Mod 13 – Autonomous Maintenance

GPS

MUDA MUDA

Cost Reduction Profit =

By Eliminating Waste Just-in-Time Price - Cost

GPS Depth Study Quality Cost Delivery

TAKT Time Map

Autonomous
NVA/VA- Measures Capacity Tables
Functions/Mgrs Safety Morale

Jidoka Standard Total Visual

R Productive
(human Control
e
automation)
Operations Maintenance
d
e
p
l
o
y
m
Setup Reduction
Changeover
Heijunka
(Leveling)
Poka-yoke
(mistake
proofing)
Maintenance
e
Continuous

Module 13
n Multi-process
t
Operations Flow Kanban Andon

3P
RPIW Kaizen Kaikuku Prod
Prep

7 Flows 7 Flows
Factory Product/Patient Quantity Analysis Medicine

• Sweeping
• Sorting 7
4 No’s
• Simplifying 5S • Standardizing
• Self Discipline Wastes

Value Stream Mapping

ONE PIECE FLOW TAKT TIME PULL PRODUCTION

Global Production System © 1996-2013, John Black and Associates LLC
(modified from Hiroyuki Hirano, Productivity Press).

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 Mod 13 – Autonomous Maintenance

Autonomous Maintenance: Key Points

 The four types of maintenance are:
1. Preventative maintenance.
2. Predictive maintenance.
3. Breakdown maintenance.
4. Autonomous maintenance.
 Equipment operators share the responsibility for the
performance and health of their equipment.
 Autonomous maintenance is an eight-step process.

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 Mod 13 – Autonomous Maintenance

Equipment and Machines are an

Integral Part of Healthcare

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 Mod 13 – Autonomous Maintenance

Types of Maintenance
 Preventive Maintenance: Daily activities designed to
maintain basic equipment conditions.
 Predictive Maintenance: Detects equipment deterioration
through condition-based analysis. Speed reduction,
vibration analysis, lubricant contamination, etc.
 Breakdown Maintenance: Corrects equipment
deterioration after the occurrence of a breakdown.
 Autonomous Maintenance: Equipment operators accept
and share responsibility with maintenance for the
performance of their equipment

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 Mod 13 – Autonomous Maintenance

8 Steps to Implement Autonomous Maintenance

Consumables

Equipment Maintenance

Equipment Lubrication

Visual Management

Eliminate Contamination and Simplify

Critical Cleaning is Inspecting

Energy Awareness

Establish a Baseline

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 Mod 13 – Autonomous Maintenance

To Establish the Baseline

Condition of a Used Car

• Check for body • Observe the gauges.

damage. • Listen for vibrations
• Look for leaks. and noises.
• Check tire wear. • Check for unusual
• Vibration. odors.
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 Mod 13 – Autonomous Maintenance

Establish a Baseline:
Determine the
Condition of your
Crash Cart

Is the cart free Is the cart Can you identify

of: difficult to: the following?

Dirt / Dust. Move. Safety hazards.

Faulty wheels. Inspect. Go-no-go points.
Missing items. Reach. Items in need of
Expired items. Clean. maintenance.

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 Mod 13 – Autonomous Maintenance

Cleaning is Inspecting

Q: Do you wash your car by hand or in a car

wash?
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 Mod 13 – Autonomous Maintenance

Simplify

Simplify equipment for easy and safe cleaning,

inspection, and maintenance.
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 Mod 13 – Autonomous Maintenance

The Five Whys

EKG Machine

Ask “Why?” five times. IV Pump

What can the answers tell you?
You still have to take action!
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 Mod 13 – Autonomous Maintenance

Abnormal? Unknown? Normal?

How would you know what the

normal operating range is?

How would you know if there

were problems developing?
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 Mod 13 – Autonomous Maintenance

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 Mod 13 – Autonomous Maintenance

Autonomous Maintenance Summary

Autonomous Maintenance is a
partnership between equipment
operators and maintenance
personnel who share responsibility
for the performance and health of
the equipment.

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