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ABC’s of Implementing Risk Based Thinking Richard A. Harpster, PE – Harpco® Systems ASQ World Conference – Session W16 – May 2, 2018 Copyright© 2018 Harpco Systems, Inc. All Rights Reserved. May not be duplicated in any form without written permission.

ABC’s of Implementing Risk Based Thinking...2 Can happen but not frequently. 1 Unlikely to happen, rare, remote. ! Areas of acceptability in Risk Table for release of Design and

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  • ABC’sofImplementingRiskBasedThinking

    RichardA.Harpster,PE–Harpco®Systems

    ASQ World Conference – Session W16 – May 2, 2018 Copyright© 2018 Harpco Systems, Inc. All Rights Reserved. May not be duplicated in any form without written permission.

  • !  WhatIsRiskandHowIsItReduced!  DefinitionofRisk-BasedThinking!  StandardRequirementsforRisk-basedThinking

    !  ISO9001:2015!  IATF16949:2016!  ISO13485:2016

    !  SevenKeyElementsofRiskManagement!  CommonRiskManagementToolsUsedandMistakesMadeWhen

    Using! DesignFailureModesEffectsAnalysis(DesignFMEA)! ProcessFailureModesEffectsAnalysis(ProcessFMEA)

    !  WhatSourcesofRiskMustBeWorkedOn!  HowMuchRiskIsAcceptable!  Risk-BasedThinkingImplementationExample!  Risk-BasedThinkingandPlan-Do-CheckAct

    PresentationOverview

  • !  TwoComponentsofRisk!  HowRiskIsReduced

    WhatIsRiskandHowIsItReduced?

  • !  Risk-basedthinkingenablesanorganizationtodeterminethefactorsthatcouldcauseitsprocessesanditsqualitymanagementsystemtodeviatefromtheplannedresults,toputinplacepreventivecontrolstominimizenegativeeffectsandtomakemaximumuseofopportunitiesastheyarise(ISO9001:201501.d).

    !  Risk-basedthinkingallowscompaniestooptimizetheuseoftheiravailableresourcesthroughrisk-basedtargeting.

    DefinitionofRisk-basedThinking

  • ISO9001:2015RequirementsforRisk-basedThinking!  Thestandardinnon-prescriptiveonwhererisk-basedthinkingmustbeapplied(4.4.1).

    !  OrganizationmustdetermineprocessesrequiredforQMS(4.4.1).!  Organizationshalldetermineinputs,outputs,interactionand

    risksofQMSprocesses(4.4.1).!  Theorganizationshallplanactionstoaddresstherisksofthe

    requiredprocessestoconfirmtheQMScanachieveitsintendedresults,enhancetheprobabilityofdesirableprocessoutputsandprevent/reducetheprobabilityofundesirableoutputs(6.1.1).

    !  Actionstakentoreducerisksshallbeproportionatetothepotentialimpactontheconformityofproductsandservices(6.1.1).

    !  Thestandarddoesnotdefinetheelementsthatmustbepresentinsystemusedtomanagerisk(A.4).

  • ISO9001:2015RequirementsforRiskBasedThinking!  Thestandarddoesnotrequireformalmethodsforriskmanagement(A.4).

    !  Thestandarddoesnotrequireadocumentedriskmanagementprocess(A.4).

    !  Organizationscandeterminewhetherornottheywanttodevelopamoreextensiveriskmanagementmethodologythanrequiredbythestandard(A.4).

  • IATF16949:2016RequirementsforRiskBasedThinking!  RequirescompliancewithbutnotregistrationtoISO9001:2015(0.3.3).

  • ISO13485:2016RequirementsforRiskBasedThinking!  Whentheterm“risk”isuseditpertainstosafetyorperformancerequirementsofthemedicaldeviceormeetingapplicable

    regulatoryrequirements(0.2).!  Riskisdefinedascombinationoftheprobabilityofoccurrenceof

    harmandtheseverityofthatharm(3.17).!  Riskmanagementisthesystematicapplicationofmanagement

    policies,proceduresandpracticestothetasksofanalyzing,evaluating,controllingandmonitoringrisk(3.18).

