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is a Japanese term that means "mistake-proofing" or "inadvertent error
prevention Prevention may refer to: Health and medicine * Preventive healthcare, measures to prevent diseases or injuries rather than curing them or treating their symptoms General safety * Crime prevention, the attempt to reduce deter crime and crimi ...
". A poka-yoke is any mechanism in a process that helps an equipment operator avoid (''yokeru'') mistakes (''poka'') and defects by preventing, correcting, or drawing attention to
human error Human error refers to something having been done that was " not intended by the actor; not desired by a set of rules or an external observer; or that led the task or system outside its acceptable limits".Senders, J.W. and Moray, N.P. (1991) Human ...
s as they occur. The concept was formalized, and the term adopted, by
Shigeo Shingo was a Japanese industrial engineer who was considered as the world’s leading expert on manufacturing practices and the Toyota Production System. Life and work After having worked as a technician specializing in fusions at the Taiwanese railwa ...
as part of the
Toyota Production System The Toyota Production System (TPS) is an integrated socio-technical system, developed by Toyota, that comprises its management philosophy and practices. The TPS is a management system that organizes manufacturing and logistics for the automobile ma ...
.


Etymology

Poka-yoke was originally '' baka-yoke'', but as this means "fool-proofing" (or " idiot-proofing") the name was changed to the milder ''poka-yoke''. Poka-yoke is derived from ''poka o yokeru'' (ポカを避ける), a term in
shogi , also known as Japanese chess, is a strategy board game for two players. It is one of the most popular board games in Japan and is in the same family of games as Western chess, ''chaturanga, Xiangqi'', Indian chess, and '' janggi''. ''Shōgi'' ...
that means avoiding an unthinkably bad move.


Usage

More broadly, the term can refer to any
behavior-shaping constraint A behavior-shaping constraint, also sometimes referred to as a forcing function or poka-yoke, is a technique used in error-tolerant design to prevent the user from making common errors or mistakes. One example is the reverse lockout on the tra ...
designed into a process to prevent incorrect operation by the user. A simple poka-yoke example is demonstrated when a driver of the car equipped with a manual gearbox must press on the
clutch pedal Car controls are the components in automobiles and other powered road vehicles, such as trucks and buses, used for driving and parking. While controls like steering wheels and pedals have existed since the invention of cars, other controls have ...
(a process step, therefore a poka-yoke) prior to starting an automobile. The interlock serves to prevent unintended movement of the car. Another example of poka-yoke would be the car equipped with an automatic transmission, which has a switch that requires the car to be in "Park" or "Neutral" before the car can be started (some
automatic transmission An automatic transmission (sometimes abbreviated to auto or AT) is a multi-speed transmission used in internal combustion engine-based motor vehicles that does not require any input from the driver to change forward gears under normal driving c ...
s require the brake pedal to be depressed as well). These serve as behavior-shaping constraints as the action of "car in Park (or Neutral)" or "foot depressing the clutch/brake pedal" must be performed before the car is allowed to start. The requirement of a depressed brake pedal to shift most of the cars with an automatic transmission from "Park" to any other gear is yet another example of a poka-yoke application. Over time, the driver's behavior is conformed with the requirements by repetition and habit.


History

The term poka-yoke was applied by
Shigeo Shingo was a Japanese industrial engineer who was considered as the world’s leading expert on manufacturing practices and the Toyota Production System. Life and work After having worked as a technician specializing in fusions at the Taiwanese railwa ...
in the 1960s to industrial processes designed to prevent human errors. Shingo redesigned a process in which factory workers, while assembling a small switch, would often forget to insert the required spring under one of the switch buttons. In the redesigned process, the worker would perform the task in two steps, first preparing the two required springs and placing them in a placeholder, then inserting the springs from the placeholder into the switch. When a spring remained in the placeholder, the workers knew that they had forgotten to insert it and could correct the mistake effortlessly. Shingo distinguished between the concepts of inevitable human mistakes and
defect A defect is a physical, functional, or aesthetic attribute of a product or service that exhibits that the product or service failed to meet one of the desired specifications. Defect, defects or defected may also refer to: Examples * Angular defec ...
s in the production. Defects occur when the mistakes are allowed to reach the customer. The aim of poka-yoke is to design the process so that mistakes can be detected and corrected immediately, eliminating defects at the source.


