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![]() Nonconformance and Corrective Action Systems
![]() Corrective Actions
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| Author | Topic: Corrective Actions |
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SheilaK Lurker (<10 Posts) Posts: 2 |
We are struggling with corrective actions - specifically closing out and verifying effectiveness. Any suggestions, works for us stories, etc. would be greatly appreciated. IP: Logged |
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barb butrym Forum Contributor Posts: 637 |
It is action specific. Very hard to pin down with out specifics. If you are asking how to document it in your procedure...I'd say someone who was involved in writing the CAR (or knowledgeable of the situation) would check on the effectivity (ie.. did it work?). I would leave a blank on the form for 'followup activity' and who ever followed up, would fill in what they did, and their recommendations. for instance...if the CA was to write a procedure...the follow up would be to review the released procedure to ensure it covered the issues, and verify it is distributed to the appropriate places and implemented (perhaps an internal audit, or a quick check during follow up). IF the CA was to train someone, the follow up would be to review the training record, and audit the activity and see if there is a change/improvement/understanding of the requirement etc by those involved. verify activity records to see if any reoccurance at the next internal audit (or change the audit schedule to add an audit at an appropriate time ). I could go on for hours here .... with scenarios, but I am sure you get the picture. Use the systems you have available to you. A session on 'how to respond' to CAR and measure effectivity is in order. It's a common sense thing, some people do it well, some don't. IP: Logged |
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barb butrym Forum Contributor Posts: 637 |
Perhaps, now that i think about it.....your struggle may be with the identification of the root cause, if you don't have that right, its hard to follow up for effectivity. And it could also be that you are doing CARs on random ocurrances, that can not be fixed long term.... how about some examples for us? IP: Logged |
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SheilaK Lurker (<10 Posts) Posts: 2 |
okay...an example of the problem I am facing with CAR's ... we hold a meeting, determine root cause...recommend actions - using action plan...forward plan to functions responsible for completing tasks, most cases first task must be completed - notify me, so I can forward information so next task can start...third...fourth etc. We have communication gap in that I'm not always notified...then jobs are moving through the manufacturing process...differently (due to early changes) and not being monitored - hence we cannot determine effectiveness and close out the CAR - too many 'open' issues worsens the situation. IP: Logged |
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Kevin Mader Forum Wizard Posts: 575 |
Sheila, Your committee issues the corrective action to be deployed by the responsible authority? Are the responsible folks part of this meeting (I get the impression that they are not)? I am wondering if the committee is close enough to the problem to properly assess the root cause and have the body of knowledge to correct it. Perhaps the communication gap you are speaking of is manufactured by your CA process (ie. folks are being told what to do and are not contributing as part of a team, causing them to rebel). You may find that the folks closest to the problem have a better handle on how to correct the issue at hand and only need guidance through the CA process from management. This should improve the effectiveness of the CA program I think. The question Barb asks is the same one used by myself and I am sure many others. Did your actions fix the problem? If there are no more repeat issues, then I'd have to say your CA was probably effective. Regards, Kevin IP: Logged |
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ISO GUY Forum Contributor Posts: 81 |
We have a similar problem at the company I work for. Going back about 2 months ago I had the Corrective Action dumped on me. It used to be the whole QA departments responsibility (lucky me). Thats not the problem, the problem is nobody feels it is necessary to respond to them This would not be a problem if we didn't have multipile facilities. If we only had one I would do the "hand holding" of the responsible people to see that they did what they said they were going to do, and also see that it is effective. I don't have the time to call all the facilities to see that they have it done only to be told umm well h we don't have it done yet because umm well uh duh we don't have time. Then ontop of this the Managers have a monthly "meeting", well this last meeting they were all just DUMB founded that there is so many open CAR's, and they didn't know that it was this bad. My response to that of course would be thats a load of BS and I know this for a fact because I am the Internal Auditor (lucky me) and when I send them the reports it states that they have numerous CAR's that are not responded