    !  Theorganizationshallapplyariskbasedapproachtothecontroloftheappropriateprocessesneededforthequalitymanagementsystem(4.1.2).

  • ISO13485:2016RequirementsforRiskBasedThinking!  Thestandardrequiresrisk-basedthinkingbeusedforcontrolofthefollowingspecificprocesses:

    !  processoutsourcing(4.1.5);!  validationofsoftwareusedbyQMSsystem(4.1.6);!  definitionofdesignrequirements(8.2.1);!  workertraining(6.2);!  productrealization(7.1,7.33);!  productdesignchanges(7.3.9);!  purchasedproduct(7.4.1,7.4.3);!  manufacturingprocesses(7.5.6);!  controlofmonitoringandmeasurementequipment(7.6);!  QMSfeedbacksystems(8.2.1).

  • SevenKeyElementsofRiskManagement!  ObjectionableIncidentDefinition!  SeverityofHarmDefinition

    !  RootCauseDefinition!  RiskControlDefinition!  ProbabilityofIncidentDuetoCauseDefinition!  RootCausePriority!  RiskReductionActivityTracking

  • !  CommonMistakesWhenUsingDesignFMEA! ComponentDesignRequirementsinItem/RequirementsColumn! Non-VerifiableDesignRequirementinItem/RequirementsColumn! ObjectionableIncidentinPotentialCause(s)ofFailure(FC)Column! UseofRPNtoDetermineWhattoWorkOn

    DesignFMEAandCommonMistakesWhenUsing

  • !  CommonMistakesWhenUsingProcessFMEA! DefectImpactonProductIncorrectorMissing! Non-RootCauseinFailureCauseColumn! RiskControlsTooGeneral! UseofRPNtoDetermineWhattoWorkOn

    ProcessFMEAandCommonMistakesWhenUsing

  • !  WhereRiskMustBeManaged!  WhatisRiskBasedPLM®!  RiskBasedPLM®IsNotTheOnlyComplianceSolution!  CoreToolsOfRiskBasedPLM®-RRA®,DFMEA,PFMEA,URA™

    andPFMEA

    Risk-BasedThinkingImplementationExample

  • DefineDesignRqmts

    DefineCustomerRqmts

    DefineDesign

    DefineUsageControls

    DefineProcessandControls

    DefineCoreProcesses,InputsandOutputs

    VoiceofCustomer

  • !  ObjectionableIncident!  CustomerRequirementsAreNotOptimized

    !  PotentialHarm!  MarketShare!  Redesign!  Returns!  Safety

    !  PotentialRootCauseofRisk!  CustomerRequirementNotSpecifiedCorrectly

    !  RiskManagementTool!  RequirementsRiskAssessment®(RRA®)!  CustomerRequirementsDesignReview

    “DefineCustomerRequirements”Process

  • DefineDesignRqmts

    DefineCustomerRqmts

    CustomerRqmtsReview

    RiskOk?

    YesNo

    ReleaseCustomerRequirementsRRA®(Part1)

    DefineDesign

    DefineUsageControls

    DefineProcessandControls

    RiskBasedPLM®-RRA®Part1

    VoiceofCustomer

  • !  ObjectionableIncident!  CustomerRequirementNotMet

    !  PotentialHarm!  MarketShare!  Redesign!  Returns!  Safety

    !  PotentialRootCauseofRisk!  DesignRequirementNotSpecifiedCorrectly

    !  RiskManagementTool!  RequirementsRiskAssessment®(RRA®)!  DesignValidationPlan

    “DefineDesignRequirements”Process

  • DefineDesignRqmts

    DesignValidationPlan

    RiskOk?

    YesNo

    ReleaseDesignRequirementsRRA®(Part2)

    DefineCustomerRqmts

    CustomerRqmtsReview

    RiskOk?

