DATJ 119 8D Problem Solving Process Form

• Site conducted

  Select

• Business unit

  Select

• undefined

• Conducted on

  Date

• Prepared by

• Incident ref or NC ref number

8D Driver:

• What is the 8D Driver?

  Quality

  Health & Safety

  Environment

  Security

• What is the accident category?

  Minor

  Major

  Significant

  Cluster of Potential incidents

1D – Designate Team

• Team Leader:

• Team Members:

2D – Define Problem

• (When) Date and Time of occurrence:

  Date

• (Where) Location: (e.g. Branch, department, area, product)

• (What) Equipment/ Product Involved: (e.g. details of consignment number, AWB reference, equipment reference)

• Add photo of location and Equipment used if possible/ relevant

  Media

• (Who) Personnel/ Customer/ Supplier Involved:

• (How) Description of Incident (Major/Serious) or Non Conformance

• include photos where possible. Witness Statements/ Communications should be saved separately

3D Interim Containment

• Describe what has been put in place to stop the issue from escalating

• Include screen shots of communication and additional information where possible

  Media

• (e.g. product placed in quarantine, area cordoned off, additional communication to effected persons)

Root Cause Analysis

Determine the root cause

• You can use the simple Ishikawa principle to determine a potential root cause as a brain storming tool with the colleagues or the 5 Why process

  

• Which root cause analysis will you use?

  Select 5 Why Ishikawa Other

  • 5 Why
  • Ishikawa
  • Other

5 Why Analysis (click on the green + button to add analysis)

• What is the problem you are going to root cause analyse

• Why?

• Why?

• Why?

• Why?

• Why?

• Include evidence of your Ishikawa

• Which root cause analysis tool did you use? (provide evidence of methodology)

• What was determined as the root cause of this non-conformance?

• Include your actions to prevent the action from reoccurring

• Has the customer/ supplier been contacted to relay the corrective actions?

  Yes

  No

• Provide evidence that the customer/ supplier has been contacted

• Include an action to contact the customer/ supplier

Verification of corrective actions

• Can the issue be recreated by removing one or more of the results identified in section 5?

  Yes

  No

• Can the problem be corrected again by reinstating the results identified above?

  Yes

  No

4D Verify and Determine the root cause

• What was determined as the root cause of this non-conformance?

• Include your actions to prevent the action from reoccurring

7D: Prevent Recurrence

• The problem has reoccurred since implementation of all actions.

  yes

  no

• Has the procedure/ risk assessment/ process been updated?

  Yes

  No

• Have the results and improvements been communicated to all affected persons?

  Yes

  No

• Has the corrective action been witnessed?

  Yes

  No

Sign off

• Has the customer/ supplier been contacted to inform them of the closure of the investigation?

  Yes

  No

• Provide evidence that the customer/ supplier has been contacted

• Include an action to contact the customer/ supplier

• Team Leader sign off:

  Sign

• Completion Date

  Date

undefined

5 Why Analysis

• What is the Immediate/Direct Causes (circumstances that immediately precede the contact)

  Select Acts/ Practices Conditions

  • Acts/ Practices
  • Conditions

• Detail the act or practice that is the immediate root cause

• Detail the condition that is the root cause

• What is the Basic/Root Cause?

  Select Personal/ Human Factors Job/ System Factors

  • Personal/ Human Factors
  • Job/ System Factors

• What was the Person/ Human Factor Root cause?

• What is the job/ system factor of the root cause

5D: Define and implement Corrective Actions (e.g what actions can be taken to rectify the root casues identified in section 4)

• Include a Actions and assign a SMART objective

6D: Verify Permanent Corrections (PCs) for Problem

• Can the issue be recreated by removing one or more of the results identified in section 5?

  Yes

  No

• Can the problem be corrected again by reinstating the results identified above?

  Yes

  No

7D: Prevent Recurrence

• The problem has not reoccurred since implementation of all actions.

  Yes

  No

  N/A

• Has the procedure/ risk assessment/ process been updated?

  Yes

  No

  N/A

• Have the results and improvements been communicated to all affected persons?

  Yes

  No

  N/A

• Has the corrective action been witnessed?

  Yes

  No

  N/A

• If the answer is yes to all of the above then the 8D investigation is ready to be closed

8D: Congratulate Your Team

• Team Leader sign off:

  Sign

• Completion Date

  Date