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Chapter 8. Build a Culture That Stops to Fix Problems          191



                Case Example: There’s Always More Than
                One Way to Prevent Errors

                In the Toyota Georgetown plant the parts were painted in a leveled color
                mix and sequence, meaning that one part would be painted white, the
                next might be blue, then black, and then back to white. It was possible
                to have the same color back-to-back, but the mix varied according to
                several conditions. The paint system required continuous circulation
                of paint, and only one paint gun per painter was used. Each time the
                color was changed, the painter would disconnect the paint line from
                the QD (quick disconnect) and attach it to the paint gun. The painter
                would flush the line momentarily and then paint the next part. Because
                the color changed from part to part, the painter had to disconnect and
                reconnect the paint line for each part. One key element of error proofing
                lies in understanding that people will generally behave like electricity—
                they’ll seek the path of least resistance. In this case the painters wanted
                to avoid the continuous changing of paint lines.
                Each paint booth had three painters. After the first painter applied color
                to the part, subsequent painters could visually see the colors of the
                parts (and the color mix) coming to them. On occasion the pattern
                was such that a white part was followed by a red and then another
                white, for example. When the painter could see that the white would
                be needed again, he or she would hold the white line and reconnect
                it after the red part (never reattaching the white line to the wall).
                Sometimes the painter would deviate from the rule and have multiple
                lines disconnected at one time, which caused the operator to mistakenly
                reconnect one paint-line color to a QD of another paint color. Then
                both colors would be mixed throughout the entire system—a big
                problem! This happened several times each year, and the total lost
                labor, materials, and waste disposal amounted to over $80,000 per year,
                which did not include the cost to the customer (the assembly line).
                The paint line would stop while the team leaders prepared hand-mixed
                paint in “paint pots” for each painter so the line could be restarted.
                The line stoppage often created a shortage of parts to the assembly
                line—now a very serious problem. Previous efforts at error proofing
                yielded the following “solutions”:
                1. Notify the painters that the standardized work specified only one
                   paint hose be removed at any time and that standardized work must
                   be followed. As might be expected, this level of error proofing—
                   tell the employees the correct method—is rarely effective.
                2. Post a sign that stated “Only one paint hose can be removed at any
                   time” at each workstation. This commonly applied attempt at error
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