to or need follow up. I also tell them this during the audits. The reason I feel that we have such a big problem is that our "Executive Commitee" does not stress the importance of the Corrective and Preventive Action system, so the managers don't give a hoot either. Well our Registrar is coming early 2000(no agenda from them yet and we have asked them to send it numerous times) and when they look at the Corrective Action System we have in place if they are not blind, they will see that it does not really exist except in name only. But hey whats an Internal Auditor to due we have no authority and nobody listens to us anyways so I just make sure I document everything so I know that I tried. Ok enough of my complaining if anybody has any suggestions please tell me. Thanks. ------------------ [This message has been edited by ISO GUY (edited 03 May 2000).] IP: Logged |
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Kevin Mader Forum Wizard Posts: 575 |
Where is you Management Rep? The rep should be able to get the executive levels to respond to this dilemma. Otherwise, April will serve senior management with a nasty right hook! Speculation on my part, but 137 is a rather large number, especially for only 3 months! I suspect that your CAR system is burdened with nonconformances that are probably not System threatening or have High risk to contribute to nonconforming product. Folks may not be responding because they believe that many of the CARs are a farce. My suggestion: review the CARs already issued in to piles. Eliminate the CARs that don't belong, prioritize the rest, create an action plan to resolve the CARs. You may not get a bulk of them done before the audit, but at least you will have demonstrated a structured approach to the problem, deployed your plan, and are in the midst of resolving open issues. Regards, Kevin IP: Logged |
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Andy Bassett Forum Contributor Posts: 274 |
Hello ISO Guy In the beginning, i used to write posts like that, but the best advise you are likely to get is 'start preparing your CV'. No buy-in form the employees, no support from the managers, the all too frequent 'Project from Hell'. I can only suggest one thing that i presume you may already have tried. Regards ------------------ IP: Logged |
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ISO GUY Forum Contributor Posts: 81 |
Kevin, our Managment Rep. has tried to get or EC to respond to these issues, but our EC like I said before just does not care. It seemd like I have walked into a situation that is almost hopeless. The last time our registrar was here they just glanced at Element 4.14, and I have a feeling they will do the same this time. Most of our open CAR's are the responsibility of one department. These could be closed out if they would issue a blanket response for a problem that is on going that unless the company buys new equipment, will always be there. I am in the process of implementing a Cost of Quality associated with each CAR/Complaint, but with all things that are new to people they take time to get up and running. I think if our EC sees how much these problems are costing us they will act on them. It also does not help when the QA Manager makes the comment infront of other Managers that "CAR's are not really that important" well I guess that says it all. IP: Logged |
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Kevin Mader Forum Wizard Posts: 575 |
ISOGUY, I feel your pain!! As Andy points out in his post, we have all probably been there. It is a frustrating position you find yourself in. Hopefully it will improve for you as it has for me. Andy gives good advice; make the invisible, visible. Maybe as Andy has done, by attaching it to a newletter, or perhaps, create a report for your EC (your CoQ may help). Keep it simple. If not, they probably won't read it, and that would only add to your frustration. You mentioned a blanket CA would close out a number of your outstanding CARs. I would reduce all those CARs to just one, blowing out the excess baggage and decide to deal with the one. But you also stated that in order to eliminate the Cause, the organization would have to buy an expensive piece of machinery. In theory, you could close the doors of this organization forever by closing out this CAR by spending all you had. Just so that you know, you may as an organization have to 'manage the problem', that is to control it, in the best way without ever totally eliminating it (it would be pointless to issue a CAR with that knowledge). Remember, a CA in theory TOTALLY eliminates the problem from ever occurring. This isn't always possible. All systems produce some level of nonconformance. Assess the risk, and manage the nonconformance (I don't know if you make medical devices or landing gear for planes. If so, you may still be stuck to find a solution). The problem with ISO is not the Standard. It is in how the organization views the Standard in their own culture. The EC must realize that this is a tool to help the organization to succeed. It is only a tool in the philosophy for managing. ISO will not save a company by itself. It never has, it never will. Using the tool wrong can do damage to an otherwise healthy organization. They must rise to the role of Leadership and help to implement the tool correctly. Your task: finding a way to help them realize the value of ISO without getting labeled as an "I told you so!" I hope we can help. Regards, Kevin IP: Logged |
