Behavior-shaping Constraint
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is any mechanism in a process that helps an equipment operator to avoid mistakes and defects by preventing, correcting, or drawing attention to
human error Human error is an action that has been done but that was "not intended by the actor; not desired by a set of rules or an external observer; or that led the task or system outside its acceptable limits".Senders, J.W. and Moray, N.P. (1991) Human Er ...
s as they occur. It is a Japanese term that means "mistake-proofing" or "error prevention", and is also sometimes referred to as a forcing function or a behavior-shaping constraint. The concept was formalized, and the term adopted, by
Shigeo Shingo was a Japanese industrial engineer who was considered as the world’s leading expert on manufacturing practices and the Toyota Production System. Life and work After having worked as a technician specializing in fusions at the Taiwanese railw ...
as part of the
Toyota Production System The Toyota Production System (TPS) is an integrated socio-technical system, developed by Toyota, that comprises its management philosophy and practices. The TPS is a management system that organizes manufacturing and logistics for the automobile ...
.


Etymology

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


Usage and examples

More broadly, the term can refer to any behavior-shaping constraint designed into a process to prevent incorrect operation by the user. A simple poka-yoke example is demonstrated when a driver of the car equipped with a manual gearbox must press on the
clutch pedal A clutch is a mechanical device that allows an output shaft to be disconnected from a rotating input shaft. The clutch's input shaft is typically attached to a motor, while the clutch's output shaft is connected to the mechanism that does th ...
(a process step, therefore a poka-yoke) prior to starting an automobile. The interlock serves to prevent unintended movement of the car. Another example of poka-yoke would be the car equipped with an automatic transmission, which has a switch that requires the car to be in "Park" or "Neutral" before the car can be started (some
automatic transmission An automatic transmission (AT) or automatic gearbox is a multi-speed transmission (mechanics), transmission used in motor vehicles that does not require any input from the driver to change forward gears under normal driving conditions. The 1904 ...
s require the brake pedal to be depressed as well). These serve as behavior-shaping constraints as the action of "car in Park (or Neutral)" or "foot depressing the clutch/brake pedal" must be performed before the car is allowed to start. The requirement of a depressed brake pedal to shift most of the cars with an automatic transmission from "Park" to any other gear is yet another example of a poka-yoke application. Over time, the driver's behavior is conformed with the requirements by repetition and habit. When automobiles first started shipping with on-board GPS systems, it was not uncommon to use a forcing function which prevented the user from interacting with the GPS (such as entering in a destination) while the car was in motion. This ensures that the driver's attention is not distracted by the GPS. However, many drivers found this feature irksome, and the forcing function has largely been abandoned. This reinforces the idea that forcing functions are not always the best approach to shaping behavior. The microwave oven provides another example of a forcing function. In all modern microwave ovens, it is impossible to start the microwave while the door is still open. Likewise, the microwave will shut off automatically if the door is opened by the user. By forcing the user to close the microwave door while it is in use, it becomes impossible for the user to err by leaving the door open. Forcing functions are very effective in safety critical situations such as this, but can cause confusion in more complex systems that do not inform the user of the error that has been made. These forcing functions are being used in the service industry as well.
Call centers A call centre (English in the Commonwealth of Nations, Commonwealth spelling) or call center (American English, American spelling; American and British English spelling differences#-re, -er, see spelling differences) is a managed capability th ...
concerned with
credit card fraud Credit card fraud is an inclusive term for fraud committed using a payment card, such as a credit card or debit card. The purpose may be to obtain goods or services or to make payment to another account, which is controlled by a criminal. The P ...
and
friendly fraud Friendly fraud, also known as chargeback fraud, occurs when a consumer makes an online shopping purchase with their own credit card, and then requests a chargeback from the issuing bank after receiving the purchased goods or services. Once approved ...
are using
agent-assisted automation Agent-assisted automation is a type of call center technology that automates elements of what the call center agent 1) does with his/her desktop tools and/or 2) says to customers during the call using pre-recorded audio. It is a relatively new ca ...
to prevent the agent from seeing or hearing the credit card information so that it cannot be stolen. The customer punches the information into their phone keypad, the tones are masked to the agent and are not visible in the
customer relationship management Customer relationship management (CRM) is a strategic process that organizations use to manage, analyze, and improve their interactions with customers. By leveraging data-driven insights, CRM helps businesses optimize communication, enhance cus ...
software.


