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Part is sent to be assembled to engine. Erro r not noticed.

PATH 2. PATH 1. Engine part instrumented incorrectly (wrong sensor type), leaves lab. New Engineer, copying an old sketch doesn’t realize mistake. If it was ok in the past why wouldn’t it be ok now?.

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Part is sent to be assembled to engine. Erro r not noticed.

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  1. PATH 2 PATH 1 • Engine part instrumented incorrectly (wrong sensor type), leaves lab. New Engineer, copying an old sketch doesn’t realize mistake. If it was ok in the past why wouldn’t it be ok now? • Error noticed. Part sent back to lab to be fixed. QCPC ticket (process flaw ticket) entered by customer. Engineer working part educated. Hopefully error does not occur again. • Part is sent to be assembled to engine. Error not noticed. • Customer extremely unhappy. Data useless. QCPC ticket entered (process flaw ticket). • Engine built and sent to test to collect data. • Customer reviews data and realizes something just doesn’t seem right. Contacts Sensor Applications Group to Investigate. • Given high level visibility of error (engine at test), a Root Cause Corrective Action is required to be done be Sensor Applications group. Very time consuming and costly. • Sensor Applications Group performs internal investigation. Concludes that wrong type of sensor was installed. Notifies Customer. • Root Cause Corrective Action complete, provided to upper management. New hire educated on process. Hopefully error doesn’t occur again.

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