Santa’s Business Approach To SMS
By CatalinaNJB
Some
years ago, Santa started his Streamlined Mission Service, or SMS as a
businesslike approach for the safe delivery of gifts around the world. Since
everyone around the globe celebrates Christmas on the same day, Santa has only 24
hours to deliver to every home and every child on all world’s continents. Over
the years he experienced rooftop landing incidents and chimney-stuck
approaches. Most of the incidents were caused by faulty sleigh equipment, while
other were cause by the reindeers. In addition, and especially after an
extremely exhausting day, the incidents were caused by Santa himself. Since
1776 Santa kept track of hourly incidents which was entered the incident into
an SPC graph (Santa’s Professional Care). Santa had a feeling that the job
could be done better, but until he applied SPC he didn’t have anything else but
opinions to address issues.
Unreported occurrences were unknown to Santa |
When
Santa implemented SMS some years ago, he discovered that the reindeers and
himself needed training for roof-top approaches prior to heading out on the
gift delivery trip. Santa had also applied the incident pyramid, or the
incident triangle, which apply as a fact that every 300 undisclosed occurrences
produces 30 incidents, which again produced 1 accident. Santa had over the
years kept track of incidents, but not of near-misses or occurrences. As he
applied the incident pyramid to his operations, he discovered that he did not
know how many undisclosed, or non-reported, occurrences he had during these
24-hour trips. He also discovered that he could not apply the incident-triangle
concept as fact since he did not know how many undisclosed occurrences he had
experienced. Santa went back to review his incident reports over the years and
found that after all the incidents, he had not experienced one single major
accident. Santa had been bruised up and required medical attention after the
most terrible roof-top landings, and minor repairs to the sleigh, but himself
and all the reindeer were always able to continue the trip. In addition, time
of incidents were reported, but had not been entered into the tracking system.
All incidents had been entered at the end of the day as total for that day and
as roof-top crash, chimney-stuck, sleigh-breakdown, reindeer error or Santa
error. However, Santa could not find any trends to the root cause.
The reindeers became
more profici.ent at the end of day
|
Santa
had applied the simple root-cause concept that if a reindeer stumbled on
landing the reindeer was at fault. With the root-cause identified as the
reindeer at fault, the black nose was replaced with a red nose as a
reindeer-error root-cause identification. Over the years, this approach didn’t
seem to work since it was not the same reindeer that was at fault all the times.
In addition, when there was a Santa failure, or Top-Management failure, there
were no replacements available. Santa just realized there were hidden trends,
or latent hazards, within the delivery system itself and decided to update the
SMS system to track the time of incidents. Santa analyzed the result and
discovered that the sleigh incidents occurred towards the end of the journey
and several during the 23rd hour of work.
The
next step for Santa was to analyze the reindeer failures and he discovered that
most of the reindeers were blamed during the first few hours of work. What
Santa now had to work with was that reindeer-failure was assigned the
root-cause for the early stage of gift delivery, while the sleigh failure was
assigned root-cause at the end of the day.
Sleigh failed towards the end of the run.
|
After
months of analysis, Santa concluded that he had incorrectly assigned
root-causes to a short-term CAP and not considered the high-level system
root-cause at all. Over the years Mrs. Claus had told Santa that he needed to
fix the system, but Santa didn’t think that was necessary. His excuse for not
fixing the system was that the reindeers should know better than to fail on
roof-top landings and the elves should know that the had to build a sleigh that could last the whole day. Santa had
stubbornly refused to believe that there could be a system root-cause. In
addition, if he applied a system root-cause, Santa himself would be implemented
in the failures, which would not be good for his reputation.
Add caption |
A
survey concluded that most of the children around the globe supported Santa in
being accountable to system-failures and quality delivery. His reputation would
improve by being accountable. Santa upgraded the reindeer training program in
preparation for the next trip and the sleigh was upgraded from wood to
composite of fiber-glass and carbon fibers. Santa estimated it would take five
years to implement the CAP of systems and to build a shop to manufacture the
composite sleigh and reindeer roof-top landing simulator. However, a short-term
training CAP was already in progress and initiated for the next run.
Mrs.
Claus approved of the changes and Santa was proud of his achievement that he had
discovered the unknown hazards.
CatalinaNJB