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  • Failure Mode, Effect, and Criticality Analysis (FMECA) Worksheet

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    Arie Purwanto
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    This document provides instructions for conducting a Failure Mode, Effect, and Criticality Analysis (FMECA). The analysis involves: 1) Flow charting the intended and actual process. 2) Listing each step and link between steps of the intended process. 3) Identifying discrepancies between the intended and actual process flows. The worksheet is then used to analyze potential failure modes, their effects, likelihood, severity, and criticality to identify areas for improvement.

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    Fmeca

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    Fmeca

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    This document provides instructions for conducting a Failure Mode, Effect, and Criticality Analysis (FMECA). The analysis involves: 1) Flow charting the intended and actual process. 2) Listing each step and link between steps of the intended process. 3) Identifying discrepancies between the intended and actual process flows. The worksheet is then used to analyze potential failure modes, their effects, likelihood, severity, and criticality to identify areas for improvement.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    Download as pdf or txt
    24 views2 pages

    Failure Mode, Effect, and Criticality Analysis (FMECA) Worksheet

    Uploaded by

    Arie Purwanto
    This document provides instructions for conducting a Failure Mode, Effect, and Criticality Analysis (FMECA). The analysis involves: 1) Flow charting the intended and actual process. 2) Listing each step and link between steps of the intended process. 3) Identifying discrepancies between the intended and actual process flows. The worksheet is then used to analyze potential failure modes, their effects, likelihood, severity, and criticality to identify areas for improvement.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
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    Failure Mode, Effect, and Criticality Analysis (FMECA) Worksheet

    1. Flow chart the selected process as it is designed (the intended process)


    2. Flow chart the selected process as it is routinely conducted (the actual process)
    3. List each step and each link between steps of the intended process in Column 5 below
    4. Include discrepancies between the flow charts (steps 1 & 2) in Column 6 below

    5. 6. 7. 8. 9. 10. 11. 12 13
    Step or Link List all potential Potential Severity Probability of Invisibility Criticality RPN Rank
    in process Failure Modes effect of effect failure-effect of failure (8x9x10) Sum (11) (Order 12)

    Adapted, with permission, from model used by


    Joint Commission on Accreditation of Healthcare Organizations Good Samaritan Hospital, Dayton, Ohio
    Failure Mode, Effect, and Criticality Analysis (FMECA) Worksheet
    Page 2: Analysis and Action Planning for Critical Failure Modes

    Critical Failure Mode Actionable Causes Potential Solutions / Redesigns Time Req'd. Cost

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