Process or

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Process Owner: FMEA Date (Orig): Rev.
Key Process
Step or Input
Potential Failure
Mode
Potential Failure
Effects
S
E
V Potential
Causes
O
C
C Current
Controls
D
E
T
R
P
N Actions
Recommended Resp. Actions
Taken
S
E
V
O
C
C
D
E
T
R
P
N
What is the
Process Step or
Input?
In what ways can
the Process Step
or Input f ail?
What is the impact
on the Key Output
Variables once it
f ails (customer or
internal
requirements)?
H o w S e v e r e i s t h e
e f f e c t t o t h e
c u s t o m e r ?What causes the
Key Input to go
wrong?
H o w o f t e n d o e s
c a u s e o r F M o c c u r?What are the
existing controls
and procedures
that prevent either
the Cause or the
Failure Mode?
H o w w e l l c a n y o u
d e t e c t t h e C a u s e o r
t h e F a i l u r e M o d e ?What are the
actions f or
reducing the
occurrence of the
cause, or
improving
detection?
Who is
Responsible f or
the recommended
action?
Note the
actions
taken.
Include
dates of
completion.
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Failure Modes Effects Analysis