Professional Documents
Culture Documents
March 2, 2004 All General Motors Outside Suppliers in North America 2004 Spill Prevention Communication
General Motors is continuing its quest to be the Global Leader for automotive products and services, and specific to our business, initial quality and reliability by 2005 and 2006 respectively. We can only become successful with you, our Outside Suppliers. Therefore, in compliment to General Motors Zero Tolerance policy, the following enhancements are effective immediately: Those Outside Suppliers that had a Quality Spill in 2003CY or 2004CY will require completion of Drill Deep & Wide and Quality System Basics Workshops. Those Outside Suppliers that GM categorizes as Critical will require completion of a Drill Deep & Wide Workshop and may require completion of a Quality System Basics Workshop.
For those Outside Suppliers categorized as Spill or Critical, any Quality PRR (Quality, Warranty, Customer Satisfaction) that results in a Controlled Shipping Level 2, will require a Quality System Basics Workshop or Audit.
All Outside Suppliers on Controlled Shipping Level 2 must complete a Drill Deep & Wide Analysis on PRRs issued during the last 8 weeks as well as on any open PRRs regardless of issue date. The purpose is to ensure corrective actions are implemented and verified across the organization. All PRRs need to have Drill Deep Worksheet and Read Across Matrix completed and attached to the PRR for closure.
Please reference GP5 and the following Drill Deep and Wide folder in SupplyPower:
https://www.gmsupplypower.com/apps/supplypower/NASApp/spcds/CDSRetrieval?lob=quality&subnav=library&togglefolder=16162
In case of questions please reference the above, contact your respective Supplier Quality Engineer, or email your questions to melissa.burkett@gm.com . Sincerely, Michael J. Wolf WWP Executive Director Supplier Quality & Development
Emotional and compelling designs Rich value-transmitting interiors The best powertrains Competitive technology Superb quality and reliability
J. D. Power Accomplishments
J.D. Power Initial Study 2003 Calendar Year Report
GM had the Top 2 Plants Gold (Oshawa # 1) and, Silver (Lansing Grand River)
PR/R's
2,000 1,500 1,000 500 0 Dec02 Jan03 Feb03 Mar03 Apr03 May03
Spills
5% Improvement CYTD
May03
Sep03
Oct03
Nov03
50 45 40 35 30 25 20 15 10 5 0 Dec02 Jan03
PPM's
3
Stockouts
0 Feb03 Mar03 Apr03 May03 Jun- Jul-03 Aug03 03 Sep03 Oct03 Nov03 Dec02 Jan03 Feb03 Mar03 Apr03 May03 Jun- Jul-03 Aug03 03 Sep03 Oct03 Nov03
35,000 30,000 25,000 20,000 15,000 10,000 5,000 0 Dec02 Jan03 Feb03
Discrepant Parts
Downtimes
0 Mar03 Apr03 May03 Jun- Jul-03 Aug03 03 Sep03 Oct03 Nov03 Dec02 Jan03 Feb03 Mar03 Apr03 May03 Jun- Jul-03 Aug03 03 Sep03 Oct03 Nov03
=W30
Supplier 6 Panel
0
2004
Spill Impact
Impact to GM in 2003
Vehicles repaired
Cost Recovery Man Hours
39,902
$4.59M 30,463
2004 CY Launches
10
recur
Recurrence Prevention
verb
occur again: to happen or appear once again or repeatedly
recur [ri kr] (past recurred, past participle recurred, present participle recurring, 3rd person present singular recurs) intransitive 1.
2.
3. 4.
MATHEMATICS be repeated indefinitely: to occur as an infinitely repeated digit or series of digits at the end of a decimal fraction
return: to return to a subject in speech, writing, or thought (archaic or literary) resort: to turn to something as an option after considering or trying other options (archaic or literary) Encarta World English Dictionary & (P) 1999,2000 Microsoft Corporation. All rights reserved. Developed for Microsoft by Bloomsbury Publishing Plc.
[Early 16th century. From Latin recurrere, literally to run back, from currere, (see CURRENT).]
12
P1
Why?
P2
Why?
P3
Why?
Issues
P4
Why?
Pn
M1
Why?
M2
Why?
Other Products
M3
Why?
M4
Why?
Why did the quality process not protect GM from the defect?
Q1
Why?
Mn
Q2
Why?
Q3
Why?
Q4
Why?
