Design Failure Mode Effects Analysis Worksheet

Product________________________________ DFMEA Core Team _______________________ Team Leader ___________________________ Responsibility: ____________________________ Model Year / Program: ______________________ DFMEA Number:_________________ DFMEA Date: Original :___________ DFMEA Date: Revised :___________ Page: DFMEA Analysis Results Occurrence Severity Classificati on Detection Item (Component)and Function RPN Requirement Potential Failure Mode Potential Effect(s) of Failure Potential Cause(s) of Failure Current Design Current Current Design Design Control and Controls, Preventions Detection Recommended Action of Action Results Occurrence Severity Detection Responsibility and Target Completion Date Action Taken and completion date RPN

10

11

12

13

14

15

16

17

18

19

20

21

22

23