Documente Academic
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ISO 9001:2008
for Service
ISO 9001:2008 Internal Audits Made Easy: Tools, Techniques and Step-By-Step
Guidelines for Successful Internal Audits, Second Edition
Ann W. Phillips
Second Edition
Charles A. Cianfrani
and John E. (Jack) West
Cianfrani, Charles A.
Cracking the case of ISO 9001:2008 for service : a simple guide to implementing
quality management in service organizations / Charles A. Cianfrani and John E.
(Jack) West. — 2nd ed.
p. cm.
Originally published under title: Cracking the case of ISO 9001:2000 for service.
Includes bibliographical references and index.
ISBN 978-0-87389-762-4 (alk. paper)
1. Quality control—Standards. 2. ISO 9001 Standard. I. West, Jack, 1944– II.
Cianfrani, Charles A. Cracking the case of ISO 9001:2000 for service. III. Title.
TS156.C73 2009
658.4’013—dc22
2009043600
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vii
I
SO 9001:2008 provides a model for quality management.
While no such model is perfect, this one has proven to be
applicable to virtually all sizes of organizations, in every
marketplace, and for every product category throughout the
world for over 20 years.
Why has ISO 9001 become the world’s most used stan-
dard? Why has it achieved such widespread acceptance and
use? Certainly not because of the elegance of the text in the
standard, for this writing is among the dullest, most boring
prose the human mind and hand have ever crafted. The ISO
9001 standard has survived and flourished because it adds
value to how organizations are managed, from the viewpoint
of both managers and workers.
Workers like ISO 9001 because it makes life simpler. In an
ISO 9001 system, workers have:
• A better understanding of what to do and how to do it
• The ability to ensure that their work meets
requirements
• Standardized the
way things are done,
reducing variability
and making it easier
to solve problems
• Fostered continual
improvement as an
institutionalized core
value, and provided a
platform for mov-
ing to performance
excellence
Top managers find that adopting a formal ISO 9001 quality
management system (QMS) helps the organization focus on
meeting objectives. Top managers find that ISO 9001 has:
• Improved their organization’s ability to fully understand
and meet customer requirements in a consistent
manner
• Brought greater clarity to the goals and objectives of
the organization
• Helped align all employees and processes to meet
objectives
• Improved bottom-line performance by enhancing
revenue and reducing costs, created a competi-
tive advantage in some markets, and enabled their
organizations to compete in markets where most other
potential suppliers are registered
Charlie Cianfrani
cianfranic@aol.com
Jack West
jwest92144@aol.com
T
his chapter describes the eight quality management
principles that were used as the basis for the develop-
ment of ISO 9001:2008. It also discusses several key
concepts that are important to fully understand.
CUSTOMERS—CUSTOMER FOCUS
AND MEASURING SATISFACTION
The purpose of ISO 9001 is to achieve customer satisfaction by
meeting customer requirements. While meeting requirements
PROCESS APPROACH—ACTIVITIES,
PROCESS MANAGEMENT, AND THE
SYSTEM APPROACH TO MANAGEMENT
Of particular importance among the eight quality management
principles are “system approach to management” and “pro-
cess approach.” People in any organization perform activi-
ties. These activities are interrelated. The process approach
involves managing the interrelated activities and associated
resources together to achieve a particular output.
Process
Inputs Outputs
Activity Activity
Activity
11/11/09 12:59:48 PM
12 Chapter Two Principles and Key Concepts
CONTINUAL IMPROVEMENT
ISO 9001:2008 has a clear requirement for continual improve-
ment of quality management system effectiveness. Sustain-
able improvement of system effectiveness is accomplished by
improving the processes of the system. Clause 8.5.1 describes
an improvement system that includes at a minimum:
• Setting a quality policy with a commitment to continual
improvement of the effectiveness of the quality man-
agement system (clause 5.3).
Top Management—Responsibility
and Involvement
ISO 9001:2008 continues to emphasize the role of top man-
agement. There are specific activities in which top managers
need to be involved. Top management is required to:
• Communicate the importance of meeting customer
requirements
• Create and maintain awareness of quality policy
• Ensure that there are processes to determine and meet
customer requirements
• Establish measurable quality objectives at relevant
levels in the organization
Management Representative
Clause 5.5.2 requires appointment of a representative of the
organization’s management to spearhead the establishment,
implementation, and maintenance of the quality management
system. The importance of this appointment cannot be over-
emphasized. This person needs to be able to work well with
top managers as well as with people at all other levels in the
organization.
INTRODUCTION
This chapter provides a simplified explanation of the require-
ments of each subclause of ISO 9001:2008, why it is required,
tips for implementation, and questions to ask. The format for
the explanations is as follows:
What Is the Requirement? Provides a brief description
of each requirement of ISO 9001:2008.
Why Do It? Gives a brief description from an organiza-
tional and management perspective of why the require-
ment should be addressed.
Implementation Tips Provides tips for your consider-
ation as you develop processes to meet the requirements.
1 Inthesome cases, tools are referenced by an icon in
margin. These tools are described in Chapter 4.
The number of the tool is given in the icon.
Questions to Ask Yourself Asks questions that should
be answered during implementation and auditing to ISO
9001:2008.
17
Clause
number Nature of change Comment
4.1 4th Control of outsourced Requirement to define the
paragraph processes type and extent of controls
4.1 note 2, Added notes Clarifies what is an out-
note 3 sourced process and the
controls needed for such
processes
5.5.2 Clarifies who can be the It is now clear that the
management representa- management representa-
tive for an organization tive must be a member of
the management of the
organization
6.2.1 Clarifies the applicability A broader view that compe-
of competence require- tence is required of person-
ments nel who can indirectly affect
conformity of product to
requirements
7.5.4 To emphasize the Clarifies the requirement
requirement to report to to communicate lost or
a customer if customer damaged customer equip-
equipment is lost or other- ment to the customer
wise unsuitable for use
7.6 Note added regarding Clearly states the need
software used in calibra- to confirm the ability of
tion activities software to perform its
intend function
8.2.2 Clearer requirement for This change is a rewording
a procedure for planning of the 2000 standard
and conducting audits and requirements with emphasis
the requirement for audit on the need for records and
records and for correction the clarification that both
and corrective action correction and corrective
action are required
( Continued )
Clause
number Nature of change Comment
8.2.3 Note added to guide what The note clarifies the con-
to consider when deter- cept of suitable methods
mining suitable methods
8.3 Wording change to more It is now clear that a
clearly indicate the require- documented procedure is
ment for a documented required, as well as taking
procedure, and words action after delivery of
added to address taking nonconforming product
action after delivery
0. Introduction
1. Scope
2. Normative reference
5. Management responsibility
6. Resource management
7. Product realization
8. Measurement, analysis
and improvement
1 SCOPE
1.1 GENERAL
1.2 APPLICATION
Why Do It?
• To have an effective quality management system
focused on meeting customer requirements
• To demonstrate the quality management system
to customers either directly or through third-party
certification
• To exclude those requirements of clause 7 that do
not apply
Implementation Tips
• Develop and maintain a clear understanding of why the
organization is implementing ISO 9001
• Don’t confuse the scope of ISO 9001 with the scope of
your quality management system
• Carefully consider any exclusions and develop justifi-
cation for each
2 NORMATIVE REFERENCE
3 TERMS AND DEFINITIONS
Why Do It?
• Clause 2 of ISO 9000:2005 on the fundamentals of
quality management systems provides understanding
of basic concepts
Implementation Tip
• When a term is used in ISO 9001 and defined in
ISO 9000, the ISO 9000 definition is the official
meaning of the term
Why Do It?
• To ensure that activities and necessary resources are
managed effectively
• To understand and control the processes so that they
are managed effectively
• To ensure that all requirements are met
• To consistently provide products that meet
requirements
• To continually improve the effectiveness of the quality
management system by improving its processes
Implementation Tips
• Identify your processes
• Identify inputs and outputs for each process
• Decide how to measure inputs, outputs, and/or
3 process parameters
• Create process maps for key processes
2
• Use relationship diagrams to show the interactions
of the processes
Why Do It?
• To ensure consistent performance of required activities
• To provide a baseline for improvement of the processes
• To provide a baseline for auditing the quality manage-
ment system
Implementation Tips
• Identify the processes and interactions first (see
clause 4.1)
• Simple processes with competent workers
and simple interactions may not need to be
documented
• Use process maps
2
Why Do It?
• To ensure consistent understanding of the overall
quality management system among members of the
organization
• To ensure consistent understanding of the overall qual-
ity management system among customers and other
interested parties
• To describe the basic commitments of the organization
that are related to the quality management system
• To provide a baseline for auditing the quality manage-
ment system
Implementation Tips
• Use diagrams to show process interactions
• Keep the quality manual short, simple, and structured
in the same manner in which the organization works
Why Do It?
