Failure Modes and Effects Analysis (FMEA) - Risk Assessment Matrix

Process or Product
Prepared by: Page 1 of
Name:

Responsible: FMEA Date (Orig) Rev # 0

S O D R S O D R
Process Step/Input Potential Failure Mode Potential Failure Effects E Potential Causes C Current Controls E P Actions Recommended Resp. Actions Taken E C E P
V C T N V C T N

How Severe is the

How often does cause

RPN =
What is the process In what ways does the Key What is the impact on the Key What causes the Key Input to What are the existing controls and

SEV * OCC * DET

What are the actions for Whose What are the completed

effect to the cusotmer?

detect cause or FM?

or FM occur?

How well can you

step/ Input under Input go wrong? Output Variables (Customer go wrong? procedures (inspection and test) reducing the occurrance Responsible for actions taken with the
investigation? Requirements) or internal that prevent eith the cause or the of the Cause, or the recalculated RPN? Be
requirements? Failure Mode? Should include an improving detection? recommended sure to include
SOP number. Should have actions action? completion month/year
only on high RPN's or
easy fixes.

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 Simple Version

FMEA
Form

Failure Modes -
Process What can go
Step Key Process Input wrong? Effects Causes Current Controls

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