Qn
Drill Deep
(3x5Why)
(FMEA, PCP) (Error Proofing, STW) (Error Detection, Responsiveness)
Drill Wide
(Read Across)
Prevent Protect
Toolbox Application
13
Emerging
Launch Issues
Plant Issues
Predict
Planning process informational content in FMEAs and CPs -
Plan
Protect
Quality process containment detection & & responsiveness -
Prevent
Manufacturing process standardized work and error proofing -
Do
16
P1
Why?
P2
Why?
P3
Why?
P4
Why?
M1
Why?
Pn
M2
Why?
M3
Why?
Why did the quality process not protect GM from the defect?
M4
Why?
Q1
Why?
Mn
Q2
Why?
Q3
Why?
Q4
Why?
Qn
17
18
Check Implementation
19
21
Prework:
Teach key person at the supplier the Drill Deep concept Select 25 PRRs or quantity issued in the last 12 months SQE and Supplier complete the Drill Deep for 25 PRRs Choose 3 to teach Drill Deep and read across in workshop (representative failure mode and good for read across) Complete an initial read across for selected PRRs Complete the root cause matrix (including the other 22 PRRs)
Roadmap
Workshop:
Go through the presentation material Work one Drill Deep in detail and review two Drill Deep with team Review the read across for all three PRRs Group the root causes for all PRRs Complete the 4 root cause pareto charts (predict, prevent, protect & key findings) Start the systemic issues read these across Confirm the workshop deliverables were met and review follow-up items
22
Key Findings Root Causes Group & Pareto All Root Causes
23
Workshop Agenda
Activity Introduction / Attendees Workshop Presentation Drill Deep & Wide Analysis Training Perform Drill Deep Analysis Lunch Read Across Training Develop Read Across Matrix for selected PRRs Review Root Cause Matrix for balance of PRRs Root Cause Paretos Develop Initial Systemic Read Across Review and Agree on Follow up Items Presenter SUPPLIER GM SQE GM SQE ALL GM SQE ALL ALL ALL ALL ALL Time (minutes) 10 30 30 60 (more if required) 45 15 30 15 (more if required) 45 60 15
24
Workshop Deliverables
Excel Sheet with every PRR listed with the 3 root causes and the key findings Drill Deep Analysis sheets completed for every PRR Read Across Matrix completed for 3 PRRs 4 Pareto Charts Predict Prevent Protect Overall Summary of Key Findings Systemic Issue Action Plan
25
Workshop Follow-Up
Review Completed Read Across for individual PRRs Review Completed Systemic Issue Read Across Regular review of PRR Read Across and Systemic Read Across Matrix for Implementation
Completion
26
27
Why did the quality process not protect GM from the defect?
28
Predict
Check/ Act
Planning process informational content in FMEAs and CPs
Plan
Protect
Quality process detection & responsiveness
Prevent
Manufacturing process standardized work and error proofing
P1
Why?
P2
Why?
P3
Why?
Do
P4
Why?
5 Whys
Pn
M1
Why?
M2
Why?
M3
Why?
M4
Why?
Why did the quality process not protect GM from the defect?
Q1
Why?
Mn
Q2
Why?
Q3
Why?
Q4
Why?
Qn
5 Whys
Corrective Action
Owner
Due Date
Action plans
Drill Deep & Wide Workshop Training 5.0 Revision 5.0 03/08/04 29
30
GM Form 1927-84
Date:
02/24/04
Issue title: Product XYZ Fuel Tank Rollover Valve Assembly Customer concern: Loose parts found in Product XYZ fuel tanks. PRR# 30011223-989898. Defect on part: End cap not fully seated into window on valve.
P1 P2 P3
5 Whys RPN number was not determined properly in PFMEA. Occurrence and detection ratings were not determined properly.
Corrective Action
Owner
Due Date
Predict
Planning process inf orm at ional cont ent in FM EAs and CPs
P4 P5 Inadequate knowledge of FMEA methodology. Cylinder did not travel to full insertion. Positive stops were not adjusted correctly for the new, low permeation family insert. Control Plan was not updated to indicate recalibration for new family insert. Manufacturing was not aware of a new family insert. Poor communication between Product Development & Manufacturing on design change. Supplier XYZ Launch Planning System was not followed. No detection error-proofing for "end cap fully seated". Re-train employees and implement a layered audit of planning process. J. Smith 03/31/04 FMEA training plan to be developed and monthly FMEA layered audit review to be implemented.
P-RC
J. Smith
03/15/04
M2
Prevent
M anuf act uring process st andardized w ork and error proof ing
M3
M4
M5
M-RC Q1 Q2 Q3
Why did the quality process not protect GM from the defect?