• To ensure consistent performance of all activities
affecting quality
• To ensure controls are in place to approve and issue
documents
• To ensure that changes in requirements are communi-
cated to those who must implement them
• To prevent the use of obsolete information
• To make certain that people have up-to-date instruc-
tions and requirements
Implementation Tips
• Define the types of documents in the system
• Define the types of documentation that come from
other organizations (for example, standards, customer
documents)
• Define the control process appropriate for each type
of document; for example, the requirements for
computer-based documentation may be different from
those for paper drawings
• Records are a special type of document and require
different controls (see clause 4.2.4)
Why Do It?
• To provide evidence that products conform to
requirements
• To provide evidence that processes are operating to
requirements
• To provide evidence of an effective quality manage-
ment system
• To provide system discipline to ensure conformity
• To provide historical data for analysis of product or
system problems
• To provide means to collect data for analysis to
improve services delivered, processes, and the effec-
tiveness of the quality management system
Implementation Tips
• Define the types of records required for the quality
management system
• Make a matrix of record types with the specific con-
trols for each (retention location, storage protection
required, retention time, planned disposition)
• Design your record forms and retention procedures
so you can rapidly aggregate, analyze, and use the
recorded data
5.1 Management commitment
5.2 Customer focus
Why Do It?
• Actions of top managers to support the quality
management system emphasize its importance to the
people in the organization
• Everyone in the organization needs to understand how
important it is to meet requirements, particularly those
of the customer
• Key policies need to be set by the top managers
• The quality policy should be one of the key policies of
any organization
Implementation Tips
• Consider early in system implementation all of the
activities that top managers must perform
• Involve top managers very early in planning the quality
management system
• Train and coach top managers on their roles
• Align the quality objectives with the overall business
objectives
• Hold frequent, comprehensive management reviews
• It may be helpful to “script” top managers to encour-
age active leadership
Why Do It?
• To enhance customer satisfaction
• To retain current customers and gain new ones
Implementation Tips
• Develop and implement an integrated approach to
addressing customer requirements—see clauses 7.2.1
Why Do It?
• To clearly state in one document the organization’s
policy on quality
• To ensure that the policy and the personnel of the
organization are in alignment
• To clearly state the intent of top management with
regard to quality
• To provide means to test objectives against the basic
policy and to ensure ongoing alignment
Implementation Tips
• Tie the quality policy to the overall mission and
vision of the organization
• Use appropriate techniques such as brainstorming
3 to get ideas for policy development
• Use words, structure, and content that reflect the
culture of the organization
• Be sure to reflect in the policy the basic overall
direction of the organization relating to quality
• Think about how objectives can be structured from
policy so that policy and objectives will be in align-
ment across the organization
Why Do It?
• To clearly align the quality objectives with the quality
policy throughout the organization
• To align everyday work with the quality policy
• To provide targets against which results can be mea-
sured and performance can be easily reviewed
• To drive improvement; what gets measured gets done
Implementation Tips
• Be sure quality objectives align with the quality policy
• Consider brainstorming to develop initial ideas
3 related to the objectives
• Avoid conflicting priorities by ensuring qual-
ity objectives align with other objectives of the
organization
• Align measures and objectives for processes with
the quality objectives
• Focus on measuring the right things
• Change the objectives, if required, as situations
change and as experience is gained with the
system
• Consider using a balanced scorecard, dashboard,
or similar process for monitoring progress
Why Do It?
• To focus the quality management system on meeting
objectives rather than just carrying out activities
• To ensure that objectives are achieved effectively
• To avoid surprises as conditions change
• To maintain quality management system integrity dur-
ing periods of change
Implementation Tips
• Look for links between processes of your
quality management system and quality
objectives
• Focus on understanding the processes,
their inputs, outputs, interactions, and
measures (see clause 4.1)
• Use process maps and flowcharts
1 2
• Understand the resources required for
implementation
• Eliminate waste in the current process as
you plan the quality management system
• Look for opportunities for preventive action
(see clause 8.5.3) to keep problems from
occurring
Why Do It?
• To show that clarity is important for all key personnel
• To ensure understanding of who is responsible for
identifying, analyzing, and approving nonconformities
• To have a clear understanding of process handoffs
Implementation Tips
• Create and maintain organization charts
• Use job descriptions
• Use organization charts to show functional
relationships
• Use Gantt charts to show responsibilities for projects
4
• Include in documented procedures who (by job
function) is responsible for activities
Why Do It?
• To make certain there is someone responsible for keeping
top managers advised on the status of the system
• To provide a contact point for outside organizations,
including customers and third parties
• To make certain there is a champion of customer
requirements in the organization who has access to
top managers
Implementation Tips
• Be sure the management representative has access to
and frequent contact with top managers and others at
all levels in the organization
• Look for good organizational and analytical skills in a
management representative
• Appoint someone who is able to talk the language of
service development and delivery (creation of new
services, verification and validation, techniques of
service delivery, measurement of service effectiveness,
schedules, and so on) and the language of top managers
(money, strategies, implications of retaining and losing
customers)
• Look for teaching ability
• Consider designating an alternate or backup manage-
ment representative
• In some situations it may be appropriate to divide
the job so that there is more than one management
Why Do It?
• To ensure that people in the organization have appro-
priate information on the effectiveness of the quality
management system
• To provide information that people in the organization
need to achieve quality objectives
Implementation Tips
• Consider using a variety of communication methods
such as postings on bulletin boards, work group meet-
ings, all employee meetings, newsletters, and e-mail
• Consider special needs of customer contact personnel
• Communicate results data related to the measurable
quality objectives
• Communicate audit results and customer feedback
information
• Combine communications on quality with communica-
tions on other topics
Why Do It?
• To ensure the continuing suitability of the quality
management system for meeting its current purpose
and the quality policy
• To ensure the continuing adequacy in terms of its
breadth and depth of coverage
• To ensure the continuing effectiveness of the quality
management system in meeting the quality objectives
and carrying out planned activities
• To discover issues that require changes to the system
to improve its effectiveness
• To determine opportunities for improvements to the
quality management system and its processes
• To provide necessary resources
• To reallocate resources, as appropriate, when changes
to the quality management system occur
• To remove roadblocks to improvement
• To make prioritization decisions
Implementation Tips
• Be sure management review is a process, not just a
meeting
Why Do It?
• To make the management review efficient and
effective
• To focus the review on important issues
• To provide data on which top managers can make
objective decisions and set priorities
Implementation Tips
• Consider including additional inputs beyond the
minimum requirements
• Have staff members provide the inputs; in small
organizations, data may be collected and provided
by top managers themselves
• Use appropriate simple charts to present trends in
5 quantitative data
• Provide the inputs to attendees prior to the review
meetings where feasible
• Use tools such as Pareto charts to focus the review
7 on those inputs that require top managers to make
decisions, implement change, or provide resources
• When there is a need to focus on variation, display
6 data using histograms or other appropriate tools
• Limit meetings to x hours (x < 2 is recommended)
Why Do It?
• To make the management review efficient and effective
• To focus the review on important issues
• To provide data on which top managers can make
objective decisions
• To focus on action and getting results
Implementation Tips
• Consider actions that focus on process improvements,
including actions to eliminate waste, to simplify or
foolproof processes, to develop improved methods, to
improve documentation, and so on
• Include actions to address valid customer complaints,
field failures, and other failures to meet customer
expectations
• Since customer needs and expectations may change
often, organizations may want to consider anticipating
new customer requirements and implementing actions
to address such potential requirements
• Improvement of service beyond meeting customer
requirements may be prudent for business purposes
but is not a requirement of ISO 9001:2008
• Ensure that resources are provided as needed for
continual operation and improvement of the quality
management system
6.1 Provision of resources
6.2 Human resources
6. Resource
management
6.3 Infrastructure
Why Do It?
• To ensure availability of the people, equipment, and
infrastructure needed to meet customer requirements
Implementation Tips
• Identify the processes of the quality management
system (see clause 4.2)
• Consider resource requirements for processes (person-
nel, time, buildings, equipment, utilities, materials,
supplies, instruments, software, transport facilities, other
infrastructure)
• Consider those parts of the organization that impact
service quality, not just the resources to operate the
“quality department”
• Consider short- and long-term resource needs; timing
can be everything
• Integrate longer-term needs into the organization’s
strategic and capital plans
Why Do It?
• To ensure that people have the capability to satisfy
customers by providing services that meet customer
requirements
• To ensure quality management system effectiveness
• To ensure that people have the capability to make the
quality management system effective
• To ensure that people have the capability to continually
improve the effectiveness of the quality management
system by improving its processes
Implementation Tips
• Use some form of written job requirements
• Competencies required should make sense for each
job type; find the right combination of education, train-
ing, skill, and experience
• Some job requirements may be only a performance
standard (for example, in a staffing agency, to place at
least five job seekers per week)
• Address competency requirements for personnel who
assess customer satisfaction
Why Do It?
