LESSONS LEARNED

 



Lessons learned are the documented information that reflects both the positive and negative experiences of a project. They represent the organization’s commitment to project management excellence and the project manager’s opportunity to learn from the actual experiences of others.

 

Clever People Learn from their Own Experience
        Wise people learn from Others Experience




Step 1: Identify Lessons Learned

Step 1 of the lessons learned process is to identify comments and recommendations that could be valuable for future projects. The two activities for identifying lessons learned are: 1) prepare for lessons learned session and conduct lessons learned session.

Prepare for lessons learned session

The person who will be facilitating the lessons learned session should prepare in advance. In preparation for the lessons learned session the facilitator should have the participants complete a project survey. The project survey will help the participants to be better prepared to respond during the lessons learned session and will also give them the opportunity to provide input if they are unable to attend.

The project survey should be organized by category. The use of categories will ensure key information is not missed and will later help to focus the discussion. Standard categories for each project should be defined and additional categories specific to a project can be added. Suggested categories include project management, resources, technical, communication, business processes, requirements, design and build, testing, implementation and external areas. These categories can be subdivided into more detailed categories. For example, project management can be divided into the process groups: initiating, planning, executing, monitoring and controlling and closing. Planning can then be further divided into project schedule, risk analysis, etc. A simple approach is to begin with a few categories such as project management, resources, technical and external areas and then add more categories as needed.

The project survey should also include specific questions for each category. These responses will be used by the lessons learned facilitator to guide the discussion during the lessons learned session. Three key questions should be included as part of the survey: 1) what went right, 2) what went wrong and 3) what needs to be improved.

Lessons Learned Session

A lessons learned session focuses on identifying project success and project failures, and includes recommendations to improve future performance on projects. Project managers have a professional obligation to conduct lessons learned sessions for all projects with key internal and external stakeholders, particularly if the project yielded less than desirable results (PMI, 2004, p. 230). The lessons learned session is a very important part of the lessons learned process. If the session is not successful, the organization loses out on the lessons learned opportunity.

To obtain optimum results, the lessons learned sessions should be facilitated by someone other than the project manager. If the project manager chooses to facilitate the session, the project survey results should summarized by someone other than the project manager and shared with the participants during the session. This will ensure the all the relevant items are included in the discussion. The facilitator should review key documents and project survey results, and then prepare a list of questions specific to the project. The facilitator should use lessons learned categories during the session to help focus the participants thinking and discussion. Finally, the facilitator should always ask the three key questions.

  • What went right
  • What went wrong
  • What needs to be improved

Step 2: Document Lessons Learned

Step two of the lessons learned process is to document and share findings.

After lessons learned are captured, they should be reported to project stakeholders. Different types of reports can be produced based on the audience. The detailed lessons learned report consists of the data captured during the lessons learned session and any additional input from participants who were not able to attend. The facilitator should distribute the detailed lessons learned report to all participants and participants should be given time to respond to the accuracy of the report. After the report is finalized, the entire project team should receive a copy even if they did not participate in the lessons learned session. The final report should be stored with the other project documentation.

The facilitator should prepare a summary for leadership. This report should present an overview of the lessons learned process and a summary of project strengths – what went well, project weaknesses – what went wrong and recommendations – what we need to improve. The detailed report can be included as an attachment or made available in the event leadership needs more information.

Step 3: Analyze lessons learned

Step three of the lessons learned process is to analyze and organize the lessons learned for application of results. At level 1 analysis is more informal as the team decides what can be done with the lessons learned. Information is shared with other teams during organizational meetings. Project management process improvements or training needs are often identified as a result of lessons learned recommendations.

Step 4: Store lessons learned

Step four of the lessons learned process is to store in a repository. At level 1, organizations do not have a dedicated lessons learned repository in place. Lessons learned documents are stored along with other project documents, normally on a shared drive or in some form of project library. There is no easy means of retrieving the lessons. Organizations often set up a lessons learned folder on the shared drive to make the lessons learned reports available to other project teams.

