PFMEA Template

• Item Name (process, product, or service)

• FMEA Team

• Prepared by

• Conducted on

  Date

• Revision #

• List each item functions by clicking the '+' symbol below. Read questions carefully, and accurately provide the answers.

Process Step, Variable, or Key Input

• What is the process step?

• In what ways can the Process Step, Variable, or Key Input go wrong? (chance of not meeting requirements)

• What is the impact on the Key Output Variables (customer requirements) or internal requirements?

• How Severe is the effect to the customer?

• What causes the Key Input to go wrong? (How could the failure mode occur?)

• How frequent is the cause likely to Occur?

• What are the existing controls that either prevent the failure mode from occurring or detect it should it occur?

• How probable is Detection of cause?

• To compute for RPN, multiply score rating you indicated for Severity, Occurrence, & Detection. Once you get the result, please fill out the field below for RPN.

• Risk Priority # to rank order concerns

Actions Recommended

• Once all process step, variable, or key input has been assigned an RPN, fill out this section by identifying further actions.

• Does process step, variable, or key input have RPN or Severity score of 9 or 10?

  Yes

  No

• Provide action by selecting ''Action" located on the lower right of the field above. Provide what need's to be done, assign action to responsible person, and provide target date.

• What are the actions for reducing the Occurrence of the cause, or improving Detection?

• Provide action by selecting ''Action" located on the lower right of the field above. Provide what need's to be done, assign action to responsible person, and provide target date.

• What are the actions for reducing the Occurrence of the cause, or improving Detection? Leave 'N/A' if none needed.

Recalculated RPN

• Once action(s) are taken, recalculate RPN and provide result on the field below.

• What is the new RPN for this process step, variable, or key input?

• PFMEA Conducted by

  Sign

• To be signed upon completion of actions & re-entering of new RPN.

• PFMEA Checked and Validated by

  Sign