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CETEC is often called upon to review reports or opinions into the
reason why a product has failed. Typically, these reports attribute
the failure mechanism to a single cause or source. If life was so
simple!
In our experience, it is rare to be able to determine that the
actual cause of a product failure is due to a single reason.
Often, the actual causes are a result of factors external to the
product and not due to a defect with the product itself.
It is easily to fall into the trap of attributing the cause of a
product defect to the most obvious observation. Therefore, it is
critical when investigating problems to use the broadest and most
extensive methodology as practical in eliminating the causes of
the problems.
At CETEC, the guidance we use in assessing, solving and managing
technical problems is one based upon established risk management
techniques and processes. This involves:
- Context
: First establishing the context of the problem to
ensure that you understand the scope and parameters surrounding the
problem. Setting the scope and boundaries identifies any studies
needed and their scope, objectives and the resources required to
solve the problem. It is important at this stage to develop the
evaluation criteria, which may be further developed and refined
subsequently as particular causes are identified.
- Identification:
Identifying all possible or potential causes
of what has gone wrong and how it could have happen. At this stage,
it is important to identify and include all causes whether or not
they are obvious or not. Comprehensive identification using a
well-structured systematic process is critical, because a potential
cause of the defect not identified at this stage could be excluded
from further analysis.
- Analysis:
The next stage is to analyse the source and
likelihood of each cause. The objective of the analysis is to
eliminate the unlikely causes and to separate the minor possible
causes from the probable major causes. A preliminary analysis can be
carried out at this stage to exclude minor potential causes where
limited funds are available.
- Evaluation:
The evaluation process involves comparing the
probable causes found during the analysis process with the
previously established evaluation criteria. The output of this stage
is to prioritize the list of causes for further action, including
modelling and testing.
- Test & Review:
This stage involves identifying the range of
testing options available, assessing those options, preparing
testing programs and implementing them. It is important at this
stage to monitor and review the results against the establish
evaluation criteria. Ongoing review is essential to ensure that the
criteria remain relevant. The process is iterative and may be
repeated many times with additional or modified cause evaluation
criteria, leading to a process of continual review.
We were recently involved with the investigation of a membrane
failure. Previous investigators had contributed the failure of the
membrane due to water in the substrate vaporising and causing the
membrane to blister. The reason being that residual water was found in some blisters when
they were cut open, though no source for the water could be identified.
By adopting the above methodologies in our investigation, we
were able to demonstrate that the residual water was not the single
causes of the failure but was actually a consequence of the failure
mechanism. We were able to demonstrate that the failure was due to a
number of causes including antiquated design specifications and
inappropriate quality control procedures, which had not been identified
in earlier studies by other investigators.
To give us feedback on this article or to ask how CETEC can
help you to determine the cause/s of your product or process problem, then contact us
here. |