performance to Goal
4 Umpire reports difference to the Actuator
5 Actuator alters process to bring output in line with goals
Set standards for
Control and
Improvement
Communicate Standards
Information on value delivered and unmet Customer needs
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Input Transformation Output Customer Value( other stakeholders )
P
DS
A
ReworkContr
ol
Feed back information on
performance , study
relationships among measures
of performance throughout thesystem , and take action to
improve
Control Nomina Measur Uni Senso
Frequency
ofLocation of Criteria
Action
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Control
Subject
Nomina
l
Measur
e
Uni
t
Senso
r
of
measuremen
t
Measuremen
t
for
action
Action
taken
1. Form a Quality Council2. Analyse the Symptoms
3 Theorise as to the causes
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3. Theorise as to the causes
4. Test the Theories
5. Establish the causes6. Stimulate the establishment of
a remedy7. Test the Remedy under
Operating conditions8. Establish controls to hold thegains
1 5 : The Diagnostic Journey
6 8 : The Remedial Journey
Breakthrough in Attitude
Demonstrated Control
at the new levelBreakthrough in
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DiagnosticJourney
RemedialJourney
Holding the
Gains
Breakthrough in
Organisation
Mission Statement
and Team Charter
Identified Root Causes
Breakthrough inCultural Patterns
Results
Juran on Quality Improvement
Project Definition andOrganisation
1. List and Prioritise Problems
2. Define Project and Teams
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Juran on Quality Improvement
Diagnostic Journey
3. Analyse Symptoms
4. Formulate Theories of Causes
5. Test Theories
6. Identify Root Causes
Remedial Journey
7. Consider Alternative Solutions
8. Design Solutions and Controls
9. Address Resistance to Change
10. Implement Solutions andControls
Holding the Gains11. Check Performance
12. Monitor Control Systems
The Progression from Philosophy to Action
QC T l d M T l
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Philosophy W. Edwards Deming
Structure and Approach Joseph M. Juran
Frameworks Just in Time , ISO 9000 ,
Baldrige Criteria
Methods SPC , QFD , DOE , QIT
QC Tools and Management Tools
Demings contribution to the Field of
Statistics
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Distinguishing between Enumerative and Analytical
StudiesEnumerative
Number crunching exercises data collection ,
assimilation and presentation
Analytical
Application of the Control Theory , Scientific
Method and Subject Matter Knowledge tounderstand the situations which led to the data
being generated in other words study of the
Common & Special Cause Variation
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Common Causes Variation
Variation that exists in a system due toinherent properties of the system itself ( its
design ) or the way its managed...
Special Cause Variation
Variation that exists in a system due to
some external factors factors not a part ofthe system but alien to it...
Conventional Data Interpretation
C h
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Common approaches are :
comparison to specifications ormanaging by the last data point
Common Traps in use of Figures alone :
Too little attention to matters forwhich figures are not available. Forcing wrong figures (due to fear). Misuse and abuse of figures
Data presentationShewharts Rule One when presenting Data :
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Data should always be presented in such a way that preserves
the evidence in the data for all the predict ions that m ight bemade from these data .
In short the following questions need to be asked :
Who collected the data ?
How were the data collected ?
When were the data collected ?
Where were the data collected ?
What do these values represent ? And if the data are computed values , how were the
values computed from the raw inputs ?
Has there been a change in formula over time ?
Shewharts Rule Two when presenting data
Data presentation
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Whenever an average , range or h istog ram is used tosummarise data , the summary should not m islead the
user into taking any action that the user would not t ake
if the data were presented in a time series.
In short :
No comparisons must be made between pairs of
values except as a part of a broader comparison . Use time Series graphs to present values in their
context .
Shewharts control chart approach
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Control chart : a time series graph witha central line (average), UCL & LCL
Shewhart gave a simple practical wayof calculating limits
Focus on process instead of each value hence yields insight andunderstanding.
Shewharts control chart approach
The Control Chart is an Operational
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pDefinition of a process in a state ofStatistical Control
Not based on laws of probability
Not a test of Statistical significance
Empirical laws laid down by Shewhart on May16th 1924 that have stood the test of time
Control Charts:Some Relevant Points
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Different types of charts for differentsituations but XmR & XbarR are most used.
Unstable processes : unpredictablechanges; no significant changes in stable
processes.
Control ChartThe methodology
A) Th X R h t
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A) The XmR chart.
Useful for one at a time data
Can be used with 15 20 observations
Can also be used with 7 observations but tointerpret with care !!
Control ChartThe methodology
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A) The XmR chart (continued). For X chart (individual values).
Upper Natural Process Limit=Xbar+2.66*Rbar.
Lower Natural Process Limit=Xbar-2.66*Rbar.
