Académique Documents
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Introduction
Descriptions
Action Results Potential Failure Potential Effect(s) Mode(s) of Failure S e v Potential Cause(s)/ Mechanism(s) of Failure Over pressure P r o b 8 Current Design Controls D e t R P N Recommended Action(s) Responsibility & Target Completion Date New RPN New Occ New Sev New Det
Item / Function
Actions Taken
Crack/break. Burst. Side wall flex. Bad seal. Poor hose rete
Leak
64 Test included in
prototype and production validation testing.
Write down each failure mode and potential consequence(s) of that failure. Severity - On a scale of 110, rate the Severity of each failure (10= most severe). See Severity sheet. Likelihood - Write down the potential cause(s), and on a scale of 1-10, rate the Likelihood of each failure (10= most likely). See
Risk Priority Number - The combined weighting of Severity, Likelihood, and Detectability. RPN = Sev X Occ X Det
Detectability - Examine the current design, then, on a scale of 1-10, rate the Detectability of each failure (10 = least detectable). See Detectability sheet.
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Item / Function
R P N
Recommended Action(s)
Requirement entered and verified by Inside Sales in config. tool. Sales identifies need for CII or SHC
System compatability requirements not evaluated by config. tool. On time delivery and integraty of the product may be compramised if this issue is not addressed.
3 Human error
9 Continue order verification by configuration tool. 63 Publish comprehensive procedure for the 1st Article Process.
Closed 10/21/99
Specific packing, labeling and shipping requirements may not be fully addressed.
7 Requirements Overlooked.
3 Customer Inspection Instruction/ Special Handling Codes Process 033-001-02 5 CII 033-001-006
Jun-00
Position of the Loss of business DHR in ICD with the label packet not customer. identified by GE. Requirment in Purchase Specification for mousepad, but not identified on Bill of Material. ICD Card content requirements not identified in Build Procedure. Houston Mayer Six Sigma Blackbelt August 21, 2000
1 Requirements Overlooked.
5 Revisit contents Sep-00 of GE CII 033001-006 to assure all requirements are clearly commumicated to the warehouse operators and quality technicians using these documents.
Customer shipping requirements reviewed by quality assurance in 1st Article process. OPEN 8/21/00
New RPN 4
New Occ
New Sev
New Det
QA and Pack and Ship Team reviews customer requirements during a 1st Article. Inside sales submits Sales Order Authorization request to TECenter.
Specific packing, labeling and shipping requirements may not be fully addressed.
7 Requirements overlooked.
1 Human Error
3 Customer requirements physically verified by quality assurance during the 1st Article process. 1 Customer requirements verified by a TECenter engineer.
Closed 1/25/00
TECenter Requirements Engineer reviews overlooked by the design to Engineer determain if additional data is required. Appropriate individuals are contacted to resolve issues. Appropriate individuals not available.
3 Requirements Overlooked.
Closed 10/25/99
1 Process Failure
Closed 1/25/00
1 Process Failure
1 Customer requirements verified by a TECenter engineer. 3 Customer requirements verified by a TECenter engineer. 1 Verification is sent to appropriate organization. 1 Requirements are defined and to meet requirements.
Another Requirements engineer overlooked by performs quality two Engineer check of the design. Completed Design design verification verification is misrouted sent to appropriate Requirements Requirements are defined and may be missed capability to or capibilty to meet/ accept meet Houston Mayer overestamated requirements. Six Sigma Blackbelt August 21, 2000
7 Process Failure
1 Process Failure
1 Process Failure
Inside Sales Wrong price and Customer's full quotes price and availability expectations availability provided to may not be customer realized. Customer sends Order misrouted in purchase order. Inside sales Data Entry Error places order on system. Order approved by Asset Management. Order approved by credit. Determaination made that product is available for build. Approval not timely Approval not timely All product required for the order may not be available at the start of the build. Order Processing Delay Order Processing Delay Order Processing Delay Order Processing Delay (1) Product delivery date requirements may not be met. (2) Workspace occupied for an order awaiting Product is not available for integration of other orders. Customer's full expectations may not be realized. Order Processing Delay
3 Process Failure
1 1
1 Continue Closed 1/27/00 current pracices. 3 Continue Closed 1/27/00 current pracices. 1 Continue Closed 1/27/00 current pracices. 1 Continue Closed 1/27/00 current pracices. 15 Continue current practices. Closed 10/25/99
1 Process Failure
1 Expidite Process
1 Process Failure
1 Expidite Process
Inside sales Shipdates may expedites with not be accurate Asset to provide ship date. Order approved by Asset Mgmt. and e-mail sent to Integration. Project Manager reviews order for special or internal instructions. e-mail may be misrouted
1 Needed components are not available at the time of need. 1 Process Failure
1 Expidite Process
Closed 1/27/00
1 Expidite Process
Closed 1/27/00
Customer and processing needs not identified could prevent timely processing of the order.
