A toothpaste factory had a probem: they sometimes shipped empty boxes, without the tube inside. This was due to the way the production line was set up, and people with experience in designing production lines will tell you how difficult it is to have everything happen with timings so precise that every single unit coming out of it is perfect 100% of the time. Small variations in the environment (which can’t be controlled in a cost-effective fashion) mean you must have quality assurance checks smartly distributed across the line so that customers all the way down the supermarket don’t get pissed off and buy someone else’s product instead.
Understanding how important that was, the CEO of the toothpaste factory got the top people in the company together and they decided to start a new project, in which they would hire an external engineering company to solve their empty boxes problem, as their engineering department was already too stretched to take on any extra effort.
The project followed the usual process: budget and project sponsor allocated, RFP, third-parties selected, and six months (and $8 million) later they had a fantastic solution — on time, on budget, high quality and everyone in the project had a great time. They solved the problem by using some high-tech precision scales that would sound a bell and flash lights whenever a toothpaste box weighing less than it should. The line would stop, and someone had to walk over and yank the defective box out of it, pressing another button when done.
A while later, the CEO decides to have a look at the ROI of the project: amazing results! No empty boxes ever shipped out of the factory after the scales were put in place. Very few customer complaints, and they were gaining market share. “That’s some money well spent!” - he says, before looking closely at the other statistics in the report.
It turns out, the number of defects picked up by the scales was 0 after three weeks of production use. It should’ve been picking up at least a dozen a day, so maybe there was something wrong with the report. He filed a bug against it, and after some investigation, the engineers come back saying the report was actually correct. The scales really weren’t picking up any defects, because all boxes that got to that point in the conveyor belt were good.
Puzzled, the CEO travels down to the factory, and walks up to the part of the line where the precision scales were installed. A few feet before it, there was a $20 desk fan, blowing the empty boxes out of the belt and into a bin.
“Oh, that — one of the guys put it there ’cause he was tired of walking over every time the bell rang”, says one of the workers.

Rodrigo Yoshima | 21-Jul-08 at 7:22 pm | Permalink
That’s the price you pay when you put the wrong people in the wrong project with the wrong vision on the wrong problem.
Débito Técnico » Blog Archive » Hierarquias são inteligentes nas “pontas” | 21-Jul-08 at 8:20 pm | Permalink
[...] texto foi publicado no blog do Carlos Vilella, achei tão bom que decidi [...]
Hugh’s ramblings » Blog Archive » Toothpaste | 21-Jul-08 at 11:53 pm | Permalink
[...] Villela has a great story about manufacturing toothpaste. [...]
Fabio Nascimento | 22-Jul-08 at 10:22 am | Permalink
Excelente texto.
CV isso mostra que as vezes soluções pequenas são mais rentáveis do que as mega-soluções impostas por algumas empresas de “3 letras”.
Estou repassando este texto ao meu Líder Técnico.
Fabio Nascimento
Marcio Duarte | 22-Jul-08 at 5:25 pm | Permalink
Of course they fired the guy with the Fan… After spent $8 million, who will assume the blame for that… hehehe…
Alain | 30-Jul-08 at 2:53 am | Permalink
Hm. Nice anecdote.
That said.. How did a worker get annoyed at the bells (caused by the scales picking up defective product) if the scales never picked up a defected product in the first three weeks?
Cute nonetheless, and well delivered. Though I’d also laugh at the company that spent $8M installing production-slowing precision scales, even if there were no easier solution.
Helmen | 31-Jul-08 at 8:21 pm | Permalink
That is a rip off of an actual true Japanese Soap factory story. Fuck you.
Carlos Villela | 31-Jul-08 at 11:17 pm | Permalink
Hi Helmen,
Mind posting a link that verifies your claim?
Thanks.
Rod | 11-Aug-08 at 8:37 pm | Permalink
Looks like a “urban legend” kind of story… Interesting though.
I don’t know if the Japanese version is the real true or not, but I found a link with a very similar text posted on 2007.
http://www.indusladies.com/forums/sundays-with-varalotti/8050-hard-work-vs-smart-work.html
I also watched a movie where a guy claims that it happened in a big multinational company’s factory in Valinhos. The story he tells is very similar, including the $8M spent…
The Punch Barrel / Networks Are Smart at the Edges | 12-Aug-08 at 11:21 pm | Permalink
[...] lixo.org :: Networks Are Smart at the Edges [...]
Ian S | 14-Sep-08 at 2:38 pm | Permalink
If you people saying this story is made up, had ever worked in any sort of factory, you’d realise there would be no need to make. This sort of thing happens every day. The people on the floor realise just how stupid and pig ignorant management is, but you can’t tell them that cause, first of all you’ll get fired, but also because it doesn’t really matter, as *their* boss still thinks its a *fantastic* solution and thats all that matters. Once the money is spent, its extremely difficult to tell people they did a stupid thing.
Troy | 17-Sep-08 at 4:43 am | Permalink
You can tell that this didn’t really happen, as a CEO would never approach, much less actually go into a place where real work was being done.
Carlos Villela | 17-Sep-08 at 9:52 am | Permalink
Guys, the point is not whether the story is true or not. For all I care, it’s entirely made up and I am not even claiming any original work, here.
The point is to look at this like an interesting anecdote about solving a problem, and that’s all.
codificando.com » Blog Archive » O Ventilador e o Pirulito | 23-Oct-08 at 4:11 pm | Permalink
[...] alguns meses que os gujeiros Rodrigo Yoshima e Carlos Villela blogaram sobre o uso errado da tecnologia numa fábrica de pastas de dentes. Para resolver o [...]