16.0 15.8 15.7 15.9 16.2
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16.2 16.4 16.5 16.2 16.0
15.7 16.1 15.5 15.1 16.0
16.1 15.7 16.0 16.0 15.5
16.4 15.9 16.3 16.2 16.6
15.9 16.1 15.6 15.8 15.8
16.84
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15.11
15.97
Th Xb R h t
Control ChartThe methodology
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The XbarR chart
For Xbar chartMake Subgroups
Calculate Average and Range for each sub group
Calculate grand average of average ( X double bar
) and range ( R bar )
Upper Natural Process Limit=Xdbar+A2*Rbar.
Lower Natural Process Limit=Xdbar-A2*Rbar.
7 10 11
4 2 5
6 3 8
9 8 12
7 8 6
A2 for n = 3 is 1.02
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7 8 6
5 5 86 3 6
8 4 6
5 5 6
10 9 12
6 12 10
7 9 10
4 6 7
6 5 5
5 7 7
4 4 3
7 4 8
15 18 19
7 5 3
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10.14
4.02
7.08
Control Chart used where the Sample size is the Same
nP Chart
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UCL = nP + 3
LCL = nP - 3
nP = Average Number of Rejections
P = Overall Proportion of Rejects
ExampleA lot of 50 pieces were being produced per worker per day ina factory . The following rejects were observed every day for
each worker . Draw a Control Chart and state your
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each worker . Draw a Control Chart and state your
conclusions .
WorkersDay
1 2 3 4
Worker 1 9 11 7 8
Worker 2 6 11 11 9
Worker 3 12 7 5 5
Worker 4 11 10 13 9
Worker 5 14 8 9 11
Worker 6 4 11 12 12
nP = Average Rejections = Total number of Rejections/ Total number of attempts
= 225 / 24 = 9.38
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P = Overall Proportion of Rejects = Total number ofRejections / total number produced
= 225 / 24*50 = 225 / 1200 = 0.188
Now
UCL = nP + 3 LCL = nP - 3
= 9.38 + 3
= 9.38 + 3(2.76)
= 9.38 + 8.27
= 17.66
= 9.38 - 3
= 9.38 - 3(2.76)
= 9.38 - 8.27
= 1.11
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Control Chart used where the Bulk Sample isthe Same
c Chart
c = Average Number of Blemishes
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UCL = c + 3 LCL = c - 3
An officer from the NHAI provided the following data for the
number of potholes found for every 10 kilometres over a stretch
of 150 kilometres on the Mumbai Nasik Highway . Draw a c Chartand state your conclusions
Sample 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
Potholes 2 4 1 1 4 5 2 1 2 3 4 3 5 2 1
c = Average Number of Blemishes = Total number of blemishes / Totalnumber of Samples
= 40 / 15 = 2.667
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UCL = c + 3 LCL = c - 3
= 2.667 + 3
= 2.667 + 4.889
= 7.567
= 2.667 - 3
= 2.667 4.889
= -2.222
LCL = 0
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Total Rejection Percentage
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Percentage of Shifting
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Total Rejection Percentage
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Percentage of Shifting
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Total Rejection Percentage
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Percentage of Shifting
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Welder No. 6 in need of attention .
Upon examination it was found that his eyes
needed treatment
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XmR chart for failures of Lube Oil System on LoadBox/Road Trial for rebuilt locomotives of DCW/PTA
(Limits are calculated based on values from Jan 2004-Dec
2005)
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Use of Beta Blocker 2
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Use of Beta Blocker 1
The following data were collected by an Production Manager in aFertiliser Company . The data represent pH values of a certain
chemical used to make the fertiliser . Compute the Control Limits of
the process if the XmR method is used .If the Specification Limits are set at 9 4.5 , what will be the values of
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8.7 9.6 12.6 9.5
11.3 9.9 8.9 10.6
8.5 8.4 9.0 9.3
7.8 10.2 8.3 8.6
10.4 9.2 10.3 10.18.8 9.1 9.4 9.6
Cp , Cpl and Cpu ?Suppose the Manager wants to implement the Six Sigma approach inthis process , what will the limits become ?
The Flow of the data collected is from left to right .
What are the instances in a Control Chartthat warrant attention?
One point outside the control limits
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Seven points in a row all above / below
average
Seven points in a row all increasing /
decreasing.
THE CONTROL CHART IS NO SUBSTITUTE
FOR THE BRAIN
Benefits of Control Charts
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For all levels worker to CEO Prediction of performance
Assessing effect of improvements
Common language Local or management action
Immense benefits by use at top levels
Quality Tools
Flow Diagram
Management Tools
Inter relationship Diagram
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g
Pareto Charts
Cause & Effect
Diagrams
Run Charts
Control Charts
Scatter Diagram
p g
Matrix Charts
Failure Modes and Effects
Analysis
Flow Diagram
( Cost of Quality )
( 5 Why )
Cost of Quality Example
The following costs were recorded in an organisation .
Arrange them under different heads of the Cost of Quality
as appropriate .