Step 5: Retrieve lessons learned

Step five of the lessons learned process is to retrieve for use on current projects. This is step is rarely used at level 1. Although lessons learned reports are stored on a shared drive, without key word search capability, it is difficult to retrieve the appropriate lesson.

Level 2: Evaluation of Lessons Learned Repository

At level 2 organizations have a defined process and basic tools for identifying and documenting lessons learned. The process has become part of the organization’s culture and is consistently applied to projects and process documents have been revised to allow for more efficiency. Although organizations are consistently capturing lessons learned they are not fully utilizing them.

What organizations need at level 2 are effective tools and the beginning of analysis of stored lessons learned. Why collect lessons learned if the valuable information is not shared within an organization to either avoid reoccurrence of lessons learned or more importantly repeat best practices lessons learned.

Process to Evaluate Lessons Learned Collected in Organization’s Repository

As mentioned earlier, the identification of lessons learned from each project is the primary responsibility of each project manager. During this level, organizations need to dedicate a resource or resource(s) to begin the analysis of documented lessons learned. The purpose of the analysis is to identify actions that can be taken within the organization to strengthen weak areas of knowledge and implementation during each project. This can be done through enhanced training of project managers and/or team members; this includes project sponsors and champions. It may mean added or improved procedures and processes.

The person(s) tasked with analysis of an organization’s lessons learned should be located at a level within the organization that will enable the person(s) to implement approved solutions.

It is also important that gathering the original lessons learned data should be collected utilizing consistent processes and forms. Consistency of input information allows for speedier identification of reoccurring issues and proactive resolutions. An example of an effective lessons learned tool would be a consistent lessons learned input form.

The lessons learned input form is a key tool. This document allows for more consistent data collection as well as provides a means for easier retrieval. The lessons learned template should include previously agreed to fields such as: category, lesson learned, action taken, how did you arrive at the action taken, root cause and key words. Key words should always be identified. Key words are ultimately one of the determinants of success in utilizing lessons learned (Prichard, 1997, p. 94), and are essential for easy retrieval. The data on the lessons learned input form is transferred to the organization’s lessons learned repository. The lessons learned input form can also be shared with the project team during the lessons learned session. As a team member identifies a lesson, that needs to be included in the repository, the necessary information can be captured while the team member is available.

Types of Reports based on Lessons Learned Data

At level 1, organizations should be able to produce lessons learned detailed and summary reports from information gathered during the team sessions and share these reports with immediate project stakeholders. At level 2 more reporting options should be available.

Additional reporting options include:

  • Detailed Report – organized by key fields from the lessons learned template and includes responses gathered during the session.
  • Summary – a one-page brief summarizing the findings and providing recommendations for correcting the findings.
  • Findings – a summary of the issues found during the review process.
  • Recommendations – recommended actions to be taken to correct findings. The approved actions should be documented and tracked to completion. In some cases the approved action may become a project due to high level of resources required to address the finding.

Level 3: Metrics

During Level 2 we noted that organizations should have identified process and templates in place to address lessons learned. Analysis of lesson learned data was discussed. During Level 3, it is important to be able to take the completed analysis and convert that data to metrics that are important to the organization’s executive level action approvers.

A typical executive has a very busy schedule and most review their emails and reports utilizing the “Evelyn Woods Speed Reading Technique” or something similar. So the executive-level lessons learned report should be no more than 3 pages to ensure that the data is read and decisions should be easy to determine. The 3 page report should consist of: Page 1 – text overview of analyzed data including recommended next steps…improvement or recognitions. Page 2 and 3 should be clear graphical presentations that provide a clear picture for the executive to make a decision.

The most successful graphical presentations display either pie charts or bar charts with easily understood x-axis and y-axis titles. The graph legend should also be concise and easily understood.

It is appropriate to include more than one diagram on each page, but remember the intent of the graphs are to tell a visual story of what’s wrong and/or what is successful in the completion of projects within the executive’s area of responsibility.

