Générateur de rapport 8D

Exemple chargéAfficher

Review all disciplines below. Switch to Edit to update the report.

Aperçu ↗
Report header
Report title

Incorrect shipping label detected at customer — Line 2 pack-out

Case / SCAR / NC number

SCAR-2026-0142 (example)

Champion / owner

Quality manager (example)

Report date

April 2026

Site / customer (optional)

Plant 3 — automotive OEM programme

D0
D0 — Prepare and plan

Customer notified wrong SKU label on a pallet (2 of 120 cartons). Risk: wrong part at assembly. Team chartered same day; containment goal: no further suspect material ships. Target closure: 45 days per customer SCAR.

D1
D1 — Establish the team
#Team memberRole
1Quality manager (example)Champion
2Pack-out leadCore team
3Maintenance technicianSME — equipment
4Production plannerCore team
5Logistics coordinatorCore team
6Customer quality representativeCustomer liaison
Meeting cadence & notes

Daily 15-minute stand-up until containment verified; weekly management review with metric review.

D2
D2 — Describe the problem

What: Outer label shows SKU-B; inner cartons are SKU-A. Where: Line 2 pack-out, pallet P-4401, despatch dock 12. When: Found at customer inbound 08 Apr; suspect lots 01–07 Apr. How many: 120 cartons in lot; 2 mis-labelled found; 100% sort at customer pending. IS / IS NOT: Only Line 2 after morning changeover; other lines and suppliers not involved.

D3
D3 — Interim containment actions
#ActionOwnerDueStatus
1Hold all finished goods from Line 2 back to last known-good label verification (03 Apr 06:00).QA + logisticsDay 1Complete
2100% label audit on WIP and FG; block shipment until QA sign-off.Pack-out leadDay 1–2Complete
3Notify downstream warehouses to quarantine same lot codes.LogisticsDay 1Complete
Effectiveness check

Zero additional escapes in first 72 hours of inspection; quarantine effectiveness confirmed.

D4
D4 — Define and verify root cause(s)
Analysis approach

5 Whys with pack and maintenance; review of verifier fault logs; line observation during changeover; comparison to Line 1 (no bypass).

Verified root cause(s)

Barcode verifier bypassed after changeover when operator cleared fault without supervisor reset — procedure gap. Contributing: no interlock between verifier fault state and line run signal; changeover checklist omitted verifier test card.

Escape point & why it was missed

Escape at final pack station. Missed internally because bypass did not alarm to QA and post-changeover checks were not mandatory.

Verification of root cause

Forced-fault trials reproduced condition; interlock pilot prevented line start when verifier in fault — confirmed with 20 trials.

D5
D5 — Choose and verify permanent corrective actions
#ActionOwnerDueStatus
1Software interlock — line cannot run with verifier in fault.Engineering + ITWeek 4Implemented
2Digital checklist: test card at shift start and after each changeover.Pack supervisorWeek 3Implemented
3Dual scan — carton + pallet at apply station.EngineeringWeek 5Implemented
Validation summary

200 consecutive packs on trial lots with forced-fault tests passed; customer witnessed validation run.

D6
D6 — Implement permanent corrective actions

Implemented in week 5; all shifts trained; old procedure red-lined. Customer witnessed validation run; 30-day production monitor: 0 label mismatches, verifier forced-stop tests 100% effective.

D7
D7 — Prevent recurrence

Update control plan and layered process audits. Mirror interlock on Line 1 (similar cell). Add PM for verifier firmware. Share lesson in monthly quality council; supplier communication where labels are pre-printed.

D8
D8 — Recognise the team

Team recognised by plant manager; SCAR closed with customer. Lesson: treat verifier like safety-critical — interlocks beat reminders. Yokoten checklist added to new equipment buy guide.

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