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Defective Stock Returned from Customer Rs 1,50,000
Repairs to Product Rs 4,50,000
Collect Scrap Rs 10,000
Waste Scrap Rs 2,00,000
Consumer Adjustments Rs 6,00,000Downgrading Products Rs 1,00,000
Incoming Inspection Rs 1,00,000
Laboratory Testing Rs 1,75,000
Spot Check Inspection Rs 3,50,000
Local Plant Training Rs 5,00,000
Corporate Training Rs 2,00,000
SolutionCost of Non conformance
External Failure
Defective Stock Returned from Customer Rs 1,50,000
Repairs to Product Rs 4,50,000
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Consumer Adjustments Rs 6,00,000Internal Failure
Downgrading Products Rs 1,00,000
Collect Scrap Rs 10,000
Waste Scrap Rs 2,00,000
Cost of ConformanceAppraisal
Incoming Inspection Rs 1,00,000
Laboratory Testing Rs 1,75,000
Spot Check Inspection Rs 3,50,000
PreventionLocal Plant Training Rs 5,00,000
Corporate Training Rs 2,00,000
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Quality Tools
Flow Diagram
Management Tools
Inter relationship Diagram
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Pareto Charts
Cause & Effect
Diagrams
Run ChartsControl Charts
Scatter Diagram
Matrix Charts
Failure Modes and Effects
Analysis
Flow Diagram ( Cost of Quality )
( 5 Why )
Project Definition andOrganisation
1. List and Prioritise Problems
2. Define Project and Teams
3. Analyse Symptoms
4. Formulate Theories of Causes
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Juran on Quality Improvement
Diagnostic Journey5. Test Theories
6. Identify Root Causes
Remedial Journey
7. Consider Alternative Solutions
8. Design Solutions and Controls9. Address Resistance to Change
10. Implement Solutions andControls
Holding the Gains
11. Check Performance
12. Monitor Control Systems
Scatter Plots of Data with Various CorrelationCoefficients
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A Manager in Britannia wanted to find out the relationship between heat
and compressed air pressure for the process of curing cookies . Hedecided to investigate this using a Scatter Plot . He gathered the following
data . Draw a Scatter plot for him and state your conclusions .
Heat ( Temp) Pressure Heat ( Temp) Pressure
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22.6 8521.5 111
23.3 79
24.5 73
24.4 79
25.1 68
20.4 113
22.7 90
24.3 85
21.7 95
22.2 110
21.0 110
22.1 10720.5 119
22.3 103
22.5 91
23.2 90
22.6 86
22.6 98
22.6 104
24.6 81
22.9 94
22.8 96
22.4 91
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Quality Tools
Flow Diagram
Management Tools
Inter relationship Diagram
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Pareto Charts
Cause & Effect
Diagrams
Run ChartsControl Charts
Scatter Diagram
Matrix Charts
Failure Modes and Effects
Analysis
Flow Diagram ( Cost of Quality )
( 5 Why )
Project Definition andOrganisation
1. List and Prioritise Problems
2. Define Project and Teams
3. Analyse Symptoms
4. Formulate Theories of Causes
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Juran on Quality Improvement
Diagnostic Journey 5. Test Theories
6. Identify Root Causes
Remedial Journey
7. Consider Alternative Solutions
8. Design Solutions and Controls
9. Address Resistance to Change
10. Implement Solutions andControls
Holding the Gains
11. Check Performance
12. Monitor Control Systems
Cause Twig
C T i l t
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EFFECT
Cause Branch
Cause Twig-let
Doesnt close
l
Wrong size of tap
with respect to pipeBad Quality Pipe
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Tap Leaking
properly
Washer of
wrong size
Tap closed
too tight
People not
aware of problem
Wrong dimensions
of diameter given
Tap does not
rotate properly
Threads of
tap damaged
Bad Quality tap
Potatoes washed , peeled ,
steamed ,
and mashed to form paste
Chillies , onion , garlic cut to
small pieces and added
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Potato Wada
Ready
Gram ground , and
batter prepared
Salt , spices added
for taste
Oil boiled and kept
ready for frying
All ingredients mixed
together and paste put
in oil for frying
The following components of Product Quality werelisted under the different heads by a Quality Circle in an
organisation implementing TQM . Draw a Cause and
Effect Diagram to indicate the same .
