LANGKAH 1,2

JUDUL PROSES
TANGGAL DIMULAI
TANGGAL SELESAI

LANGKAH KE-1 : PEMBENTUKAN TIM FMEA

KETUA
ANGGOTA

FASILITATOR
NOTULEN

SASARAN / GOAL

TOTAL FAILURE MODE

LANGKAH KE-2: GAMBARKAN ALUR PROSES

 PROSES
1 2 3 4

SUB PROSES

e
f
5 6
LANGKAH 3,4,5,6
MENENTUKAN MODUS KEGAGALAN, DAMPAK, IDENTIFIKASI PENYEBAB DAN PRIORITAS

Proses 1 :

Likelihood
Detection
Severity
Potential Effects of Potential Causes of

RPN
No Potential Failure Mode Current Controls
Failure Failure

Sub Proses 1a :
1
2 0
Sub Proses 1b :

0
Proses 1c :

Proses 1d :

Proses 2 :
 Likelihood
Detection
Severity
Potential Effects of Potential Causes of

RPN
No Potential Failure Mode Current Controls
Failure Failure

Proses 2a :

Proses 2b :

Proses 2c :
Proses 3

Likelihood
Detection
Severity
Potential Effects of Potential Causes of

RPN
No Potential Failure Mode Current Controls
Failure Failure

Proses 3a :

Proses 3b :

Proses 3c :

Proses 3d :

Proses 4 :
 Likelihood
Detection
Severity
Potential Effects of Potential Causes of

RPN
No Potential Failure Mode Current Controls
Failure Failure

Proses 4a :
Proses 4b :

Proses 4c :

Proses 4d :

Proses 5 :

Likelihood
Detection
Severity
Potential Effects of Potential Causes of

RPN
No Potential Failure Mode Current Controls
Failure Failure

Proses 5a :

0
Proses 5b :
Proses 5c :

Proses 5d :
 RPN 1 RPN 2
Leader: FM 4 0 0

Likelihood

New RPN
Detection
Severity
Recommended Action

Leader : FM 4 0 0
 Recommended Action

Severity
Likelihood
Detection

New RPN
Leader : FM 5 0 0

Likelihood

New RPN
Detection
Severity
Recommended Action

Leader: 7 0 0
 Recommended Action

Severity
Likelihood
Detection

New RPN
 Leader :

Recommended Action
Severity
Likelihood
Detection

New RPN

0
5
0
0
FM RPN 1 RPN 2
25 0 0
 REDESIGN FMEA
NO SEBELUM REDESIGN SESUDAH REDESIGN
1
2
3
4
5
 Action Plan :
Action(s) to achieve Implementation
Implementation by Implementation Resource
No Failure Mode CAUSE Recommendation(s) recommendations
Whom by when
of the place
required (Time)
(How) (Where)

1 Fall, slip, trip

edukasi tidak
2
optimal

tidak
3
terasesmen

tidak terlayani
4
transpor

5 proses gagal

6 Error
7 Error

8 Slip, Trip, Fall

tidak
9
terasesmen

tidak
10
terskreening

11 Error

12 Fall, Slip

13 Gagal
Resource Monitoring &
Evidence of Sign-off Sign-off
required evaluation
completion by Date
(Money) arrangements
FORMULIR PDSA

PLAN
Kami berencana . . .

Kami berharap . . .

DO
Kami mengerjakan

STUDI
Kami pelajari bahwa . . .

ACTION
Kami simpulkan bahwa . . .
 EVALUASI RPN
Nilai RPN Sebelum Redesain 264
Nilai RPN Setelah Redesain 45

300
264
250

200

150

100

50
45

0
Sebelum Redesain Setelah Redesain
 KESIMPULAN
1
2
3
4
5