FMEA - Example FMEA Sheet

Example FMEA Sheet

Example FMEA Worksheet
Item / Function Potential Failure mode Potential Effects of Failure S (severity rating) Potential Cause(s) O (occurrence rating) Current controls D (detection rating) CRIT (critical characteristic RPN (risk priority number) Recommended actions Responsibility and target completion date Action taken New S New O New D New RPN
Fill tub High level sensor is disconnected Liquid spills on customer floor 8 sensor is exposed at top and can be easily disconnected by user 2 Fill timeout based on time to fill to low level sensor 5 N 80 Perform cost analysis of adding additional sensor halfway between low and high level sensors to calculate fill rate at midpoint and determine max fill volume in case high level sensor is disconnected Jane Doe
15-May-2012

NOTE: Above shown example format is not in line with mil.std 1629 or Civil Aerospace practise. The basic terms as given in first paragraph of this page are not available in this template!

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