• To ensure that gaps between the competencies
required for a job and the actual competencies of the
personnel are defined and closed
• To ensure that people understand why their work is
important and how they contribute to the success of
the organization
• To maintain a recorded history so that improvements in
competencies can be tracked
Implementation Tips
• Assess on-the-job competencies against competency
requirements
• Focus on improving competency, not just on training
• Look for alternatives; training is not the only action that
can be used to close competency gaps
• Keep good records and measure the effectiveness of
actions you take to close gaps
• Determine if actual performance has improved
6.3 INFRASTRUCTURE
Why Do It?
• To ensure that the infrastructure is sufficient to ensure
conformity of service with customer requirements
• To ensure that the capability is available to continually
improve quality management system effectiveness
• To ensure that the capability is available to enhance
customer satisfaction
Implementation Tips
• Consider all physical resources needed to design and
provide a service to the customer, except people
• Go beyond service operations to include all other
activities and processes of the quality management
system
• Integrate resource needs with overall organizational
planning, including capital plans
• Consider the infrastructure needed to support customer
contact personnel who deliver services to the customer
Why Do It?
• To ensure that the service delivery environment is suit-
able so that customer requirements are met
• To prevent product contamination, deterioration, or
other detrimental effects on material goods that are
related to the service being provided
Implementation Tips
• Consider the effect of the environment on the product
• Environmental, health, and safety systems focus on the
environment from the view of protecting the worker;
clause 6.4 focuses on environmental conditions from
the point of view of service delivery
• Consider integration of personnel safety concerns with
concerns related to product conformity
• Think broadly since there may be many environmental
considerations related to ensuring product conformity
• Set standards for the environments
• Ensure that facilities meet the standards
• Train personnel on standards pertaining to their work
• Prohibit unauthorized access to the work area
• Implement and maintain desired physical conditions
• Maintain records of the conditions as a means of
demonstrating compliance to the standards
7.2 Customer-related processes
7. Product
7.4 Purchasing
realization
Why Do It?
• To achieve customer satisfaction
• To thoroughly understand the processes and activities
that will result in services that conform to customer
and regulatory/statutory requirements
• To foster continual improvement
Implementation Tips
• Map or flowchart the processes necessary
1 2 to produce services.
• Create quality plans for each service, if
appropriate.
• Consider processes to directly obtain cus-
tomer input on service requirements.
• Consider the interrelationship between the
people providing service and the processes
supporting service delivery.
• Consider using the product design and
development process approach for design-
ing service delivery processes (see clause
7.1 note 2 and clause 7.3).
• Find the vital few key performance indica-
tors for both services and service delivery
processes; it is better to measure and
analyze a few key indicators well, than
many poorly.
7.1 Plan
Why Do It?
• To be sure that the organization can meet customer
commitments
• To positively impact customer satisfaction
• To mitigate disputes with customers over what
services the customer thinks was ordered and what
services the organization thinks it promised to provide
• To resolve problems as early as possible
• To minimize the chance of an incomplete quote (for
example, missing costs)
Implementation Tips
• Hold face-to-face meetings to resolve issues and
anything that is not clear
• Attend pre-bid meetings
• Read quotes and contracts carefully and thoroughly
• Understand “marketplace standard” and “service
standard” unstated expectations
• Consider processes to observe customer behavior to
better understand customer requirements
• Keep up to date on regulatory and statutory requirements
by subscribing to an update service or by other means
Why Do It?
• To ensure that the conditions stated in the order or
quote or commitment to a customer can be met
• To provide the services included in the scope of the
quotation or tender
• To understand fully and comply with ancillary items
such as stated delivery dates and requirements of
applicable external standards
• To comply with the commercial terms and conditions
applicable to the order, contract, quote, or tender
Implementation Tips
• Balance the risks of noncompliance with the effort
expended in the review of a quotation or a contract
• Keep in mind that the purpose of the review is to
add value and not to create a bureaucratic review
process
• Have a process for reviewing oral orders
• Have a process for standardized services that are
provided in accordance with long-standing practices
• Have a very simple, brief, and effective contract-review
process for simple services
Why Do It?
• To ensure customer satisfaction
• To solve problems quickly and early
• To increase business with customers by being in touch
on a regular basis
Implementation Tips
• Make the level and form of customer contact con-
sistent with the services provided and the volume of
business with a customer
Why Do It?
• To ensure that the service meets customer requirements
• To ensure that the service will meet customer
expectations
• To ensure compliance with any regulatory/statutory
requirements that apply to the service
• To maximize the probability that projects will be com-
pleted on time and within budget
Implementation Tips
• Generate some form of project flowchart that
1 incorporates the pertinent personnel, timing, and
interrelationship information
• Consider using Gantt charts
4
• Consider using project management software such
as Microsoft Project or Primavera
• Determine the project stages and how the project
will proceed from inception to completion
• Consider service delivery options during service
design; use concurrent design of the service
(clause 7.3) and development of the service deliv-
ery processes (clause 7.5.1)
Why Do It?
• To maximize the probability that the project will meet
defined requirements
• To complete projects on time and within budget
Implementation Tips
Concurrence with the requirements document by all par-
ties is not explicitly required, but it should be considered to
avoid misunderstandings during project implementation. It is
especially worthwhile to obtain closure, where appropriate,
between marketing or sales and those who will be doing the
development work.
Examples of items to consider when addressing design
and development requirements for services include:
• Customer requirements, wants, and needs
• The function the service will perform
Why Do It?
• To provide the information needed to deliver the service
• To show that the design and development work has
been performed in accordance with requirements
Implementation Tips
• Assign responsibility for documentation of the
results of a development project to the person or
team performing the work on the project
• Use failure modes and effects analysis (FMEA) dur-
8 ing the design process to prevent problems
• Maintain development reports or logs that contain
data showing that the requirements have been
satisfied, where appropriate
• Provide appropriate information to facilitate the
delivery of the service to specified requirements
Why Do It?
• To ensure the timely release of a new service that fully
meets requirements
Implementation Tips
• Address the “abilities” associated with a new service,
including deliverability, availability, and reliability
• Address the “abilities” for hardware/software that may
accompany the service, including manufacturability,
deliverability, testability, inspectability, shipability,
serviceability, reparability, availability, and reliability
• Structure the design review process so that it will
not interfere with the creativity and innovation of the
designers or slow down the development process
• Determine the number and timing of design and
development reviews that should be conducted during
the design and development planning process and
modify this number, as appropriate, during the course
of a project
• Ensure that review timing allows for resolution of
issues as early in the design and development process
as possible
• Keep records of design and development reviews,
including issues noted and proposed actions
• Involve appropriate individuals in the reviews
• Identify issues, discuss possible resolutions, and deter-
mine appropriate follow-up
Why Do It?
• To ensure that the output of the project meets specified
requirements
• To ensure that objective evidence exists to demon-
strate the basis for this assertion
Implementation Tips
• Make a determination, by any reasonable means,
that the service does meet the stated requirements
• Consider using review and analysis of test data,
making alternative calculations, performing addi-
tional testing of the service or its components, or
any other means that the organization chooses
• Consider the use of statistical sampling when
9 designing tests
• Ensure that objective evidence exists to demon-
strate that validation has been completed
Verification
Design Change
review control
Validation
Why Do It?
• To ensure that the service will meet application
requirements for customers, in addition to meeting
specified requirements
• To contribute to minimizing product-liability exposure
• To reduce cost, especially when validation is completed
before a service is released for sale or delivered to a
customer, resolution of issues after service delivery
can be very expensive or perhaps impossible
Implementation Tips
• Often validation is performed after successful
design and development verification
• Record results and retain as records
• Perform validation in an environment that approxi-
mates as closely as possible the operating condi-
tions that will exist in actual use
• Complete the validation before release or delivery
to customers; if this is not possible, conduct
validation to the extent that is reasonable prior
to release and complete final validation when
appropriate
• Consider the use of design of experiments and
9 statistical sampling when designing tests
Why Do It?
• To make certain that changes do not introduce unfore-
seen adverse effects into the service or other related
services
• To ensure that design configuration is controlled
• To ensure cost-effective service delivery
Implementation Tips
• Include control of changes that occur during design
and development in the document or design control
process
Why Do It?
• To ensure that you get what you specify and pay for
• To ensure your own profitability in cases where
purchased material is a significant component of the
overall service cost
• To ensure that products and services conform to
specifications
• To ensure satisfaction of your customers
• To drive robust controls “upstream” as far as possible
to ensure the most economical control of product and
service quality, minimizing your total cost
• To ensure the ongoing ability of your suppliers to
continually provide conforming product and services at
optimal cost
Implementation Tips
• Understand the risk to your business if purchased
products or services do not meet requirements
• Consider rigorous controls in cases where the potential
impact of purchased product and service is great
Why Do It?