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David Mullins Forum Contributor Posts: 248 |
Hmmm. I worked with an organisation that had 23 locations, 160 employees, and generated 600 CARs a year. This quantum is not managable unless you have a very good system for dealing with them. CLOSE OUT, is a critical problem. I had eleven people who had the additional job of being internal auditors. Audits were conducted at each site every 6 months, and all CARs that were OPEN during that period were reviewed, and closed out by the auditors in their reports, or noted as not fully implemented, or whatever. It was the only way I could close out the things, except where the preventive actions related to revised documentation, or some other thing that I could witness without driving all over the place. The particular CAR system included OHS incidents and hazards, customer complaints, nonconformances, improvements, security breaches, etc., etc. For the managers I focussed on them adopting an empathetic apporach - if you wrote this CAR, would you be satisfied with the responses and actions? In the circumstance where your auditor is coming, and you can't find any other means to motivate people, steer the auditor to focus on the problems you are experiencing. He/She will raise a NCR and hopefully this will spark the necessary crisis meeting and actions. It also serves to steer auditors away from anything else you don't want to deal with until you get the time! Let the challenge motivate you, don't throw in the towel just yet - if I used that approach, I'd spend all my time fishing, golfing, surfing and sunbathing. You must get executive buy-in. The CAR problems may just be a symptom of a far worse disease! ------------------ IP: Logged |
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ISO GUY Forum Contributor Posts: 81 |
Well that is true. I have't given up it is just very frustrating. There are many many problems with the Company I work for. I hate to say it the owners of the company don't really care about conforming to the standards, they just want the Certificate that says we are ISO certified. They see QA as an expense because " We do not make any money for the company", they don't understand that we are trying to save the company money. When ISO was first suggested I would say about 5 years ago, the person who held the job I have now really set a great system up (it was meet with great resistance and still is LOL) but as in life all good things must come to an end, and he moved on to bigger and better things. Then came the nightmare of an ISO Coordinator. He didn't do the job very well and the system went backwards instead of forward, so then I walk in and now I am stuck with, department managers having a bad taste in their mouths from this person. I am trying to rectify this situation by letting everyone know that I am here to help them not point out non-conformances and lord it over them (as was happening over the last 2 years). I think it will take some time to get them to understand that I am on their team and not against them, I know it will take some time and banging my head against the wall, but it will happen( I hope). As far as pointing out the problems in our CAR system ( I don't want to get fired) I will let the Registrar find out for themselves. Well now that I sund like I am not making any sense at all I am out of here. IP: Logged |
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Kevin Mader Forum Wizard Posts: 575 |
quote: To your post (I hope I got the quote thing right): It sounds like your management doesn't know how the ISO tool benefits their organization. Why is this? What are their individual theories based on? What are their expectations? Do you have any of these answers? I suppose many organizations try for ISO because they want to "keep up with the Jones's." Get the certificate, mount it on the wall for all to see, let Marketing run to trade shows and wave flags of success. But does it have to be this way? People need education and understanding about things. Superficial thinking is a serious disease in this country, as well as many other places in the world. What have we done to cure this disease? I think that Quality folks need an extra measure of patience. People need time to grasp what is important and we must present it in a way people will understand. My thoughts: We need to understand the problems. Next, we theory. We must know the inputs and learn to control them. We must continually work to improve the process. The questions I started with are to begin the process of understanding why management is content on playing lipservice to ISO. Maybe it was something they read and didn't agree with? Maybe Scapegoat 1 or 2 painted an awful picture, or one they can't understand? What can you do to change that? If you gain a better understanding of the problem(s), you may be able to address them successfully, thus increasing the likelihood that they will return the favor by helping you to address the issues with your CARs. Collaboration is necessary. You aren't alone ISOGUY. The war is not lost! If you let the registrar discover the CAR problem, you may risk what you fear of losing. Regards, Kevin IP: Logged |
