System Potential FMEA Number

Subsystem Failure Mode and Effects Analysis Prepared By

Component (Risk FMEA) FMEA Date
Risk Lead Key Date Revision Date
Core Team Page of

Action Results

Potential P Responsibilit

New RPN
New Occ
New Sev

New Det
Item / Potential Potential S Cause(s)/ r Current D R Recommend y & Target Actions
Failure Effect(s) e Process e P ed
Function Mode(s) of Failure v Mechanism( o Controls t N Action(s) Completion Taken
s) of Failure b Date

0 0
pressure tear up / high 10 high 6 validade age 1 60 anual check A. Birk ; Date anual check 10 2 1 20
hose from break pressure pressure in and of hoses; of hoses
reservoir to steam / oil the suitability of avoid included in
actuator jet reservoir pressure bending check list
hose

0 0
Write down each failure mode 0 Response Plans and Tracking 0
and potential consequence(s) of 0 0
that failure.
0 0
0 Priority Number - The combined weighting of
Risk 0
Severity - On a scale of 1-5, Severity, Likelihood, and Detectability.
rate the Severity of each RPN
0 = Sev X Occ X Det 0
failure (5= most severe).

Likelihood - Write down the
potential cause(s), and on a
scale of 1-5, rate the Likelihood
of each failure (5 = most likely).
0 0
0 0
Detectability - Examine
0 the current 0
design, then, on a scale of 1-5, rate the
Detectability of 0each failure 0
(5 = least detectable).
0 0
0 0
0 0
0 0
 severity
insignificant minor injuries notable injuries major injuries death
1 2 3 4 5
very unlikely 1 1 2 3 4 5
unlikely 2 2 4 6 8 10
likelihood

notable chance 3 3 6 9 12 15
probable 4 4 8 12 16 20
almost certain 5 5 10 15 20 25

Example 15 20 25
almost certain 1 15 20 25
detectibility

high 2 30 40 50
medium 3 45 60 75
low 4 60 80 100
remote 5 75 100 125

1 - 18 may be accetable - review to see if consequences can be reduced further

25 - 49 caution. Proactive action required. Create solutions to mitigate the risk
50 - 125 critical issue. Immediate action required. Work permission not possible
System Potential FMEA Number
Subsystem Failure Mode and Effects Analysis Prepared By
Component (Risk FMEA) FMEA Date
Design Lead Key Date Revision Date
Core Team Page of

Action Results

New RPN
New Occ
New Det
New Sev
Potential Failure Potential Effect(s) S Potential Cause(s)/ r Current Process D R Recommended Responsibility &
Item / Function Mode(s) of Failure e Mechanism(s) of o Controls e P Action(s) Target Completion Actions Taken
v Failure b t N Date