• To maximize the probability that you will receive what
you order, on time
• To minimize discussion with suppliers over what you
really want
• To forge a partnership mentality with your suppliers
Implementation Tips
• Communicate clearly to suppliers what your organiza-
tion wants to purchase
• Communicate clearly to suppliers your criteria for
accepting the purchased product
• Be creative when devising Web-based purchasing
approaches to ensure adequacy and control of pur-
chase documents
• Match the process to check the adequacy of your pur-
chase requirements to the importance of the items—
important items may require that several functions or
levels be involved in review and approval (for example,
for high-value purchased items); less important items
may require only a single level of review and approval
Why Do It?
• To ensure that material you put into your processes
meets specified requirements
Implementation Tips
• Consider approaches such as:
■ Certifying suppliers (based on demonstrated
performance, supplier third-party certification, or
your own audit)
■ Certifying a specific supplier’s product or service
(based on demonstrated process capability)
■ Conventional or skip-lot incoming inspection for
9 attributes or variables using sampling plans
■ One hundred percent inspection (or more)
■ Verification at the supplier’s facility
■ Any combination of these or other approaches
• Consider performing verification activities at the sup-
plier’s premises if this makes sense
• This requirement often does not apply where service
is the primary end product (see clause 1.2)
Why Do It?
• To ensure that what you are providing will meet both
internal and customer requirements
• To prevent service and process variability that may
exceed specification limits or cause high costs, rejects,
rework, scrap, and other forms of waste
Implementation Tips
• Review and understand specifications of
services
• Identify key processes
• Flowchart or process map the processes
1 2
• Define or clearly identify the outputs of all
processes at appropriate stages
• Establish clear criteria of acceptability
• Identify interrelationships between
operations
• Consider preparation of quality plans where
appropriate (see ISO 10005)
Why Do It?
• To ensure that services with hard-to-verify characteris-
tics meet customer requirements
Implementation Tips
• Consider processes like face-to-face interactions with
customers (for example, a bank teller, a store clerk) as
candidates for special controls
• Address the competence (see clause 6.2) of the people
who deliver the service
• Address the work environment (see clause 6.4) in
which the service is to be delivered, to ensure confor-
mity to service requirements
• Address the support processes and equipment
used in service delivery, to ensure competence and
capability
• Decide which records are necessary and have pro-
cesses to produce the records
• Use process monitoring and measurement to verify
ongoing control
• Develop a revalidation plan for processes that could go
out of control without warning
• Consider the cost of revalidation against the risk of
nonconforming service to determine revalidation
frequency
Why Do It?
• Identification:
■ Facilitates customers’ ability to know they have
received the correct service
■ Ensures that all service activities have been completed
• Traceability:
■ May be a regulatory or contractual requirement
■ For financial and other similar services, traceability
may be an integral element of the service realization
process
■ Can be an internal requirement in cases where you
wish to reduce the extent of potential data research
needed to resolve customer issues
Implementation Tips
• Consider identification by use of forms, check sheets,
bar codes, stamps on documents, reports, or any other
approach that makes sense to the organization
• Recording of traceability may include such items as
the identity of the individual performing the service,
customer identity, identity of replacement parts that
are used, and so on
Why Do It?
• To meet implied obligations to take care of customer
property (in addition to all contractual obligations)
• To avoid the time and costs that would be required to
resolve any problems with the customer if you dam-
age, lose, or misuse customer property
Implementation Tips
• Consider a process to control items such as informa-
tion provided by the customer during the service
process, as well as customer material provided before
the service is delivered
• Make a brief quality plan specifically for the care and
handling of customer property
Why Do It?
• To prevent damage to tangible material related to a
service being provided; most services do not require
preservation, but services are often attached to other
product categories (for example, printing of photo-
graphs is a service, but the photograph itself is a
product that needs to be preserved)
• To ensure that perishable information or data that are
part of the service are preserved
• To ensure that everyone in the organization is aware of
the actions necessary to prevent damage to material
that may be related to a service being provided
Implementation Tips
• For the services provided:
■ Determine the aspects of the service, if any, that
require preservation
■ Consider perishable components of the service such
as data and information
• For hardware or other tangible product that may
accompany or be used in delivery of the services:
■ Develop processes to appropriately identify, handle,
package, store, and deliver any product related to a
service being provided to a customer
■ Include appropriate controls for the components of
these products during and between all processing
steps through to delivery
■ Consider procedures for segregating batches, stock
rotation, and expiration dates
■ Ensure that packaging, containers, wraps, and
pallets are appropriate and durable for protecting
product from damage
■ Consider both physical security of products and
protection from harmful environmental conditions
(for example, humidity)
■ Consider application to raw materials typically
stored outside (for example, cleaning supplies used
in conjunction with providing cleaning services)
Why Do It?
• To provide assurance that services meet customer and
internal requirements through adequate measurements
Implementation Tips
• Many services may not require these measurement
controls, and clause 7.6 may be considered for exclu-
sion under clause 1.2
• Develop a process for control of measuring and
monitoring devices so that they are identified and their
custody or location is controlled
• Carefully analyze measurement needs, if any such
needs exist
• Where measurements are required (for example,
if actual values are determined and compared to a
specification either by people using the equipment or
automatically by the equipment itself), the equipment
used should normally be subject to calibration controls
• Develop or obtain procedures and instructions for
performing calibration on each model of measuring
equipment requiring calibration
• Have professional(s) who have a working knowledge
of metrology, including an understanding of accuracy,
precision, and measurement uncertainty, manage the
metrology activities
8.1 General
8. Measurement,
8.3 Control of nonconforming
analysis and
product
improvement
8.5 Improvement
8 MEASUREMENT, ANALYSIS
AND IMPROVEMENT
8.1 GENERAL
Why Do It?
• To ensure that necessary monitoring, measurement,
analysis, and improvement activities are planned and
implemented
• To obtain high return on the investment made in the
measurement, analysis, and improvement processes
• To have a quality management system that integrates
the concepts of clauses 8.1, 4.1, and 7.1 to achieve
customer satisfaction and continual improvement
Implementation Tips
• Think about the processes of the quality
management system (see clauses 4.1 and
5.4.2)
• Think about the measurement and control
needs for product realization processes (see
clause 7.1)
• Integrate measurement, analysis, and
1 2 improvement activities into maps and
flowcharts developed to support
clauses 4.1 and 7.1
• Decide what you need to know about pro-
cesses and services to ensure conformity of
service and to make certain you meet your
quality objectives
Objectives (5.4.1)
Corrective action (8.5.2)
Planning Preventive action (8.5.3)
Measures (8.2) 5.4.2, 8.1
t1SPEVDUBOEQSPDFTT
t$VTUPNFSTBUJTGBDUJPO
t"VEJUSFTVMUT
Why Do It?
• To understand customers’ perceptions related to your
services so that you can take action to improve that
perception
• To understand actions needed to keep current
customers
• To understand actions needed to expand your business
or increase market share or grow your markets
Implementation Tips
• Decide what information you will monitor, how you will
get that information, and how you will use it
Surveys
Personal interviews
Customer Complaints
satisfaction
data Receptive
Returns
Consumer feedback
Indirect
Competitive analysis
News media
Why Do It?
• To provide confidence in the effective implementation
of the quality management system
• To identify opportunities for improvement in addition to
assessing compliance
• To keep everyone sharply focused on adhering to
processes, minimizing the natural tendency of “con-
formity drift”
Implementation Tips
• Use ANSI/ISO/ASQ QE19011S as a guide to set up your
audit processes; choose from its many guidance items
• Consider assigning organization, basic planning, and
documentation integrity for the internal audit process
to one area, such as the internal audit department or
the quality assurance department
Why Do It?
• To ensure that all processes of the quality management
system are performing to expectations
• To ensure that processes critical to achieving quality
objectives are controlled and improved
• To ensure that processes for product realization are
controlled, improved, and provide service that meets
customer requirements
Implementation Tips
• Include, as appropriate, the management
responsibility processes, the resource
processes, and the measurement and
improvement processes, in addition to the
product realization processes
• Monitor processes of the quality man-
agement system; monitoring can range
from normal supervision to exacting
measurement
• Define the key processes needing measure-
ment, focusing on processes critical to
meeting quality objectives and providing
conforming service
• Choose carefully and wisely those
processes to be measured; don’t try to
measure everything
• Use data from histograms and statisti-
6 9 cal sampling to help determine which
processes have high inherent variation and
require measurement to maintain control
and which processes are both capable and
relatively stable
• Consider the use of statistical process control
(SPC), control charts, and Six Sigma tools
• Tie in the results from monitoring and mea-
suring to correction and corrective action
where appropriate
Why Do It?