Implementation in manufacturing

Poka-yoke can be implemented at any step of a manufacturing process where something can go wrong or an error can be made. For example, a fixture that holds pieces for processing might be modified to only allow pieces to be held in the correct orientation, or a digital counter might track the number of spot welds on each piece to ensure that the worker executes the correct number of welds. Shigeo Shingo recognized three types of poka-yoke for detecting and preventing errors in a
mass production Mass production, also known as flow production or continuous production, is the production of substantial amounts of standardized products in a constant flow, including and especially on assembly lines. Together with job production and batch ...
system: # The ''contact'' method identifies product defects by testing the product's shape, size, color, or other physical attributes. # The ''fixed-value'' (or ''constant number'') method alerts the operator if a certain number of movements are not made. # The ''motion-step'' (or ''sequence'') method determines whether the prescribed steps of the process have been followed. Either the operator is alerted when a mistake is about to be made, or the poka-yoke device actually prevents the mistake from being made. In Shingo's lexicon, the former implementation would be called a ''warning'' poka-yoke, while the latter would be referred to as a ''control'' poka-yoke. Shingo argued that errors are inevitable in any
manufacturing Manufacturing is the creation or production of goods with the help of equipment, labor, machines, tools, and chemical or biological processing or formulation. It is the essence of secondary sector of the economy. The term may refer to a r ...
process, but that if appropriate poka-yokes are implemented, then mistakes can be caught quickly and prevented from resulting in defects. By eliminating defects at the source, the cost of mistakes within a company is reduced. A methodic approach to build up poka-yoke countermeasures has been proposed by the Applied Problem Solving (APS) methodology,Ivan Fantin (2014). Applied Problem Solving. Method, Applications, Root Causes, Countermeasures, Poka-Yoke and A3. How to make things happen to solve problems. Milan, Italy: Createspace, an Amazon company. which consists of a three-step analysis of the risks to be managed: # Identification of the need # Identification of possible mistakes # Management of mistakes before satisfying the need This approach can be used to emphasize the technical aspect of finding effective solutions during brainstorming sessions.


Benefits of poka-yoke implementation

A typical feature of poka-yoke solutions is that they don't let an error in a process happen. Other advantages include: * Less time spent on training workers; * Elimination of many operations related to
quality control Quality control (QC) is a process by which entities review the quality of all factors involved in production. ISO 9000 defines quality control as "a part of quality management focused on fulfilling quality requirements". This approach places ...
; * Unburdening of operators from repetitive operations; * Promotion of the work improvement-oriented approach and actions; * A reduced number of rejects; * Immediate action when a problem occurs; * 100% built-in
quality control Quality control (QC) is a process by which entities review the quality of all factors involved in production. ISO 9000 defines quality control as "a part of quality management focused on fulfilling quality requirements". This approach places ...
; *Preventing bad products from reaching customers; *Detecting mistakes as they occur; *Eliminating defects before they occur.


See also

*
Idiot-proof In modern English usage, the informal term idiot-proof or foolproof describes designs that cannot be misused either inherently, or by use of defensive design principles. The implication is that the design is usable even by someone of low intell ...
*
Defensive design Defensive design is the practice of planning for contingencies in the design stage of a project or undertaking. Essentially, it is the practice of anticipating all possible ways that an end-user could misuse a device, and designing the device so ...
*
Fail-safe In engineering, a fail-safe is a design feature or practice that in the event of a specific type of failure, inherently responds in a way that will cause minimal or no harm to other equipment, to the environment or to people. Unlike inherent safe ...
*
Interlock An interlock is a feature that makes the state of two mechanisms or functions mutually dependent. It may be used to prevent undesired states in a finite-state machine, and may consist of any electrical, electronic, or mechanical devices or system ...
* Murphy's law


References


Further reading

* * * *


External links


Mistake-Proofing Example Wiki


{{Six Sigma Tools, state=collapsed Japanese business terms Lean manufacturing