Closed 10/25/99
Build document Documents do bill of material not match matched with SCN.
Stock availability is checked and delivery dates are aquired for non stock items. Order is forwarded to Production Engineer for review. Determanation made for a 1st Article build.
stock availability Customer's full and dates may expectations be inaccurate may not be realized. Order may be misrouted Order Processing Delay
3 Needed components are not available at the time of need. 1 Process Failure
Closed 1/27/00
Closed 1/27/00
1 Expidite Process
1 Continue current practices. 105 Continue current practices. 27 Continue current practices. 3 Continue current practices. 3 Continue current practices. 3 Continue current practices. 9 Continue current practices. 27 Continue current practices.
Continue current practices. Continue current practices. Continue current practices. Continue current practices. Closed 1/27/00
Build document Requirements is reviewed and may be verified. overlooked Project management notifies sales with status of order. Asset management places order for non stock items. Order is scheduled for production. Whse Operator reviews parts to SOA & SCN. Sales may not receive order status Items may not be ordered
Customer's full 7 expectations may not be realized. Customer's full 3 expectations may not be realized. Order 3 Processing Delay
Individuals are contacted to resolve issues. Individuals are contacted to resolve issues. Individuals are contacted to resolve issues.
Needed 1 components are not available at the time of need. Requirements Overlooked. Requirements Overlooked. 1
Expidite Process 1
Order may not be entered in schedule Parts may not match requirement
Individuals are contacted to resolve issues. Individuals are contacted to resolve issues. Individuals are contacted to resolve issues. Integration Kitting and Packing 153001-01
Closed 1/27/00
Closed 1/27/00
Whse. Operator All parts may Unpack,Iinspect not reach & Kit order. integration
Closed 1/27/00
Techs. Check product against SOW and build instructions. Integration Techs. inspect parts and chassis.
All components 3 are not available at the time of need. All components 3 are not available at the time of need. Requirements Overlooked. 1
Individuals are contacted to resolve issues. QA Inspection and Test Procedure 103001-03 QA Inspection and Test Procedure 103001-03
15 Continue current practices. 63 Continue current practices. 5 Update Build Procedures to clearly define product requirements specific to the model being integrated. 147 Continue current practices. 100 Continue current practices. 25 Continue current practices.
Closed 1/27/00
Closed 1/27/00
No NT Resource Loss of business 1 Kit with the Missing Video customer. Board
Closed 8/21/00
Techs. Integrate System may be & Power-Up integrated System incorrectly Integration Techs. Test system. Quality techs. inspect product for build requirements.
Closed 1/27/00
System and Order 10 Needed 10 QA Inspection parts may not be Processing Delay components are and Test compliant not available at Procedure 103the time of need. 001-03 Specific build requirements may not be fully addressed. On time delivery 5 and integraty of the product may be compramised if this issue is not addressed. Requirements Overlooked. 1 Individuals are contacted to resolve issues.
Closed 1/27/00
IO panel not Loss of business 1 installed with the Label on CPU customer. Incorrect No feet or other components installed No extension cables Missing cables IO panel gasket not installed Wrong ICD cards provided Dome calibrater included
Human Error
25 Update Build Procedures to clearly define product requirements specific to the model being integrated.
Closed 8/21/00
Product serial numbers scanned into Genesis. Change made after batch release
Individuals are contacted to resolve issues. Individuals are contacted to resolve issues. Individuals are contacted to resolve issues. Individuals are contacted to resolve issues. Individuals are contacted to resolve issues.
9 Continue current practices. 1 Continue current practices. 9 Continue current practices. 3 Continue current practices. 7 Continue current practices.
Closed 1/27/00
Closed 1/27/00
Order placed on Shiping hold when deadlines may change is made. not be met Design Process reinitiates Whse. invoices and ships order per customer's shipping method. Quality techs. inspect shipment for CII/SHC requirements.
Closed 1/27/00
Control of Order 3 requirements Processing Delay may not be complete Wrong Shipping On time delivery 7 method may be and integraty of used the product may be compramised if this issue is not addressed. Specific packing, labeling and shipping requirements may not be fully addressed.
Closed 1/27/00
Process Failure
Closed 1/27/00
On time delivery 10 Requirements and integraty of Overlooked. the product may be compramised if this issue is not addressed.
Label on outside Loss of business 1 of box did not with the match S/N on customer. CPU.
Human Error
CII 033-001-006 3
On time delivery 7 and integraty of the product may be compramised if this issue is not addressed. Documents may 3 not be retrievable
9 Revisit contents 9/11/2000 of GE CII 033001-006 to assure all requirements are clearly commumicated to the warehouse operators and quality technicians using these 147 Continue Closed 1/27/00 current practices.