Equally important, remember who your ultimate audience will be when preparing your metrics reports.

The key you want to achieve is Effective Metrics Reports which can only be achieved if the capture of project lessons learned data is consistent and maintained in a centralized repository.

Achieving the Next Level

We have shared with you different levels of lessons learned utilization and solutions we hope you can utilize to either initiate of improve your lessons learned processes, repositories and metrics. We have also provided you with justification for the importance of a lessons learned repository and the long term value that can be gained if the stored lessons learned are reviewed and analyzed on a regular basis.

Capturing lessons learned should be an on-going effort throughout the life of the project. This mindset should be strongly encouraged by the project manager from day one. Whether we are using lessons learned to prepare for current projects or for identifying project management process improvements, we learn from project failures as well as project successes. By not learning from project failures we are doomed to repeat similar situations. By not maximizing on project successes, we miss opportunities to implement good processes and practices to successfully complete existing and future work. Make sure that capturing project lessons learned is part of your procedures and an expected deliverable from your project management and product methodologies. Ensure that project teams work together to document project best practices and areas of improvement for the next project.

The final important step to ensure a successful lessons learned program is a commitment from senior level management. That commitment is visible through regular repository metrics review, action taken to implement best practices, and support to improve negative or re-occurring project trends. In order to keep the value of lessons learned in front of executives, it is critical to keep executive level reporting brief and concise. Recommendations for enhancements to organization processes and procedures and recognitions for best practices should be available on the Summary Page and in the first paragraph of any executive report.



SEVEN BASIC QUALITY TOOLS

 

     
ToolDescription
Cause-and-Effect DiagramThis is also known as the “Ishikawa” or “fishbone chart” and can be used to identify the possible causes of a problem.
Check SheetThis is a generic tool for capturing the frequencies and patterns of events such as defects or problems.
Control ChartThis is a graph that tracks how processes change over time.
HistogramThis is a tool for frequency distribution that shows how often different values occur.
Pareto ChartThis is a bar graph that shows the frequency of events in a process and determines which are the most significant.
Scatter DiagramThis is a graph that pairs variables and looks for relationships between them.
StratificationThis is a technique for separating and analyzing data from different sources to uncover patterns.

ISO 9001 - 2015


 ISO 9001:2015 is an international standard dedicated to Quality Management Systems (QMS). It outlines a framework for improving quality and a vocabulary of understanding for any organization looking to provide products and services that consistently meet the requirements and expectations of customers and other relevant interested parties in the most efficient manner possible. The QMS is the aggregate of all the processes, resources, assets, and cultural values that support the goal of customer satisfaction and organizational efficiency


HIGH LEVEL STRUCTURE OF ISO 9001 - 2015 

     

Section

Description

1. Scope

ISO 9001:2015 applies to organizations that want to show their ability to meet customer requirements and regulatory obligations through the development of consistent products and services.

2. Normative Reference

ISO 9000:2015 Quality management systems – Fundamentals and vocabulary is the primary supporting document outlining the principles and methodology of ISO 9001:2015.

3. Terms and Definitions

The controlled vocabulary of ISO 9001:2015 is contained in the document ISO 9000: 2015 Quality management systems - Fundamentals and vocabulary.

4. Context of the Organization

Organizations should identify all issues, requirements, and priorities that are relevant to their objectives for their QMS, including those of any third-parties. They should also determine and document the scope of the QMS and the processes that will contribute to the creation, maintenance, and continuous improvement of the QMS.

5. Leadership

Organizational leadership should demonstrate its commitment to the QMS by ensuring alignment with strategic objectives and processes, providing resources as necessary, and ensuring the achievement of the intended results of customer satisfaction. The organization must establish regular channels to communicate Quality values to all employees and delegate responsibilities for maintaining the QMS to well-trained subject matter experts.