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Production : Testability , Repairability , Producibility
Environment : Toxicity , Flammability , Disposability
Time : Availability , Durability , Dependability ,
Reliability , MaintainabilityPhysical : Appearance , Size , WeightSensory : Odour , Taste , Touch
Use : Transportability , Accessibility , Functionality ,
Portability , Adaptability , Operability
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Quality Tools
Flow Diagram
P t Ch t
Management Tools
Inter relationship Diagram
M t i Ch t
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Pareto Charts
Cause & Effect
Diagrams
Run ChartsControl Charts
Scatter Diagram
Matrix Charts
Failure Modes and Effects
Analysis
Flow Diagram ( Cost of Quality )
( 5 Why )
Project Definition andOrganisation
1. List and Prioritise Problems
2. Define Project and Teams
Diagnostic Journey
3. Analyse Symptoms
4. Formulate Theories of Causes
5 T t Th i
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Juran on Quality Improvement
Diagnostic Journey 5. Test Theories
6. Identify Root Causes
Remedial Journey
7. Consider Alternative Solutions
8. Design Solutions and Controls
9. Address Resistance to Change
10. Implement Solutions andControls
Holding the Gains
11. Check Performance
12. Monitor Control Systems
Shifting 103660 103660 71%
Open Underlayer 18367 122027 84%
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Open Underlayer 18367 122027 84%
Thread Break 10405 132432 91%
Loose Stitches 8990 141422 97%
Wrong Stitches 2822 144244 99%Needle Breakages 1583 145827 100%
Total 145827
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A manager of Pizza Hut collects data concerning customercomplaints about delivery and Quality of the Pizza being
delivered
Problem Frequency
Topping stuck to box lid 17
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Topping stuck to box lid 17Pizza is cold 35
Wrong topping or combination 09
Wrong style of crust 06
Wrong size 04Pizza is partially eaten 03
Pizza never showed up 06
Use a Pareto chart to identify the vital few" delivery
problems.
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The following data as reasons for a damaged automobile were
collected by the ARAI to be given to the Automobile Industry tofacilitate designing of the Automobile . Draw a Cause-and-Effect
Diagram and a Pareto Diagram for the same and state yourconclusions .
Driver Error : Reckless Driving Poor Judgment Poor ReflexesPoor Training
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Driver Error : Reckless Driving , Poor Judgment , Poor Reflexes ,Poor Training
Mechanical Failure : Stuck Accelerator , Ceased Engine , Brake
FailureSlippery Road : Oil , Water
Flat Tyre : Nails , Blow out
Reckless Driving : 15 Water on Road : 4
Poor Judgment : 11 Nails on Road : 7
Poor Reflexes : 25 Blow Out : 2Poor Training : 14 Oil on Road : 2
Stuck Accelerator : 5Ceased Engine : 6Brake Failure : 9
Quality Tools
Flow Diagram
Pareto Charts
Management Tools
Inter relationship Diagram
Matrix Charts
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Pareto Charts
Cause & Effect
Diagrams
Run ChartsControl Charts
Scatter Diagram
Matrix Charts
Failure Modes and Effects
Analysis
Flow Diagram ( Cost of Quality )
( 5 Why )
Project Definition andOrganisation
1. List and Prioritise Problems
2. Define Project and Teams
Diagnostic Journey
3. Analyse Symptoms
4. Formulate Theories of Causes
5 Test Theories
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Juran on Quality Improvement
Diagnostic Journey 5. Test Theories
6. Identify Root Causes
Remedial Journey
7. Consider Alternative Solutions
8. Design Solutions and Controls
9. Address Resistance to Change
10. Implement Solutions and
Controls
Holding the Gains
11. Check Performance
12. Monitor Control Systems
Left house late
Watch not
properly set
Carelessness
Traffic Jam
Clutch wire
broken
Too many
gear changes
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Late coming to
College
Tyre Punctured Too many potholes
Stepney also
punctured
Bad Roads
Quality Tools
Flow Diagram
Pareto Charts
Management Tools
Inter relationship Diagram
Matrix Charts
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Pareto Charts
Cause & Effect
Diagrams
Run ChartsControl Charts
Scatter Diagram
Matrix Charts
Failure Modes and Effects
Analysis
Flow Diagram ( Cost of Quality )
( 5 Why )
Project Definition andOrganisation
1. List and Prioritise Problems
2. Define Project and Teams
Diagnostic Journey
3. Analyse Symptoms
4. Formulate Theories of Causes
5. Test Theories
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Juran on Quality Improvement
g y
6. Identify Root Causes
Remedial Journey
7. Consider Alternative Solutions
8. Design Solutions and Controls
9. Address Resistance to Change
10. Implement Solutions and
Controls
Holding the Gains
11. Check Performance
12. Monitor Control Systems
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A
A1 A2
a1 a2 a3 a4 a5
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B
B1
B2
b1
b2
b3
b4
Interrelationships
Counterpart Characteristics
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Relationships between
Attributes andCounterpart Characteristics
Attributes
Voiceo
fthe
Customer
Prior
ity
Compe
titive
Evalua
tion
Priorities of Characteristics
Design Attributes
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Features ProcessSteps Operational
ConditionsQuality
Plan
House of QualityDesign
Matrix ProcessMatrix
Operational
Matrix
Control
Matrix
Project Definition andOrganisation
1. List and Prioritise Problems
2. Define Project and Teams
Diagnostic Journey
3. Analyse Symptoms
4. Formulate Theories of Causes
5. Test Theories
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Juran on Quality Improvement
6. Identify Root Causes
Remedial Journey
7. Consider Alternative Solutions
8. Design Solutions and Controls
9. Address Resistance to Change
10. Implement Solutions andControls
Holding the Gains
11. Check Performance
12. Monitor Control Systems
Quality Tools
Flow Diagram
Pareto Charts
Management Tools
Inter relationship Diagram
Matrix Charts
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Cause & Effect
Diagrams
Run ChartsControl Charts
Scatter Diagram
Failure Modes and Effects
Analysis
Flow Diagram ( Cost of Quality )
( 5 Why )
Three Ways to Reduce Variation and ImproveQuality
Control the Process :Eliminate Special
Cause Variation
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Improve the System :Reduce effect of
Common Cause Variation
Anticipate Variation :Design Robust
Processes andProducts
QualityImprovement
Robustness An Underused Concept
Reduce the effects of uncontrollable variation in
Product design
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Product design
Process design
Management practices
Anticipate variation and reduce its effects
Robust Products are Designed in
Anticipation of Customer Use
User-friendly computers and software
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User friendly computers and software
Low maintenance automobiles
Speed Breakers
Instruments for home use
Product and Process Robustness
Product Performance is insensitive to variations in
conditions of manufacture, distribution, use anddisposal.
