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FAILURE MODE AND EFFECTS ANALYSIS DOCUMENT

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POTENTIAL FAILURE MODE AND EFFECTS ANALYSIS
FMEA TEAM

FMEA TEAM LEAD


CROSS FUNCTIONAL TEAM
Name of the Personnel Function /
Sl.No. Stage of Involvement
(Append photograph) Process
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15

External Party Involvement


S.No
Name of the Person Organization Stage of Involvement

Legend:
A- Approver, sponsor or business leader whose approval is required.
R- Resource, an expert whose skills are needed for a given period of time.
M- Member, your full-time team members
I- Interesed Party, someone you need to ensure is informed of the status of the project.
FMEA TEAM
Product Name:
FMEA DOC No:

Role Responsibilities
(A, R, M, I)

Role
(A, R, M, I) Responsibilities
POTENTIAL FAILURE MODE AND EFFECTS ANALYSIS
FUNCTIONAL REQUIREMENTS
Product Name:
FMEA DOC No:

Requirements Details
Purpose of the Product and its
overall design intent

Functional Requirements

Performance Requirements

Safety Requirements

Regulatory Requirements

Quiet Operations: Noise, Vibration


and Harshness (NVH)

Ergonomic Requirements

Reliability (Life of the Function)

Loading and Duty Cycles: Customer


Product Usage Profile

Appearance

Packaging and Shipping

Service

Design for Assembly

Design for Manufacturability


POTENTIAL FAILURE MODE AND EFFECTS ANALYSIS
DESIGN FAILURE MODE AND EFFECTS ANALYSIS
System FMEA No:
Sub-System Design Resp: Page No:
Component/ Product Key Date: Prepared by:
Model Year/ Programs: FMEA Date (Orig):
Core Team:

Current Design Action Results

Classification
Risk

Severity

Occurrence
Item/ Potential Effect(s) of Priority

Occurrrence

Detection
Severity
Requirement Potential Failure Mode Potential Causes of Failure
Function Failure Controls Controls Number Recommended Action Actions Taken

Detection

RPN
Prevention Detection (RPN) Completion Date

Page No. 8 | 12
ADVANCED PRODUCT QUALITY PLAN
STAGE 1 - PLAN AND DEFINE PROGRAM OUTPUTS
Product Name
APQP Doc No:

PRELIMINARY PROCESS FLOW CHART


S
ADVANCED PRODUCT QUALITY PLAN
STAGE 1 - PLAN AND DEFINE PROGRAM OUTPUTS
Product Name
APQP Doc No:

PRODUCT ASSURANCE PLAN

Design Inputs Criteria for Acceptance


PUTS

ce

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