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Getting to the Real Root Cause of
    Your Maintenance Issues
             Presented by
            Anthony Manos




              © Profero, Inc. 2012
Learning Outcomes
• This session will help guide you how to get to the root cause of your
  maintenance issues and breakdowns using real world examples and
  practical steps.
• Case studies will be shared on how teams went about finding the
  root cause of a problem and what happens when they didn’t.
• Find out how to apply the “5 Whys” and other tools effectively.
• See how to include scientific thinking in your maintenance
  applications in a simple way.
• Develop better teamwork between maintenance
  personnel, operators and management.
• Learn the six principles that will give you better maintenance
  results.
• We all know we need to take better care of our equipment and
  machines; this session will help show you how and why.


                              © Profero, Inc. 2012
Agenda
•   Case Study #1 – Fabricating a solution
•   6 Principles for Better Maintenance
•   Case Study #2 – Vibration nation
•   Cool Tools for Better Maintenance
•   Case Study #3 – Feed me




                      © Profero, Inc. 2012
Case Study #1
Fabricating a solution




       © Profero, Inc. 2012
Background Information
• An excessive amount of parts coming out of an oven were
  being sent to a over-temp (scrap) bin
• The operators lived with this condition for a while, but it was
  reducing their productivity rates. They mentioned it to a
  maintenance person. That maintenance person told the
  supervisor. The supervisor told the manager.
• They thought that light coming in from the window was
  interfering with the sensor unit reading so they decided to
  fabricate a shield to go over the temperature probe.
• It took 24 man-hours (three days for a third shift maintenance
  person) to fabricate the shield and install it.

                           © Profero, Inc. 2012
Current State



       Cover



Oven




       Scrap

               © Profero, Inc. 2012
Lessons Learned
• The operators reported that they still have some
  issues with over-temp conditions
• They should of had the people involved (including the
  operators) perform 5 Whys to get to the real root cause
• Spending 24 man-hours working on a solution
  that doesn’t actually solve the problem is not
  a good solution
• They should have use that time to get to the real root
  cause and implement the correct, permanent
  solution.
                        © Profero, Inc. 2012
Principles for Better
   Maintenance
      The Big 6
       (Principles)




       © Profero, Inc. 2012
6 Principles for
      Better Maintenance Results
1. Know thy equipment
2. Take the time to get to the root cause
3. Don’t assume you already know the answer
   (Don’t stop at your first solution)
4. Verify your solution
5. Monitor your equipment
6. Improve your system

                  © Profero, Inc. 2012
Know Thy Equipment
• Spend time to really learn the equipment
  – inside & out
• Develop a Total Productive Maintenance System
  and Autonomous Maintenance (TPM & AM)
• Consider performing TPM Events focused on
  specific equipment or machines
• Include operators and maintenance
  personnel
• Have the correct manuals & repair parts

                    © Profero, Inc. 2012
Take the Time to Get to the Root Cause
• Find the real root
  cause
• It may take a little
  work, it might not be
  easy, you probably
  don’t have time – roll
  up your sleeves and get
  to work
• Know when to say
  when – Will the
  problem reoccur?
                      © Profero, Inc. 2012
Don’t Assume You Already Know the
                 Answer
• Your first solution is wrong
• Don’t stop at your first solution
• Get to the real root cause – don’t just assume!
• Test your theories out – use the scientific
  method
• Listen to others’ points of view



                    © Profero, Inc. 2012
Monitor Your Equipment
• Find a way to track the effectiveness of your
  equipment – OEE
• Make sure that the PMs are being done
  correctly and on-time
• Use your operators as a key source of
  information
• Make it visual!