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p
Process Performance is insensitive touncontrollable variations in process
Inputs Transformations activities steps
External factors
Process Robustness Analysis
Identify Those Uncontrollable Factors that Affect
Process Performance Weather
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Weather
Customer Use of Products
Employee Knowledge, Skills, Experience, Work Habit
Age of Equipment ( Can be controlled through TPM )
Design the Process to be Insensitive to the
Uncontrollable Variations in the Factors
Robustness in Management
Develop strategies that are insensitive to economic
trends and cycles
Design a project system that is insensitive toPersonnel changes
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Personnel changes
Changes in project scope
Variation in business conditions
Respond to differing employee needs
Adopt flexible work hours
Provide customised benefits
Enable personnel to adapt to changing business
needs
Why FMEA ?
Helps to recognise and evaluate the potential failureof a product / process and its effects
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Helps to identify actions which could eliminate orreduce the chance of a potential failure occurring
Helps to document the process better
Definition of FMEA
FMEA is an Analytical Technique utilised as a
means to assure that , to the extent possible ,Potential Failure Modes and their associated causes
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Potential Failure Modes and their associated causes/ mechanisms have been considered and addressed.
Important Terms
Analytical Technique
Method of analysing and understanding
P t ti l F il M d
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Potential Failure ModeThe manner in which a Component , Subsystem orSystem could potentially fail to meet the design /
process intent
Causes / MechanismsIndication of Design / Process weakness , theconsequence of which is the Failure Mode
Purpose of FMEAFMEA seeks to :
Identify the possible failure modes and
mechanisms Effects or Consequences that Failure Modes
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Effects or Consequences that Failure Modes
may have on performance
Methods of detecting the identified Failure
Modes Subsequent possible means for Prevention
The net results of an FMEA study are action plans forelimination orpossible m it igationof the Failure
Modes
Two types of FMEA
Design FMEA Primarily used when designing /f l ti
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formulating
Process FMEA Primarily used when creating a
process
Features of Design FMEA
Aiding in the objective evaluation of Designrequirements and Design alternatives.
Increasing the probability that Potential Failuremodes and their effects on System and End Use haveb id d i th D i / D l t
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been considered in the Design / DevelopmentProcess.
Developing a list of Potential Failure modes ranked
according to their effect on the Customer thusestablishing a priority system for designimprovements and development testing.
Providing future reference to aid an analysing fieldconcerns , design changes and developing advanced
designs.
Features of Process FMEA
Identifies potential product related process failuremodes.
Identifies the potential manufacturing or assembly
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Identifies the potential manufacturing or assemblyprocess variables on which to focus controls foroccurrence,reduction or detection of the failureconditions.
Documents the results of the manufacturing orassembly process.
The First Step
Draw a Block Diagram of the System , Subsystem orComponent being analysed
A Block Diagram indicates
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g
the flow of inputs into the Block , the functionperformed in the Block and the outputs from the Block
the Primary relationship between the items covered inthe analysis
establishes a logical order to the analysis
The Second Step
Describe the function of each component/step in theprocess
Determine the failure modes of each component oroperation . Failure Modes refer to the ways in which the/ f il f i i d d
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component/process fails to perform its intendedfunction
Identify the failure mechanisms for each failure . Failure
Mechanisms refer to the root causes of failure or thesequence of events that lead to the failure
Identify the current controls which address/detectthese causes . Controls must be established to pre-
empt causes
The Second Step * Controls are of two types :
Design Controls these are features of the product
itself that prevent or pre-empt the failure
Process Controls these are various checks/indicatorsbuilt into the process steps that prevent the failure
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Determine the severity of the failure ( refer guidelines here
)
Determine the occurrence of the failure ( refer guidelines
here ) Determine extent to which the prevention/detection
methods are effective ( refer guidelines here )
Calculate the Risk Priority Number ( RPN ) accordingly
Determine Corrective Action to be taken
The Third Step
Carry out the Corrective / Preventive Action
Determine the new Risk Priority Number ( RPN )
Document your findings in a systematic manner (
refer suggested format )
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refer suggested format )
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Critical Safety
hazard Causes or can cause injury or death.