• To ensure that your services conform to specified
requirements
• To maximize your probability of having satisfied, or
even delighted, customers
• To minimize or eliminate the need to redo the service
Implementation Tips
• Consider all measurement activities that may be
needed during the various aspects of product
realization, including design verification and valida-
tion, and qualification of purchased parts/material,
as well as activities related to all service delivery
processes
• Consider using statistical sampling
9
• Consider the use of statistical process control
(SPC), control charts, and Six Sigma tools
• Involve people working in the various affected
areas (including both customer contact personnel
and “back office” personnel who affect the ability
to meet requirements) in the planning
• Address service measurement during design
review(s) to ensure that problems are resolved
before a service is released for delivery to
customers
8.3 CONTROL OF
NONCONFORMING PRODUCT
Why Do It?
• To prevent unintended delivery of service that does not
conform to requirements
• To ensure an appropriate process is in place to address
control of nonconforming service delivery, if and where
such controls are necessary
Implementation Tips
• If disposition of nonconforming service is possible,
define who (by job function) has the authority for
approval of the actions.
• Keep records of nonconformities, the action taken to
resolve them, and any required internal or external
approvals. These records may be needed in the future
(for example, to resolve a customer dispute).
Measuring
Customer
Monitoring satisfaction Analyzing
data
Improving
Why Do It?
• To determine the suitability and effectiveness of the
quality management system
• To identify improvements that can be made to quality
management system effectiveness
• To encourage decision making based on fact
• To obtain value from the investment made to collect data
Implementation Tips
• Determine during planning how the data will
be used
• Consider the relative importance of the data
to be analyzed and scale the analysis effort
to the relative importance of the data
• View the requirements of clauses 5, 6, 7,
and 8 as linked in the sense that the orga-
nization should function on a closed-loop
basis, and data analysis should consider all
characteristics of processes
• Use information from the analysis of data as
part of the management review process
• Consider use of commercially available
software to alleviate the tedious aspects of
data analysis
• Focus data analysis on things important to
5 7 achieving the quality objectives; use trend
and Pareto charts
8.5 IMPROVEMENT
8.5.1 CONTINUAL IMPROVEMENT
Why Do It?
• To become more competitive
• To survive
• To operate more effectively
• To improve your ability to meet customer requirements
Implementation Tips
• Include in the quality policy a commitment to
12 continual improvement and teach everyone in the
organization the basics of improvement
• Set quality objectives with improvement in mind
Why Do It?
• To learn from errors and mistakes that cause noncon-
formity, waste, or customer dissatisfaction
• To continually improve your quality management sys-
tem’s effectiveness in meeting customer requirements
and, where appropriate, your service offerings
• To avoid the costs that would be incurred if nonconfor-
mities continue
Implementation Tips
• Process mapping, Pareto analysis, brain-
1 2 storming, and flowcharting can be useful in
identifying problems that impact on meeting
3 7 quality objectives
• Evaluate the need to take corrective action
so that resources are devoted to the most
important problems; if the nonconformity is
minor and an isolated condition, the risks
or cost associated with taking corrective
action may not be justified; use Pareto
charts to help with establishing priorities
Why Do It?
• To identify the potential causes of problems so they
can be avoided rather than fixing them after they
happen
• To manage the risk of things going wrong
• To prevent potential problems that could have serious
consequences for you or your customers
Implementation Tips
• Make a sharp distinction in your system between cor-
rective action and preventive action
139
TOOL 1: FLOWCHART
What Is It?
A flowchart is a picture of the actual flow or sequence of
events that occur in a process. Flowcharts can be at a “high
Diamond—decision point
Where Is It Used?
Anywhere that processes exist, flowcharts can be considered
as a tool to understand the elements of the processes. Flow-
charts can be used to:
• Identify the interactions of the overall processes of the
quality management system (clause 4.1)
How Is It Done?
• Decide on the process to be flowcharted
• Identify the steps of the process (for example, use
brainstorming)
• Place the steps in order
• Draw the flowchart using the appropriate symbols (as
given earlier)
• Consider using the tools in Microsoft Word or Power-
Point to create flowcharts
• Connect the steps with arrows
• Verify the accuracy of the flowchart
• Validate the flowchart with individuals familiar with the
process
Cautions
Flowcharts can be made so complex (or so simple) that they are
useless. Care must be exercised when selecting the scope of
the process to be flowcharted—not too simple, not too complex,
not too much detail, not too little. Also, it is beneficial to involve
individuals with intimate knowledge of the process being flow-
charted to ensure that an accurate picture is created.
NO
Document
Action review of
required? contract
YES measures
Corrective
action plan Corrective
developed and plan recorded
implemented
Review Keep
corrective records
action
Has corrective
action plan addressed
the cause of non- NO
YES conformance?
What Is It?
A process map describes a process in detail, considering the out-
puts from the process and the inputs to the process. It also visually
displays the value-adding steps in the process that convert the
inputs to the desired outputs. Process mapping is the flowchart-
ing of a work process in detail, including key measurements.
Process mapping
Flowchart + Measures
Process flowchart
Inputs Outputs
Identify: Identify:
tøSuppliers tøCustomers
tMeasures tMeasures
tTargets tTargets
Where Is It Used?
Process mapping is a tool to make certain that key processes
are designed in such a way that they focus on achieving the
desired outputs and objectives of the organization. The process
approach of ISO 9001:2008 includes the requirement to identify
and manage the processes of the quality management system
(see clauses 4.1 and 5.4.2). This includes focusing on the pro-
cesses that are most important to achieving the organization’s
quality objectives (see clauses 5.4.1 and 5.4.2). These key pro-
How Is It Done?
For each key process:
Cautions
Be careful to identify the key processes when constructing a
process map, and to focus the most effort on improving those
areas that are important to meeting your objectives. Flex-
ibility is also important; remember that processes that were
unimportant yesterday may be critical to success tomorrow.
TOOL 3: BRAINSTORMING
What Is It?
Brainstorming is a disciplined process used with small groups
of people to get ideas. It is often combined with other tech-
niques to accomplish limited analysis of the ideas generated
and to achieve group consensus. One extension of the brain-
storming concept is often called the nominal group technique,
which was developed in the 1960s by André P. J. Delbecq and
Andrew H. Van de Ven.
Where Is It Used?
The technique is used in small groups when it is desired to
generate a number of ideas that can be used to achieve the
group’s objectives. Some examples of situations where a
group may wish to use the technique include:
• Determining and prioritizing objectives
• Defining potential problems when looking for preven-
tive action opportunities
• Identifying potential causes of known or potential
problems
• Defining potential corrective or preventive actions
How Is It Done?
The technique is often performed with the aid of a facilitator
to keep the group on track and to ensure that the discipline
of the process is maintained. It may be considered to have
Phase Activities
Defining the 1. Prepare a clear written description of the
issue issue
Listing 1. Each group member silently lists the alter-
alternatives natives he or she can think of
2. Go around the group and list one item from
each participant; continue until all items are
listed; list each item without challenge
Sorting and 1. Combine items where appropriate
combining 2. If the number of items is large, sort them
into logical groups
Clarifying 1. Discuss the items and ensure each is clear
2. Write a concise description of each item or
group of items
Developing 1. Each group member ranks the items
consensus 2. Rankings are tabulated
3. Results are summarized and reviewed by
the group, with emphasis on items where
there is strong consensus
Cautions
It is important that the objective of the session be clear to all
participants. Lack of clarity may cause the process to get off
subject. During the development of alternatives, each member
of the group must be permitted to list items without discus-
sion or challenge. Discussion needs to be deferred until the
clarification phase. The most timidly presented idea may well
be the most important.
What Is It?
A Gantt chart is a tool for scheduling a series of tasks or
events. It lists tasks to be completed on the vertical axis and
time on the horizontal axis. It is a tool for clearly illustrating
project or program elements or tasks and the amount of time
anticipated for completing each. Gantt charts are named for
Henry Gantt, an American engineer and social scientist, who
developed this tool for use in production management.
Where Is It Used?
Gantt charts are used in many places in the development,
deployment, and operation of a quality management system.
Some examples include:
• Planning the transition to ISO 9001:2008
• Monitoring and controlling an internal audit program
• Structuring an improvement project
• Managing corrective action projects
• Coordinating and tracking the activities of a new
service design and development project
How Is It Done?
A Gantt chart is constructed with a horizontal axis represent-
ing time and a vertical axis showing the tasks or events or
activities associated with the project or program. Horizontal
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152
1356_Cianfrani.indd 152
Responsibility Task to be completed Month
Management 8 Release ISO 9001:2008–
representative compliant QA documentation
Chapter Four Tools
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Tool 5: Run or Trend Chart 153
Cautions
Gantt charts do not indicate task interdependencies. One can-
not tell from a Gantt chart the impact of a delay in one task
on other tasks. To address such issues, tools such as program
evaluation and review technique (PERT) charts or the critical
path method (CPM) could be used.
What Is It?
A run or trend chart is a graphical method for displaying data
to show changes over time.
Success %
protocol “A”
Up is good
Trend
Time
Run chart for treatment success in a hospital
Order to delivery
Down is good
in minutes
Trend
Time
Run chart for meal delivery time in a restaurant
Where Is It Used?
