Product / Part: Critical safety system Team: Hardware

Project: XXX-1 Engineer responsible: GG

1. Identify

Item (component,
Function Requirements Failure mode
part, assembly)

I.e. Device should not I.e. External power is

lose power when mains removed due to power
power is removed for 30 cut
I.e. Providing power minutes

I.e. Power supply

Failure mode 2
Failure mode 3
Short circuit
Failure mode 4
Failure mode 5
Requirement 3
Failure mode 6
Function 2
Failure mode 7
Requirement 4
Failure mode 8

I.e. Device should not I.e. External power is

lose power when mains removed due to power
power is removed for 30 cut
I.e. Providing power minutes

I.e. Power supply

Failure mode 2
Failure mode 3
Requirement 2
Failure mode 4
Failure mode 5
Requirement 3
Failure mode 6
Function 2
Failure mode 7
Requirement 4
Failure mode 8

I.e. Device should not I.e. External power is

lose power when mains removed due to power
power is removed for 30 cut
I.e. Providing power minutes

I.e. Power supply

Failure mode 2
 I.e. Providing power

I.e. Power supply

Failure mode 3
Requirement 2
Failure mode 4
Failure mode 5
Requirement 3
Failure mode 6
Function 2
Failure mode 7
Requirement 4
Failure mode 8

I.e. Device should not I.e. External power is

lose power when mains removed due to power
power is removed for 30 cut
I.e. Providing power minutes

I.e. Power supply

Failure mode 2
Failure mode 3
Requirement 2
Failure mode 4
Failure mode 5
Requirement 3
Failure mode 6
Function 2
Failure mode 7
Requirement 4
Failure mode 8

I.e. Device should not I.e. External power is

lose power when mains removed due to power
power is removed for 30 cut
I.e. Providing power minutes

I.e. Power supply

Failure mode 2
Failure mode 3
Requirement 2
Failure mode 4
Failure mode 5
Requirement 3
Failure mode 6
Function 2
Failure mode 7
Requirement 4
Failure mode 8

I.e. Device should not I.e. External power is

lose power when mains removed due to power
power is removed for 30 cut
I.e. Providing power minutes

I.e. Power supply

Failure mode 2
Failure mode 3
Requirement 2
Failure mode 4
Failure mode 5
Requirement 3
Failure mode 6
Function 2
Failure mode 7
Requirement 4
Failure mode 8
 I.e. Device should not I.e. External power is
lose power when mains removed due to power
power is removed for 30 cut
I.e. Providing power minutes

I.e. Power supply

Failure mode 2
Failure mode 3
Requirement 2
Failure mode 4
Failure mode 5
Requirement 3
Failure mode 6
Function 2
Failure mode 7
Requirement 4
Failure mode 8

I.e. Device should not I.e. External power is

lose power when mains removed due to power
power is removed for 30 cut
I.e. Providing power minutes

I.e. Power supply

Failure mode 2
Failure mode 3
Requirement 2
Failure mode 4
Failure mode 5
Requirement 3
Failure mode 6
Function 2
Failure mode 7
Requirement 4
Failure mode 8

I.e. Device should not I.e. External power is

lose power when mains removed due to power
power is removed for 30 cut
I.e. Providing power minutes

I.e. Power supply

Failure mode 2
Failure mode 3
Requirement 2
Failure mode 4
Failure mode 5
Requirement 3
Failure mode 6
Function 2
Failure mode 7
Requirement 4
Failure mode 8

Copy the rows down to add more. You can merge and unmerge cells to suit your requirements by right clicking in the
Company Ignitec FMEA no.: IGNITEC-CRI/XXX-44896
Manager: BM Original Date: 01-Dec-2022

2. Classify

Occurrence likelihood
Classification
Potential
Severity

Effect(s) of Current design controls

causes of
potential failure (prevention)
failure

Power cut,
component Dual redundant back up
Death or
Danger to failure, batteries, uninterruptable
serious injury to 10 3
life user power supply, warning
users
disconnecti signs on exterior
on

