2014 CTL PTP WORKSHOP Ingrid Flemming IFM Quality Services Pty Ltd.

Post on 01-Apr-2015

236 views 9 download

Transcript of 2014 CTL PTP WORKSHOP Ingrid Flemming IFM Quality Services Pty Ltd.

2014 CTL PTP WORKSHOP

Ingrid FlemmingIFM Quality Services Pty Ltd

Today:• The official agenda:

• Outcomes and summary from recent PTPs – Touch Current – Heating transformers – Heating switches – Cables, conductor resistance and insulation thickness

• A walk down the road……… – Learning from Histories – The guilty and the innocent – Effectiveness testing

Today:

• The unofficial (but actual) agenda

–Starting fires–Fighting fires–Resolving risk

Raise hands

• Who attended the 2013 CTL PTP Workshop?• Who took something of benefit home with them?• Who shared the workshop content with their co-

workers?• Whose laboratories changed ANY procedure as a

result of attending the workshop?• How will we get MORE from attending the

workshop?

September 2013, was NSW’s hottest and driest September since the beginning of weather record keeping.In October 2013, NSW was on fire.

2 people lost their livesThe damage costs were enormous.Many insurance policies will not pay.

Then... In the face of devastation

• Starts the “BLAME GAME”.– The green (political) party is at fault because back

burning was legislated out– The government has done nothing to mitigate

climate change– Local authorities (that approve building work)

allowed us to build here– The parents of those naughty children that started

fires should have minded their kids.

• We were not told how to prepare our house– The staff did not know how to perform the test

• We didn’t know how to use the fire equipment– The staff was not trained to use the equipment

• We didn’t know there was a ban on lighting fires outside at this time– We didn’t know we should apply the standard

88%

12%

Total individual results assessed vs outlying results2012-2013 all PTP

Total test results assessed number of test outliers

891

687

2012-2013 all PTPlaboratories with follow up laboratories with no follow up

Conformity and non-conformity

• We all understand conformity• Do we all understand non-conformity?

• We all know there is a COST of Conformance• What about cost of non-conformance?

• We are coming back to this...........

13E36 - TOUCH CURRENT

M=0.48, 77 outliers, sinusoidal

M=0.3, 139 outliers non-sinusoidal

M=7.5, 64 reported low results, sinusoidal

M=0, 82 “outliers”, sinusoidal

M=3.5, 73 outliers, wave form mixed reply

Small resistors

• Point 3 was expected to yield a very high result (7.5 mA, 240 V input)

• 64 laboratories reported a measurement less than 3.5 mA, including >20 “0” results.

• An additional 24 laboratories reported the words “pass” as the result.

• 88 laboratories would have passed an unsafe sample.

• Point 4 was not connected to any part of the circuit. (A rivet attached to the plastic box.)

• 193 laboratories reported a measurement greater than zero, up to 0.05 mA.

• 24 laboratories reported greater than 0.05 mA.

• 8 laboratories reported greater than 3.5 mA.

Outcomes: renewal discussion

Bringing renewal about

• From where does change need to originate?• Technical staff?• Supervisors?• Lab managers?• Company heads?

• ISO/IEC 17025 4.2.3 Top management shall provide evidence of commitment to the development and implementation of the management system and to continually improving its effectiveness.

11e43 12e27 12e29 12e31 12e34 13e32 13e33 13e350

50

100

150

200

250

300

350

Breakdown by Programlaboratories with follow up laboratories with no follow up

Num

ber o

f Lab

orat

orie

s

73%

27%

2012-2013 PTP With Equipment Audit

laboratories with follow up laboratories with no follow up

46%

54%

2012-2013 PTP Without Equipment Audit

laboratories with follow up laboratories with no follow up

Equipment• 30-40% additional labs are required to perform

follow up activities if equipment audits occurred.• The audits issued by IFM receive “outliers” ONLY

when the reported measurement is contrary to the requirements in the standard.

• Test staff perform the audit, but nobody seems to CHECK the audit results – EXCEPT IFM.

• Why do labs wait for IFM to tell them to comply with the standard?

• The IFM equipment audits relating to PTP are NOT comprehensive.

• Equipment performance needs to be verified and/or validated – IFM cannot “audit” this

• Items such as steadiness of power supply, also need to be checked. Who does this?

• Who will believe the lab checks equipment performance if the PTP audits show labs do not get the basic equipment questions right?