6. Planning

Organizations should consider the context and requirements of all parties to enhance desired effects, prevent undesired effects, and improve Quality processes. They can then address the risks and opportunities, integrate actions into the QMS processes, and evaluate those actions to determine their impact. They should establish realistic Quality objectives and the means for measuring their impact, and then implement any required changes to the QMS that are within the scope of the resources available.

7. Support

Organizations should determine the resources (people, infrastructure, and environment) required for the implementation and maintenance of the QMS. They should ensure that all QMS professionals understand and are trained on their responsibilities and that the principles of the QMS are communicated widely. They should also create and maintain all required QMS documentation.

8. Operation

Organizations should implement the QMS according to the scope that was determined in the planning stage, ensuring that it is suffciently documented and meets the requirements of customers, regulators, and stakeholders. They should also ensure that all suppliers and vendors conform to these same standards. Products and services that are not ready to meet QMS standards should not be released to the public, and all nonconformities should be documented and addressed.

9. Performance Evaluation

Organizations should use internal audits to measure, analyze, and evaluate the effectiveness of the QMS to ensure that it is meeting customer requirements for consistent products and services. They must identify and take corrective action on any non-conformity and should review the QMS regularly to ensure that it aligns with the overall QMS strategy.

10. Improvement

Organizations should identify opportunities for continual improvement, take immediate corrective actions for nonconformities, and retain controlled documentation of all improvement activities on a continuing basis.



 

Mandatory Documents

 

ISO 9001:2015 Clause

Scope of the Quality Management System

4.3

Quality Policy

5.2

Quality Objectives and Plans for Achieving Them

6.2



Mandatory Records

ISO 9001:2015 Clause

Record of Maintenance and Calibration of Monitoring and Measuring Equipment

7.1.5.1

Competence Records

7.2

Product/Service Requirements Review Record

8.2.3.2

Record of New Requirements for Product or Service

8.2.3.2

Design and Development Inputs Record

8.3.3


Record of Design and Development Controls

8.3.4

Design and Development Outputs Record

8.3.5

Record of Design and Development Changes

8.3.6

Record of Evaluation of External Provider (supplier)

8.4.1

Record of Product/Service Characteristics

8.5.1

Record of Changes on Customer’s Property

8.5.3

Record of Changes in Production/Service Provision

8.5.6

Evidence of Product/Service Conformity

8.6

Record of Nonconformity

8.7.2, 10.2.2

Monitoring Performance Information

9.1.1

Internal Audit Program and Results

9.2.2

Management Review Results

9.3

Nonconformities and Corrective Action

10.2.2


These are the documents and records that are required to be maintained for the ISO 9001 Quality Management System, but you should  also maintain any other records that you  have identified as necessary to ensure your management system can function, be maintained, and improve over time.


Commonly used non-mandatory documents  

 

Non-Mandatory Procedures

 

ISO 9001 Clause

Determining Context of the Organization and Interested Parties

4.1, 4.2

Procedure for Addressing Risks and Opportunities

6.1.

Competence, Training and Awareness Procedure

7.2, 7.3

Procedure for Control of Documents and Records

7.5

Sales Procedure

8.2

Procedure for Design and Development

8.3

Procedure for Control of Externally Provided Processes, Products and Services (outsourced processes)

 

8.4.1

Procedure for Production and Service Provision

8.5

Warehousing Procedure

8.5.4

Procedure for Measuring Customer Satisfaction

9.1.2

Procedure for Internal Audit

9.2

Procedure for Management Review

9.3

Procedure for Nonconformity and Corrective Action

10.2


While ISO 9001 does not require that you document all of the procedures, there are several processes that are mandatory to be established in order to generate the required records that are outlined in the first section. Remember these processes and procedures are not required to be documented; however, many companies choose to do so. One rule of thumb when deciding if you want to document a process is this: if there is a chance that the process won’t be carried out as planned, then you should document it. In many cases this is the best way to ensure that your Quality Management System is reliably implemented.