Run charts are often used to track trends in service character-
istics such as time, customer reactions, or problems encoun-
tered. They can be used anytime it is desirable to visualize
trends over time. Some common uses include:
• Trending time to accomplish service tasks
• Trending nonconformities in performing services
• Trending service process performance
• Trending supplier performance
How Is It Done?
Any single set of data may be charted over time.
• Select the time period (hour, day, week, month, and so
on). This is the horizontal axis of your chart.
• Select a scale for the vertical axis.
• Collect the data for each time period and plot.
0 17.371
155
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156 Chapter Four Tools
Run charts are easy to prepare using the graphical tools of most
spreadsheet software programs. Run charts are often combined
with Pareto charts and histograms for analytical purposes. For
example, a run chart may be used to show a trend in service
nonconformities or customer dissatisfaction, and an associated
Pareto chart may show the types of service problems encoun-
tered. The data from a run chart of service measurement data
(such as call length) may be analyzed using a histogram. The
same data from the example of the run chart for call length are
used in the illustration of the histogram tool (tool 6).
Cautions
Be careful in selecting the time period and vertical scales. Too
small a vertical scale can give the appearance of big changes
in otherwise stable results. Too large a vertical scale can hide
significant changes. If the time interval is selected incorrectly,
similar distortions may occur.
TOOL 6: HISTOGRAM
What Is It?
A histogram is a graphical display of the pattern of variation
of a set of data.
Where Is It Used?
Histograms can be used to develop theories about a process.
They can also be used to determine whether improvements
have occurred in process performance after corrective action
was implemented. In addition, they can provide a picture of
Histogram
20
Number of occurrences
16
12
0
5–6 7–8 9–10 11–12 13–14 15–16 >16
Call length
Note: The data in this example are the same as were used in the run
chart tool example.
How Is It Done?
Assuming a set of data exists, a histogram can be constructed
according to the following general methodology:
• Determine the number of data points in the set of data
• Determine the range of the data (the highest value in
the set minus the lowest value)
• Construct a worksheet to tally the data, marking an X
for each occurrence of each value (the example shown
uses the data from the run chart tool example)
1356_Cianfrani.indd 158
Worksheet
12
16 X
4
15 X X X
14 X X X X
11
13 X X X X X X X
12 X X X X X X X X X X
18
11 X X X X X X X X
Minutes
9
10 X X X X X X
11
9 X X X X X
8 X X X X
6
7 X X
11/11/09 12:59:56 PM
Tool 6: Histogram 159
Cautions
Be sure that the sample size is adequate to characterize
the process (that is, do not make decisions on a set of data
that is too small) and that the data points are represen-
tative of steady-state process performance. Also, become
familiar with the patterns of variation that can be observed
in histograms (normal, skewed, truncated, bimodal, and so
on) and the implications of such patterns. It is also gener-
ally true that histograms will not detect small differences
in variability.
What Is It?
The Pareto chart is used to show the frequency of occurrence
of related sets of data.
70
60
Number of problems
50
40
30
20 A B C D E F
10
0
Types of call center problems (March)
A Put caller on hold D Call longer than 20 minutes
B Problem not resolved E Abandoned
C Had to call back F Caller redirected
Where Is It Used?
Pareto charts are often used for analytical purposes to identify
the most important or most frequently occurring problems or
opportunities for improvement. They are also useful in display-
ing data so that others can understand priorities. Examples of
uses for the Pareto chart include:
• Analysis of the types of problems found in a service
activity over a given period of time
• Analysis of causes of a particular problem
• Analysis of the cost of various problems
• Prioritization of opportunities to improve a process
How Is It Done?
The Pareto chart is based on the idea that in many cases, a
small number of causes account for a large fraction of the
problems (sometimes called the 80-20 rule, meaning that
80% of the nonconformities come from 20% of the causes of
the nonconformities).
To prepare the chart, simply define the appropriate cate-
gories (for example, types of problems) and count the number
of each for the period or activity under consideration. Select
a scale for the vertical axis of the graph that will best display
the data.
Cautions
Use care in selecting the types of problems and how you
quantify them. In using the data to make decisions, remember
What Is It?
Failure modes and effects analysis (FMEA) is a technique for
studying the causes and effects of failures before they occur.
There are two common variations of FMEA: FMEA for products
or services provided, and FMEA for the processes that cre-
ate the product or deliver the services. It is very common to
include not only an analysis of the potential failure modes and
their effects but also the criticality of potential failure modes.
When criticality is included, the process is normally termed
FMECA—failure mode, effects, and criticality analysis.
Where Is It Used?
This technique is usually performed during product design
and development (clause 7.3) and during process develop-
ment (clause 7.5.1). Since FMEA is one of the most important
tools for preventing failures from occurring, its use should be
an element of the preventive action process (clause 8.5.3).
FMEA is most often applied to hardware products and
systems, but the concept can be effectively applied to ser-
vice, especially during the design phase of a new service. The
Severity
Probability of
occurrence
Detectability
Risk priority
process process failure mode Effect failure Action to be taken
Driver Find Cannot find Irate No maps or 9 5 10 450 Provide maps, GPS,
stranded motorist customer GPS; poor and computer with
motorist operator map program
within one training
hour
Truck Full towing Equipment Cannot tow Failure of 8 4 9 288 Preventive mainte-
capability failure car hydraulics or nance schedule
mechanical
systems
Equipment Meters, Air compres- Cannot No PM; no 7 3 7 147 Individual “throw-
hand tools, sor test repair flat periodic away” air canisters;
air com- equipment tire checks equipment
pressor malfunction checklist
Supplies Gas, lug No gas on Cannot Operator does 6 3 6 108 Prepare a checklist
nuts truck; no solve not check sup- for use at beginning
spare fuses; problem plies before of each call
Tool 8: Failure Modes and Effects Analysis
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164 Chapter Four Tools
How Is It Done?
Typically during the design phase of a product development
project, a designer or a team examines the service or system
being designed and considers all the ways that failure could
occur. Block diagrams are frequently used. During develop-
ment of new processes, process engineers often use a similar
thought process. In either case, each potential failure is listed
in an FMEA table and analyzed:
• For each potential failure, the possible failure modes
are listed
• For each failure mode, a description is developed for
each potential effect that such a failure could have
• For each potential failure, an estimate (on a scale of
1 to 10, with 10 being the worst) is made of severity,
probability (or frequency) of occurrence, and detect-
ability (ability to detect the potential cause and prevent
the failure)
• The rankings are multiplied to give a risk priority
number (RPN) that can be used to prioritize preventive
actions
Usually an evaluation is made of the potential failure modes,
and actions are considered to prevent the occurrence or to
minimize the impact of potential failures with the highest
priority.
Cautions
FMEAs can become very cumbersome if every single element
of large systems or subsystems is considered. Care must be
taken to control the scope of the FMEA while retaining its
integrity. Also, information from an FMEA can often be useful
to other activities in an organization. FMEA outputs should be
shared with organizations performing related duties. Process
FMEA results should be shared with organizations that will
operate and maintain the processes.
What Is It?
Sampling inspection is defined in ANSI/ISO/ASQ A3534-2-2006
as “inspection of selected items in the group under consider-
ation” (as distinct from 100% inspection).
The table on the following page lists several International
Standards that describe general sampling concepts and the
terminology involved.
Where Is It Used?
Sampling inspection may be used for many purposes when
delivering services. Examples include:
• Sampling of file content where many files are
processed by several workers and files are required
to contain numerous documents (for example, birth
certificates, proof of employment)
How Is It Done?
There are many documents available that provide instruc-
tions for sampling inspection. There has been a wide variety
of sampling plans developed that can be used when working
with the numerous conditions found in actual application.
The table on pages 168–171 lists some of the national
standards and International Standards available. The most
commonly used sampling plans are those from ANSI/ASQ Z1.4
and Z1.9 (and their international counterparts, the ISO 2859
series and the ISO 3951 series).
The ANSI/ASQ documents are available from ASQ Quality
Press (http://www.asq.org/quality-press). A number of the ISO
documents are available in U.S. adoption form (designated
ANSI/ISO/ASQ), also available from Quality Press. Quality Press
also sells some of the ISO versions, or they may be ordered
from ANSI (http://www.ansi.org) or ISO (http://www.iso.org).
Where there are contractual, regulatory, or other require-
ments giving sampling inspection requirements, these must
be followed. Where there are no such requirements, refer-
ence to national standards or International Standards may be
appropriate. There are a number of different sampling strate-
gies, and selecting among them depends on application.
