Professional Documents
Culture Documents
Steven S Prevette
Fellow, CQE American Society for
Quality
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Aim of this Session
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My Introduction
-3-
Statistical Process
Control
A way of:
presenting data on a chart
determining if you have a
trend
determining if you are
stable
determining the capability
of your process
It is also a way of thinking -4-
What is a Trend?
Many procedures and policies call for
trending to be performed, for trends to
be identified
Websters Dictionary:
to extend in a general direction,
a general movement,
to veer in a new direction,
to show a tendency,
to become deflected
For our purposes: a changing condition
-5-
Canadian Nuclear
Laboratories
The Chalk River Site (near Pembroke ON)
has a long history of nuclear research and
development
In 2015, the site transitioned from a
Canadian Government site to a
Government Owned / Contractor Operated
site
Fluor Corporation assigned me to help
with performance metrics improvements
at CNL
A trending procedure that I had authored
was already in place at CNL, easing the
transition -6-
Lessons of the Red Bead
Experiment
Dr. Demings Red Bead
https://www.youtube.com/playl
Experiment illustrates the ist?list=PL8E522DD542C4CA69
importance of
understanding when we
have random noise.
Rewards, punishments,
ranking of the workers,
feedback to the workers
had no efect on the results
of the process.
The process was stable and Or Google the following:
needed to be changed! Red Beads Prevette
-7-
Importance of Trending
Actions taken to improve a process are diferent,
depending on whether or not the process is stable
-8-
Management Theory:
The Theory of Variation
SPECIAL CAUSE VARIATION
If a statistically significant trend occurs, find the
special cause of this trend. Use this information to
correct or reinforce these special causes.
-9-
The Losses
1. Explaining results of a
random, stable process,
reacting to each individual
result
2. Missing the detection of a
significant change in the
data, and the underlying
process
-10-
Construction of the Control
Chart
Plot the actual data, and preferably at least 25 points
Calculate an average of the data over an initial baseline interval
Calculate the corresponding UCL/LCL set at 3 standard deviations from the
Average Line. UCL
16
14
Average Line Performance Data
12
10
4
LCL
2
23
1
11
13
15
17
19
21
25
27
29
Use a set of Rules to detect Trends
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Generating and Using Control
Charts
This session is only intended as a broad introduction
to SPC
If you are in need of more detailed information, I wrote
a trending procedure for use at the U.S. Hanford Site
and it was posted to the Internet
You may find a copy of it by googling Generating and
Using Control Charts or HNF-4931
One location is
cci.drexel.edu/faculty/gbooker/Reference/technical/co
ntrol_cht.doc
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Definition of a Trend (at CNL)
1. One point more than 3 sigma from center line.
2. Nine points in a row on same side of the center line.
3. Six points in a row, all increasing or all decreasing.
4. Fourteen points in a row, alternating up or down.
5. Two of 3 points more than 2 sigma from the center line
(same side).
6. Four of five points more than 1 sigma from center line
(same side).
7. Fifteen points in a row within 1 sigma of center line
(either side).
8. Eight points in a row more than 1 sigma from center
line (either side).
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Definition of a Trend
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Establishing a Baseline
The goal is to establish one or more
baseline time intervals with no trends
within each interval.
The MW Rule helps to show if a baseline
is likely to be good.
A good baseline detects future trends
without false alarms
If a trend is detected, we dont want it to
be due to too few data points in the
baseline, causing the baseline to have
been inaccurate.
-17-
What Has SPC Done for
Nuclear Sites?
Minimized knee-jerk reactions to the latest
events
Detected changing conditions
Allowed focus upon the system, the
underlying processes
Saved time and money, both in the act of
chart making, and in management actions
SS Prevette 18 -18-
Applying SPC: Life Cycle of a
Trend 0.
Gestation:
Choose a
Measure
4.
Maturity:
Take Data 1. Establish Establish
Baseline
action to stabilizes Expectations,
correct, Routine
reinforce, Monitoring
or stabilize
3. Youth:
Determine 2. Birth:
special A trend is
cause(s) detected
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Similarity to PDSA Cycle
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0. Gestation
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Gathering Data
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Choosing Reporting Intervals
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1. Establish the Baseline
Average and Control Limits
The Baseline on a control chart consists of
the average (center) line, a three-standard
deviation Upper Control Limit (UCL) and a
three-standard deviation Lower Control Limit
(LCL).
