costs associated with defects found before the customer receives the product or service; External failure costs, representing costs associated with defects found after the customer receives the product or service; Appraisal costs, representing costs incurred to determine the degree of conformance to quality requirements; Prevention costs, representing costs of all activities specifically incurred to keep failure costs to a minimum [3]. Juran divided the quality effort management into a three-legged approach: Quality planning: developing products and processes to meet the customer’s needs by discovering who the customers are and their needs; Quality control: improving quality levels by lowering defects thus reducing costs, improving customer satisfaction and meeting goals; Quality improvement: continuously improving the quality process [3, 42]. Ishikawa believed a culture of continuous improvement is born from management responsibility [3] and in 1943, developed the cause and effect (fishbone) diagram to assist quality improvement [2, 42].