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POTENTIAL

FAILURE MODE AND EFFECTS ANALYSIS


(PROCESS FMEA)

FMEA Number :_______________


Page :____ of ____
Prepared By: _________________

Item : _______________________________________

Process Responsibility : _______________________

Model Year(s)/Vehicle(s) : ______________________

Key Date : __________________________________

FMEA Date ( Orig.) _______________________

Core team : __________________________________


Process
Requirements
Function

Potential
Failure
Mode

Potential
Effect(s) of
Failure

S
E
V

C
L
A
S

Potential
Cause(s)/
Mechanism(s)
of Failure

O
C
C

Current Process
Control
Prevention

Detection

D
E
T

R
P
N

Recommended
Action(s)

Responsibility
& Target
Completion
Date

Actions Results
Actions
S
O
Taken
E
C
V
C

D
E
T

Actions Results
R
P
N

POTENTIAL
FAILURE MODE AND EFFECTS ANALYSIS
(DESIGN FMEA)

__________ System
__________ Sub-system

FMEA Number :_______________


Page :____ of ____

__________ Component

Prepared By: _________________

Item : _______________________________________

Process Responsibility : _______________________

Model Year(s)/Vehicle(s) : ______________________

Key Date : __________________________________

FMEA Date ( Orig.) _______________________

Core team : __________________________________


Item
Requirements
Function

Potential
Failure
Mode

Potential
Effect(s) of
Failure

S
E
V

C
L
A
S

Potential
Cause(s)/
Mechanism(s)
of Failure

O
C
C

Current Design
Control
Prevention

Detection

D
E
T

R
P
N

Recommended
Action(s)

Responsibility
& Target
Completion
Date

Actions Results
Actions
S
Taken
E
V

FMEA Date ( Orig.) _______________________

Actions Results
O
C
C

D
E
T

R
P
N

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