The Baseline allows us to predict the future,
and evaluate for trends.
-24-
Establishing a Baseline
The goal is to establish one or more baseline
time intervals with no trends within each
interval.
The MW Rule helps to show if a baseline is
likely to be good.
A good baseline detects future trends with
a minimum of false alarms.
If a trend is detected, we dont want it to be
due to too few data points in the baseline,
causing the baseline to have been
inaccurate.
-25-
MW Rule
I developed this rule to meet the needs of government oversight
personnel who wanted a formal rule for when to rebaseline a SPC chart
15 years of experience shows that it works >90% of the time, and for
when it does not work, the SPC process is self-correcting.
3 Changes of
Direction 2
3
1
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Initial Strategy
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This is a Trend!
1. One point more than 3 sigma from center line.
2. Nine points in a row on same side of the center
line.
3. Six points in a row, all increasing or all
decreasing.
4. Fourteen points in a row, alternating up or down.
5. Two out of three points more than 2 sigma from
the center line (same side).
6. Four out of five points more than 1 sigma from
center line (same side).
7. Fifteen points in a row within 1 sigma of center
line (either side).
8. Eight points in a row more than 1 sigma from
center line (either side).
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Remove any Trends from
the Trial Baseline
Do show all data, but change the average
and control limit calculations by:
Dropping data of of the beginning
Dropping data of of the end
Dropping individual datum point(s) and
circling them
Split into two or more baselines
Examples follow
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Initial Baseline
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Three data points removed from the beginning
of the data set, leaving a stable baseline from
the fourth point onwards:
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Three data points removed from the end of the
data.
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Two data points within the data have been
removed, and the remaining data used to
construct the baseline.
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The data have been split into two baselines. A
permanent decrease in the level appears to
have occurred.
Both
baselines
satisfy the
MW Rule
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Real Example
50
45
Average = 21
40 (May 04 - May 05)
35
Average = 13
30 (Sep 05 - Oct 06)
25
20
15
10
0
Jul-04
Jul-05
Jul-06
May-04
May-05
Nov-05
Sep-04
Nov-04
Jan-05
Mar-05
Sep-05
May-06
Sep-06
Jan-06
Mar-06 -35-
1a. Establish Expectations
-36-
Monitoring
Average = 9.5
Initial Stable Process
(Oct 98 - Oct 00)
20
15 25 points in a
10 stable baseline
5
0
Aug-00
Oct-98
Dec-98
Feb-99
Apr-99
Jun-99
Aug-99
Oct-99
Dec-99
Feb-00
Apr-00
Jun-00
Oct-00
Dec-00
Feb-01
Apr-01
Jun-01
Aug-01
-38-
2. Birth of the Trend
Average = 9.5
Initial Indication of Trend 2 of 3 at
(Oct 98 - Oct 00) 2 standard
20 deviations
15 above average,
10 circled
5
0
Oct-98
Feb-99
Apr-99
Aug-99
Feb-00
Aug-00
Oct-00
Apr-01
Aug-01
Dec-98
Jun-99
Oct-99
Dec-99
Apr-00
Jun-00
Dec-00
Feb-01
Jun-01
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Initial Actions
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3. Maturity
Waiting for
Average = 9.5
More Data Gathered 3 changes of
(Oct 98 - Oct 00) Direction
20 > 7 months in a row
above average
15
10
5
0
Feb-99
Apr-00
Feb-01
Oct-98
Dec-98
Apr-99
Jun-99
Aug-99
Oct-99
Dec-99
Feb-00
Jun-00
Aug-00
Oct-00
Dec-00
Apr-01
Jun-01
Aug-01
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New Baseline Established
Average = 9.5
New Baseline Established Average = 13
(Dec 00 - Aug 01)
(Oct 98 - Oct 00)
20
15
10
5
0
Aug-00
Feb-99
Apr-99
Aug-99
Feb-00
Apr-00
Feb-01
Apr-01
Aug-01
Oct-98
Dec-98
Jun-99
Oct-99
Dec-99
Jun-00
Oct-00
Dec-00
Jun-01
Go back to Step 1 and determine if this baseline is acceptable or not.