                     © Profero, Inc. 2012
Improve Your System
• Even if your equipment is performing
  adequately think of ways to make it better
• Include training into your maintenance system
  for operators, maintenance
  personnel, engineers and management
• Get suggestions from workers on how to
  improve your maintenance system


                   © Profero, Inc. 2012
Great Tools
Need to know how &
 when to use them




     © Profero, Inc. 2012
5 Whys
• Ask “Why” five times to help get to a root
  cause
• Doesn’t always have to be five; could be
  more, could be less
• Good for simple issues (not complex ones)
• Verify solution before proceeding to next
  “Why?”


                    © Profero, Inc. 2012
Cause & Effect
• A.k.a. Fishbone or
  Ishikawa diagram
• Head = effect
• Bones = causes or
  variables
• Categories 5Ms (E+C or
  other)




                      © Profero, Inc. 2012
Scientific Thinking
• Change one thing at a
  time and see what
  happens
• Easy to teach, easy to
  learn
• Gain valuable insights –
  including what worked
  and what didn’t



                       © Profero, Inc. 2012
Developing Teamwork
• Work together
• Help each other be
  right (not wrong)
• Listen
• Use facts and data (vs.
  assumptions, intuition or
  opinion)
• Be open-minded
• Problems are
  o.k., solutions are
  even better

                       © Profero, Inc. 2012
Case Study #2
 Vibration nation




     © Profero, Inc. 2012
Background Information
• The vibrating bowl would shake violently on start-
  up and shut-down. There was a comment that
  “you wouldn’t want to be near it when it started
  or stopped.”
• This caused the parts to “jump” on top of each
  other or lie next to each other. This could cause a
  jam in two different areas of the delivery feed
  system. If the parts jammed the operator would
  not know until no more parts where delivered to
  the machine. This would cause downtime and
  other quality problems.

                      © Profero, Inc. 2012
5 Whys
5 Whys Gone Wrong
1. Why are there no more parts?
Because the parts got jammed.
2. Why did the parts get jammed?
Because they were on top of each other and
wouldn’t fit.
Ah-ha! Add a piece that only allows one part to
go through at a time!
                    © Profero, Inc. 2012
5 Whys
Good idea, it just doesn’t get to the root cause and the
violent shaking will eventually cause other problems.
Let’s try 5 Whys again
1. Why are there no more parts?
Because the parts got jammed.
2. Why did the parts get jammed?
Because they were on top of each other and couldn’t fit.
3. Why are they on top of each other?
Because the motors shake violently on start and stop.
Ah-ha! Adjust the counter-weights on the motors of the
bowl feeder!

                                © Profero, Inc. 2012
5 Whys
THIS IS NOT THE ONLY REASON – be careful of going down the wrong
road. Look for simple solutions whenever possible
One more try
1. Why are there no more parts?
Because the parts got jammed.
2. Why did the parts get jammed?
Because they were on top of each other and couldn’t fit.
3. Why are they on top of each other?
Because the motors shake violently on start and stop.
4. Why do the motors shake violently on start and stop?
Because the feedback circuit isn’t adjusted correctly.
Ah-ha! Adjust the feedback circuit!



                                    © Profero, Inc. 2012
5 Whys
This actual fixes the problem, but it doesn’t prevent it.
Finally!
1. Why are there no more parts?
Because the parts got jammed.
2. Why did the parts get jammed?
Because they were on top of each other and couldn’t fit.
3. Why are they on top of each other?
Because the motors shake violently on start and stop.
4. Why do the motors shake violently on start and stop?
Because the feedback circuit isn’t adjusted correctly.
5. Why was the feedback circuit out of adjustment?
It wasn’t labeled and it was changed by mistake.
Ah-ha! Label the circuits and mark the correct settings!


                                    © Profero, Inc. 2012
5 Whys
Other Lessons Learned
• When the operator took the initiative and asked if there was
  anything that could be done, he was told that there weren’t
  any ways to make the adjustment.
• When the operator asked another person, they said it would
  take a lot of effort to change the counter-weights.
• Then the operator asked another person, and they said
  “Sure, it’s easy to adjust the circuit.”
• It took longer to get the panel off of the control box than it did
  to make the adjustment.
• When the machine ran on second shift that night, there were
  no jams at all.
                            © Profero, Inc. 2012
Case Study #3
   Feed me




   © Profero, Inc. 2012
Feed Chain Example
• While performing a
  TPM Event on a
  packaging machine the
  team noticed that many
  of the grippers on the
  feed chain were
  damaged or
  missing
• Why?