1 Safety 1
1 Safety 1
1 Safety 1
1 Safety 1
1 Safety 1
1 Safety 1
1 Safety 1

Power cut,
component Dual redundant back up
Death or
Danger to failure, batteries, uninterruptable
serious injury to 10 3
life user power supply, warning
users
disconnecti signs on exterior
on

1 Safety 1
1 Safety 1
1 Safety 1
1 Safety 1
1 Safety 1
1 Safety 1
1 Safety 1

Power cut,
component Dual redundant back up
Death or
Danger to failure, batteries, uninterruptable
serious injury to 10 3
life user power supply, warning
users
disconnecti signs on exterior
on

1 Safety 1
 1 Safety 1
1 Safety 1
1 Safety 1
1 Safety 1
1 Safety 1
1 Safety 1

Power cut,
component Dual redundant back up
Death or
Danger to failure, batteries, uninterruptable
serious injury to 10 3
life user power supply, warning
users
disconnecti signs on exterior
on

1 Safety 1
1 Safety 1
1 Safety 1
1 Safety 1
1 Safety 1
1 Safety 1
1 Safety 1

Power cut,
component Dual redundant back up
Death or
Danger to failure, batteries, uninterruptable
serious injury to 10 3
life user power supply, warning
users
disconnecti signs on exterior
on

1 Safety 1
1 Safety 1
1 Safety 1
1 Safety 1
1 Safety 1
1 Safety 1
1 Safety 1

Power cut,
component Dual redundant back up
Death or
Danger to failure, batteries, uninterruptable
serious injury to 10 3
life user power supply, warning
users
disconnecti signs on exterior
on

1 Safety 1
1 Safety 1
1 Safety 1
1 Safety 1
1 Safety 1
1 Safety 1
1 Safety 1
 Power cut,
component Dual redundant back up
Death or
Danger to failure, batteries, uninterruptable
serious injury to 10 3
life user power supply, warning
users
disconnecti signs on exterior
on

1 Safety 1
1 Safety 1
1 Safety 1
1 Safety 1
1 Safety 1
1 Safety 1
1 Safety 1

Power cut,
component Dual redundant back up
Death or
Danger to failure, batteries, uninterruptable
serious injury to 10 3
life user power supply, warning
users
disconnecti signs on exterior
on

1 Safety 1
1 Safety 1
1 Safety 1
1 Safety 1
1 Safety 1
1 Safety 1
1 Safety 1

Power cut,
component Dual redundant back up
Death or
Danger to failure, batteries, uninterruptable
serious injury to 10 3
life user power supply, warning
users
disconnecti signs on exterior
on

1 Safety 1
1 Safety 1
1 Safety 1
1 Safety 1
1 Safety 1
1 Safety 1
1 Safety 1

requirements by right clicking in the cell(s) and going to "Format cells…"

C-CRI/XXX-44896 If you found this template useful please share it
Revision Date: 01-Dec-2022 Visit Ignitec.com for more free design tools

3. Take action 4. Action results

RPN (Risk priority no.)

method of detection
Effectiveness of best

Responsibility &
Current design

Severity
control
Recommended Target Actions taken &
controls
action(s) completion effective date
(detection)
date

Safe shutdown
Audible alarm, Introduce safe
sequence introduced.
flashing red shutdown Software dept.
Higher capacity battery
lights, 5 150 sequence within (JB) 01-Jun- 10
introduced allowing for
notifications sent 30 minute 2022
60 minutes of power.
to server window
01-Nov-2022

1 1 5
1 1 5
1 1 5
1 1 5
1 1 5
1 1 5
1 1 5

Safe shutdown
Audible alarm, Introduce safe
sequence introduced.
flashing red shutdown Software dept.
Higher capacity battery
lights, 5 150 sequence within (JB) 01-Jun- 10
introduced allowing for
notifications sent 30 minute 2022
60 minutes of power.
to server window
01-Nov-2022

1 1 5
1 1 5
1 1 5
1 1 5
1 1 5
1 1 5
1 1 5

Safe shutdown
Audible alarm, Introduce safe
sequence introduced.
flashing red shutdown Software dept.
Higher capacity battery
lights, 5 150 sequence within (JB) 01-Jun- 10
introduced allowing for
notifications sent 30 minute 2022
60 minutes of power.
to server window
01-Nov-2022