Prot ect
Qualit y process det ect ion & responsiveness
Q4 Q5 Q-RC K1 K2 False sense of security in error proofing prevention of positive stops in tooling. Engineering change management execution. PPAP / PTR execution. Insufficient error-proofing incorporated into valve assembly. Inadequate knowledge of FMEA methodology. Re-evaluate prevention error-proofing process and implement detection error-proofing process. Develop regular change control meetings with entire team. Develop Supplier Change Request audit process. Re-evaluate prevention error-proofing process and implement detection error-proofing process. FMEA training plan to be developed and monthly FMEA layered audit review to be implemented. J. Smith J. Smith J. Smith 03/15/04 03/31/04 03/31/04
What are the key findings based on this quality issue and the above 5 Why analysis?
K3
J. Smith
03/31/04
K4 K5
J. Smith
03/15/04
31
MM/DD/YY
Issue title: Product XYZ Fuel Tank Rollover Valve Assembly Customer concern: Loose parts found in Product XYZ fuel tanks. PRR# 30011223-989898. Defect on part: End cap not fully seated into window on valve.
32
Issue title: Product XYZ Fuel Tank Rollover Valve Assembly Customer concern: Loose parts found in Product XYZ fuel tanks. PRR# 30011223-989898. Defect on part: End cap not fully seated into window on valve.
Describe the problem the customer experienced; i.e., viewpoint of GM operator at the Assembly Plant. Include PRR#, PRTS#, 24hr CDP# as applicable. Examples: Operator could not install O2 sensor on exhaust system; Operator found loose parts in Product XYZ fuel tanks, etc. Adjust row height as necessary.
33
Issue title: Product XYZ Fuel Tank Rollover Valve Assembly Customer concern: Loose parts found in Product XYZ fuel tanks. PRR# 30011223-989898. Defect on part: End cap not fully seated into window on valve.
Describe the nonconformance on the part. Example: End cap not fully seated into window on valve; O2 sensor bung missing on exhaust system; No weld on terminals in relay; Cold weld on brake pedal bracket, etc. Adjust row height as necessary.
34
M2
Prevent
M anuf act uring process st andardized w ork and error proof ing
M3
M4
M5
M-RC
35
M2
Prevent
M anuf act uring process st andardized w ork and error proof ing
M3
M4
M5
M-RC
36
As a sense check, read the Whys backwards to make sure that the analysis make sense.
Adjust row height as necessary.
Why?
Why did the manufacturing process not prevent the defect?
5 Whys M1 Cylinder did not travel to full insertion. Positive stops were not adjusted correctly for the new, low permeation family insert. Control Plan was not updated to indicate recalibration for new family insert. Manufacturing was not aware of a new family insert. Poor communication between Product Development & Manufacturing on design change. Supplier XYZ Launch Planning System was not followed.
Corrective Action
Owner
Due Date
Why? Why?
M2
Prevent
M anuf act uring process st andardized w ork and error proof ing
M3
Why?
M4
Why? Why?
M5
M-RC
J. Smith
03/31/04
37
Enter each why below. Insert a row for each additional why if applicable.
As a sense check, read the Whys backwards to make sure that the analysis make sense.
Adjust row height as necessary.
Corrective Action
Owner
Due Date
M2
Prevent
M anuf act uring process st andardized w ork and error proof ing
M3
M4
M5
M-RC
Therefore. . .
J. Smith
03/31/04
38
5 Whys M1 Why did the manufacturing process not prevent the defect? Cylinder did not travel to full insertion. Positive stops were not adjusted correctly for the new, low permeation family insert. Control Plan was not updated to indicate recalibration for new family insert. Manufacturing was not aware of a new family insert. Poor communication between Product Development & Manufacturing on design change. Supplier XYZ Launch Planning System was not followed.
Corrective Action
Owner
Due Date
M2
M3
M4
The last "why" is the underlying Root Cause. Please add a corrective action, owner, and date to the right.
M5
M-RC
J. Smith
03/31/04
39
Why? Why?
P1 P2 P3 P4 P5
5 Whys RPN number was not determined properly in PFMEA. Occurrence and detection ratings were not determined properly.
Corrective Action
Owner
Due Date
Therefore. . .
Therefore. . .
Predict
Planning process inf orm at ional cont ent in FM EAs and CPs
P-RC
FMEA training plan to be developed and monthly FMEA layered audit review to be implemented.
J. Smith
03/15/04
40
Why?
Q1 Q2 Q3
Therefore. . .