                     © Profero, Inc. 2012
Easy Fix!
• The quick and easy solution would be to repair
  or replace the damaged grippers
• Would that really solve the problem?




                    © Profero, Inc. 2012
TPM Event - Drive Chain
• What was the cause of
  the missing damaged
  grippers?
• An aluminum block was
  discovered rubbing
  against the chain
• Why was this block
  rubbing against the
  chain?
Find the Cause
• The chain was rubbing
  against the aluminum
  block for so long that it
  created a deep groove
• The operator thought he
  heard strange sounds
  when the machine was
  running
• The maintenance expert
  didn’t even know why the
  block was rubbing against
  the chain


                        © Profero, Inc. 2012
Finding the Root Cause
• It took a while to
  determine the real root
  cause – the push rod was
  loose and extended too
  far causing the carriage to
  go too far and rub into
  the chain
• Solution – lock nut and
  marker (visual indicator
  to see if it becomes loose
  again) – added to
  Autonomous
  Maintenance (AM)

                         © Profero, Inc. 2012
Teamwork
• The team worked together and used other
  tools like Fishbone, brainstorming, etc.
• The manager decided to spend more time
  training the operators and technicians




                   © Profero, Inc. 2012
Success!




 © Profero, Inc. 2012
Conclusion
Wrap-up and Q&A




    © Profero, Inc. 2012
Resources
TPM Blitz DVD                    “Implementing TPM:
by SME & AME                     The North American
                                 Experience” by Charles
                                 J. Robinson and
                                 Andrew P. Ginder

     Maintenance                      Gauge Range
     Stations and
     Maintenance
     Tags

    Motor Fan
    Filters

                                   Available at
                                   www.5Ssupply.com
          © Profero, Inc. 2011
Wrap-up
• This session will help guide you how to get to the root cause of your
  maintenance issues and breakdowns using real world examples and
  practical steps.
• Case studies will be shared on how teams went about finding the
  root cause of a problem and what happens when they didn’t.
• Find out how to apply the “5 Whys” and other tools effectively.
• See how to include scientific thinking in your maintenance
  applications in a simple way.
• Develop better teamwork between maintenance
  personnel, operators and management.
• Learn the six principles that will give you better maintenance
  results.
• We all know we need to take better care of our equipment and
  machines; this session will help show you how and why.


                              © Profero, Inc. 2012
Additional Resources




Slideshare
             Group 5S Supply
                   © Profero, Inc. 2011
Q&A
• Questions
• Comments
• Evaluations




                © Profero, Inc. 2010
Developer
Anthony Manos
Tony Manos is a Catalyst with Profero, Inc., “Leaders
 in Lean”, where he provides professional consulting
 services to organizations focusing on implementing
 Lean Enterprise. Mr. Manos has extensive
 knowledge of Lean and quality in a wide range of
 work environments. Tony is trained and certified by
 the National Institute for Standards and Technology
 (NIST) U.S. Department of Commerce in all elements
 of Lean manufacturing.
As a member of American Society for Quality’s (ASQ)
 faculty, he teaches a two-day course in Lean
 Enterprise and a one-day course on Kaizen. Tony is
 the past Chair of the Lean Enterprise Forum of ASQ.
 He is a senior member of the Society of                       Contact information:
 Manufacturing Engineers (SME) and a member of
 the Association for Manufacturing Excellence (AME).           Anthony Manos
 He is part of the team that developed the Lean                Catalyst
 Certification for AME, SME and the Shingo Prize.              Profero, Inc.
Mr. Manos served in the United States Navy nuclear             9270 Corsair Road Street, Suite 18
 propulsion program and holds and MBA from the                 Frankfort, IL 60423
 University of Illinois at Chicago.
                                                               C 312.718.0078
                                                               F 815.469.5678
                                                               E: anthony.manos@proferoinc.com
                                                               www.proferoinc.com