MajorRequires immediate attention. System is
non-operational
MinorRequires attention in the near future or assoon as possible. System performance is
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p y p
degraded but operation can continue
InsignificantNo immediate effect on system
performance
1 None Effect will be undetected by customer or regarded as insignificant.
2 Very minor A few customers may notice effect and may be annoyed.
3 Minor Average customer will notice effect.
4 Very low Effect recognized by most customers.
5 Low
Product is operable, however performance of comfort or convenience
items is reduced.
6 ModerateProducts operable, however comfort or convenience items are
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6 Moderateinoperable.
7 HighProduct is operable at reduced level of performance. High degree ofcustomer dissatisfaction.
8 Very highLoss of primary function renders product inoperable. Intolerable effects
apparent to customer. May violate non-safety related governmental
regulations. Repairs lengthy and costly.
9Hazardouswith warning
Unsafe operation with warning before failure or non-conformance withgovernment regulations. Risk of injury or fatality.
10Hazardous
without
warning
Unsafe operation without warning before failure or non conformance withgovernment regulations. Risk of injury or fatality.
1 Unlikely 1 in 1.5 million (= .0001%)2
Low1 in 150, 000 (= .001%)
3 1 in 15, 000 (= .01%)
4
Moderate
1 in 2,000 (0.05%)
5 1 in 400 (0 25%)
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Moderate5 1 in 400 (0.25%)
6 1 in 80 (1.25%)
7High
1 in 20 (5%)
8 1 in 8 (12.5%)
9
Very high
1 in 3 (33%)
10 1 in 2 (50%)
1 Excellent Control Mechanisms are Errorproofed2 Very High Controls Effective under all conditions
3 High
Controls Effective under most conditions4 Moderately High
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5 Moderate Controls Effective under only certainconditions6 Low
7 Very Low Controls Ineffective but causes might bedetected8 Poor
9 Very Poor Controls Ineffective and causes might berarely detected10 Ineffective
Mistake proofing
Mistake proofing is a scientific technique for improvement ofoperating systems including materials, machines and methods
with an aim of preventing problems due to human error.
The term error means a sporadic deviation from standard
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The term error means a sporadic deviation from standard
procedures resulting from loss of memory, perception ormotion.
Defect Vs errors
It is important to understand that defects anderrors are not the same thing.
A defect is the result of an error, or an error isthe cause of defects as explained below.
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Error Defect
Cause Result
Prevention of defects
Cause Intermediate result End result
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Machine
or
human error
Detect error
Take
corrective
action
zero
defect
Analyse for
preventive
action
Modify work
procedure to
prevent such
errors
Work
Procedure
Error in memory of PLAN : Error of forgetting the contents operationsrequired or restricted in standard procedures.
Error in memory of EXECUTION : Errors of forgetting the sequence of
operations having been finished.
Error in perception of TYPE : Error of selecting the wrong object in
Types of Error
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Error in perception of TYPE : Error of selecting the wrong object intype or quantity.
Error in perception of MOVEMENT : Error ofmisunderstanding/misjudging the position, direction or othercharacteristics of the objects.
Error in motion of HOLDING : Error in gripping the object
Error in motion of CHANGING : Errors of failing to change the position
, direction , or other characteristics of object .
Human error provoking situations
Complex design Too many parts
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Too many steps
Too many adjustments
Repetitions
Examples of mistakeproofing
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Finger print ID lock is an excellent example of
mistake proofing. There's no need to fumble for yourkeys in the dark any more. The Fingerprint ID DoorLock is a cylindrical lock combined with a securitybolt that will let you into the house using just your
finger. It reads your unique fingerprint and onlyallows entry to prints it recognises.
Examples of mistake proofing
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Gas pumps are equipped with hose couplingsthat break away and quickly shutoff the flow of
petrol.
Examples of mistake proofing
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Automobiles controls have a mistake proofing device toensure that the key in the on position before allowingthe driver to shift out of park ( for automatic gears ).Thekeys can not be removed until the car is in park.
Examples of mistake proofing
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3.5 inch diskette can not be inserted unless disketteis oriented correctly.This is as far as diskette can
be inserted upside-down.
The beveled corner of the diskette pushes a stop inthe disk drive out of the way allowing diskette to beinserted.This feature,along with the fact that the
diskette is not square,prohibit incorrect orientation.