    YesNo

    ReleaseCustomerRequirementsRRA®(Part1)

    DefineDesign

    DefineUsageControls

    DefineProcessandControls

    RiskBasedPLMRRA®Part2

    VoiceofCustomer

  • !  ObjectionableIncident!  ProductFailureToMeetDesignRequirement

    !  PotentialHarm!  MarketShare!  Redesign!  Returns!  Safety!  ManufacturingProcessRedesign!  ManufacturingScrapLoss

    !  PotentialRootCauseofRisk:!  IncorrectHardwareDesignSpecification!  IncorrectSoftwareCode

    !  RiskManagementTool!  DesignFMEA!  DesignVerificationPlan

    “DesignProduct”Process–RiskSources

  • DefineDesignRqmts

    DesignValidationPlan

    RiskOk?

    YesNo

    ReleaseDesignRequirementsRRA®(Part2)

    DefineCustomerRqmts

    CustomerRqmtsReview

    RiskOk?

    YesNo

    ReleaseCustomerRequirementsRRA®(Part1)

    DefineDesign

    DesignVerificationPlan

    RiskOk?

    YesNo

    ReleaseDesignDesignFMEA

    DefineUsageControls

    DefineProcessandControls

    RiskBasedPLM–DesignFMEAandDesignVerificationPlan

    VoiceofCustomer

  • !  ObjectionableIncident!  ProductFailureToMeetDesignRequirement

    !  PotentialHarm!  ProductDamage!  ReducedProductLife!  Returns!  Safety

    !  PotentialRootCauseofRisk:!  IncorrectInstalland/orUsageInstructions

    !  RiskManagementTool!  UsageRiskAssessment(URA™)!  UsageVerificationPlan

    “DesignUsageInstruction”Process

  • DefineDesignRqmts

    DesignValidationPlan

    RiskOk?

    YesNo

    ReleaseDesignRequirementsRRA®(Part2)

    DefineCustomerRqmts

    CustomerRqmtsReview

    RiskOk?

    YesNo

    ReleaseCustomerRequirementsRRA®(Part1)

    DefineDesign

    DesignVerificationPlan

    RiskOk?

    YesNo

    ReleaseDesignDesignFMEA

    DefineUsageControls

    UsageVerificationPlan

    RiskOk?

    YesNo

    ReleaseUsageControlsURA™

    DefineProcessandControls

    RiskBasedPLM®-UsageRiskAssessment™andUsageVerificationPlan

    VoiceofCustomer

  • !  ObjectionableIncident!  OutofSpecificationProductProduced

    !  PotentialHarm!  ProductDamage!  ReducedProductLife!  Scrap/Rework!  Returns!  Safety

    !  PotentialRootCauseofRisk:!  OutofSpecPurchasedItem!  ProcessSourcesofProducedProductVariation

    !  RiskManagementTool!  ProcessFMEA

    “DesignManufacturingProcess”Process(QualityEmphasis)

  • DefineDesignRqmts

    DesignValidationPlan

    RiskOk?

    YesNo

    ReleaseDesignRequirementsRRA®(Part2)

    DefineCustomerRqmts

    CustomerRqmtsReview

    RiskOk?

    YesNo

    ReleaseCustomerRequirementsRRA®(Part1)

    DefineDesign

    DesignVerificationPlan

    RiskOk?

    YesNo

    ReleaseDesignDesignFMEA

    DefineUsageControls

    UsageVerificationPlan

    RiskOk?

    YesNo

    ReleaseUsageControlsURA™

    DefineProcessandControls

    ProcessValidationPlan

    RiskOk?

    YesNo

    ReleaseProcessProcessFMEA

    RiskBasedPLM®-ProcessFMEAandProcessValidationPlan

    VoiceofCustomer

  • 10 CC CC CC CC CC CC CC CC CC

    9 CC CC CC CC CC CC CC CC CC

    8 SC SC SC SC SC SC SC SC

    7 SC SC SC SC SC SC SC SC

    6 SC SC SC SC SC SC SC SC

    5 SC SC SC SC SC SC SC SC

    4 SC SC SC SC SC SC SC SC

    3

    2

    1

    SEV/OCC 1 2 3 4 5 6 7 8 9 10

    SymbolisassignedbasedonSEVandOcc.