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Spaceman Spiff Forum Contributor Posts: 64 |
I am in need of some assistance... we have several low volume products that goes to distributors. Periodically we get rejection of 1 piece. Since the distributors are all jumping on the ISO bandwagon, I am getting requests for corrective action based on a single returned unit, some may be a year old (our warranty period) and others may have seen field use. It is very difficult to determine the exact root cause of the problem (especially if they've been in service). I hate to use the old "informed the operators" as a boilerplate answer. Anyone out there have any comments? IP: Logged |
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Marc Smith Cheech Wizard Posts: 4119 |
quote:My first question would be what do you normally do with returned units? One thing to consider --> You have to set some threshold where you do not react. If you do not get the unit, have a canned letter which states that without the unit no investigation can proceed. IP: Logged |
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Spaceman Spiff Forum Contributor Posts: 64 |
In almost all cases, we do get rejects back (customers do not receive credits unless parts are sent). We perform return analysis on all returned parts. I've considered the threashold idea, but customer are requesting a formal written CAR regardless of return sample size in order to fulfill their ISO obligations. My delimma is now I have a formal request for CA with only one actual part. I would love to respond with a canned CAR that says you are wasting my time... but the customer is "always" right, right? IP: Logged |
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Marc Smith Cheech Wizard Posts: 4119 |
Do your analysis. If you cannot determine the cause of the failure I would state the same in a letter to the customer. If you know what the failure mode was,, check your database. If it is not a recurrent problem I would state so and state that it has been determined that no corrective action is necessary (here is your threshold) - that as of this point you consider the failure mode to be a 'freak' failure as indicated by no other record of the same failure mode. Instead of a letter have a corrective action form and complete only the appropriate fields. The key is to be able to say what is a repetition and what is not. Now - this is all and well for me to say, so I will put in a cavat. Let's say you make air bags. A freak failure is not well tolerated by the public or government - thus the product makes a difference. No - the customer is not always right. You know that and I know that. IP: Logged |
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AJPaton Forum Contributor Posts: 73 |
Question-how can we relate control of non-conforming product to the corrective/preventive action clause of ISO. We have a non-conforming product system to capture all defects and raise awareness with both operators and supervisors. This would seem to be "corrective or preventive action taken to eliminate the causes of actual...nonconformities" How can this be captured in a more general corrective and preventive action system. Thanks, IP: Logged |
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Jim Biz Forum Wizard Posts: 275 |
AJ -- As I understand it you may wish to refocus on the "actions taken shall be to the degree appropriate to the maginitude and "commesurate with the risks involved"wording. 4.41.1 That's at least where we relate 4.13 Nonconforming product control to - 4.14 Corrective action (nonconforming product occurances recorded under 4.13 need to be placed in the correction AND/OR preventative system(S)If the Volume/Cost/ or potential current or future risk of reoccurance involved is "significant" enough for corrective action to be warranted... I have in fact reported to our customers "at appropriate times" that the single occurance appears as an isolated situation and no further action is planned "until/unless" the risk involved becomes a costworthy or a risk worthy issue. I have seen closure criteria mechanisims that allow closing single or low level nonconformance items using a time/delivery standard (for example only - 500 pcs delivered over a three month period with no further occurances would allow one to close becsuse that single or low level defect volume was a "freak" "flyer" etc. that in reality does not need documented correction. However..nothing precludes re-opening the issue if future occurances of the same defect occur. IP: Logged |
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AJPaton Forum Contributor Posts: 73 |
Thanks Jim, Just a further clarification, most of our non-conformances are internally generated. Since we do combination custom/standard work, any problem has to be resolved before the job can ship. (Safety concerns paramount.) Do these problem solutions get recorded in the Corrective and/or Preventive Action system? (We tried that with bad results.) If not, where/how should we document these intermediate solutions? Thanks, AJP IP: Logged |
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