Examples of mistake proofing
Electronic car locks can have threemistake proofing devices:
E h d i l f
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Ensures that no door is leftunlocked.
Door automatically locks when carexceeds a predetermined speed
Lock wont operate when door is
open and engine is running.
Examples of mistake proofing
New lawn mowers are required to
have a safety bar on the handle thatmust be pulled back in order to startthe engine If you let go of the safety
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the engine.If you let go of the safetybar,the mowers blade stops in 3
seconds or less.This is an adaptationof thedead man switch fromrailroad locomotives.
Examples of mistake proofing
Retail stores use electronic
article surveillance to ensurethat no one walks away
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without making payment.
Evolution of Quality Standards
1942 1945 : MIL STDs
1959 : MIL Q 9858
1963 : MIL Q 9858 A
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1968 : AQAP 1 / 4 / 9
1970 : DEF / STD 05 8
1979 : BS 5750
1987 : ISO 9000 series
ISO 9000 : 1987
ISO 9001 : 1987ISO 9002 : 1987
ISO 9003 : 1987
Revised to ISO 9000 : 1994
ISO 9001 : 1994ISO 9002 : 1994
ISO 9003 : 1994
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ISO 9003 : 1994
QS 9000 : 1995 ISO 9001 : 1994 + additional requirements
QS 9000 : 1998 ISO 9001 : 1994 + additional requirements (second revision )
ISO / TS 16949 : 1999 = QS 9000 adopted by the ISO based on
ISO 9001 : 1994
ISO / TS 16949 : 2002 = QS 9000 reworded by the ISO based onISO 9001 : 2000
Plan
What do we do?How do we do
it?
Do
Do what wasplanned
Check(Study)Did thingshappen
according to
plan?
Act
How do weimprove next
time? PLAN
establ ish the ob ject ives and p rocesses
necessary to deliver results in
accordance w ith customer
requirements and the organisation 's
pol ic ies
DO imp lement the processes
CHECKmon itor and measure p rocesses and
product against pol ic ies object ives
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The Methodology known as Plan Do Check ( Study ) Act
[ PDC(S)A ] can be applied to all processes . PDC(S)A is briefly described as above
CHECK(STUDY)
product against pol ic ies, object ives
and requirements for th e product and
report the results
ACTtake act ions to cont in ual ly improve
process performance
Customer Focus
Leadership Involvement Of People
Process Approach
Quality Management Principles
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Process Approach
System Approach To Management
Continual Improvement
Factual Approach To Decision Making Mutually Beneficial Supplier Relationships
CUSTOMER
FOCUSLEADERSHIP
MUTUALLYBENEFICIAL
SYSTEMAPPR
OACH TO
MANAGEMENT
PROCESSAPPROACH
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CONTINUALIMPROVEMENT
LEADERSHIP
INVOLVEMENTOF PEOPLE
FACTUALAPPROACH TO
DECISION
MAKING
SUPPLIER
RELATIONSHIPS
ManagementResponsibility
ResourceManagement
Me asurement , Analysis andImprovement
Satisfac
tion
Continual Improvement of the QualityManagement System
CustomerR
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Management
Product and /
or Service
realisation
Improvement
Productand / or
Service
Cust
omerS
Requirements
InputOutput
Quality Management System
Model of a Process Based QualityManagement System
Value Adding Activities
Information Flow
Quality Management Principles
A quality management principle is a comprehensive
and fundamental rule or belief, for leading andoperating an organisation, aimed at continuallyimproving performance over the long term by
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improving performance over the long term byfocusing on customers while addressing the needs of
all other stakeholders.
Principle 1 Customer-Focused Organisation
Organisations depend on their customers andtherefore should understand current and future
customer needs, meet customer requirementsand strive to exceed customer expectations.
A f t d fi d t i t
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Assure conformance to defined customer requirements.
Understand current and future customers needs and
expectations.
Measure customer satisfaction and act on it.
Principle 2 Leadership
Leaders establish unity of purpose and direction ofthe organisation. They should create and maintain
the internal environment in which people canbecome fully involved in achieving theorganisation's objectives.
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Set policy and verifiable objectives, deploy policy, provide
resources and establish an environment for Quality.
Establish vision, direction and shared values. Setchallenging targets and goals and implement strategies to
achieve them. Coach, facilitate, and empower people.
Principle 3 Invo lvement of People
People at all levels are the essence of anorganisation and their full involvement enablestheir abilities to be used for the organisation's
benefit.
Establish competency levels, train & qualify personnel.Provide clear authority and responsibility
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Provide clear authority and responsibility.
Create personal ownership of an organisations targets
and goals, by using its peoples knowledge andexperience, and through training achieve involvement in
operational decisions and process improvement.
Principle 4 Process Approach
A desired result is achieved more efficiently whenrelated resources and activities are managed as a
process.Establish, control and maintain documented processes.