                                        © Profero, Inc. 2010
Thank you
for your time and attention




            © Profero, Inc. 2012
© Profero, Inc. 2012

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Marts Conference 2012: Getting to the Root Cause of Your Maintenance Issues

  • 1. Getting to the Real Root Cause of Your Maintenance Issues Presented by Anthony Manos © Profero, Inc. 2012
  • 2. Learning Outcomes • This session will help guide you how to get to the root cause of your maintenance issues and breakdowns using real world examples and practical steps. • Case studies will be shared on how teams went about finding the root cause of a problem and what happens when they didn’t. • Find out how to apply the “5 Whys” and other tools effectively. • See how to include scientific thinking in your maintenance applications in a simple way. • Develop better teamwork between maintenance personnel, operators and management. • Learn the six principles that will give you better maintenance results. • We all know we need to take better care of our equipment and machines; this session will help show you how and why. © Profero, Inc. 2012
  • 3. Agenda • Case Study #1 – Fabricating a solution • 6 Principles for Better Maintenance • Case Study #2 – Vibration nation • Cool Tools for Better Maintenance • Case Study #3 – Feed me © Profero, Inc. 2012
  • 4. Case Study #1 Fabricating a solution © Profero, Inc. 2012
  • 5. Background Information • An excessive amount of parts coming out of an oven were being sent to a over-temp (scrap) bin • The operators lived with this condition for a while, but it was reducing their productivity rates. They mentioned it to a maintenance person. That maintenance person told the supervisor. The supervisor told the manager. • They thought that light coming in from the window was interfering with the sensor unit reading so they decided to fabricate a shield to go over the temperature probe. • It took 24 man-hours (three days for a third shift maintenance person) to fabricate the shield and install it. © Profero, Inc. 2012
  • 6. Current State Cover Oven Scrap © Profero, Inc. 2012
  • 7. Lessons Learned • The operators reported that they still have some issues with over-temp conditions • They should of had the people involved (including the operators) perform 5 Whys to get to the real root cause • Spending 24 man-hours working on a solution that doesn’t actually solve the problem is not a good solution • They should have use that time to get to the real root cause and implement the correct, permanent solution. © Profero, Inc. 2012
  • 8. Principles for Better Maintenance The Big 6 (Principles) © Profero, Inc. 2012
  • 9. 6 Principles for Better Maintenance Results 1. Know thy equipment 2. Take the time to get to the root cause 3. Don’t assume you already know the answer (Don’t stop at your first solution) 4. Verify your solution 5. Monitor your equipment 6. Improve your system © Profero, Inc. 2012
  • 10. Know Thy Equipment • Spend time to really learn the equipment – inside & out • Develop a Total Productive Maintenance System and Autonomous Maintenance (TPM & AM) • Consider performing TPM Events focused on specific equipment or machines • Include operators and maintenance personnel • Have the correct manuals & repair parts © Profero, Inc. 2012
  • 11. Take the Time to Get to the Root Cause • Find the real root cause • It may take a little work, it might not be easy, you probably don’t have time – roll up your sleeves and get to work • Know when to say when – Will the problem reoccur? © Profero, Inc. 2012
  • 12. Don’t Assume You Already Know the Answer • Your first solution is wrong • Don’t stop at your first solution • Get to the real root cause – don’t just assume! • Test your theories out – use the scientific method • Listen to others’ points of view © Profero, Inc. 2012
  • 13. Monitor Your Equipment • Find a way to track the effectiveness of your equipment – OEE • Make sure that the PMs are being done correctly and on-time • Use your operators as a key source of information • Make it visual! © Profero, Inc. 2012