The table showing ISO statistical sampling standards
gives some of the simplest options available in national
Type of
sampling Document Document title
Attributes ANSI/ASQ Z1.4-2008 Sampling Procedures and
sampling Tables for Inspection by
Attributes
ISO 2859-1:1999 with Sampling procedures for
Corrigendum 1:2001 inspection by attributes—
Part 1: Sampling schemes
indexed by acceptance
quality limit (AQL) for lot-
by-lot inspection
ISO 2859-2:1985 Sampling procedures for
inspection by attributes—
Part 2: Sampling plans
indexed by limiting
quality (LQ) for isolated lot
inspection
ISO 2859-3:2005 Sampling procedures for
inspection by attributes—
Part 3: Skip-lot sampling
procedures
ISO 2859-4:2002 Sampling procedures for
inspection by attributes—
Part 4: Procedures for
assessment of declared
quality levels
ISO 2859-5:2005 Sampling procedures for
inspection by attributes—
Replaces Annex A of Part 5: System of
ISO 8422:1991 sequential sampling plans
indexed by acceptance
quality limit (AQL) for lot-
by-lot inspection
Type of
sampling Document Document title
Attributes ISO 8422:2006 Sequential sampling plans
sampling for inspection by attributes
(sequential)
Variables ANSI/ASQ Z1.9- Sampling Procedures
sampling 2008 and Tables for Inspection
by Variables for Percent
Nonconforming
ISO 3951-1:2005 Sampling procedure for in-
spection by variables—Part
1: Specification for single
sampling plans indexed
by acceptance quality
limit (AQL) for lot-by-lot
inspection for a single
quality characteristic and a
single AQL
ISO 3951-2:2006 Sampling procedures for in-
and 3951-2/PRF spection by variables—Part
and 1 2: General specification for
single sampling plans in-
dexed by acceptance qual-
ity limit (AQL) for lot-by-lot
inspection of independent
quality characteristics
ISO 3951-3:2007 Sampling procedures for
inspection by variables—
Part 3: Double sampling
schemes indexed by ac-
ceptance quality limit (AQL)
for lot-by-lot inspection
Cautions
If you work under contracts or regulations, be certain to check
those documents for applicable requirements. In addition,
there are many specialized applications, and care should
always be exercised in the selection and use of sampling
plans to ensure that the plan selected is appropriate for the
circumstances.
What Is It?
A cause-and-effect diagram shows the relationship between
a characteristic or an effect of a process and its potential
cause factors. The cause factors are organized into categories
and displayed on a diagram. The purpose of the diagram is to
facilitate the thinking about a process and how to control the
significant cause factors so that the desired effect or result
is obtained.
The cause-and-effect diagram was created by Dr. Kaoru
Ishikawa and is sometimes called an Ishikawa diagram. It is
also sometimes called a fishbone diagram since, when it is
drawn, it resembles the skeleton of a fish.
System slow
Database Must use No performance measures
not updated several
System down
screens to
Answers not available get answers Effect
to customer rep Obsolete software
Callers get
wrong answers
Data not broken down Training to questions
by type of problem
Measurements Man
Tool 10: Cause-and-Effect Diagram (Fishbone/Ishikawa Diagram)
173
11/11/09 12:59:56 PM
174 Chapter Four Tools
Where Is It Used?
Cause-and-effect diagrams are frequently used in problem
solving. They can be used anywhere it is desired to under-
stand the cause factors or characteristics that influence the
outcome of a process. For example, they could be used when
performing corrective action when a service delivery process
is causing customer dissatisfaction, when trying to under-
stand the root cause of a customer complaint, or when refin-
ing a service delivery process to improve efficiency.
How Is It Done?
• Step 1: Clearly identify the effect or characteristic of
the process you desire to study, or in other words,
what is the problem you desire to analyze?
• Step 2: Identify the major cause factors that contribute
to or influence the effect; in a “classic” cause-and-
effect diagram, the major cause factors are catego-
rized as:
■ Materials
■ Machines
■ Measurements
■ Methods
■ Man (that is, the people working in the process)
• Step 3: Construct the diagram by positioning the
effect in a box on the right side of a piece of paper
or on a computer screen and drawing a horizontal
Cautions
The quality of the analysis of causes is only as good as the
thinking of the individuals doing the analysis, so it is impor-
tant to involve all the individuals who can contribute to the
identification of potential causes. In the call center example
given earlier, for example, it may be appropriate to have cus-
tomer service representatives, a quality facilitator, information
technology personnel, telephone system personnel, and call
center supervisors involved in an analysis of possible causes
of the problem.
What Is It?
Defining and solving problems is a key component of con-
tinual improvement. A problem can be broadly defined as “any
undesired state.” With regard to ISO 9001:2008 requirements,
it is useful to consider the direct link between the concepts of
corrective action (correcting the causes of nonconformities)
and problem solving (correcting the causes of problems).
Where Is It Used?
Problem-solving techniques are generally appropriate:
• To correct causes of nonconformities in service delivery
• To address and correct causes of customer complaints
• To address and correct situations that dissatisfy
customers
• To address issues that negatively impact internal
customers
• To improve processes
How Is It Done?
Perhaps the most important step in problem solving is to
address the correct problems. You should first prioritize the
problems you face (Pareto charts may help).
Once a high-priority problem has been identified, use a
disciplined approach to solve it. The problem-solving con-
cept can be described in many ways. It can be generalized as
shown in the following table:
Cautions
Problems come in many forms, and it may be appropriate
to use tools and problem-solving sequences different from
those described here. Organizations should consider provid-
ing training and facilitation for the process. The first and last
steps are often the most important but the least often done
well. Clearly defining the important problems and institution-
alizing the changes required for effective solution are critical
elements of effective problem solving.
What Is It?
When an organization is implementing a quality manage-
ment system in conformity with ISO 9001:2008, it is diffi-
cult not to be directed to improvement of the organization’s
processes, products, and services. In spite of the continual
need for improvement, it is not uncommon for organizations
to have no defined methodology for addressing improvement
opportunities.
There are several forms of improvement an organization
should consider, ranging from systemwide improvement of the
overall quality management system or any of its processes to
local improvement of individual processes that are producing
results that do not meet requirements.
This tool is focused on providing a simple model to guide
the improvement of individual processes for which the results
Where Is It Used?
Improvement projects can be initiated in virtually any area of
an organization.
Typical examples include projects to:
• Eliminate waste
• Improve customer satisfaction
• Eliminate billing errors
• Reduce customer complaints
• Increase customer service rate
• Improve acceptance rate of purchased material
How Is It Done?
This tool requires no special training other than a willingness
to invest energy into addressing each of the seven simple
activities. It provides a structure for addressing a wide variety
of conditions where improvement is needed. It also encour-
ages pursuit of meaningful corrective action rather than reac-
tive correction of undesirable conditions. This model provides
an opportunity to use many of the other tools presented in
this chapter. It is not the only model that an organization can
adopt to guide improvement initiatives, but if no other model
or procedure exists, this is a good starting point.
Cautions
When organizations encounter processes that are not yielding
expected results, it is not uncommon to leap into attempting
to correct the perceived issues without understanding if the
process is capable of meeting requirements or determining
the root causes of deviation from requirements or expec-
tations. Such correction attempts may yield a “quick fix”
but typically do not result in sustainable improvement. The
approach described earlier is designed to yield sustainable
improvement.
A
analytical thinking: breaking down a problem or situation
into discrete parts to understand how each part contrib-
utes to the whole.
AS9100: a standard for the aeronautics industry embracing
the ISO 9001 standard.
assignable cause: (see special causes).
audit: systematic, independent and documented process for
obtaining audit evidence and evaluating it objectively to
determine the extent to which audit criteria are fulfilled.
audit criteria: set of policies, procedures or requirements.
audit evidence: records, statements of fact or other informa-
tion which are relevant to the audit criteria and verifiable.
183
B
balanced scorecard: translates an organization’s mission
and strategy into a comprehensive set of performance
measures to provide a basis for strategic measurement
and management, utilizing four balanced views: financial,
customer, internal business processes, and learning and
growth.
benchmarking: an improvement process in which a company
measures its performance against that of best-in-class
companies (or others that are good performers), deter-
mines how those companies achieved their performance
levels, and uses the information to improve its own per-
formance. Areas that can be benchmarked include strate-
gies, operations, processes, and procedures.
brainstorming: a problem-solving tool that teams use to
generate as many ideas as possible that are related to
a particular subject. Team members begin by offering all
their ideas; the ideas are not discussed or reviewed until
after the brainstorming session.
breakthrough: a method of solving chronic problems that
result from the effective execution of a strategy designed
to reach the next level of quality. Such change often requires
a paradigm shift within the organization.