ISO/IEC 17025 5.5

• 5.5.2 Equipment and its software shall be capable of meeting the accuracy required and shall comply with specifications...... Before being placed into service, equipment shall be calibrated or checked to see it .... complies with the relevant standard specifications. ... It shall be checked and/or calibrated before use.

• 5.5.3 Equipment shall be operated by authorised personnel

• 5.5.5c records shall be maintained of .... Checks that equipment complies with the specification

5.2 Personnel

• 5.2.1 the laboratory management shall ensure the COMPETENCE of all who (perform tasks). ...Personnel performing specific tasks shall be qualified on the basis of appropriate education, training, experience and/or demonstrated skills....

• 5.2.2 ...... The laboratory shall have a policy for identifying needs and providing training..... THE EFFECTIVENESS OF TRAINING ACTIONS SHALL BE EVALUATED.

Discussion: What does it mean to train someone?

• General education on concepts• Pass on skill and knowledge• Make information easily available and keep it up to date • Scope of training to be defined (depth of understanding vs monkey-work)• Mentorship

– Explanation of procedure– Demonstration/observation– Works under supervision– Effectiveness of training assessment, discussion and demonstration– Approval for testing– Still OK after time?

• Provide info for the trainee to absorb• More intensive obtaining of info, not to forget• Assessment of both knowledge and skills• Behaviour of the trainee – observation

13E33Temperature Rise in Switches

13e33 Test method•Attach conductors between switch and power source•Attach thermocouples to specified part of switch•Mount the switch on wooden surface

•Apply suitable specified current.•Monitor until steady state has been reached (as stated in ALL standards quoted)•Determine the temperature rise

•Variation – on one of the samples, perform additional actuations while “live”. This was only to demonstrate whether initial actuations were adequate to clear manufacturing residues from switch.

Questions relating to 13e33

• I would like to ask more detail with the testing method of DC supply, we have no DC power source with high power like 12A and we just only have 3A with low voltage. So can we skip the part of the DC measurement and providing with AC?

• Answer: it is specified in instructions only to apply tests in scope

• So Which program (part01 or part 02) should I enter the result at online system ?

• Answer: Instructions contain information about part01 and part02

17025 section 4.4

• Review of requests, tenders and contracts...– 4.4.1.a ensure that the customer’s requirements

are understood, including methods to be used

• Concept: In PTP – the provider is the customer

• I setup my test circuit today with the test switches installed. Something is wrong. Neither one of the switches are working. They do not allow current to pass. I checked the switches when we received them by performing 20 mechanical operations and they were fine. The test results are due in 17 days.

• Answer: run current through the switch according to the instructions, not across the insulation.

13E33OUTCOMES

13e33 Temperature Rise - Switches

non-CBTL33%

CBTL67%

CBTL No Action58%

CBTL Action42%

non-CBTL Action56%

non-CBTL Action44%

Group Exercise

• Identify the aspects of training that would be required for staff to set up a heating test in switches

• How will effectiveness of training be determined?

• How will the performance of all staff doing this test be monitored?

Training?• Standard• Procedure• Thermocouples: preparation, selection, fixing, attachment, positioning• Load• Connection• Control of environmental conditions• Power supply• Installation• Time• Equip specification• Calibration• Using equip• Personal safety

Ishikawa

Problem

Measurement

Materials Methods Equipment

Environment People

Problem

Measurement

Materials Methods Equipment

Environment People

Temp RiseSwitches

Person

Environment

Equipment & Materials

Measurements

Procedure

Person• (2) We did not understand

CTL DS 335 about steady state

• (1) Requesting Temperature rise in Kelvin was a dirty trick!

• (1) We did the wrong test

•Training•Supervision•Competence•Skill•Ability to Think and Observe

• (1) The power supply was under the test surface and contributed to heating of switch

• (2) Air conditioner was in direct line of switch

•Control of Ambient•Influence of external factors or equipment

Environment

• (1) Accidental use of wrong thermocouple (T not K)

• (1) Wires were old and worn

• (2) Wrong current source used

• (1) Inappropriate Rectifier used

• (2) Monitoring device not calibrated

•Regulated power source•Current meter•Thermocouples•Soldering equip•Calibration•Good repair

EQUIPMENT & MATERIALS

Procedure • (6) Additional actuations removed residue from switch

• (1) TC attached without copper discs makes a difference

• (1) Current applied suddenly vs gradually

• (3) Burnt switch with soldering iron• (6) TC attached

incorrectly/inappropriately• (1) TC attached in wrong position• (2) conductor / meter connections

inadequate• (1) applied wrong ambient test

temperature

•Correct sample preparation (actuations, clean terminals etc)

•Correct sample connection (conductors, thermocouples, monitoring devices)

Procedure

Measurement

• ..... Results in Kelvin is a dirty trick! ??

