Goal of "Single PPM Quality Innovation Movement" is to achieve perfect quality through participation of all members in the production line to achieve zero defects. Six Sigma has been used by many leading corporations as a tool for Management Innovation. Recently, the number of small and medium sized companies implementing Six Sigma has increased. Therefore, this research introduces the case of "S" company which utilized Six Sigma and Single PPM together to effectively implement Single PPM Quality Innovation Movement. This paper describes issues identified during the Single PPM Quality Innovation Movement implementation and also suggests improvement plans.