Prot ect
Qualit y process det ect ion & responsiveness
Q4 Q5 Q-RC False sense of security in error proofing prevention of positive stops in tooling. Re-evaluate prevention error-proofing process and implement detection error-proofing process. J. Smith 03/15/04
41
What are the key findings based on this quality issue and the above 5 Why analysis?
K1 K2
Engineering change management execution. PPAP / PTR execution. Insufficient error-proofing incorporated into valve assembly. Inadequate knowledge of FMEA methodology.
Develop regular change control meetings with entire team. Develop Supplier Change Request audit process. Re-evaluate prevention error-proofing process and implement detection error-proofing process. FMEA training plan to be developed and monthly FMEA layered audit review to be implemented.
J. Smith J. Smith
03/31/04 03/31/04
K3
J. Smith
03/31/04
K4 K5
J. Smith
03/15/04
42
Predict
Planning process inf orm at ional cont ent in FM EAs and CPs
P4 P5 Inadequate knowledge of FMEA methodology. Cylinder did not travel to full insertion. Positive stops were not adjusted correctly for the new, low permeation family insert. Control Plan was not updated to indicate recalibration for new family insert. Manufacturing was not aware of a new family insert. Poor communication between Product Development & Manufacturing on design change. Supplier XYZ Launch Planning System was not followed. No detection error-proofing for "end cap fully seated". Re-train employees and implement a layered audit of planning process. J. Smith 03/31/04 FMEA training plan to be developed and monthly FMEA layered audit review to be implemented.
P-RC
J. Smith
03/15/04
M2
Prevent
M anuf act uring process st andardized w ork and error proof ing
M3
M4
M5
M-RC Q1 Q2 Q3
Why did the quality process not protect GM from the defect?
Prot ect
Qualit y process det ect ion & responsiveness
Q4 Q5 Q-RC K1 K2 False sense of security in error proofing prevention of positive stops in tooling. Engineering change management execution. PPAP / PTR execution. Insufficient error-proofing incorporated into valve assembly. Inadequate knowledge of FMEA methodology. Re-evaluate prevention error-proofing process and implement detection error-proofing process. Develop regular change control meetings with entire team. Develop Supplier Change Request audit process. Re-evaluate prevention error-proofing process and implement detection error-proofing process. FMEA training plan to be developed and monthly FMEA layered audit review to be implemented. J. Smith J. Smith J. Smith 03/15/04 03/31/04 03/31/04
What are the key findings based on this quality issue and the above 5 Why analysis?
K3
J. Smith
03/31/04
K4 K5
J. Smith
03/15/04
43
44
46
47
48
SUPPLIER:
Name: Location: Duns: Contact Name: Contact Phone: E-mail: Eight Week Period: XYZ Corporation Springfield 12345789 John Doe 123-555-1212 john.doe@xyzcorp.com
PQE/SQE:
Name: Phone: GM location / Provider Contact Phone: E-mail:
jquality@gm.com
Due Date:
49
Place a letter in each box for each line item that applies
Mark with an X all locations where the defect may occur
O Original Location X Another Location which contains the same process R Repeat Issues N/A Not Applicable Completed & 3rd Party/GM verified Completed & Supplier verified only Not Completed
Color code each box that has a letter in it according to this scheme
50
Customer Concern
Defect on Part
5 Why Analysis
Florida
Knob shy
1/3/2004
GM Assy. Plant
Customer Concern
Defect on Part
5 Why Analysis
Record the Part Name and full Part Number Record the issue as described by the plant
Drill Deep & Wide Workshop Training 5.0
51
Identify the Type and Status of any Controlled Shipping action initiated as a result of this PRR
Drill Deep & Wide Workshop Training 5.0 Revision 5.0 03/08/04 52
53
54
Key Findings
20030805-000001 1 20030806-000002 2 20030807-000003 3 20030807-000004 4 Include all PRRs 20030811-000005 5 6 20030813-000007 7 20030819-000008 8 20030821-000009 9 20030821-000010 10 20030822-000011 11 12 13 14 20030825-000012 20030826-000013 20030829-000014 20030811-000006
No detection No detection No detection No detection No detection No detection Poor validation - design Poor validation - design Poor validation - design
Assembly - part FMEA - occurrence too low backwards, JI not followed FMEA - corrective actions Assembly - dropped ineffective screw Poor validation - pack, FMEA - not included Poor validation - design, FMEA - not included FMEA - not included Repair procedure not followed Procedure - repair FMEA - detection too low Validation - pack Packaging
Assembly - JI not followed Transfer the Root Causes for Predict, Poor validation - design, Prevent and Protect from the 3x5 Drill FMEA - not included Deep Worksheets to this form.
