5 - WHY PROBLEM SOLVING PROCESS

Ngy: 10-Sep Thc hin Ph duyt : Shankar

Nhn vin trt t gy

tay do nn xng trn ti
khu vc sn xut vo lc Phn tch ti sao s vic li xy ra
08:35 ngy 10 thng 09
nm 2009

Trt t

Why Nn xng trn

Nn xng t
Why
Phn tch ti sao vn li khng c pht hin Vt gi lau cha ro nc
khi lm v sinh
Why
Khng nhn bit nn
xng trn

Khng thy bn cnh Why

bo
Why

Khng t bn cnh
bo/Khng c bn
Why cnh bo

Ch quan, khng nhn

thc c tm quan trng
ca vic t bn cnh bo
 Ch quan, khng nhn
thc c tm quan trng
Phn tch tm hiu nguyn nhn gc ca li h thng Why ca vic t bn cnh bo

Khng c hun luyn

thng xuyn
Why
Khng lp k hoch
hun luyn nh k

Why
S c t ng xy do
trt nc xy ra ln
u t khi thnh lp
cng ty
Why

Khng c k hoch nh
Why
gi ri ro nh k v vic
cung cp dch v v sinh
i vi khch hng

t kt kinh nghim Why

Tai nn c th n bt c lc no d nguy c rt nh

Thng xuyn nu cao thc an ton lao ng

An ton lao ng cn c kim tra hng ngy tt
 Shankar
Hnh ng khc phc Trch nhim Ngy hon thnh
A
Hun luyn li qui trnh v Panpacific 10/09/2009 Done
Nguyn nhn gc thc an ton lao ng

Nng cp qui trnh v

sinh bng cch tin hnh Panpacific 14/09/2009 Done
lau kh ngay sau khi lau
t

Tin hnh v sinh tp

trung nhanh dt im
tng khu vc nh Panpacific 10/09/2009 Done

Nu nhn vin v sinh

khng tun th quy trnh
s b ngh thay th CVN 10/09/2009 Done

Khng tun th quy trnh A

Trang b thm bin cnh Panpacific 10/09/2009 Done
Why bo mi nhn vin t nht
phi c 2 bin cnh bo

p dng m rng vic t

bin cnh bo i vi b
phn cnteen
CVN 10/09/2009 Done
Thng bo nhc nh n
ton th nhn vin ch
khi di chuyn qua khu
vc ang lm v sinh
 ton th nhn vin ch
khi di chuyn qua khu
vc ang lm v sinh CVN 10/09/2009 Done

Khng c hun luyn

B
thng xuyn
Why
C
ngh xy dng k Panpacific
hoch hun luyn nh k

nh k 3 thng 1 ln trao
i nh gi gia
Panpacific v khch hng Panpacific

y
Khng thng xuyn trao i
C
vi khch hng
 5 - WHY PROBL

Date: 10-Sep Prepared: Huynh Van Dong Ap

An employee met an
accident and fracture on his
begets finger at production Use this path for the specific nonconformance being investigated
floor

Slipped and fell on

production floor

the production floor was

Why slippery

Use this path to investigated why the problem was not deteced Why

Didn't releaze the production

floor under wet

Didnt see the warning

board
Why

Why

Use this path to investigate the systemic root cause

was not trained frequently

didn't make the recurrent

training plan

Why
 Why

Why

Lesson learned
Do not be subjective, accident can come at any time
Frequently mentioned awareness of labor safety
Daily safety audit should be conducted strickly
5 - WHY PROBLEM SOLVING PROCESS

Approved Shankar

Root cause

the production floor was

wet

The clout wasn't pressed in

dried enough from cleaner
Why

Cleaner didn't performed the

cleaning process
Why

Didnt put the warning

board /lack of the
warning board how impoetan

Subjective, lack of aware how

important to put up the
Why warning board

was not trained frequently

Why
This is the first accident
regarding to wet floor

no plans to periodically
Why assess the risk of providing
cleanning services to clients

Didn't communicate periodically

with client
Why
 Corrective Action PIC Completion Date
A
Provide the refresh training Panpacific 10/09/2009 Done
of the process
and sense of occupational
safety

Update the cleaning process Panpacific 14/09/2009 Done

t by conducting dry after wet
cleaning

Focus on each small

cleaning area and quickly to
complete Panpacific 10/09/2009 Done
If any cleaner does not
comply with guidelines to put
up warning board, she will be
propose to replace CVN 10/09/2009 Done
immediatly

A
Provide more the warning
board, 2 the warining board
Panpacific 10/09/2009 Done
per cleaner

Look across and apply to put

the warning board in canteen
area

Reminder on safey to all CVN 10/09/2009 Done

employees by warning letter.

CVN 10/09/2009 Done

C
Ask to provide periodic
training for cleaner
Panpacific Done

Set up communication
channel between Panpacific
and CVN (a quaterly
meeting)
 Ask to provide periodic
training for cleaner

Set up communication
channel between Panpacific
and CVN (a quaterly Panpacific Done
meeting)