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m ps Se r ia l no: ????? W her e Seal leak a nd bear i ng fai lu r e W hen A ft er 2 ho u r s of o per a ti on W hy Seal leaks / bear in g fai ls / ? – needs i nves ti gati o n H ow ? – needs inves t ig at ion H ow m any 6 ( nee d S D p a r t nu m ber ( s ) and m an uf ac tu r in g dat es ) C ha mpion : R o ck y Da i / T erry L a rs on / ? ? ? ? SauerDanfoss Standard Step 3 第三步 Implement and Verify Interim Containment Actions 貫徹和核實(shí)臨時(shí)性圍堵行動(dòng) Define and implement interim containment actions to isolate the effect of problem from any internal/external customer until corrective action is implemented. Verify the effectiveness of the interim containment action. 確認(rèn)和實(shí)施臨時(shí)性圍堵行動(dòng),使問(wèn)題的影響不至于擴(kuò)散到內(nèi)、外部的客戶那里,直到采取了修正措施。核實(shí)臨時(shí)性圍堵行動(dòng)的效果。 How’s the Customer? Containment: definition 圍堵的定義 ? Contain 圍堵 – Keep within limits 限制在范圍內(nèi) – Restrain, control, check, halt 抑制,控制,阻止,暫停 – Stop the bleeding “止血” Containment Steps 圍堵的步驟 ? Stop the process if necessary ? 必要的話停止工藝 ? Retrieve / Isolate any defective products ? 招回、隔離任何不合格產(chǎn)品 ? Make list of possible containment actions ? 列出圍堵措施 ? Consensus on containment actions ? 圍堵行動(dòng)達(dá)成一致 ? Test the containment ? 測(cè)試圍堵 ? Implement the containment ? 執(zhí)行圍堵 ? Document the containment ? 圍堵的書(shū)面表示 Containment Actions 圍堵措施 Action Taken by Date Taken 1. Track and Return transmission failures: CQAR 202301043 was initiated to track analysis of initial 5 units. G. Hansen W. Smith 16 June 2023 2. Stop Shipment: Stop Order 1423 was initiated stopping shipment of all mid and large frame Cut transmissions. L. Meier W. Smith 16 June 2023 3. Customer inventory placed on hold Caterpillar 16 June 2023 4. Safety Team Review: Reviewed actions with HST product liability team and gained approval L. Meier 25 June 2023 5. Revert to (1202338) design which had been used successfully during the previous 16 months。 Serial number start of containment: o A032523527 (1202350), Mid Frame o A032520450 (1202355), Large frame W. Smith 25 June2023 6. Reworked inhouse inventory Resumed Shipment. G. Hansen 25 June 2023 7. Customer returned 300 transmissions: Transmissions built on June 3 were removed from tractors in factory (34 pcs) at dealers (60 pcs). All inprocess midframe transmissions returned (200 pcs). CQAR’s 202301185, 202301186, 202301190 were initiated to track application of containment to customer inventory. M. Gibson 25 June 2023 Containment Actions 圍堵措施 行動(dòng) 執(zhí)行者 執(zhí)行日期 1. 跟蹤招回失效的產(chǎn)品 : CQAR 202301043 開(kāi)始跟蹤分析最初的 5個(gè)單位 . G. Hansen W. Smith 16 June 2023 2. 停止發(fā)貨 : 1423訂單停止發(fā)貨 L. Meier W. Smith 16 June 2023 3. 控制客戶的庫(kù)存 Caterpillar 16 June 2023 4. 安全小組評(píng)審 : 同 HST小組共同評(píng)審措施,并獲得批準(zhǔn)。 L. Meier 25 June 2023 5. 求助設(shè)計(jì): o A032523527 (1202350), Mid Frame o A032520450 (1202355), Large frame W. Smith 25 June2023 6. Reworked inhouse inventory Resumed Shipment. G. Hansen 25 June 2023 7. 客戶退貨 300件 : Transmissions built on June 3 were removed from tractors in factory (34 pcs) at dealers (60 pcs). All inprocess midframe transmissions returned (200 pcs). CQAR’s 202301185, 202301186, 202301190 were initiated to track application of containment to customer inventory. M. Gibson 25 June 2023 SauerDanfoss Standard Break 休 息 Step 4 第四步 Define and Verify Root Causes 尋找和核實(shí)問(wèn)題的根源 Identify all potential causes which could theoretically explain why the problem occurred. 查找所有能夠在理論上解釋問(wèn)題發(fā)生的潛在的原因。 Step 4 第四步 Define and Verify Root Causes 尋找和核實(shí)問(wèn)題的根源 Isolate and verify the root cause by mental and/or physical test of potential causes against the problem description and data. 依據(jù)問(wèn)題的描述和數(shù)據(jù),用思考分析和、或物質(zhì)試驗(yàn),分離出問(wèn)題的根本成因并加以核實(shí) Define Verify Root Cause Steps 尋找和核實(shí)問(wèn)題的根源的步驟 ? Review problem statement ? 回顧問(wèn)題的陳述 ? Develop a list of facts (Is / Is Not) ? 列出事實(shí)表格(是 /否) ? Chronological list of changes ? 按順序排列 ? List of possible causes ? 列出可能的原因 ? Compare possible causes to facts ? 根據(jù)實(shí)施比較原因 ? Verify probable root cause ? 驗(yàn)證可能的根本原因 ? Write root cause statement ? 寫(xiě)出根本原因的描述 Tools to help Define and Verify Root Causes 幫助查找和核實(shí)問(wèn)題根源的工具 ?Is / Is Not? 是 / 否? ?Ask Why 5 times? 問(wèn) 5遍為什么? ?Chronological Sequence? 歷史成因? ?Brain Storming? 集體研討? ?Database Search? 數(shù)據(jù)庫(kù)搜尋? ?Failure Mode Effects Analysis (FMEA)? 失敗模式效應(yīng)分析? ?Design Of Experiments (DOE)? 試驗(yàn)設(shè)計(jì)? Proble m So lv ing To o ls IS / IS N O T table P r ob lem Stat em en t (See S tep 2 a bove ) Desc r ipt ion of th e P r ob lem Is I s Not W ha t P roduct W ha t cus tom ers / a pplic a tions W he re ha v e fa ilures be en see n on pr oduct W he re ha v e fa ilures be en see n ge ograp h ic a lly W he n f irs t s ee n in field or pla nt W he n el s e ha ve w e s ee n f a ilure W he n s ee n in proce s s (r a w mate rial thr ough f ie ld) How much (pe rcent a f f ec ted) Number of occ ur rence s f ound (date s / loc a tions ) Siz e / e xtent 解決問(wèn)題的方法 是 / 否 表格 問(wèn)題的陳述 ( 參閱相關(guān)第 2 步 ) 問(wèn)題的描述 是 否 什么產(chǎn)品 什么客戶 / 應(yīng)用 故障出現(xiàn)在產(chǎn)品的什么地方 地理上,問(wèn)題出現(xiàn)在什么地方 在哪一現(xiàn)場(chǎng)或工廠首先發(fā)現(xiàn)問(wèn)題 其他有何時(shí)發(fā)現(xiàn)問(wèn)題 在工程的何時(shí)發(fā)現(xiàn) ( 原材料到現(xiàn)場(chǎng) ) 影響的 數(shù)量 (%) 發(fā)生的次數(shù) ( 日期 / 區(qū)域 ) 大小 / 范圍 Verifying Root Cause 核實(shí)根本成因 (IS / IS NOT) (是 / 否 ) Is 是 Is Not 否 What Product 什么產(chǎn)品 TMT 315 / 380 / 400 ccm TMT motors 250 ccm