No detection No detection No detection - occurs after pack No detection No detection Poor validation - pack Poor validation - design
56
Key Findings
Poor validation - design
Poor design
Group Like Root Causes and Findings within each No inspection Assembly Key - JI not followed Column. Account for all PRRs
Assembly - JI not followed Poor controls
Assembly - not connected Assembly - not connected Assembly - part backwards, JI not followed Assembly - part dropped and mishandled Assembly - tape in wrong position Assembly - wrong part, material handling location wrong
No detection
No detection No detection No detection No detection No detection
57
Key Findings
Poor validation - design
Poor design Poor design validat ion Poor validat ion - design Poor validat ion - design Poor validat ion - design Poor validat ion - design Poor validat ion - design
Measurement/ CP
No checks in CP No cont rols No cont rols - lat ent , caused in vehicle No inspect ion Poor cont rols Poor measurement
No detection
No det ect ion No det ect ion No det ect ion No det ect ion No det ect ion No det ect ion No det ect ion No det ect ion No det ect ion No det ect ion No det ect ion No det ect ion No det ect ion No det ect ion No det ect ion No det ect ion No det ect ion No det ect ion No det ect ion met hod No det ect ion, no visual cont rols No det ect ion
Material Handling
Mat erial Handling - damage due t o rack design Mat erial Handling - nonconf orming product mishandled Poor Mat erial Handling Poor Mat erial Handling Mat erial Handling process not f ollowed
Packaging
Packaging Packaging Packaging Packaging
FMEA - not included FMEA - not included FMEA - not included FMEA-not included FMEA - not included
Procedures
Procedure - mishandling Procedure - repair Procedure - repair Procedure not f ollowed Procedure not f ollowed Repair procedure not f ollowed
Visual inspection
Visual inspect ion Visual inspect ion Visual inspect ion Visual inspect ion
58
Insert the Root Cause and the frequency For all Groups from the previous Worksheet
Planning / Docum entation Manufacturing System
RC 3
RC 1
RC 5
RC 5
RC 4
RC 2
RC 1
RC 4
59
RC 5
RC 1
RC 1
RC 3
RC 2
RC 2
RC 3
RC 4
60
Predict
Planning / Documentation
0 5 10 15 20 25
Prevent
Manufacturing System
0 Work Instruction not follow ed Procedures 5 10 15
Protect
Quality System
0 5 10 15
Packaging
Key
Key Findings
0 2 4 6 8
20
25
No detection
Measurement/CP
61
Original Product Line and Location Product Line and Location with Similar Process Not Applicable Complete and 3rd party / Verified Complete & Supplier Verified Only Not Completed
Plant 1 Plant 2 Plant 3 Plant 4 Plant 5
Issue
Due Date
Predict
Prevent
Protect
Key Findings
63
Predict
Planning / Documentation
0 5 10 15 20 25
Prevent
Manufacturing System
0 Work Instruction not follow ed Procedures 5 10
The TOP Bar of each Pareto represents the Systemic Issues which 15 will require an initial Read Across
Protect
Quality System
0 5 10 15
Packaging
Key
Key Findings
0 2 4 6 8
20
25
No detection
Measurement/CP
64
Supplier identification
Issue
Corrective Actions
Champion
Original Product Line and Location Product Line and Location with Similar Process Not Applicable Complete and 3rd party / Verified Complete & Supplier Verified Only Not Completed
Plant 1 Plant 2
Due Date
Predict
The highest frequency root cause Departmental Review, Doe 2/30/04 from eachworkshop Pareto chart is transferred here. On-line Include the Key Finding
Cross training matrix Doe 2/30/04
Prevent
Protect
No Error Detection
Doe
2/30/04
65
Workshop Deliverables
Excel Sheet with every PRR listed with the 3 root causes and the key findings Drill Deep Analysis sheets completed for every PRR Read Across Matrix completed for 3 PRRs 4 Pareto Charts Predict Prevent Protect Overall Summary of Key Findings Systemic Issue Action Plan
66
Workshop Follow-Up
Review Completed Read Across for individual PRRs Review Completed Systemic Issue Read Across Regular review of PRR Read Across and Systemic Read Across Matrix for Implementation
Completion
67
In Summary
Supplier Performance is Critical to Winning Products!!
Going Forward Drill Deep & Wide is the Way of Doing Business (reference Bulletin 5143 dated March 2nd, 2004) Inputs to Deep and Wide starts with PRRs
The Drill Deep and Wide Process matures with the use of Internal Quality Data