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Fishbone and FMEA Example

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(1)

Failure mode:

Failure mode:

INGREDIENTS NOT FRESH / SPOILED

INGREDIENTS NOT FRESH / SPOILED

Effect:

Effect:

Health Code Violation / Customer 

Health Code Violation / Customer 

becomes ill

becomes ill

E

En

nv

viirro

on

nm

me

en

ntt

M

Ma

an

n

Method

Method

M

Me

ea

as

su

urre

em

me

en

ntt

M

Ma

ac

ch

hiin

ne

e

Material

Material

not stored at proper 

not stored at proper 

temperature

temperature

cause

cause

cause

cause

expired shelf life

expired shelf life

left out of storage

left out of storage

too long

too long

Cause

Cause

Cause

Cause

cause

cause

Cause

Cause

Cause

Cause

Cause

Cause

Cause

Cause

Cause

Cause

Cause

Cause

Cause

Cause

cause

cause

cause

cause

cause

cause

(2)

B

Failure mode:

INGREDIENTS CONTAMINATED DURING PREPARATION

Effect:

Health Code Violation / Customer 

becomes ill

Environment

Man

Method

Measurement

Machine

Material

Temperature of 

prep area

rodents

employee

came to work

sick

food preparation area

not disinfected properly

employee did not wash

hands prior to entering

work area

Cause

washing machine has no

detergent or disinfectant

utensiles (knives)

not disinfected

Cause

Cause

Cause

Washing machine not at

high enough temperature

Cause

Cause

Cause

Employee did not

wash hands after 

using bathroom

employee not using

protective gear (hairnet, face

mask)

(3)

Failure mode:

PIZZA UNDERCOOKED

Effect:

Health Code Violation / Customer 

becomes ill

Environment

Man

Method

Measurement

Machine

Material

cause

cause

cause

cause

Cause

Cause

Cause

oven temperature

too low

Cause

Cause

Cause

Cause

Cause

Cause

Cause

pizza not left in oven

long enough

cause

(4)

POTENTIAL FAILURE MODES AND EFFECTS WORKSHEET

FMEAType LevelofDetail

FMEA Number ---> Pizza FMEA-03

AllPizzas EricCartman Prepared by ---> Eric Cartman

Pizza Creation Other relevant information ---> None Original Date ---> May 29, 2007 June 30, 2008 Core Team --->

Processactivity ActionsTaken

wrong ingredients

7 method 2 OJT 7 98

7 man 5 OJT none 10 350

7 material 2 7 98 7 man 2 7 98 9

expired shelf life method

3 7 189 9 5 9 405 9 method 5 5 225 9 method 3 8 216 9 man 5 OJT 5 225 9 man 7

OJT / sign on wall none

10 630 sink installed 7/08 9 5 5 225 9 machine 3 5 135 9 machine 3 5 135 Product / Service Identifier --->

Design or Process Responsibility --->

Telephone #: 585-555-1212

Email address:

[email protected]

Process being analyzed --->

FMEA Revision Date --->

Eric Cartman (Operations Manager), Kenny (South Park Store Manager), Marge Simpson (Springfield Store Manager), Stan Marsh (pizza creation associate), Kyle Br ovlowski (BPI associate), Mr. Garrison (purchasing and inventory manager), Mr. Hand (pizza creation associate), Chef (BPI M anager)

Potential Failure Mode

Potential Effect(s) of  Failure S e v T y p e Potential Cause(s) / Mechanism(s) of  Failure Fishbone Cause Category O c c Current Process Controls -Prevention Current Process Controls - Detection D e t R P N Recommended Actions Responsibility & Target Completion Date S e v O c c D e t R P N Preparation of  pizza customer  dissatisfaction

ingredients not clearly identified monthly inventory audits error by pizza creation associate ingredients not available

weekly ordering of  ingredients and FIFO system

monthly inventory audits not enough of any

ingredient

weekly ordering of  ingredients and FIFO system monthly inventory audits ingredients not fresh / spoiled health code violation / customer  becomes ill

weekly ordering of  ingredients and FIFO system

monthly inventory audits

not stored at proper  temperature environm ent cooler set at 34F by store manager  monthly inventory audits left out of storage too

long

end of shift checklist requires all food to be put back in cooler 

store manager  monitors procedural adherence of  employees 12-8pm ingredients contaminated during preparation health code violation / customer  becomes ill

food preparation area not disinfected properly

outsourced cleaning service required to disinfect preparation areas each night

random internal audits of cleaning service

employee not using protective gear  (hairnet, face mask)

store manager  monitors procedural adherence of  employees 12-8pm

employee did not wash hands after  using bathroom Install a sink at kitchen entarnce Homer Simpson 9/08 utensiles (knives,

etc.) not washed / disinfected

knives washed after  each shift in automated machine with disinfectant at 170F

shift start checklist requires all utensiles to washed

washing machine has no detergent or  disinfectant

low detergent and disinfectant indicator  machine has enough capacity for  2 shifts of detergent

shift start checklist requires verification of detergent and disinfectant

System

Process

Component /

(5)

POTENTIAL FAILURE MODES AND EFFECTS WORKSHEET

FMEAType LevelofDetail

FMEA Number ---> Pizza FMEA-03

AllPizzas EricCartman Prepared by ---> Eric Cartman

Pizza Creation Other relevant information ---> None Original Date ---> May 29, 2007 June 30, 2008 Core Team --->

Processactivity ActionsTaken

Product / Service Identifier --->

Design or Process Responsibility --->

Telephone #: 585-555-1212

Email address:

[email protected]

Process being analyzed --->

FMEA Revision Date --->

Eric Cartman (Operations Manager), Kenny (South Park Store Manager), Marge Simpson (Springfield Store Manager), Stan Marsh (pizza creation associate), Kyle Brovlowski (BPI associate), Mr. Garrison (purchasing and inventory manager), Mr. Hand (pizza creation associate), Chef (BPI Manager)

Potential Failure Mode

Potential Effect(s) of  Failure S e v T y p e Potential Cause(s) / Mechanism(s) of  Failure Fishbone Cause Category O c c Current Process Controls -Prevention Current Process Controls - Detection D e t R P N Recommended Actions Responsibility & Target Completion Date S e v O c c D e t R P N

System

Process

Component /

Design FMEA

Process FMEA

Process Step

9

machine

6

none

10 540

Baking of pizza pizza overcooked

7

machine

3 5 105

7 man 5 OJT none 10 350

Washing machine not at high enough temperature outsourced maintenance checks machine temperature each month customer  dissatisfaction

oven temperature too high

oven set at constant temperature of 525F

shift start checklist requires verification of oven temperature

pizza left in oven too long

References

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