// Tool 14

Poka-Yoke Design Worksheet

The best fix for human error isn't a warning sign — it's making the error physically impossible.

Mistakes & rework

What it is and when to use it

Telling someone to “be more careful” doesn't survive a busy shift, a new hire, or hour ten of a long day — the same mistake comes back. Poka-yoke works through error-proofing designed at three levels: prevention (the error can't physically happen), detection (it's caught before it moves to the next step or the customer), and alert (it's flagged so a person can act). This worksheet walks a failure mode through the three levels in order, because most fixes stop at the cheapest one — an alert — when a prevention-level fix was available for not much more.

Worked example

Poka-yoke design worksheet filled in with a worked example. Conclusion: The wrong insert recurred 6 times in July — preventing it costs $220, less than one more $410 mis-ship. Sections: Failure, Poka-yoke levels · cost & verdict, Device sketch, Result and action, Verification & red flags.
Wrong insert 6× in July · prevention chosen: keyed tote + WMS lock

Click or tap the plate to enlarge it.

Download the blank template (PDF)One page. Print it and fill it in with your own numbers.

What goes on the sheet

  1. Failure mode: the specific error being designed against, and how often it currently occurs
  2. Current control level, if any (none / alert / detection / prevention)
  3. Prevention option considered: can the error be made physically impossible, and at what cost
  4. Detection option considered: how the error would be caught before the next step, and at what cost
  5. Alert option considered: what signal would flag it, and who's responsible for acting on it
  6. Level selected, and the reason it was chosen over a higher level (cost, feasibility — stated explicitly)
  7. Verification: how the fix will be tested to confirm the failure mode is actually prevented, not just less frequent

In a business like yours

  • Soap or gift-box company: a shaped tray makes the wrong product physically impossible to pack.
  • Pharmacy counter: look-alike items stored apart and scanned before bagging.
  • Installer crew: a checklist that cannot be closed until a photo of each step is attached.

Illustrative examples, not client cases.

// Talk to David

This is one of the 19 tools in our loss diagnostic.

In the diagnostic we pick the ones that fit your leak and put a dollar figure on what it costs you. 30 minutes to see if it makes sense.