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Created by Visteon Europe STA Department
D4 Root Cause(s) : % Contribution:
Occurrence:
( Note :- Occurrence is the actual concern , what went wrong and why )
Excessive oil ( BD68 ) in the felt pads used to lubricate the die cut punching tool 100%
contaminated the silicone nesting pads. When these were placed under pressure , oil was
squeezed out onto the insert surface creating NOK parts.
Escape:
( Note :- Escape is why the Visteon plant experienced the occurrence , why did the
occurrence escape from the supplier quality system )
No inspection after pressing and before packing for this fault.
Verification:
Occurrence:
Press was cleaned & run without any oil. Result - no oil on the surface of the badges
pressed . Press was set up in the usual way following the work instruction i.e. soaking
pads in oil and 4 drops every 20 cycles Ref. WI07A issue 2 - oil was found on the
surface
Escape:
No inspection escape 100% likely
D5 Chosen Permanent Corrective Action(s): % Effective:
Occurrence:
a) Oil feed of 1 drop per 20 cycles to the punch lubricating felt pads. 60%
b) Change set up procedure, specific amount of oil added to punch lubricating pad 38%
c) Minimise oil contamination by introducing a separate maintenance bench for 2%
cleaning of the tool.
Escape:
Implement permanent inspection at packing station.
Verification:
Occurrence:
d) Test run at 1 drop per 20 machine cycles. 8 samples badges were inspected every 20
cycles; results were logged. Test length =1400 cycles total. No sign of oil .
e) 10g of oil added before set up , oil is the correct amount
f) Cleaning and set-up on maintenance bench avoids oil contamination on machine
and parts .
Escape:
Verification of inspection method in D3.
D6 Implemented Permanent Corrective Action(s): Date Implemented:
Occurrence:
g) Implement oil feed of 1 drop per 20 cycles to the punch lubricating felt pads. (Date )
h) Set up procedure changed See D5. (See updated work instructions WI07 Issue 3.) (Date )
i) Maintenance bench for tool cleaning introduced. (Date )
Escape:
Ari control plan Issue3 updated to include check for oil at final assembly. Visual
standard implemented.
Validation:
Occurrence:
a)b)c) Ari machine oil check log sheet SF4.10.3/8
Escape:
Paynter analysis chart
D7 Prevent Actions: Date Implemented:
Updated Ari FMEA to include oil contamination as a failure mode. (Date )
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Created by Visteon Europe STA Department
Problem Desciption Worksheet
Problem Statement:
but do not?
What other similar defect(s)
What Defect What is the defect? could have been observed but
were not?
Where on the object is the defect Where else on the object could
Where on observed (inside/outside, top/ the defect have been observed
object bottom, same/different place,...)? but was not?
Where geographically could the
Where geographically was the defective object have first been
Where first defective object first observed? observed but was not?
WHERE
Where in the process was the Where in the process could the
observed defective object first observed? defective object have first been
observed but was not?
Where geographically could the
Where seen Where geographically have the
defective objects have been
defective objects been observed?
since observed but were not?
When in time could the defective
When in time was the defective object have first been observed
object first observed? but was not?
When in the process was the When in the process could the
When first defective object first observed? defective object have first been
observed When in the life cycle of the observed but was not?
WHEN
How many How many objects have the How many objects could have
defect? the defect but do not?
affected
What is the magnitude of the
defect in terms of percentages, What magnitude could the
What size rates, patterns, trends, yield, defect have, but does not?
HOW BIG
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Created by Visteon Europe STA Department