The  Six  Mistake-Proofing  Principles

Mistake-Proofing is an effective method to prevent defects from occurring in an organization’s manufacturing, service, or business process.

This article describes the six mistake-proofing principles needed to design both products and processes so that mistakes are impossible to make or, at the least, easy and early to detect and correct.

Mistake.jpg1. Elimination seeks to eliminate an error-prone process step by redesigning the product or process so that the task or part is no longer necessary. This may require redesigning a new process or product simplification or part consolidation that avoids a part defect or assembly error in the first place.

Example:  An example of elimination is the use of ambient-light sensors to turn outside lighting on and off.

2. Replacement substitutes a more reliable process to improve repeatability. This includes the use of robotics or automation that prevents a manual assembly error.

Example: An example would be the implementation of an automatic dispenser to ensure the correct amount of adhesive is applied during an assembly process or the coin dispenser in food stores preventing customers from getting shortchanged.

3. Prevention modifies the product or process so that it is impossible to make a mistake or that a mistake becomes a defect. This includes Limit switches to assure that a part is correctly placed or fixtured before the process is performed, part features that only allow assembly the correct way, unique connectors to avoid misconnecting wire harnesses or cables, and part symmetry that avoids incorrect insertion.

Example: An example would be a camera that will not function when there is not enough light to take a picture. Also, some clothes dryers shut down when they detect an overheating situation. 

4. Facilitation is the most used principle and employs techniques and combining steps to make a process step easier to perform or less error-prone. This includes visual controls including color-coding, marking, or labeling parts to facilitate correct assembly; checklists that list all tasks that need to be performed; exaggerated asymmetry to facilitate the correct orientation of parts.

Example: An example would be to color code parts that are similar in shape. This would make it easier to identify the correct part for assembly. Another example would be the use of a slipping-type torque wrench to prevent over-tightening. When gas stations introduced unleaded gasoline, the nozzle on the leaded pump was designed to be too big to fit into an unleaded tank, thereby preventing mistakes. Electrical outlets have been mistake-proofed to assure proper polarity. It is impossible to put a plug in an outlet incorrectly.

5. Detection involves identifying a mistake before further processing occurs so that the operator can quickly correct the defect. This includes sensors in the production process to identify when parts are incorrectly assembled; scales to measure and control the weight of a package; built-in self-test capabilities in products.

Example: Examples would include a weld counter to ensure the correct number of welds or a software modification that will not allow incorrect entries. Also warning devices, using sound and light, like the seat belt buzzers, can be used to predict when something is about to go wrong. 

6. Mitigation seeks to minimize the effects of the mistake. This includes mechanisms that reduce the impact of an error and defect; products designed with low-cost, simple rework procedures when an error is discovered; extra design margin or redundancy in products to compensate for the effects of errors.

Example: An example would be a smoke or heat detector detecting a hazardous situation. Also fuses to prevent overloading circuits resulting from shorts are mitigation techniques.

Operational Excellence Consulting offers a one- and two-day Process Risk Analysis & Mistake-Proofing Workshop. To learn more about our workshops, please check out Our Workshops or Contact Us.

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