  • 14. Improve Your System • Even if your equipment is performing adequately think of ways to make it better • Include training into your maintenance system for operators, maintenance personnel, engineers and management • Get suggestions from workers on how to improve your maintenance system © Profero, Inc. 2012
  • 15. Great Tools Need to know how & when to use them © Profero, Inc. 2012
  • 16. 5 Whys • Ask “Why” five times to help get to a root cause • Doesn’t always have to be five; could be more, could be less • Good for simple issues (not complex ones) • Verify solution before proceeding to next “Why?” © Profero, Inc. 2012
  • 17. Cause & Effect • A.k.a. Fishbone or Ishikawa diagram • Head = effect • Bones = causes or variables • Categories 5Ms (E+C or other) © Profero, Inc. 2012
  • 18. Scientific Thinking • Change one thing at a time and see what happens • Easy to teach, easy to learn • Gain valuable insights – including what worked and what didn’t © Profero, Inc. 2012
  • 19. Developing Teamwork • Work together • Help each other be right (not wrong) • Listen • Use facts and data (vs. assumptions, intuition or opinion) • Be open-minded • Problems are o.k., solutions are even better © Profero, Inc. 2012
  • 20. Case Study #2 Vibration nation © Profero, Inc. 2012
  • 21. Background Information • The vibrating bowl would shake violently on start- up and shut-down. There was a comment that “you wouldn’t want to be near it when it started or stopped.” • This caused the parts to “jump” on top of each other or lie next to each other. This could cause a jam in two different areas of the delivery feed system. If the parts jammed the operator would not know until no more parts where delivered to the machine. This would cause downtime and other quality problems. © Profero, Inc. 2012
  • 22. 5 Whys 5 Whys Gone Wrong 1. Why are there no more parts? Because the parts got jammed. 2. Why did the parts get jammed? Because they were on top of each other and wouldn’t fit. Ah-ha! Add a piece that only allows one part to go through at a time! © Profero, Inc. 2012
  • 23. 5 Whys Good idea, it just doesn’t get to the root cause and the violent shaking will eventually cause other problems. Let’s try 5 Whys again 1. Why are there no more parts? Because the parts got jammed. 2. Why did the parts get jammed? Because they were on top of each other and couldn’t fit. 3. Why are they on top of each other? Because the motors shake violently on start and stop. Ah-ha! Adjust the counter-weights on the motors of the bowl feeder! © Profero, Inc. 2012
  • 24. 5 Whys THIS IS NOT THE ONLY REASON – be careful of going down the wrong road. Look for simple solutions whenever possible One more try 1. Why are there no more parts? Because the parts got jammed. 2. Why did the parts get jammed? Because they were on top of each other and couldn’t fit. 3. Why are they on top of each other? Because the motors shake violently on start and stop. 4. Why do the motors shake violently on start and stop? Because the feedback circuit isn’t adjusted correctly. Ah-ha! Adjust the feedback circuit! © Profero, Inc. 2012
  • 25. 5 Whys This actual fixes the problem, but it doesn’t prevent it. Finally! 1. Why are there no more parts? Because the parts got jammed. 2. Why did the parts get jammed? Because they were on top of each other and couldn’t fit. 3. Why are they on top of each other? Because the motors shake violently on start and stop. 4. Why do the motors shake violently on start and stop? Because the feedback circuit isn’t adjusted correctly. 5. Why was the feedback circuit out of adjustment? It wasn’t labeled and it was changed by mistake. Ah-ha! Label the circuits and mark the correct settings! © Profero, Inc. 2012
  • 26. 5 Whys Other Lessons Learned • When the operator took the initiative and asked if there was anything that could be done, he was told that there weren’t any ways to make the adjustment. • When the operator asked another person, they said it would take a lot of effort to change the counter-weights. • Then the operator asked another person, and they said “Sure, it’s easy to adjust the circuit.” • It took longer to get the panel off of the control box than it did to make the adjustment. • When the machine ran on second shift that night, there were no jams at all. © Profero, Inc. 2012