HOW TO STRUCTURE DOCUMENT AND RECORDS 


QMS Scope  


This document is usually rather short, and written at the beginning of the ISO 9001 implementation. Its purpose is to define the boundaries of the QMS and to determine to which parts of the organization the QMS applies. Normally, it is a standalone document called Scope of the QMS, although it can be merged into a Quality Manual. 

 

Quality Policy  


The Quality Policy is intended to be a company’s documented intention to comply with appropriate requirements, increase customer satisfaction, and continually improve. The policy is the focus for the company to work toward and should readily convey the goal of the organization. It is a standalone document, but is often documented in a Quality Manual and sometimes posted throughout the organization as a way of communicating to all employees, since it is important that every employee understand how the policy relates to his or her job. For more information, see How to Write a Good Quality Policy. 


Risks and Opportunities that need to be addressed

 

This is a new requirement that introduces significant changes to the QMS. According to the new version, the risks and opportunities regarding the QMS must be identified and addressed, but there is no requirement to use any methodology or write a procedure. The process of addressing risks and opportunities includes consideration of internal and external issues relevant to the QMS, interested parties, and scope of the QMS. Considering the importance of this new requirement and the fact that it introduces a completely new process into the organization, it is recommended that it be documented in the form of a procedure.

 

Quality Objectives and Plans for Achieving Them 


The requirements regarding setting the quality objectives remained as they were in the previous version of the standard; they still need to be measurable and timed. However, the standard now requires plans for achieving the objectives, meaning that the organization will have to assign responsibilities and dedicate resources for achieving the objectives. These requirements can be met in separate documents, but it is much easier to create a Quality Objectives document and fulfill all the above-mentioned requirements

Competence, Training and Awareness records 

 


Introducing quality management into an organization often requires additional training of relevant employees. Describing the process of managing human resources by documenting a procedure that defines identification of training needs, training planning, conducting and evaluation of training effectiveness, as well as assigning responsibilities for this, is the best way to ensure that the requirements are met. Although it is not a requirement of the standard, good practice shows that the Procedure for Competence, Training and Awareness can be of great help to an organization. The standard explicitly requires only the evidence of competence, and that is the Training Record.

 

Procedure for Control of Documents and Records 

 

Managing documented information is defined by many requirements within clause 7.5 in the standard. Activities of approval, update, managing changes, and ensuring that the relevant version of the document is in use are best to be defined in a documented procedure. The company must also define rules to maintain its records that show the QMS is implemented and maintained, including how they identify, store, and protect the records so that they can be retrieved as necessary, for the correct amount of time, and destroyed when no longer needed but not before. If you need more information, see New approach to document and record control in ISO 9001:2015.

 

Procedure for Design and Development 

 

Requirements regarding the design and development process are among the most demanding in the standard. Every step of the design and development process needs to be documented in the form of a record, from design and development inputs, controls, and outputs, to changes in design and development. Considering all the requirements regarding the design and development process, it is best to document the Procedure for Design and Development and define all mandatory records that should accompany the procedure.

 

Procedure for control of externally provided processes

 


Products and services (outsourced processes) Creators of the standard decided to use this rather robust formulation of something that is basically the Procedure for Purchasing and Evaluation of Suppliers. Although the purchasing process doesn’t have to be documented, the standard requires companies to establish control over its externally provided processes, products, and services. The standard does require the criteria for evaluation, selection, monitoring, and re-evaluation of the suppliers to be documented, and the best way to do it is through the procedure.

Procedure for production and service provision

 


The standard requires production and service provision  processes to be under control in terms of availability of necessary documented information about product or service characteristics, intended results, availability of needed resources, monitoring and measurement activities, etc. This rather complex process will hardly achieve the intended outcomes without clearly defined rules documented in the Procedure for Production and Service Provision.
 
Warehousing procedure

 


The importance and necessity of this procedure will vary depending on the type of business the company performs, but the requirement for product preservation is one of the most crucial ones in the way of the product or service toward the end user. In cases when the storage conditions can have great influence on the product quality, rules for preservation of the product during storage should be documented in the Warehousing Procedure.

