Repeat defect: why the last fix did not hold

The same defect is back after a corrective action that was supposed to fix it.

A repeat defect usually means the last corrective action treated a symptom. Pull the previous 8D or corrective action, check whether the root cause was ever verified, dig again with 5-Why and a fishbone, choose a fix that changes the process rather than the person, and prove it held with an effectiveness check.

Start with

Pull the last fix and ask why it did not hold.

The path, in order

  1. Review the last fix

    Read the previous corrective action. Was the root cause verified by turning it on and off, or only stated? Was the action "retrain the operator" or "remind the team"? Those are the most common reasons a fix does not hold.

  2. 5-Why

    Ask why the defect occurred and, separately, why it was not detected. Keep going until you reach a cause you can control and verify.

  3. Fishbone

    Check the categories you skipped last time: method, machine, material, measurement, people and environment. Repeat defects often hide in measurement or material.

  4. Corrective action

    Prefer error-proofing and process changes over inspection and training. Update the work instruction and the Control Plan to match.

  5. Effectiveness check

    Decide up front what proves it worked, such as zero occurrences over a set number of lots, then check on schedule before you close it.