What Are You Going to Screw Up Today?

Kaizen Snapshot

Setting: Bottling line at a major beverage manufacturer

Challenge: Reduce lengthy changeovers despite losing nearly half the planned Kaizen to a historic winter storm.

Stakes: Limited time, missing team members, production pressure, and widespread skepticism about improvement efforts.

Approach: SMED training, operator-led process redesign, hands-on implementation, and coaching the production crew through the new process.

Outcome: Changeover time reduced by nearly 50%, operator travel reduced by an estimated 80–90%, and a skeptical employee became one of the strongest advocates for the improvement effort.

Key Lesson: You don't need perfect conditions to achieve breakthrough results.

What Are You Going to Screw Up Today?

The Situation

I was scheduled to facilitate a SMED (Single-Minute Exchange of Die) Kaizen to reduce changeover time on a bottling line at a major manufacturing facility. Like most changeover events, we had a carefully planned four-and-a-half-day schedule.

Then Mother Nature had other ideas. Weather forecasts predicted a major winter storm, so instead of flying in on Sunday as I normally would, I decided to leave a day early. That decision turned out to be the only reason I made it.

My connecting flight was canceled as snow began falling. After scrambling with the airline, I found a flight to Indianapolis, rented a car, and spent nearly three hours driving through a snowstorm to reach my hotel in Kentucky. When I arrived, the roads were covered with snow and ice. The town was nearly deserted. The plant had already shut down. At one point, we weren't even sure the Kaizen would happen.

What Was Getting in the Way

By Sunday, things had only gotten worse. The entire town was effectively closed. Restaurants were closed. The plant remained shut down. Employees couldn't leave their homes.

Our carefully planned schedule disappeared almost overnight. Eventually, leadership decided they would try to restart the facility late Monday afternoon, allowing us to begin the Kaizen on Tuesday if enough team members could safely make it to work.

Even then, several participants were still snowed in. We would have fewer people. Less time. And somehow, we still needed to deliver meaningful results.

What We Did

Tuesday morning finally arrived. The roads were passable. People slowly began making their way into the plant. Some looked genuinely happy just to have survived the drive. Instead of focusing on what we had lost, we focused on what we could still accomplish.

The team learned the principles of SMED before walking the Gemba to observe the current changeover. Operators mapped their movements using spaghetti diagrams. For many, it was the first time they had ever stepped back and looked at the entire process instead of just their own responsibilities. The waste quickly became obvious:

• Long walks.

• Poor organization.

• Equipment that wasn't properly aligned.

• No visual controls.

• Little standard work.

The team generated improvement ideas and immediately began putting them into practice.

The Breakthrough

While we were observing the first changeover, a machine operator from the neighboring production line kept watching us. Finally, he walked over and asked, "What are you guys going to screw up today?"

Apparently, previous improvement efforts hadn't left him with much confidence. I smiled and replied, "Hopefully nothing. Our goal is simply to help this team make their work easier, safer, and better." He didn't look convinced. But our team was.

As they tested improvements during their own changeovers, something changed. Every success generated another idea. Every improvement inspired another. Despite losing nearly half the planned week, momentum kept building.

What Changed

By the final day, we made what many facilitators might consider a risky decision. Rather than spending the morning polishing our presentation, we invested those hours implementing a few final improvements. Then we handed the process back to the production crew.

Not to demonstrate it. Not to do it for them. To coach them through it. Each Kaizen team member partnered with a crew member, helping them follow the new process while explaining why each change had been made. The crew wasn't simply following instructions. They were learning the new standard from the people who had designed it. That investment paid off.

The production crew completed the changeover in just under half the original time. Spaghetti diagrams showed operator travel had been reduced by an estimated 80 to 90 percent. The line restarted smoothly. The crew looked confident. The improvements were no longer the Kaizen team's. They belonged to the operators.

The Moment That Said It All

Later that day, the same operator from the neighboring line walked over. This time he wasn't skeptical. He smiled and asked, "When can you help my line?"

That single question said more than any metric ever could. Trust had been earned.