Coordinator Documents not closes project & filed correctly files quality records.
10
Severity
Effect
Hazardous without warning Hazardous with warning Very High High Moderate Low Very Low Minor Very Minor None
SEVERITY of Effect
Very high severity ranking when a potential failure mode affects safe system operation without warning Very high severity ranking when a potential failure mode affects safe system operation with warning System inoperable with destructive failure without compromising safety System inoperable with equipment damage System inoperable with minor damage System inoperable without damage System operable with significant degradation of performance System operable with some degradation of performance System operable with minimal interference No effect
Ranking 10 9 8 7 6 5 4 3 2 1
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Severity
Page 12
Severity
Page 13
Severity
Page 14
Severity
Page 15
Severity
Page 16
Severity
Page 17
Severity
Page 18
Probability
PROBABILITY of Failure
Very High: Failure is almost inevitable
9 8 7 6 5 4 3 2 1
1 in 8 1 in 20
1 in 80 1 in 400 1 in 2,000
1 in 15,000 1 in 150,000
<1 in 1,500,000
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Detectability
Detection
Absolute Uncertainty Very Remote Remote Very Low Low Moderate Moderately High High Very High Almost Certain
9 8 7 6 5 4 3 2 1
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EXAMPLE
Item / Function
Seals Coolant containment. Hose connection. Coolant fill. M Sensor mount. Seal Sensor mount. Seal Compression set Loosen during sensor assembly/servic e
Coolant containment. Crack/break. Burst. Hose connection. Side wall flex. Bad Coolant fill. M seal. Poor hose rete
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EXAMPLE
Item / Function
Coolant containment. Crack/break. Burst. Hose connection. Side wall flex. Bad Coolant fill. M seal. Poor hose rete Coolant containment. Crack/break. Burst. Hose connection. Side wall flex. Bad Coolant fill. M seal. Poor hose rete Hold fluid, flow path, Heat transfer structure Stress crack
Stress crack
Hold fluid, flow path, Heat transfer structure Hold fluid, flow path, Heat transfer structure Hold fluid, flow path, Heat transfer structure
Stress crack
Corrosion
Corrosion
Puncture
Page 22
EXAMPLE
Item / Function
Hold fluid, flow path, Heat transfer structure Hold fluid, flow path, Heat transfer structure Hold fluid, flow path, Heat transfer structure Hold fluid, flow path, Heat transfer structure
Burst fail
Plugged
Ballooning
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EXAMPLE
Action Results Potential Effect(s) of Failure S e v Potential Cause(s)/ Mechanism(s) of Failure P r o b Current Design Controls D e t R P N Recommended Action(s) Responsibility & Target Completion Date New RPN New Occ New Sev New Det
Actions Taken
1 1
56 Use imported material 16 Implement holding rib in design. New fitting design. Prototype validation. 10 J.P. Aguire 11/1/95
Leak
Page 24
EXAMPLE
Action Results Potential Effect(s) of Failure Failed mount S e v 5 Potential Cause(s)/ Mechanism(s) of Failure Vibration P r o b 9 Current Design Controls Vibration w/road tapes D e t 3 R P N Recommended Action(s) Responsibility & Target Completion Date New RPN New Occ New Sev New Det
Actions Taken
Hose leak
Leak. Loss of heat transfer. Air conditioning does not work. Sudden refrigerant loss. Leak. Loss of heat transfer.
This is a test of the ADD POTENTIAL CAUSE/MECHANIS M OF FAILURE system functionality This is a test of the ADD POTENTIAL CAUSE/MECHANIS M OF FAILURE system functionality Wicking. Material strength this is a test while dan is here
Thermal cycle
This is a test of the ADD RECOMMENDED ACTION system functionality 56 Included in Product Specification
E. Eglin 8/1/96
10
Page 25
EXAMPLE
Action Results Potential Effect(s) of Failure Leak. Loss of heat transfer. Leak. Loss of heat transfer. S e v 5 Potential Cause(s)/ Mechanism(s) of Failure P r o b Current Design Controls SWAT, service simulation. Burst/leak pressure D e t 1 R P N Recommended Action(s) Responsibility & Target Completion Date E. Eglin 8/1/96 New RPN New Occ New Sev New Det
Actions Taken
Environment - int/ext. 1
5 Included in Product
Specification.
Study originated
Loss of heat transfer. 8 Leakage due to increase flow velocity Leak. Loss of heat transfer. 5
J.P. Aguirre 11/1/95 Coolant ordered evaluated. GMB to study engine cleanliness. 360 GMB to study engine GMB 12/1/95 cleanliness. Clustomer profile to be determined.
56 GMB coolant to be
Page 26