Explicitly identify internal/external customers and suppliers
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Explicitly identify internal/external customers and suppliersof processes. Focus on the use of resources in process
activities, leading to effective use of people, equipment,
methods and materials.
Principle 5 System Approach to Management
Identifying, understanding and managing interrelatedprocesses as a system contributes to the
organisation's effectiveness and efficiency inachieving its objectives .
Establish and maintain a suitable and effective documented
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Quality System.
Identify a set of processes in a system. Understand theirinterdependencies. Align the processes with theorganisations goals and targets. Measure results against key
objectives.
Principle 6 Continual Improvement
Continual improvement of the organisation's overallperformance should be a permanent objective of the
organisation .
Through management review, internal/external audits and
corrective/preventive actions, continually improve theeffectiveness of the Quality System.
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effectiveness of the Quality System.
Set realistic and challenging improvement goals, provide
resources and give people the tools, opportunities andencouragement to contribute to the continual improvement
of the processes.
Principle 7 Factual approach to decision making
Effective decisions are based on the analysis of dataand information.
Management decisions and actions on the Quality System
are based on the analysis of the factual data and information
gained from reports on audits, corrective action,nonconforming product, customer complaints and other
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g p , p
sources.
Decisions and actions are based on the analyses of dataand information to maximise productivity and to minimise
waste and rework. Effort is placed on minimising cost,
improving performance and market share through the use ofsuitable management tools and technology.
Principle 8 Mutually beneficial supp lierrelationships
An organisation and its suppliers are interdependent,and a mutually beneficial relationship enhances the
ability of both to create value
Adequately define and document requirements to be met by sub-
contractors. Review and evaluate their performance to control
the supply of quality products and services.
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pp y q y p
Establish strategic alliances or partnerships, ensuring early
involvement and participation defining requirements for joint
development and improvement of products, processes and
systems. Develop mutual trust, respect and commitment to
customer satisfaction and continual improvement.
ManagementResponsibility
ResourceManagement
Me asurement , Analysis andImprovement
erSatisfaction
Continual Improvement of the Quality
Management System
CustomerRe
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Product and /
or Service
realisation
Productand / or
Service
Custome
equirements
Input Output
Quality Management System
Model of a Process Based QualityManagement System
Value Adding Activities
Information Flow
Organise around outcomes, not tasks. This principle suggests that a
single person perform all the steps in a process and that person's jobbe designed around the outcome or objective rather than a single
task.
Have those who use the output of the process oversee the process.
Include information-processing work into the real work that produces
the information.
Capture information once and at the source.
Put the decision point where the work is performed, and build control
into the process.
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Link parallel activities instead of integrating their results. This
principle means to forge links between parallel functions and to
coordinate them while their activities are in process rather than afterthey are completed.
Treat geographically dispersed resources as though they were
centralised.
"Reengineering Work: Don't Automate, Obliterate"
by Michael Hammer Harvard Business Review, July-August 1990,pp104-112.
Business Process Reengineering
Can several jobs be combined into one?
Can workers make decisions that were previously
reserved for managers? Can the steps in the process be performed in a more
natural order?
C b d i d t b fl ibl d
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Can processes be designed to be more flexible, and
thus to handle more contingencies? Can work be performed where it makes the most
sense?
Business Process Reengineering is the fundamental rethinking
and radical redesign of Business Processes to achievedramatic improvements in critical contemporary measures of
performance such as cost , Quality , service and speed...
Michael Hammer and James Champy
1993
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Fundamental = Basic
Radical Redesign = Roots Up
Processes = Set of tasks that add value
Dramatic = Quantum Leap
Improvement Innovation
Level of Change Incremental Radical
Starting Point Existing Process Clean Slate
Frequency of Change One-time / Continuous One-time
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Time Required Short Long
Risk Moderate High
Primary Enabler Statistical Control Information Technology
What is Value ?
Value is not just offering a Product or a Service
Value is providing a solution to Customers problems
Its the organisations processes that create value for
its customers
Business success comes from superior process
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performance
Superior process performance is achieved by
Superior process design
The right people
The right environment
Every Process has three types of tasks
Value Added tasks
Non Value added tasksWastes
Wastes have to be eliminated
Value added tasks are not eliminated only improved
Non Value added tasks are the binding glue for the different value
added tasks
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Non Value added tasks often cause :Errors
Delays
Rigidity
Reengineering involves reorganising value added tasks in such away that non value tasks are automatically weeded out
Peter Drucker once said :
It is the age of the Knowledge Workeri.e. Manager..
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.we see now that this definition of theManager is limited and ineffective
Solves problems him / herselfRefers to her / is Boss in
f bl
Learns whatever it takes to get thejob done
Is trained to perform anactivity
Has a CareerHas a Job
PROFESSIONALWORKER
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Reflects on her / is own workWork is Supervised
In th