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WHY? Therefore
Root Causes
1.Lack of monitoring on
Machine setting problem . temperature setting.
Pre heating time too short
Therefore
WHY? 2.Operator not made aware of
temperature & pressure setting.
WHY?
Break Point
Checking criteria in OS did not enphasis
on this defects.
Lessons
Learned:
Team
Members:
ACT
Standardize
PLAN
Understand the problem
CHECK
Follow-up
DO
Execute the Plan