  • 27. Case Study #3 Feed me © Profero, Inc. 2012
  • 28. Feed Chain Example • While performing a TPM Event on a packaging machine the team noticed that many of the grippers on the feed chain were damaged or missing • Why? © Profero, Inc. 2012
  • 29. Easy Fix! • The quick and easy solution would be to repair or replace the damaged grippers • Would that really solve the problem? © Profero, Inc. 2012
  • 30. TPM Event - Drive Chain • What was the cause of the missing damaged grippers? • An aluminum block was discovered rubbing against the chain • Why was this block rubbing against the chain?
  • 31. Find the Cause • The chain was rubbing against the aluminum block for so long that it created a deep groove • The operator thought he heard strange sounds when the machine was running • The maintenance expert didn’t even know why the block was rubbing against the chain © Profero, Inc. 2012
  • 32. Finding the Root Cause • It took a while to determine the real root cause – the push rod was loose and extended too far causing the carriage to go too far and rub into the chain • Solution – lock nut and marker (visual indicator to see if it becomes loose again) – added to Autonomous Maintenance (AM) © Profero, Inc. 2012
  • 33. Teamwork • The team worked together and used other tools like Fishbone, brainstorming, etc. • The manager decided to spend more time training the operators and technicians © Profero, Inc. 2012
  • 34. Success! © Profero, Inc. 2012
  • 35. Conclusion Wrap-up and Q&A © Profero, Inc. 2012
  • 36. Resources TPM Blitz DVD “Implementing TPM: by SME & AME The North American Experience” by Charles J. Robinson and Andrew P. Ginder Maintenance Gauge Range Stations and Maintenance Tags Motor Fan Filters Available at www.5Ssupply.com © Profero, Inc. 2011
  • 37. Wrap-up • This session will help guide you how to get to the root cause of your maintenance issues and breakdowns using real world examples and practical steps. • Case studies will be shared on how teams went about finding the root cause of a problem and what happens when they didn’t. • Find out how to apply the “5 Whys” and other tools effectively. • See how to include scientific thinking in your maintenance applications in a simple way. • Develop better teamwork between maintenance personnel, operators and management. • Learn the six principles that will give you better maintenance results. • We all know we need to take better care of our equipment and machines; this session will help show you how and why. © Profero, Inc. 2012
  • 38. Additional Resources Slideshare Group 5S Supply © Profero, Inc. 2011
  • 39. Q&A • Questions • Comments • Evaluations © Profero, Inc. 2010
  • 40. Developer Anthony Manos Tony Manos is a Catalyst with Profero, Inc., “Leaders in Lean”, where he provides professional consulting services to organizations focusing on implementing Lean Enterprise. Mr. Manos has extensive knowledge of Lean and quality in a wide range of work environments. Tony is trained and certified by the National Institute for Standards and Technology (NIST) U.S. Department of Commerce in all elements of Lean manufacturing. As a member of American Society for Quality’s (ASQ) faculty, he teaches a two-day course in Lean Enterprise and a one-day course on Kaizen. Tony is the past Chair of the Lean Enterprise Forum of ASQ. He is a senior member of the Society of Contact information: Manufacturing Engineers (SME) and a member of the Association for Manufacturing Excellence (AME). Anthony Manos He is part of the team that developed the Lean Catalyst Certification for AME, SME and the Shingo Prize. Profero, Inc. Mr. Manos served in the United States Navy nuclear 9270 Corsair Road Street, Suite 18 propulsion program and holds and MBA from the Frankfort, IL 60423 University of Illinois at Chicago. C 312.718.0078 F 815.469.5678 E: anthony.manos@proferoinc.com www.proferoinc.com © Profero, Inc. 2010
  • 41. Thank you for your time and attention © Profero, Inc. 2012