Title Page
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Item Name (process, product, or service)
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FMEA Team
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Prepared by
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Conducted on
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Revision #
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List each item functions by clicking the '+' symbol below. Read questions carefully, and accurately provide the answers.
Process Step, Variable, or Key Input
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What is the process step?
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In what ways can the Process Step, Variable, or Key Input go wrong? (chance of not meeting requirements)
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What is the impact on the Key Output Variables (customer requirements) or internal requirements?
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What causes the Key Input to go wrong? (How could the failure mode occur?)
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What are the existing controls that either prevent the failure mode from occurring or detect it should it occur?
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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.
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Risk Priority # to rank order concerns
Actions Recommended
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Once all process step, variable, or key input has been assigned an RPN, fill out this section by identifying further actions.
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Does process step, variable, or key input have RPN or Severity score of 9 or 10?
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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.
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What are the actions for reducing the Occurrence of the cause, or improving Detection?
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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.
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What are the actions for reducing the Occurrence of the cause, or improving Detection? Leave 'N/A' if none needed.
Recalculated RPN
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Once action(s) are taken, recalculate RPN and provide result on the field below.
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What is the new RPN for this process step, variable, or key input?
Completion & Validation
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PFMEA Conducted by
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To be signed upon completion of actions & re-entering of new RPN.
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PFMEA Checked and Validated by