8D Report Builder β Example
8D Report Builder
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Incorrect shipping label detected at customer β Line 2 pack-out
SCAR-2026-0142 (example)
Quality manager (example)
April 2026
Plant 3 β 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 β 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 01β07 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 1β2 | 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 β 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 β confirmed with 20 trials.
| # | Action | Owner | Due | Status |
|---|---|---|---|---|
| 1 | Software interlock β 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 β 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 β interlocks beat reminders. Yokoten checklist added to new equipment buy guide.
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