History

The term poka-yoke was applied by
Shigeo Shingo was a Japanese industrial engineer who was considered as the world’s leading expert on manufacturing practices and the Toyota Production System. Life and work After having worked as a technician specializing in fusions at the Taiwanese railw ...
in the 1960s to industrial processes designed to prevent human errors. Shingo redesigned a process in which factory workers, while assembling a small switch, would often forget to insert the required spring under one of the switch buttons. In the redesigned process, the worker would perform the task in two steps, first preparing the two required springs and placing them in a placeholder, then inserting the springs from the placeholder into the switch. When a spring remained in the placeholder, the workers knew that they had forgotten to insert it and could correct the mistake effortlessly. Shingo distinguished between the concepts of inevitable human mistakes and
defect Defect or defects may refer to: Related to failure * Angular defect, in geometry * Birth defect, an abnormal condition present at birth * Crystallographic defect, in the crystal lattice of solid materials * Latent defect, in the law of the sale o ...
s in the production. Defects occur when the mistakes are allowed to reach the customer. The aim of poka-yoke is to design the process so that mistakes can be detected and corrected immediately, eliminating defects at the source.


Implementation in manufacturing

Poka-yoke can be implemented at any step of a manufacturing process where something can go wrong or an error can be made. For example, a fixture that holds pieces for processing might be modified to only allow pieces to be held in the correct orientation, or a digital counter might track the number of spot welds on each piece to ensure that the worker executes the correct number of welds. Shingo recognized three types of poka-yoke for detecting and preventing errors in a
mass production Mass production, also known as mass production, series production, series manufacture, or continuous production, is the production of substantial amounts of standardized products in a constant flow, including and especially on assembly lines ...
system: # The ''contact'' method identifies product defects by testing the product's shape, size, color, or other physical attributes. # The ''fixed-value'' (or ''constant number'') method alerts the operator if a certain number of movements are not made. # The ''motion-step'' (or ''sequence'') method determines whether the prescribed steps of the process have been followed. Either the operator is alerted when a mistake is about to be made, or the poka-yoke device actually prevents the mistake from being made. In Shingo's lexicon, the former implementation would be called a ''warning'' poka-yoke, while the latter would be referred to as a ''control'' poka-yoke. Shingo argued that errors are inevitable in any
manufacturing Manufacturing is the creation or production of goods with the help of equipment, labor, machines, tools, and chemical or biological processing or formulation. It is the essence of the secondary sector of the economy. The term may refer ...
process, but that if appropriate poka-yokes are implemented, then mistakes can be caught quickly and prevented from resulting in defects. By eliminating defects at the source, the cost of mistakes within a company is reduced.


Benefits of poka-yoke implementation

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


See also

*
Defensive design Defensive design is the practice of planning for Contingency plan, contingencies in the design stage of a project or undertaking. Essentially, it is the practice of anticipating all possible ways that an end-user could misuse a device, and desig ...
*
Fail-safe In engineering, a fail-safe is a design feature or practice that, in the event of a failure causes, failure of the design feature, inherently responds in a way that will cause minimal or no harm to other equipment, to the environment or to people. ...
*
Idiot-proof An idiot-proof or foolproof design is one that cannot be misused either inherently, or by use of defensive design principles. The implication is that the design is usable even by someone of low intelligence who would not use it properly. The t ...
*
Interlock An interlock is a feature that makes the state of two mechanisms or functions mutually dependent. It may consist of any electrical or mechanical devices, or systems. In most applications, an interlock is used to help prevent any damage to the mac ...
*
Murphy's law Murphy's law is an adage or epigram that is typically stated as: "Anything that can go wrong will go wrong." Though similar statements and concepts have been made over the course of history, the law itself was coined by, and named after, Americ ...
*
Pointing and calling Pointing and calling is a method in occupational safety for avoiding mistakes by pointing at important indicators and verbally calling out their status. It is especially common on Rail transport in Japan, Japanese railways, where it is referred ...


References


Further reading

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External links


Mistake-proofing example wiki



Architectures of Control in Design, a site looking at constraints in the design of products, systems and environments
{{Authority control Japanese business terms Lean manufacturing Toyota Production System Reliability engineering