• ..... We didn’t know when we had reached steady state... ???

•Interpretation•Units•Calculation•Observation•Understanding•Interference

One misfit

•Both switches supplied were FAULTY.

• Although IFM says “not so”, our NCB believes us

Group exercise

• Given the problems that were identified for 13e33, what changes / additions are required for the training and monitoring needs of staff identified in the last exercise?

• See next:

(2) We did not understand CTL DS 335 about steady state(1) Requesting Temperature rise in Kelvin was a dirty trick!(1) We did the wrong test(1) The power supply was under the test surface and contributed to heating of

switch(2) Air conditioner was in direct line of switch(1) Accidental use of wrong thermocouple (T not K)(1) Wires were old and worn(2) Wrong current source used(1) Inappropriate Rectifier used(2) Monitoring device not calibrated(6) Additional actuations removed residue from switch(1) TC attached without copper discs makes a difference(1) Current applied suddenly vs gradually(3) Burnt switch with soldering iron (but did the test anyway)(6) TC attached incorrectly/inappropriately(1) TC attached in wrong position(2) conductor / meter connections inadequate(1) applied wrong ambient test temperature

Additions to training on heating test

Whole group exercise

• Pick any of the “causes” identified earlier and perform 5 why analysis to obtain a theoretical root cause

• (Theoretical, because we have no other details apart from what is displayed.)

17025: 5.9 Assuring the quality of test and calibration results• 5.9.1 The laboratory shall have quality control procedures for

monitoring the validity of tests and calibrations undertaken. The resulting data shall be recorded in such a way that trends are detectable and, where practicable, statistical techniques shall be applied to the reviewing of the results. This monitoring shall be planned and reviewed and may include, but not be limited to, the following:

• a) regular use of certified reference materials and/or internal quality control using secondary reference materials;

• b) participation in interlaboratory comparison or proficiency-testing programmes;

• c) replicate tests or calibrations using the same or different methods;• d) retesting or recalibration of retained items;• e) correlation of results for different characteristics of an item.• NOTE The selected methods should be appropriate for the type and

volume of the work undertaken.

• 5.9.2 Quality control data shall be analysed and, where they are found to be outside pre-defined criteria, planned action shall be taken to correct the problem and to prevent incorrect results from being reported.

The cost of non-conformity

• Failure to “get it right the first time”, eventually costs at least 3 times more than doing it right.

• The initial time spent doing it wrong is wasted• Time is spent, normally by more than the

original staff determining what happened• The time repeating the task is lost opportunity

to achieve something else

13E35Cables Conductor Resistance and Insulation Thickness

13e35 Cables PTP

CBTL Action37%

CBTL No Ac-tion63%

CBTL73%

non-CBTL27%

non-CBTL Action46%

non-CBTL No Action

54%

2010 20130

5

10

15

20

25

30

35

40

Cables CBTL only

number with follow up no follow up

12%

Less 0.77 0.78 0.79 0.8 0.81 0.82 0.83 0.84 0.85 0.86 0.87 0.88 0.89 0.9 0.91 More0

1

2

3

4

5

6

7

8

9

13e35 Sample B: Comparison of results reported by par-ticipants using different insulation thickness measure-

ment devices

Projector

Microscope

Other

Insulation Thickness (mm)

Fre

qu

en

cy

Less 0.59 0.6 0.61 0.62 0.63 0.64 0.65 0.66 0.67 0.68 0.69 0.7 0.71 0.72 0.73 More0

2

4

6

8

10

12

13e35 Sample C: Comparison of results reported by par-ticipants using different insulation thickness measure-

ment devices

Projector

Microscope

Other

Insulation Thickness (mm)

Fre

qu

en

cy

0.5

0.55

0.6

0.65

0.7

0.75

0.8

0.85

0.9

13e35 - Sample A: Insulation thickness showing standard er-ror for each participant and the median acceptable limits

Participant Results

Insu

latio

n T

hic

kne

ss (

mm

)

0.5

0.55

0.6

0.65

0.7

0.75

0.8

0.85

0.9

0.95

1

1.05

13e35 - Sample B: Insulation thickness showing standard er-ror for each participant and the median acceptable limits

Participant Results

Insu

latio

n T

hic

kne

ss (

mm

)

The point about insulation thickness test• Multiple measurements are made routinely• Lends itself to quality activities without any additional

effort or real cost• Retained samples can be used to report repeated

measurements on “same” cable at certain cyclic times when the test is conducted.

