Fmea Risk Assessment Template

Failure Modes and Effects Analysis

Potential Cause(s) of Failure

Current Process Controls

Detection

Potential Effect(s) of Failure

Facilitator: Occurrence

Process Step Potential Failure or System Mode Component

FMEA Team:

Severity

FMEA Subject:

R P N

Recommended Action(s) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Responsibility and Target Completion Date Actions Taken

Date(s): Action Results S E V

O C C

D E T

R P N

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Rating Degree of Severity Very High: Production: The process or system would fail completely. 5

Customer: A large number of customers would take their business elsewhere. Safety: Loss of human life could occur. High: Production: A subset of core functionality or service would be unavailable.

4

High: Failure could occur often High: There is a chance failure (e.g. once a week). would be detected in a reasonable span of time.

Customer: Customers would be frustrated. A small percentage might take their business elsewhere. Safety: People would be seriously injured. Medium: Production: Core functionality or service would experience performance degradation.

3

Probability of Occurrence Ability to Detect Very High: Failure could occur Very High: It is very unlikely very often (e.g. once a day). failure would be detected.

Medium: Failure could occur occasionally (e.g. once a month).

Medium: Failure would be detected after a significant period of time.

Customer: Customers would be slightly incovenienced. Safety: People would be experience minor injuries, requiring medicial attention. Low: Low: Failure could occur Low: The failure would be occasionally (e.g. once a year). detected almost immediately. Production: Minor or infrequently used functionality or service would be unavailable.

2

1

Customer: Customers would be slightly inconvenienced. Safety: The failure may result minor discomfort or irritation. No medical attention would be required. None: None: It is unlikely this process None: Process steps or system components virtually Production: Functionality is not step or system component would fail. ensure this failure would be impacted or would be detected. immediately addressed by redundant or resilient mitigating controls. Customer: Customers would not be impacted. Safety: There would be no impact on personnel safety or well being.

NOTE: As the first step in the FMEA process, customize the above ratings to suit your process or system.