Potential

__ System Failure Mode and Effects Analysis

__ Subsystem
__ Component (Design FMEA)
FMEA Number:
Page 1 or 1
Model Year/Vehicle(s): Design Responsibility Prepared by: Lee Dawson
Core Team: Key Date: FMEA Date (Orig.):

Item C Potential Current O Current D Responsibility Action Results

Potential Potential S L C E R. Recommended
Cause(s)/ Design Design & Target S O D R.
Failure Effect(s) of E A Mechanism(s) C T P.
Controls Controls Action(s) Completion Actions E C E P.
Mode Failure V S U E N.
Taken
Function S Of Failure Prevention R Detection C Date V C T N.