The Report-Out

Despite the shortened week, the team delivered one of the most energetic report-outs I've ever witnessed. The excitement was genuine because every improvement had come from the people doing the work. The team leader later commented that in all his years participating in Lean projects and Kaizen events, he had never seen a team so engaged.

What began as a week threatened by weather had become one of the most successful changeover events they'd experienced. Even better, the improvements created a model that could now be replicated across the facility's other production lines.

The Takeaway

Kaizen isn't about having perfect conditions. It's about helping people solve real problems together. Snowstorms, compressed schedules, and missing team members. Those things make improvement harder. They don't make it impossible.

When people own both the problem and the solution, remarkable things can happen—even when the odds aren't in your favor.

Why This Matters

Many organizations delay improvement because they believe they need more time, more resources, or better circumstances. In reality, the greatest breakthroughs often happen when teams stop waiting for perfect conditions and begin improving with what they have.

The goal isn't perfection. The goal is progress. And when people experience that progress firsthand, skepticism turns into ownership—and ownership creates sustainable results.

Ready to Cut Your Changeovers in Half?

Long changeovers aren't usually caused by one big problem. They're the result of hundreds of small inefficiencies that have quietly become accepted over time.

A focused SMED Kaizen helps your team see those opportunities, eliminate unnecessary motion, create better standards, and dramatically reduce downtime—without sacrificing safety or quality.

Schedule a Breakthrough Assessment to discover how much hidden capacity is waiting inside your current changeover process.

From Tool Boxes to Tool Stations

In 2011, I was asked to facilitate a changeover reduction Kaizen event at a ceiling tile plant in Florida. Most changeover reduction events have a goal of reducing time by 50%, while maintaining or improving quality and safety. In this case, the team was asked to reduce changeover time by 90%. This would be a challenge for the team and my ability to facilitate them to a solution.

The area chosen was the edge finishing line. The line cut and painted edges on the ceiling tiles before sending them on to the packaging line. Using a panel saw called an equalizer, tiles were cut to a rough size. Four tenoners cut and painted the edges of the tiles to achieve precise outer dimensions and edge finish. The tiles were designed to fit snugly into ceiling grid. A portion of the tile hung below the surface of the grid, creating a three-dimensional visual.

The tenoners had dozens of adjustment points, requiring wrenches and other tools to meet the strict dimensional tolerances. All technicians had their own personal toolbox, which they stored far away from the line. When it was time to adjust or set up the tenoners, they gathered their personal tools and brought them over to the tenoner they were adjusting at the moment.

After training the team in Lean principles and Single Minute Exchange of Die (a changeover reduction approach) we watched a changeover conducted by the crew on shift. What we saw was a tremendous amount of movement by the technicians conducting the changeover. Most of the movement was due to each technician gathering and moving tools back and forth between the line and their personal toolboxes which were stored thirty yards from the tenoners.

The changeover took ninety minutes. Our goal was to achieve a consistent nine-minute changeover. I wasn’t sure it was possible, but there appeared to be a tremendous amount of opportunity, especially in the area of tool use and placement.

After brainstorming overall improvement ideas, I facilitated the team to focus on ways to eliminate the huge amount of movement we observed. The plant was built in the 1940’s. Most technician habits developed over many decades of production. I wasn’t sure people would be willing to change their approach and give up their personal toolboxes.

They weren’t willing to, but it didn’t matter. The team realized their toolboxes should be set up to do unscheduled repairs and adjustments. Placing tools right at the place they were needed, would save a huge amount of time during changeover.

We identified three tools used to set the tenoner saws and edge paint sprayers precisely. They were needed in eight separate locations. Were we willing to replicate those three tools eight times?

If we wanted to cut the time by ninety percent, we had to be willing to try extreme measures. I went to the hardware store and bought eight sets of tools. The team mounted them exactly where they were needed for the changeover.

In addition to the tools, we created visuals to show the steps and installed a large digital clock on a post. It displayed the changeover elapsed time. We tested our new procedure with all of the improvements and were able to complete the changeover in fifteen minutes by the end of the Kaizen event.

Although we didn’t meet our goal, changeover time was reduced by 83%. The team felt like they had won and the plant reaped the benefits of a safer and quicker changeover for many years thereafter.