C
checklist: a tool used to ensure that all important steps or
actions in an operation have been taken. Checklists con-
tain items that are important or relevant to an issue or
situation. Checklists are often confused with check sheets
and data sheets.
competence: (audit) demonstrated personal attributes and
demonstrated ability to apply knowledge and skills.
conformity: fulfillment of a requirement.
continual improvement: recurring activity to increase the
ability to fulfill requirements.
contract review: systematic activities carried out by an
organization before agreeing to a contract, to ensure
that requirements for quality are adequately defined, free
from ambiguity, documented, and can be realized by the
supplier.
control plan: a document that may include the characteris-
tics for quality of a product or service, measurements, and
methods of control.
correction: action to eliminate a detected nonconformity.
corrective action: action to eliminate the cause of a detected
nonconformity or other undesirable situation.
customer: organization or person that receives a product.
customer relationship management (CRM): refers to an
organization’s knowledge of its customers’ unique require-
ments and expectations, and using the information to
D
data: facts presented in descriptive, numeric, or graphic form.
deployment: (to spread around) the activities associated with
preparing to implement plans or take action.
design and development: set of processes that transforms
requirements into specified characteristics or into the
specification of a product, process or system.
design of experiments (DOE): a branch of applied statistics
dealing with planning, conducting, analyzing, and inter-
preting controlled tests to evaluate the factors that control
the value of a parameter or group of parameters.
disposition of nonconformity: action taken to deal with an
existing nonconformity; action may include repair, rework,
regrade, scrap, obtain a concession, or amendment of a
requirement. (See also correction.)
E
effectiveness: extent to which planned activities are realized
and planned results achieved.
efficiency: relationship between the result achieved and the
resources used.
eighty-twenty (80-20) rule: a term referring to the Pareto
principle, which suggests that most effects come from
relatively few causes; that is, 80 percent of the effects
come from 20 percent of the possible causes.
F
force-field analysis: a technique for analyzing the forces that
aid or hinder an organization in reaching an objective.
G
gage repeatability and reproducibility (GR&R): the evalu-
ation of a gauging instrument’s accuracy by determining
whether the measurements taken with it are repeatable
(that is, there is close agreement among a number of
consecutive measurements of the output for the same
value of the input under the same operating conditions)
I
information: meaningful data.
infrastructure: system of facilities, equipment and services
needed for the operation of an organization.
M
management system: system to establish policy and objec-
tives and to achieve those objectives.
materials review board (MRB): a quality control commit-
tee or team, usually employed in manufacturing or other
materials-processing installations, that has the responsibil-
ity and authority to deal with items or materials that do
not conform to fitness-for-use specifications. An equiva-
lent error review board is sometimes used in software
development.
mean: a measure of central tendency; it is the arithmetic
average of all measurements in a data set.
metric: a standard of measurement.
N
nonconformity: non-fulfillment of a requirement.
non-value-added: refers to tasks or activities that can be elim-
inated with no deterioration in product or service function-
ality, performance, or quality in the eyes of the customer.
normal distribution: a bell-shaped distribution for continu-
ous data where most of the data are concentrated around
the average, and it is equally likely that an observation will
occur above or below the average.
O
objective: something toward which effort is directed; quality
objectives need to be measurable.
objective evidence: data supporting the existence or verity
of something.
organization: group of people and facilities with an arrange-
ment of responsibilities, authorities and relationships.
outsourcing: a strategy to relieve an organization of processes
and tasks in order to reduce costs, improve quality, reduce
cycle time (for example, by parallel processing), reduce
the need for specialized skills, and increase efficiency.
P
Pareto chart: a basic tool used to graphically rank causes
from most significant to least significant. It utilizes a ver-
tical bar graph in which the bar height reflects the fre-
quency or impact of causes.
plan-do-check-act (PDCA) cycle: a four-step process for
quality improvement. In the first step (plan), a plan to
effect improvement is developed. In the second step (do),
the plan is carried out, preferably on a small scale. In the
third step (check), the effects of the plan are observed.
In the last step (act), the results are studied to determine
what was learned and what can be predicted. The plan-do-
check-act cycle is sometimes referred to as the Shewhart
cycle because Walter A. Shewhart discussed the concept
in his book Statistical Method from the Viewpoint of Qual-
ity Control and as the Deming cycle because W. Edwards
Deming introduced the concept in Japan. The Japanese
subsequently called it the Deming cycle.
ppm: parts per million.
preventive action: action to eliminate the cause of a potential
nonconformity or other undesirable potential situation.
problem solving: a rational process for identifying, describ-
ing, analyzing, and resolving undesirable situations.
procedure: specified way to carry out an activity or a process.
process: set of interrelated or interacting activities which
transforms inputs into outputs.
Q
quality: degree to which a set of inherent characteristics ful-
fills requirements.
quality council: (sometimes called “quality steering commit-
tee”) the group driving the quality improvement effort and
usually having oversight responsibility for the implementa-
tion and maintenance of the quality management system.
quality function deployment (QFD): a structured method in
which customer requirements are translated into appro-
priate technical requirements for each stage of product
development and production. The quality function deploy-
ment process is often referred to as listening to the voice
of the customer.
quality loop: conceptual model of interacting activities that
influence quality at the various stages ranging from the
identification of needs to the assessment of whether those
needs are satisfied.
R
radar chart: a visual method to show in graphic form the size
of gaps among a number of current organization perfor-
mance areas and ideal performance areas; the resulting
chart resembles a radar screen.
range: measure of dispersion; highest value minus lowest value.
record: document stating results achieved or providing evi-
dence of activities performed.
reengineering: completely redesigning or restructuring a
whole organization, an organizational component, or a
complete process. It’s a “start over from the beginning”
approach, sometimes called a “breakthrough.” In terms
of improvement approaches, reengineering is contrasted
with incremental improvement (kaizen).
S
self-assessment: a carefully considered evaluation resulting
in an opinion or judgment of the effectiveness and effi-
ciency of the organization and the maturity of the quality
management system (see ISO 9004:2000 annex A).
seven basic tools of quality: tools that help organizations
understand their processes in order to improve them. The
tools are the cause-and-effect diagram, check sheet, con-
trol chart, flowchart, histogram, Pareto chart, and scatter
diagram.
seven management tools of quality: the tools used pri-
marily for planning and managing are activity network
diagram (AND) or arrow diagram, affinity diagram (KJ
method), interrelationship digraph, matrix diagram, pri-
orities matrix, process decision program chart (PDPC),
and tree diagram.
Six Sigma approach: a quality philosophy; a collection of
techniques and tools for use in reducing variation; a pro-
gram of improvement.
Six Sigma quality: a term used generally to indicate that a
process is well controlled, that is, process limits ±3 sigma
from the centerline in a control chart, and requirements/
tolerance limits ±6 sigma from the centerline. The term
was initiated by Motorola.
statistical process control (SPC): the application of statisti-
cal techniques to control a process.
T
team: a number of people with complementary skills who are
committed to a common purpose.
technical expert: (audit) person who provides specific knowl-
edge or expertise to the audit team.
TL 9000: handbooks pertaining to the quality management
system for telecommunication suppliers; ISO 9001 is
embedded in TL 9000.
tolerance: the variability of a parameter permitted and toler-
ated above or below a nominal value.
top management: person or group of people who directs and
controls an organization at the highest level.
V
validation: confirmation, through the provision of objective
evidence that the requirements for a specific intended use
or application have been fulfilled.
variation: a change in data, a characteristic, or a function that
is caused by one of four factors: special causes, common
causes, tampering, or structural variation.
W
work environment: set of conditions under which work is
performed.
work instruction: a document that answers the question:
How is the work to be done?
Y
yield: ratio between salable goods produced and the quantity
of raw materials and/or components put in at the begin-
ning of the process.
199
C D
cause-and-effect diagrams, 172–75 data analysis, 129–32
cells, determining number of, 159 data points, determining number of,
commitment, top managers and, 157–59
35–38 design and development
communication control of changes in, 87–88
customer, 73–74 inputs, 76–78
internal, 48–50 outputs, 79–81
communication processes, 48–50 planning, 74–76
competency, determining, 60–61 reviews, 81–83
201
G
L
Gantt charts, 150–53
leadership, 15–16
H
M
histograms, 156–60
human resources management, systems approach
determining competency and, to, 9–12
60–61 management representatives, 16,
general requirements for, 58–60 46–48
training and, 60–61 management reviews
inputs for, 52–54
outputs for, 54–56
I of quality management systems,
identification, 100–102 50–52
improvement projects, conducting, managers. See middle managers;
178–82 top managers
nonconforming products
controlling, 126–29
Q
corrective actions for, 133–35 quality management principles, 5–7
normative reference, 23–24 quality management systems, 11
involvement in, 16
P monitoring and measuring
processes of, 121–23
Pareto charts, 160–62 planning, 43–45
personnel. See workers reviewing, 50–52
preventive actions, 136–38 quality manuals, 27–29
problem solving, 176–78 quality objectives, top managers
process approach, 9–12 and, 41–43
process controls, 14–15 quality policies, top managers and,
process mapping, 144–47 39–41
products
controlling conditions for provi-
sion of, 94–97
R
controlling monitoring and mea- records, control of, 32–35
suring devices for, 106–11 resources, provision of, 56–58