You have secrets. Secrets that have robbed the reliability from your facility and its assets. Sometimes it just makes you feel better if you confess your secrets publicly. Maybe you should let a few of your secrets go today, and bask in the relief that follows. Today, you have that chance using the anonymous post feature in the comments section below. But first let me share a few secrets I know already:
1. "I use what ever grease is in the nearest grease gun I find. (grease is grease)"
2. "I sometimes overload the machine and cause it to fail because when it does I can take a break while maintenance fixes it."
3. "I never torque the bolts with a torque wrench. (Tight is tight, right?)"
4. "I once wrapped a fuse in aluminum foil because it would not stop blowing."
5. "I never put all the bolts back if the equipment doesn't need them. (I'm eliminating wasted time)"
6. "I don't wipe off the grease fitting before I lubricate."
7."I sometimes don't share all the critical steps for a job plan so that I can save the day when it does not work."
8. "I have put a 20 amp fuse in a 10 amp slot."
9. "One time I dropped a bolt into a gearbox during a PM and it is still there today."
10. "I added flammable hydraulic fluid to a system requiring nonflammable to save a trip back to the store room."
At least some of these little secrets happen regularly in plants everywhere. I challenge you to reread the list and this time think about what underlying systemic causes might have led for the perceived need for the individual to take these steps and then make them their secrets. Remember what Edward Deming said: "Blame the system not the people." Fixing the system eliminates many more problems within your site than blaming an individual.
Don't forget to add a few secrets of your own at the bottom.
Monday, February 29, 2016
Tuesday, February 16, 2016
Preconceived Notions Get in Your Way with RCA
Preconceived notions very commonly get in your way with Root Cause Analysis. Here is a perfect example. In this picture you can plainly see that the people on the left are taller right? Look again... Maybe we did not have all of the facts at first. It seems that in the video there is more going on than we thought. Our notions of what a room is and how it is typically shaped do not hold true in this case. This irregularity, led us to a poor understanding of the situation. Many times we go after issues with our personal opinion of the problem and the solution predetermined and it blinds us to the truth of the matter. All the data must support the conclusion not just the parts that you like. I have seen these preconceived notions derail investigations time after time and, it is one of the reasons that I suggest not using subject matter experts as RCA facilitators in this blog. Check out this post for 5 ways to help prevent jumping to conclusions. Then let us know what thoughts and ideas you have for avoiding this common problem by listing them in the comments section below.
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