Improving Changeover Time in 4 Simple Steps

Have you ever watched an auto race? If so, you probably noticed what happens when a car enters Pit Row and is tended to by a whole team of people trying to get it back on the track as fast as possible. If you wondered how they knew what to do and how they didn’t get in each other’s way, the answer is SMED.  

SMED stands for Single Minute Exchange of Die. It was developed by Dr. Shigeo Shingo in the 1960’s and 1970’s on behalf of Toyota. Dr. Shingo was interested in reducing the time and effort that it took to change a production line from one product to the next. By intense study and trial and error, he developed a 4-step method to drive all changeovers down to less than 10 minutes, thus coining the term single minute exchange of die. For auto racers, they use SMED to improve their auto changeover times and have achieved times below 15 seconds.

Changeover reduction is a team sport, just like in NASCAR, so picking the right team is critical. Bring people together who have had experience with the changeover being studied, use their differing opinions and techniques and encourage sharing and learning. By doing this and applying SMED, you should be able to reduce changeover time by more than 50%. You should also be able to improve the safety of the changeover for everyone.

STEP 1 – Identify All Elements of the Existing Changeover

The first step in SMED is to identify all elements of the existing changeover. This is done by observing the changeover as it occurs. Use a changeover that is typical for the process. Teams use tools such as a stop watch, video, and spaghetti diagram to truly understand everything that is happening during the changeover. Rather than just discussing things, they observe the changeover and then discuss it to better understand the current situation. It is also not unusual for team members to mimic the steps of the changeover so they can see the impact and difficulty of the changeover for themselves.

The spaghetti diagram is a paper exercise that shows everywhere a person travels during the changeover, whether it is to get tools, information, or do work on equipment. To use it, you should have a general layout of the area being worked on, then place a pen or pencil on the layout, moving it to the places that the worker moves during the changeover. Don’t lift the pen or pencil. If there is more than one worker performing the changeover, there should be more people creating the spaghetti diagram. At the end of that exercise, the lines on the page tend to look like spaghetti and people are amazed at the amount of travel required to complete the changeover.

STEP 2 – Separate All Elements into External and Internal

The next step in SMED is to identify what steps or elements can be performed while the line is running (External elements) and what steps must be performed while the line is down and waiting (Internal elements). Process Improvement Partners saw an example of this in one of our sessions. After a production run was completed, the press was shut off, a die was removed, the die was returned to storage, and the new die was brought back to the press from the storage area. At that point, every step was Internal, meaning that the line was not running while each step was completed. However, the team soon realized that the retrieving of the new die could have been done in advance of the changeover and the storage of the other die could be done after the line was back up and running. The team identified all of the elements that were external, and this step saved more than 25% of the changeover time.

STEP 3 – Convert Internal Elements to External Elements

The third step challenges the team’s creativity and they start to devise ways of doing some of the changeover steps that originally had to be done while the line is down and finding ways of completing them while the line is still running. A team we worked with created a fixture that allowed parts to be positioned for installation prior to the line stopping. This saved a significant amount of time and the fixture was built with existing materials, so no money was spent. Another example is to connect a tool to the equipment, so that it is immediately accessible to do the work once the line has been stopped. There are so many examples of this that teams can do research through the internet to get ideas, or they can visit other manufacturers to see the ideas in action.

STEP 4 – Streamline All Elements

In this step, the team thinks of ways of shortening time and effort required to do any remaining elements. They prioritize and work on the internal elements first, and then work on any of the external elements that have opportunity for improvement. This is a great time to look at the video and the spaghetti diagram again and see if the amount of travel can be reduced by the repositioning of tools, materials, and equipment, or if another sequence would be more efficient. Trial the new procedure, redraw the spaghetti diagram, and get the input of all team members to ensure that the new steps are truly better for them.

Once all steps of SMED have been completed, the team should observe the new changeover procedure and verify that it is truly an improvement. Time is one measurement, but effort, travel, and the anecdotal input of those performing the new changeover procedure are also important. People need to feel that the new way is better than what they had been doing personally. Because change is difficult, the team needs to develop methods to sustain the improvements that they created. Once they do so, they will realize the benefits of their efforts.