Page 352 - The Toyota Way Fieldbook
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Chapter 14. Develop a Thorough Understanding                 327



          TRAP
                      It’s easy to confuse activity with results. A poorly defined problem
                      and a rush to solution and action lead to activity without achiev-
                      ing the desired results. If you desire to maximize your return, a
                      focused effort on a clearly defined problem followed by a thor-
                      ough analysis will lead to significant results.




        is that this group is under the illusion that they’re actually getting “results,” and
        in fact they may somewhat improve the results. But it’s a case of focusing on the
        nickels (small causes) while the dollars (major causes) fly overhead.

        Find the True Problem to Get the Most

        Significant Results

        When beginning the process of identifying the true problem, it’s a challenge to
        find the issue at the most significant level. Often a problem is perceived based
        on personal experience, but this may only be “a problem” rather than “the prob-
        lem.” If we ask, “What is your main problem?” the answer is likely to be an issue
        that is most present and frequently experienced by the person being asked. For
        example, an operator who experiences a persistent problem every day will likely
        perceive it to be “the problem.” In addition, a person’s role in the organization
        tends to skew the importance of an issue for him or her. Those in the accounting
        department, for example, tend to see cost issues as the most important. Those
        in purchasing often believe that vendors are the primary concern, and engineers
        tend to focus on equipment-related issues.
            Toyota refers to the Five-why process (explained later) as a “causal chain,”
        because the problems and their causes are linked together in a series of single
        and branched chains. In an attempt to identify “the problem,” people often enter
        the causal chain at the problem perception point, or the “point of recognition,”
        rather than at the level of the true problem. They have identified what they
        believe the problem to be, but they may be further down the causal chain rather
        than at the top, where the true problem resides. Finding the true problem is
        based on understanding its effect at the highest level, where the full impact of
        the issue is experienced.
            When identifying any problem, Toyota views it in the context of the primary
        performance measures, which are safety, quality, productivity, and cost (Figure
        14-1). These measures are inherently linked to one another, and it’s not possible
        to negatively impact one of the measures without also negatively influencing
        another. For example, if a defect affects quality performance, it may also affect
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