1 1 5
 1 1 5
1 1 5
1 1 5
1 1 5
1 1 5
1 1 5

Safe shutdown
Audible alarm, Introduce safe
sequence introduced.
flashing red shutdown Software dept.
Higher capacity battery
lights, 5 150 sequence within (JB) 01-Jun- 10
introduced allowing for
notifications sent 30 minute 2022
60 minutes of power.
to server window
01-Nov-2022

1 1 5
1 1 5
1 1 5
1 1 5
1 1 5
1 1 5
1 1 5

Safe shutdown
Audible alarm, Introduce safe
sequence introduced.
flashing red shutdown Software dept.
Higher capacity battery
lights, 5 150 sequence within (JB) 01-Jun- 10
introduced allowing for
notifications sent 30 minute 2022
60 minutes of power.
to server window
01-Nov-2022

1 1 5
1 1 5
1 1 5
1 1 5
1 1 5
1 1 5
1 1 5

Safe shutdown
Audible alarm, Introduce safe
sequence introduced.
flashing red shutdown Software dept.
Higher capacity battery
lights, 5 150 sequence within (JB) 01-Jun- 10
introduced allowing for
notifications sent 30 minute 2022
60 minutes of power.
to server window
01-Nov-2022

1 1 5
1 1 5
1 1 5
1 1 5
1 1 5
1 1 5
1 1 5
 Safe shutdown
Audible alarm, Introduce safe
sequence introduced.
flashing red shutdown Software dept.
Higher capacity battery
lights, 5 150 sequence within (JB) 01-Jun- 10
introduced allowing for
notifications sent 30 minute 2022
60 minutes of power.
to server window
01-Nov-2022

1 1 5
1 1 5
1 1 5
1 1 5
1 1 5
1 1 5
1 1 5

Safe shutdown
Audible alarm, Introduce safe
sequence introduced.
flashing red shutdown Software dept.
Higher capacity battery
lights, 5 150 sequence within (JB) 01-Jun- 10
introduced allowing for
notifications sent 30 minute 2022
60 minutes of power.
to server window
01-Nov-2022

1 1 5
1 1 5
1 1 5
1 1 5
1 1 5
1 1 5
1 1 5

Safe shutdown
Audible alarm, Introduce safe
sequence introduced.
flashing red shutdown Software dept.
Higher capacity battery
lights, 5 150 sequence within (JB) 01-Jun- 10
introduced allowing for
notifications sent 30 minute 2022
60 minutes of power.
to server window
01-Nov-2022

1 1 5
1 1 5
1 1 5
1 1 5
1 1 5
1 1 5
1 1 5
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4. Action results
RPN (Risk priority no.)
Occurrence

Detection

3 1 30

4 3 60
4 3 60
4 3 60
4 3 60
4 3 60
4 3 60
4 3 60

3 1 30

4 3 60
4 3 60
4 3 60
4 3 60
4 3 60
4 3 60
4 3 60

3 1 30

4 3 60
4 3 60
4 3 60
4 3 60
4 3 60
4 3 60
4 3 60

3 1 30

4 3 60
4 3 60
4 3 60
4 3 60
4 3 60
4 3 60
4 3 60

3 1 30

4 3 60
4 3 60
4 3 60
4 3 60
4 3 60
4 3 60
4 3 60

3 1 30

4 3 60
4 3 60
4 3 60
4 3 60
4 3 60
4 3 60
4 3 60
3 1 30

4 3 60
4 3 60
4 3 60
4 3 60
4 3 60
4 3 60
4 3 60

3 1 30

4 3 60
4 3 60
4 3 60
4 3 60
4 3 60
4 3 60
4 3 60

3 1 30

4 3 60
4 3 60
4 3 60
4 3 60
4 3 60
4 3 60
4 3 60
Range Classes
1 Safety
2 Product failure
3 Danger to life
4 Key
5 Major
6 Significant
7 EMC
8 Communications
9 Low risk
10 Misc