• Alternatively, the standard error or %CV can be plotted in a control chart to monitor the consistency of measurements.

• Either of the above has little additional cost, but adds value to the confidence of the lab and its management.

Presentation by Udo Krischke, SGS

Quality Control in Analytical Chemistry

Quality Control in Analytical Chemistry

Dr. Udo KrischkeETF12 Convener

CTL Meeting PT WorkshopMatsue, 14.05.2014

Outline

• No comprehensive training• Share good practice from analytical

chemistry• In line with ISO 17025 §5.9

requirements

• REFERENCE SAMPLES• CONTROL CHARTS

Reference Samples – What are they?

• Reference Samples are ‘controls’ or standards used to check the quality and traceability of test results. A reference standard for a unit of measurement is an artifact that embodies the quantity of interest in a way that ties its value to the reference base for calibration.

• At the highest level, a primary reference standard is assigned a value by direct comparison with the Standard (metrology). A primary standard is usually under jurisdiction of a national standards body.

– For example, mass is defined by an artifact maintained by the Bureau International des Poids et Mesures in Sèvres, France.

• Since most analytical instrumentation is comparative, it requires a sample with known properties for accurate calibration. These samples are produced under stringent manufacturing procedures and differ from laboratory samples in their certification and the traceability of the data.

Reference Samples – Quality Levels

• Certified Reference Material (CRM)– A specially manufactured and commercial available Reference Material, accompanied by

a certificate, one or more of whose property values are certified by a procedure which establishes its traceability to an accurate realisation of the unit in which the property values are expressed and for which each certified value is accompanied by an uncertainty.

• Reference Material (RM)– A purchased material or substance one or more of whose property values are sufficiently

stable over time, homogeneous and well established to be used for the calibration of an apparatus, the assessment of a measurement method, or for assigning values to materials.

• In-house Standards– A material or substance which fulfils the quality criteria of RM but has its origin from a

“real life” sample which is well enough studied to understand its relevant properties to act as a RM.

Reference Samples – What‘s next?

• Use the RM to check your instruments • Compare resulting values with expected values• Judge on results based on an established acceptance or refusal protocol• Act according to this document.• Done?

• What does this single result at a given time tell you about the performance of your instrument?

Control Charts

• Chart for QC samples, including reagent blanks, laboratory control samples, calibration check standards, etc OVER TIME

Upper Control Limit X + 3s

Upper Warning Limit X + 2s

Lower Warning Limit X - 2s

Lower Control Limit X - 3s

Average

Control Charts - Control Chart for Means• Constructed from the average and

standard deviation of a specified number of measurements of the parameter of interest.

• The accuracy chart includes upper and lower Warning Levels (WL) and upper and lower Control Levels (CL). Common practice is to use 2s and 3s limits for the WL and CL, respectively, where s may represent the standard deviation of the respective pre-control period.

Practical Example of Control Charts – Cadmium in Plastic CRM acc. IEC 62321

• Certified Reference Material 680 , Cd content = 140.8 mg/kg• Certified Reference Material 681 , Cd content = 21.7 mg/kg

70,00

75,00

80,00

85,00

90,00

95,00

100,00

105,00

110,00

6/10

/200

3 am

6/10

/200

3 am

7/10

/200

3 am

7/10

/200

3 am

7/10

/200

3 p

m

7/10

/200

3 p

m

8/10

/200

3 am

8/10

/200

3 am

8/10

/200

3 am

8/10

/200

3 am

8/10

/200

3 p

m

8/10

/200

3 p

m

9/10

/200

3 am

9/10

/200

3 am

10/1

0/20

03 a

m

10/1

0/20

03 a

m

13/1

0/20

03 a

m

13/1

0/20

03 a

m

14/1

0/20

03 a

m

14/1

0/20

03 a

m

Re

co

very

(%

)

Date

Expected value

Mean value

LWL

LCL

UCL

UWL

Control Charts – Out of Control Situations

• Figure 3

Control Limit

Warning Limit

Average

Control Charts – Out of Control Situations • If the warning limits (WL) are at the 95% confidence level;

statistically – 1 out of 20 points would exceed that WL– and only 1 out of 100 would exceed the CL

• Control limit – one measurement exceeds a CL• Warning limit – two out of three successive points exceed a WL• One point fall into the WL at one side, and the next point goes to

the WL on the other side • Four out of five successive points exceed 1s, or are in decreasing

or increasing order• Seven successive samples are on the same side of the average

line • Seven successive point shows the same trend (up or down)

Treatment of Out-of-Control Situations

• Create a procedure to deal with Out-of-Control Situations and act according to it!