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Life Cycle of a Trend may be
used as the basis for
Dashboard Colour
The colour is not just setCoding
based upon
level, but also includes trends
- If you are currently at a good level,
but there is a trend in the wrong direction,
you will pick up a Red
- If you are currently at a bad level, but
are making progress, you get positive
reinforcement with a Green.
43 -43-
Control Decision Colour Leadership
Chart Result Action
Stable Level is Green Stay the
(common Acceptable Course
cause
Level is Not Yellow Improve
variation)
Acceptable System
Trend Adverse Red Corrective
(special Action
cause
Improving Green Reinforce
variation) Stay the Course
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Use of White
-45-
July 2006
Indicator SW/GWVZ +
(with link to definition) FH Overall PFP K Basins FFTF WS&D WSCF CP D&D CS&I
LEADING INJURY Y W G W W G G Y
INDICATORS
ORPS W W G G W W G R
Near Misses W W G G W G G W
No. Safety
Inspections G G G G Y G G G
Safety Inspection
Scores G G G G G G G G
HGET Survey
Safety Related
R W G Click
G to seeG R G R
Severity Rate W G Y G G G W G
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First Aid Case Rate Occurrence Reports
50 6
45 CY = 11.1
40 FY = 9.8 5 Avg = 1.7
Does not (Nov 03 - Jul 04)
35 Average = 7.4
(Sep 05 - Mar 06 4 include
30
25 Nuclear Safety
3
20
15 2
10 1 ORPS Redesign
5 November 2003
0 0
Jan-03
Jan-05
Jan-06
Jul-03
Jan-04
Jul-04
Jul-05
Jul-06
Jan-03
Jul-03
Jul-04
Jul-05
Jan-06
Jul-06
Jan-04
Jan-05
Four months at one standard deviation above average, a significant Stable at an acceptable level.
increasing trend R W
Near Misses
5
ORPS Redesign November 2003
4
0
Avg = 0
Increasing
Trend at PFP,
Jan-03
Jul-03
Jan-04
Jul-04
Jan-05
Jul-05
Jan-06
Jul-06
One new report for July 2006, so there is no longer 12 months since the
Red Circled
last report. Chart set to White. W
-47-
Fluor Hanford Dashboard
Safety and Health
Emergency Preparedness
Indicator SW/GWVZ +
(with link to definition) FH Overall PFP K Basins FFTF WS&D WSCF CP D&D CS&I
Percent of Drills
Completed versus
Scheduled W W R G Y G G
Percent of Drills
Rated Satisfactory R G G G Y G G
Personnel Proficiency
Observations Y W W W W G G
at
CP D&D
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Drills Completed vs Scheduled Percent of Drills Satisfactory
900% 100%
800% 90% FY 06 Conducted = 8
700% FY 06 Scheduled to Date = 8 80% FY 06 Satisfactory = 8
600% FY 06 Completed = 8 70% Rate = 100%
500% Rate = 100% 60%
50%
400%
40%
300% 30% Average = 100%
200% Avg = 100%
20% (Oct 04 - Mar 05)
100% 10%
0% 0%
Oct-04
Jan-05
Apr-05
Jul-05
Oct-05
Jan-06
Apr-06
Jul-06
Oct-04
Jan-05
Apr-05
Jul-05
Oct-05
Jan-06
Jul-06
Apr-06
After a very unstable Oct 04 - Apr 05, the drill schedule has stabilized at Stable at 100%
100% G G
Personnel Proficiency
100%
90%
80%
70% CY 06 Observed to Date =
60% 100
50% CY 06 Proficient = 100
40%
Rate = 100%
30%
20%
10%
0%
Jan-05
Apr-05
Jan-06
Apr-06
Oct-04
Jul-05
Oct-05
Jul-06
Stable at 100%
G
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Conclusion
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