1. 1
DESIGN PFMEA NO.:
Potential Failure Modes and Effects Analysis 2
PROJECT NO.:
(PFMEA) 3
DESIGN RESP.: :
4 KEY DATE:
28
TEAM MEMBERS:
5 7 8
Process or
Prepared by: Page ____ of ____ 27
Product Name:
CATALOG/COMPONENT #:
Responsible: 6 9 PFMEA Date (Orig) ______________ (Rev) _____________ 10
16 18 19
14 15 22 23 26
11 12 13 17 20 21 24 25
S O D R S O D R
Process Actions
Potential Failure Mode Potential Failure Effects E Potential Causes C Current Controls E P Resp. Actions Taken E C E P
Step/Input Recommended
V C T N V C T N
How often does cause or
How Severe is the effect
How well can you detect
What are the actions
to the cusotmer?
for reducing the
cause or FM?
What are the existing controls and Whose What are the completed
FM occur?
What is the What is the impact on the Key occurrance of the
procedures (inspection and test) Responsible for actions taken with the
process step/ In what ways does the Key Output Variables (Customer What causes the Key Input to Cause, or improving
that prevent eith the cause or the the recalculated RPN? Be
Input under Input go wrong? Requirements) or internal go wrong? detection? Should
Failure Mode? Should include an recommended sure to include
investigation? requirements? have actions only on
SOP number. action? completion month/year
high RPN's or easy
fixes.
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
PFMEA-101
Rev. Date 10/15/99 © 1999 Eaton Corporation, All Rights Reserved.
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