root causes failure analysis

17
Ot Chan Dy TPM Team Leader

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For basic training on RCFA/5whys, theory part!

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Page 1: Root Causes Failure Analysis

Ot Chan DyTPM Team Leader

Page 2: Root Causes Failure Analysis

Simple and discipline process used to investigate, rectify and eliminate equipment failureMost effective when directed @ chronic breakdown/problemIt take you beyond just “why it is break”… It tell you what weakness in your management system

Page 3: Root Causes Failure Analysis

1. Reduction of chronic problem2. Increase MTBF (Mean Time Between Failure)3. Improve product quality & regulatory

compliance4. Better sensitive to machine problem5. Less NVA work and admin6. Fulfillment ISO system “Corrective Action”7. Very inexpensive way to save money for

company

Page 4: Root Causes Failure Analysis

1. Overall maintenance cost down: maintenance staffs can do more through proper planning and scheduling, rather than reactive

2. Investment on spear part down: save on carrying cost

3. Biggest saving: increase asset utilisation

Page 5: Root Causes Failure Analysis

Mostly, 80% of plant’s losses are represent by 20% Of failure events. This is call “Significant few”

PrioritPriority for y for RCFARCFA

Page 6: Root Causes Failure Analysis

1. Define a failure mode2. Information of failure3. Organization of analysis team4. Actual analysis5. Sharing the finding & making

recommendations6. Tracking result

Page 7: Root Causes Failure Analysis

Problem must be very specific, i.e:Bearing rusted NOT bearing damagedBeer under fill on filling head 16 NOT beer under fillAlways got “not close” alarm signal on valve v.0123 NOT alarm signal on valve v.0123

Page 8: Root Causes Failure Analysis

Engineering ReportTechnical Drawing (if available)Failure historyDamaged partsStandards and specifications

Page 9: Root Causes Failure Analysis

• Principal analyst – team leader: choose the one who no background in the problem but highly skill methodology and facilitate the process rather than guide team to a preconceived conclusion

• Process control leader

• Operator involve

• Maintenance engineers, highly knowledge in the system and process

Page 10: Root Causes Failure Analysis

• Go to the spot: place where failure happen• Touch/Examine objects• Check Fact & Figure (speak with data)

• 2 Questions ask repeatedly (use logic tree)• How can that happen?• Why did it happen?

Page 11: Root Causes Failure Analysis

Example of logic treeCircuit Breaker Overloaded of Circuit Breaker Overloaded of

Motor Screw ConveyorMotor Screw Conveyor

Current Intensity Current Intensity > 2.1A> 2.1A

Motor Conveyor Motor Conveyor take load > 2.5 take load > 2.5

t/hrt/hr

Motor coupling Motor coupling FailureFailure

Motor itself Motor itself FailureFailure

Gear Gear Reduction Reduction

FailureFailure

Page 12: Root Causes Failure Analysis

• 4 M categories => Root Causes => Solutions (objectively)

Page 13: Root Causes Failure Analysis

• Re-occurrence follow up table

Page 14: Root Causes Failure Analysis

• Out of your area of control or responsibility• Knowledge limited• Man (does not want to do it)

Page 15: Root Causes Failure Analysis

• All causes at the root of the problem have been identified

• Series of effective countermeasures have been implemented

• No re-occurrences

Page 16: Root Causes Failure Analysis

• Jump to conclusion• Attack symptoms not the causes• Not gathering enough evidences.• Problem is too large or general• Not involve relevant persons

Page 17: Root Causes Failure Analysis