FMEA Form
Process/Product
Failure Modes and Effects Analysis
(FMEA)
Process or
Prepared by: Page ____ of ____
Product Name:
Responsible: FMEA Date (Orig) ______________ (Rev) _____________
Process S O D R S O D R
Step/Part E C E P Actions E C E P
Number Potential Failure Mode Potential Failure Effects V Potential Causes C Current Controls T N Recommended Resp. Actions Taken V C T N
Describe the How could this step fail? Describe all the effects down Describe all the causes for List the current controls including List specific actions Who is the Has the RPN of this
process step or List each failure mode the column of this failure each failure Mode down the Standard Operation Procedures which will reduce the person cause been reduced? List
subassembly down the column. mode on a critical customer column. (SOPs) RPN . responsible supporting
requirement. for the documentation.
improvement
action?
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