FMEA Control Plan Template

• Product/ Process Name

• Location
  Address

• Prepared by

• Conducted on

  Date

Failure Modes and Effects Analysis Control Plan

• Machine, device jig or tools used for manufacturing

• Characteristics No.

• Select characteristic

  Product

  Process

• Specify product characteristics

• Specify process characteristics

• Is this critical to quality?

  Yes

  No

• Product/ Process Specification/ Tolerance

• Evaluation Measurement Technique

• Sample Size

• Sample Frequency

• Control Method

• Reaction Plan

Completion

• Full Name and Signature of Control Plan Coordinator

  Sign

• Control Plan Core Team

MEMBER

• Full Name and Signature of Team Member

  Sign