Design FMEA

Prepared by:
Item Name: FMEA Team:
FMEA Date (Orig): Revision:

S O D R S O D
Item Potential Effect on Customer Future
Potential Failure Mode E Potential Causes C Current Process Controls E P Actions Recommended Resp.& Target Date Actions Taken E C E
Function Because of Defect RPN
V C T N V C T

How frequent is cause

Risk Priority # to rank

How Severe is effect

Detection of cause?

Future Occurance
to the customer?

Future Detection
How probable is
likely to Occur?

In what ways can the
What is the component, Component, Subsystem or
function, or feature? System potentially fail to meet
the Design Intent ?
Future Severity
order concerns
What are the Existing Controls What are the actions for
What is the impact on the Key What were the actions
List every conceivable failure & Procedures (Fail-Safe, reducing the Occurrence of the Who's Responsible for the
Output Variables (customer implemented? Include
and/or failure mechanism for Tests, Mathemat.Calcs)that cause, or improving Detection? recommended action? What
requirements) or internal completion month/year. (Then
each failure mode prevent either the cause or the Should have actions on high date?
requirements? recalculate resulting RPN.)
failure mode RPN's or EASY FIXES

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