Potential

___ System Failure Mode and Effects Analysis

___ Subsystems (Design FMEA)
___ Component FMEA Number :
Model Year / Vehicle(s): Design Responsibility : Prepared by :
Core Team: Key Date : FMEA Date (Orig.) : (Rev.) :

C
Current Current Action Results
S L Potential Causes / O D R Responsibility &
Potential Failure Potential Effects of Design Design Recommended
Item / Function Requirements E A Mechanisms of C E P Target Completion
Mode Failure Controls Controls Actions S O D R
V S Failure C T N Date
Prevention Detection Actions Taken E C E P
S
V C T N