• Take corrective action promptly to determine and eliminate the source of error

• Do not report data until the cause of the problem identified and corrected

?

Treatment of Out-of-Control Situations

• Maintain records of all out-of-control events, determined causes, and corrective action taken

• Involve lab and/or quality management in the clearing process of Out-of-Control Situations

• Establish preventive actions: not only to eliminate such events, but also to reduce repetition of the causes– Identify and clear root causes of systematic errors

Summary

• ISO 17025 §5.9 asks for quality control procedures to monitor and statistically evaluate the validity of test results and calibrations

• Reference samples and control charts are powerful tools for everyday QA/QC in a lab

• Provide answers to the current state of test equipment but even before out-of-control situations may happen

Thank you for your attention

Open questions?

13E32Outcomes

Initial questions from participants 13e32

• RE: Sample Preparation and Mounting, it says Attach thermocouples to blackened copper or brass discs that are 1 mm thick and 15 mm in diameter. The discs should be placed such that they are flush with the surface of the plywood support.

• My question: What is the purpose to prepare the disc? How to place it? Could you please show us one picture on this disc?

• Our lab is taking part in the IFM Electrical Proficiency Testing Program 13e32 Temperature Rise-Transformers these days. Because the different language we using, we got some communications difficulties about the program, and a question for you.

• 1,In order to achieve the SEC1 and SEC2 output current specified in Table 1. e.g.. for 13e32 General, both of SEC1 and SEC2 output current should be 1.0A initially, and the resistance rise with the time, so the current should not be the initial current. Do we need to keep the initial current 1.0A by changing load resistance during the test till the end or keep the resistance and let the current drop or rise.

• The instructions I’ve received do not state to load transformer with an impedance however 613558-1 clause 14.1 states: ‘Transformers are supplied…. And loaded with an impedance producing the rated output”

• Can you confirm for me if I should be

loading the transformer from the start of the test?

• We are preparing to conduct the tests for 13e32 Temperature Rise - Transformers and clarification is needed on the sample. Please confirm whether this is a Class 1 transformer. Also, are the secondaries individual or series parallel?

• Item 5 of Sample Preparation and Mounting in your instructions said: Select wires approximately 150cm in length, with a nominal cross-sectional area of 1.5mm2. Connect wires to primary PRI and secondary windings SEC1 and SEC2.

• Our question: Shall we consider the resistance of wires during the test?

• We have received sample and instruction for PTP in the subject. I have a question about test set-up that I think is not well explained and may be interesting to other participants to the program:

• The primary circuit (PRI) of the transformer is clear to be

connected to the input voltage of 240V, 50Hz and 60Hz; but about secondary windings (SEC1 and SEC2), in order to obtain the specified currents, (1A+1A for general and 0.9A+1.2A for 60335-1) which kind of connection is needed? Have each one to be short circuited? … Or a test load shall be applied at SEC1 and SEC2? In the last case, which kind of test load is required (resistive, inductive or mixed)?

Answer, according to the standard

• To obtain particular current in SEC 1 and SEC 2 load has to be connected.

• As there is not mention any cos fi load it is

assumed that it should be resistive load..

• The PT participants who are conducting a Temperature Rise test on a transformer are currently encountering challenges with regards to proceeding with the test.

The reason being that they do not know what is the required resistive load to be used for this test, that should be connected to the secondary side of the transformer?

• Answer: the load is the one that provides the required output.

• Are we supposed to purchase a relay for the PTP test with the transformer? The instructions did not state that.

Please check we have the correct configuration

Don’t worry about coin currency, we are obtaining US 1c coins and will use these instead of our local currency.

Group exercise

• Based on the requirements for a heating test in transformers, determine the training needs of staff for performance of this test.

• How will the effectiveness of training be determined?

• How will ongoing monitoring be conducted for all staff performing such tests in the laboratory?

CBTL79%

non-CBTL21%

13e32 Temperature Rise - Transformers

non-CBTL no Action41%

non-CBTL Ac-tion59%

CBTL no Ac-tion60%

CBTL Action40%

For transformer heating tests

• What would you say are the MOST critical items?

• ? Correctly loading secondary winding(s)• ? Reaching steady state?• ? Rapid measurement of resistance after

disconnect• ? Equipment can “manage” the rapid readings• ? Reading for sufficient time after disconnect to

ensure the curve is right?