    SC:Return/NoBuy

    CC:Safety/Legal

    ClassSymbols RiskMatrix(AutoIndustryDesignProcess)

    WhatSourcesofRiskMustBeWorkedOn–AutomotiveDesign

  • SpinalImplantLateStageCancerTreatment

    5 D D

    4 II II

    3 RIMA RIMA

    2 RI

    1 NI

    SEV/OCC 1 2 3

    RiskMatrix-MedicalIndustry

    WhatSourcesofRiskMustBeWorkedOn–MedicalDevice

    RiskSymbol Effect

    D Death

    II PermanentInjury

    RIMA InjuryRequiresMedicalAttention

    RI InjuryDoesNotRequireMedicalAttention

    NI InconvenienceorTemporaryDiscomfort

    SeverityRating

    Effect

    5 Death

    4 PermanentInjury

    3 InjuryRequiresMedicalAttention

    2 InjuryDoesNotRequireMedicalAttention

    1 InconvenienceorTemporaryDiscomfort

    OccurrenceRating

    Effect

    3 Likelytohappen,often,frequent.

    2 Canhappenbutnotfrequently.

    1 Unlikelytohappen,rare,remote.

  • !  AreasofacceptabilityinRiskTableforreleaseofDesignandManufacturingProcesses(akaRiskPolicy).

    !  DifferentproductscanusesameRiskMatrixbuthavedifferentRiskPolicies.

    10 YC* YC* YC* YC* YC* YC* YC* YC* YC*

    9 YC* YC* YC* YC* YC* YC* YC* YC* YC*

    8 YS YS* YS* YS* YS* YS* YS* YS*

    7 YS YS* YS* YS* YS* YS* YS* YS*

    6 YS YS* YS* YS* YS* YS* YS* YS*

    5 YS YS* YS* YS* YS* YS* YS* YS*

    4 YS YS* YS* YS* YS* YS* YS* YS*

    3

    2

    1

    SEV/OCC 1 2 3 4 5 6 7 8 9 10

    *=DoNotRelease

    WhatIsAcceptableRisk–AutomotiveDesignRiskPolicy

  • SpinalImplant

    5 D* D*

    4 II* II*

    3 RIMA* RIMA*

    2 RI

    1 NI

    SEV/OCC 1 2 3

    LateStageCancerTreatment

    5 D D*

    4 II II*

    3 RIMA RIMA

    2 RI

    1 NI

    SEV/OCC 1 2 3

    RiskPolicy(*=DoNotRelease)

    WhatIsAcceptableRisk–MedicalDeviceRiskPolicy

    RiskSymbol Effect

    D Death

    II PermanentInjury

    RIMA InjuryRequiresMedicalAttention

    RI InjuryDoesNotRequireMedicalAttention

    NI InconvenienceorTemporaryDiscomfort

    SeverityRating

    Effect

    5 Death

    4 PermanentInjury

    3 InjuryRequiresMedicalAttention

    2 InjuryDoesNotRequireMedicalAttention

    1 InconvenienceorTemporaryDiscomfort

    OccurrenceRating

    Effect

    3 Likelytohappen,often,frequent.

    2 Canhappenbutnotfrequently.

    1 Unlikelytohappen,rare,remote.

  • !  Plan:Definewhattheorganizationwantstoaccomplishandhowtheorganizationisgoingtoaccomplishit.

    !  Do:ImplementPlan.!  Check:Measureresultsofimplementationtheplan.!  Act:Ifdesiredresultsarenotachieved,modifyplan.

    Plan-Do-Check-ActWithoutRisk-Based-Thinking

  • !  Plan:Definewhattheorganizationwantstoaccomplishandhowtheorganizationisgoingtoaccomplishit.Assessriskofplan.

    !  Do:Ifriskacceptable,implementPlan.!  Check:Measureresultsofimplementationtheplan.!  Act:Ifdesiredresultsarenotachieved,modifyplan.Assessriskofplan

    modification.Ifriskacceptable,implementplanmodification.

    Plan-Do-Check-ActWithRisk-Based-Thinking

  • Questions?

    RichardA.Harpster-Phone:(248)374-1718Email:[email protected]