Poka-yoke
Poka-yoke is Japanese for mistake-proofing. These devices are used either to prevent the special causes that result in defects, or to inexpensively inspect each item that is produced to determine whether it is acceptable or defective.
A poka-yoke device is any mechanism that either prevents a mistake from being made or makes the mistake obvious at a glance. The ability to find mistakes at a glance is essential because, as Shingo writes, "The causes of defects lie in worker errors, and defects are the results of neglecting those errors. It follows that mistakes will not turn into defects if worker errors are discovered and eliminated beforehand". He later continues that "Defects arise because errors are made; the two have a cause-and-effect relationship. ... Yet errors will not turn into defects if feedback and action take place at the error stage". We suspect that Shingo and Deming would have a protracted discussion about whether workers or management are responsible for defects. No resolution of that issue is undertaken here.
An example of a poka-yoke device at General Motors (GM) was described by Ricard "We have an operation which involves welding nuts into a sheet metal panel. These weld nuts will be used to attach parts to the car later in the process. When the panel is loaded by the operator, the weld nuts are fed automatically underneath the panel, the machine cycles, and the weld nuts are welded to the panel. You must remember these nuts are fed automatically and out of sight of the operator, so if the equipment jams or misfeeds and there is no part loaded, the machine will still cycle. Therefore, we have some probability of failure of the process. An error of this nature is sometimes not detected until we actually have the car welded together and are about to attach a part where there is not a nut for the bolt to fit into. This sometimes results in a major repair or rework activity."
"To correct this problem, we simply drilled a hole through the electrode that holds the nut that is attached to the panel in the welding operation. We put a wire through the hole in the electrode, insulating it away from the electrode so as it passes through it will only make contact with the weld nut. Since the weld nut is metal, it condundefineducts electricity and with the nut present, current will flow through, allowing the machine to complete its cycle. If a nut is not present, there will be no current flow. We try to control the process so that the machine will actually remain idle unless there is a nut in place."
With source inspection, poka-yoke devices ensure that proper operating conditions exist prior to actual production. Often these devices are also designed to prevent production from occurring until the necessary conditions are satisfied. Norman refers to this type of device as a "forcing function." The example from GM that "forces" the nut to be present before welding can occur is an example of source inspection.