 


Monitoring performance information

 


The new version of the standard emphasizes the importance of measuring and evaluation of QMS performance. The organization needs to determine what should be monitored, how, and when. This doesn’t have to be in one document, meaning that necessary monitoring and measuring is usually included in related process procedures. But, it is good to have an overview of key performance indicators and their status in the form of a Matrix of Key Performance Indicators.

Internal audit

 


How do you audit your Quality Management System to make sure that it is performing as planned and is effective? Who is responsible for planning and carrying out the audits? How do you report the results, and what records are kept? How do you follow up on corrective actions noted in audits? Learn more in this article about the Five Main Steps in ISO 9001 Internal Audit. You must also keep records of these activities to show QMS conformance and improvement.

Management review

 


Management review as a process hasn’t suffered any changes in the new ISO 9001:2015 revision in terms of how and how often it should be conducted. However, the mandatory inputs and outputs of the management review have changed. It is now required for the top management to review internal and external issues relevant to the QMS, as well as the effectiveness of actions taken to address risks and opportunities. As a result of the management review, there should be decisions regarding opportunities for improvement of the QMS, need for changes of the system, and resources needed. The best way to keep track of what needs to be reviewed and the expected results of the management review is to document the Procedure for Management Review.

Nonconformity and corrective action

 


What actions are in place, and who is responsible for making sure that a nonconformity is addressed? How do you ensure that corrections are made, and what records are kept of the process? Find out more here: Understanding dispositions for ISO 9001 nonconforming product. How do you review nonconformities, determine causes, and evaluate the need for actions to correct them? How do you implement the necessary actions, review that the actions were effective, and keep records of the actions taken? With the Quality Management System you will find that you have non-conformances occur within your processes that you will need to correct; and when you investigate the root cause of these problems, you will have corrective actions taken. You will also need to keep records of these activities to show improvement. Learn how to do this with Seven Steps for Corrective and Preventive Actions to support Continual Improvement.


SEVEN QUALITY PRINCIPLES 

 

Principle

Description

Customer Focus

Customer focus means exceeding customer expectations and providing satisfaction and value with every customer interaction. It requires an organization to link every business objective to customer needs and to recognize that customers are those that have both direct and indirect relationships with an organization.

Leadership

Leadership must commit to ensuring the availability of all resources for Quality projects and to providing positive role models through active participation, proactive communication of vision and strategy, and an organization-wide engagement with a Culture of Quality.

Engagement of People

Organizations must engage and empower competent and motivated workers while encouraging everyone to contribute and collaborate.

Process Approach

A process approach recognizes that processes must be part of a unified and consistent system that produces predictable results, illuminates elements that require improvement, and addresses all risks that have an impact on process outcomes.

Improvement

An ongoing dedication to improvement reacts to changes in external and internal conditions to create new opportunities by focusing on root-cause determination and preventative and corrective actions.

Evidence-Based Decision Making

Making decisions based on statistical evidence provides greater objectivity, effectiveness, and effciency to an organization and makes it easier to review results for ongoing improvement.

Relationship Management

Organizations must account for and manage relationships with all vendors, partners, and suppliers to understand the constraints, opportunities, and risks for each.


SEVEN BASIC QUALITY TOOLS 

            

ToolDescription
Cause-and-Effect DiagramThis is also known as the “Ishikawa” or “fishbone chart” and can be used to identify the possible causes of a problem.
Check SheetThis is a generic tool for capturing the frequencies and patterns of events such as defects or problems.
Control ChartThis is a graph that tracks how processes change over time.
HistogramThis is a tool for frequency distribution that shows how often different values occur.
Pareto ChartThis is a bar graph that shows the frequency of events in a process and determines which are the most significant.
Scatter DiagramThis is a graph that pairs variables and looks for relationships between them.
StratificationThis is a technique for separating and analyzing data from different sources to uncover patterns.

           

CLICK ON THE IMAGES TO VIEW CLEARLY