group 3 poka yoke

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    PresentationOn

    Poka Yoke

    Presented by:

    Group 3

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    A common mistake of people who try to makethingscompletely fool-proof is to underestimate

    the ingenuity ofcomplete fools.

    -- DouglasAdams

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    ` Shigeo Shingo invented the Japanese concept calledPoka-Yoke (pronounced POH-kah YOH-kay)

    ` The term "poka-yoke" comes from the Japanese words"poka" (inadvertent mistake) and "yoke" (prevent).

    ` Poka-Yoke means to mistake proof the process

    The essential idea of poka-yoke is to design yourprocess so that mistakes are impossible or at least

    easily detected andcorrected

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    Background and istory

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    ` Apoka-yoke device is any mechanism that eitherprevents a mistake from being made or makes themistake obvious at a glance

    ` AsShingo writes, "Thecauses of defects lie in workererrors, and defects are the results of neglecting thoseerrors. It follows that mistakes will not turn intodefects if worker errors are discovered and eliminatedbeforehand

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    ` The main objective of poke yoke is to achieve zero defects

    ` Poka yoke devices should have the followingcharacteristics: useable by all workers

    simple to install

    does not requirecontinuous attention from the operator (ideally, it should

    work even if the operator is not aware of it)

    low-cost

    provides instantaneous feedback, prevention, orcorrection

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    ` Forgetfulness

    ` Misunderstanding

    ` Wrong identification

    ` Lack of experience

    ` Willful (ignoring rules or procedure)

    ` Inadvertent or sloppiness

    ` Slowliness

    ` Lack of standardization

    ` Surprise (unexpected machine operation, etc.)

    ` Intentional (sabotage)

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    ` Poka-yoke devices fall into two majorcategories:

    Prevention

    Detection

    ` A prevention device engineers the process so that it isimpossible to make a mistake at all

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    Example of Prevention Category

    3.5 inch diskettecannot be inserted unless diskette is orientedcorrectly. Thisis as far as a disk can be inserted upside-down. The beveledcorner of the

    diskette pushes a stop in the disk drive out of the way allowing the diskette

    to be inserted. This feature, along with the fact that the diskette is not

    square, prohibit incorre

    ct orientation. 10

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    ` A detection device signals the user when a

    mistake has been made, so that the user can

    quickly

    corre

    ct the problem

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    Detection Category

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    Incorrect Correct

    Example 1

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    All internal lever are not

    positioned properly so theother lever cannot be

    locked.

    All internal lever are

    positioned properly so

    outer lever can be

    locked.

    Example 2

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    Example 3

    Incorrect Correct

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    Example 4

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    Error: putting a tube into a

    patients stomach which was

    intended for their lungs.

    Example 5

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    Graphical user interfaces are all about mistake proofing. Remember

    the DOS error message: Bad Command or File Name? It can't

    happen when you point and click from a list.

    Example 6

    DOS- Character User Interface Windows - Graphical User Interface

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    Example 7Overlapping doors are used as

    firedoors. The problem is that they

    can be closed incorrectly.

    This lovely mistake proofing device from

    Wales solved the problem...

    By proping the outter door open enough to

    allow the inner door to swing past

    before closing completely. You cannot close

    the door wrongly.

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    Example 8This airport luggage cart has

    brakes which are applied

    whenever the yellow handle isnot depressed. Carts will not roll

    unless they are attended. When

    carts nested, the rear wheels of

    all but the lastcart are wedgedoff the floor, so thecartscan be

    pushed easily by airport staff

    returning them to service areas.

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    Automatic light switch

    in kids' bathroom

    turns light on

    automatically. Afterthe bathroom has

    been unoccupied for

    a few minutes, the

    light goes off

    automatically. The

    error of forgetting toturn off the light is

    eliminated.

    Example 9

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    Stove A

    Stove B

    In A it is difficult to tell

    which knob turns on

    which burner?

    B is Right. Because there is a natural

    one-to-one mapping. Here the point is

    that a little attention to detail, not a big

    change, can make a huge impact onour ability to use the system

    Example 10

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    Whose signature is required?

    Before:

    After:

    Example 11 (I)

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    Here is an example of a form.

    Before: We have all of these people who are supposed to

    sign the engineering change notice and one really have to

    thinkcarefully about who have to sign it.

    After: We have a grid. The grid now says what type of

    changes occurred, and has blanked out the unnecessary

    signatures. So, now the form actually walks you through theapproval process so that youcan determine how to get the job

    done.

    Example 11 (II)

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    ` Eliminate unnecessary or duplicate steps

    Use flow charts to visualize the process

    ` Keep it simple

    You dont have to spend a lot of money

    ` Use many Poka-Yoke devices in a process

    There isnt a quota on how many you can use

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    ` Poka-Yoke means to mistake proof the process

    Remove the opportunity for error

    x Improve the process

    x Make wrong actions more difficult

    If you cant remove the opportunity for error

    x Make it easier to discover the errors that do occur

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