• Examine the following data (take notes, please)

– Timing of the first readings after disconnect?

– Time intervals between readings?– Duration that readings were performed– Total number of readings

Example 1

Example 2

Example 3

Example 4

Example 5

R at T=0 was 272 ohm

Example 6

R = 276

Example 7

Discuss

• For the previous slides• What similarities and differences were noted with timing of

the first readings?• Time intervals between readings?• Duration that readings were performed• Total number of readings

– Is the MU affected by the above variables?– For CTL document 251D, should we be specifying only equipment

accuracy for this test, or should we be including its performance/capability to measure values for heating test? (It might be accurate, but only good for static readings.)

Temp RiseTransformers

Person

Environment

Equipment & Materials

Measurements

Procedure

Person• (4) Typos/careless

mistakes/calculation• (6) did not understand

60335-1 and/or training in standard

• (3) poor training other than above

• (1) lack of supervision or oversight

•Training•Supervision•Competence•Skill•Ability to Think and Observe

(2) Ventilation directly affecting sample

(1) Bad control of ambient temp

•Control of Ambient•Influence of external factors or equipment

Environment

• (3) Ohm meter capabilities (Too much time to stabilise Not suitable)

• (2) Not functioning to spec• (2) quality of electrical

connection

•Regulated power source•Volt / Current meter•Resistive load•Thermocouples•Soldering equip?•Calibration•Good repair

EQUIPMENT & MATERIALS

Procedure• (8) did not place sample on

copper discs to obtain max temp

• (3) copper discs not flush with surface

• (1) did not follow internal procedure

• (2) did not wait for steady state• (2) wrong procedure followed• (1) windings separately loaded• (1) incorrect testing set-up

•Correct sample preparation

•Correct sample connection (conductors, thermocouples, monitoring devices)

Procedure

Measurement

• (3) Choice of equipment inappropriate

• (3) Interpolation or extrapolation of resistance data

• (1) Did not correctly read result

•Interpretation•Units•Calculation•Observation•Understanding•Interference

Are there common threads to causes?

Evaluate this corrective action

– This is already 2nd attempt for submission. (Lab was asked to propose preventive actions.)

• According to the participation in proficiency test program 13e32 temperature rise of transformer, most of our test results are outlier from the acceptable range. See details in results report of this program

Root cause analysis• We installed the transformer on a test corner

inside a test room. We also used additional wires connected to the transformer instead of measuring the resistance directly from the transformer.

RCA cont.

• 1) The testing room is verified for air-flow at the test area every 6 months. Prior to conduct the proficiency test, the airflow was within the limit as 0.5m/s. After the proficiency test results came out, we re-verified the air-flow in the test room if this was the factor affecting the test. There was some problem at the air filter so the air-flow was higher than 0.5 m/s.

• 2) The additional wires connection may affect the winding resistance measurement. The total resistance for each winding was different due to the additional wires.

Corrective action• 1) Reparation of air filter and re-verification of air

flow and the velocity is less than 0.5 m/s. Then re-testing is conducted.

• 2) The winding resistance measurement is measured as close as the transformer terminals.

Preventive action • Reduce the verification period as every month to

ensure the air-flow does not exceed the limit

• Did the laboratory get to the root cause?• Do the actions address the root cause?

LEARNING FROM HISTORIESBig picture

Take this down.......• O = “opened” something was entered in IFM’s

system• X = reminder sent by IFM• A = acknowledgement received from lab• N = IFM notified lab about something• R = response received from lab, but not

enough to close• S = status (summary for management)• C = item was closed• F = item was referred to IECEE as over due

Group exercise• From the handout and from each laboratory (separately), look at

the participation history. Determine performance over time (tally in 4 time frames)– before 2008, – 2009-2011, – 2012-2013– After 2013

• What are the number of outliers in each time frame? (success rate%)

• Are there potential problem topics?• In your opinion, should the lab focus on any particular topic?• Are there common threads with respect to reasons for outliers

which the lab should pay attention to?• Are there other recommendations?

Temp. Rise - Transformers 05e24 20051013e32 201307

Touch Current 09e36 200907 O 6/01/2010 Frequency range of instrument calibrations is questioned.R 21/01/2010 laboratory requested clarification on the nature of the outlier.C 28/01/2010 revised calibration certificate received.

Summarising findings from examples

Is there a root cause for the large number of PTP outliers?

Finally

• How will we embark on this activity of renewal?