Figure 6. Automotive Industry FMEA Worksheet

  POTENTIAL  
FAILURE MODE AND EFFECTS ANALYSIS
______ System (DESIGN FMEA) FMEA Number _______
______ Subsystem Design Responsibility ______________ Page ______ of ______
______ Component _____________________________ Prepared By _________
Model Year(s)/Vehicle(s) ____________ Key Date ______________________ FMEA Date (Orig.) ____(Rev.) ____
Core Team ___________________________________________________

Item / Function Potential Failure Mode Potential Effect of Failures S
e
v
C
l
a
s
s
Potential Cause / Mechanism of Failure O
c
c
u
r
Current Design Controls D
e
t
e
c
R.
P.
N.
Recommended Action Responsibility & Target Data Action Results
Action Taken S
e
v
O
c
c
D
e
t
R.
P.
N.