Générateur de rapport 8D
Exemple chargéAfficherReview all disciplines below. Switch to Edit to update the report.
Incorrect shipping label detected at customer — Line 2 pack-out
SCAR-2026-0142 (example)
Quality manager (example)
April 2026
Plant 3 — automotive OEM programme
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.
| # | Team member | Role |
|---|---|---|
| 1 | Quality manager (example) | Champion |
| 2 | Pack-out lead | Core team |
| 3 | Maintenance technician | SME — equipment |
| 4 | Production planner | Core team |
| 5 | Logistics coordinator | Core team |
| 6 | Customer quality representative | Customer liaison |
Daily 15-minute stand-up until containment verified; weekly management review with metric review.
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.
| # | Action | Owner | Due | Status |
|---|---|---|---|---|
| 1 | Hold all finished goods from Line 2 back to last known-good label verification (03 Apr 06:00). | QA + logistics | Day 1 | Complete |
| 2 | 100% label audit on WIP and FG; block shipment until QA sign-off. | Pack-out lead | Day 1–2 | Complete |
| 3 | Notify downstream warehouses to quarantine same lot codes. | Logistics | Day 1 | Complete |
Zero additional escapes in first 72 hours of inspection; quarantine effectiveness confirmed.
5 Whys with pack and maintenance; review of verifier fault logs; line observation during changeover; comparison to Line 1 (no bypass).
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 at final pack station. Missed internally because bypass did not alarm to QA and post-changeover checks were not mandatory.
Forced-fault trials reproduced condition; interlock pilot prevented line start when verifier in fault — confirmed with 20 trials.
| # | Action | Owner | Due | Status |
|---|---|---|---|---|
| 1 | Software interlock — line cannot run with verifier in fault. | Engineering + IT | Week 4 | Implemented |
| 2 | Digital checklist: test card at shift start and after each changeover. | Pack supervisor | Week 3 | Implemented |
| 3 | Dual scan — carton + pallet at apply station. | Engineering | Week 5 | Implemented |
200 consecutive packs on trial lots with forced-fault tests passed; customer witnessed validation run.
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.
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.
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.
Ce rapport est un instantané de session unique. Kanrix suit les disciplines ouvertes, le statut d'escalade et les leçons apprises dans toute l'équipe.
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