Global Supply Management

FMEA Ident: PnPnPnPn

FMEA
Date of Orig Issue: dd-mmm-yy
Prepared By:
Last Rev Date: dd-mmm-yy

REVISION RECORD
Steps/Features Chg
Changes Ch'd By Change Date
Affected Number
All Initial Release dd-mmm-yy

appendix_13_3_PFMEA_and_DFMEA
Revised: October 7, 2009
 Global Supply Management

Potential Failure Mode and Effects Analysis (Process) PFMEA Ident:

Signature (pg 1): Prepared By:

Approver Name: Dsgn Resp: PFMEA Rev Date:
Product/Item: Mod Yr/Veh: Part Production Drawing Rev: n/a
Core Team: Key Date: Part Outline Drawing Rev: n/a

9 10 11 12 13 14 15 16 16 17 18 19 20 Action Results
Step / Process Function/ Potential Potential Potential Current Current Rec. Actions Resp. and 21
Opr # Requirements Failure Mode Effects of Cause(s) / Process Process Target

Class

RPN

RPN
Occ

Occ
Det

Det
Sev

Sev
Failure Mechanisms Controls Controls Completion Actions
of Failure Prevent Detect Date Taken

1 1 1 1 n/a
1 1 1 1 n/a
1 1 1 1 n/a
1 1 1 1 n/a
1 1 1 1 n/a
1 1 1 1 n/a
1 1 1 1 n/a
1 1 1 1 n/a
1 1 1 1 n/a
1 1 1 1 n/a
1 1 1 1 n/a
1 1 1 1 n/a
1 1 1 1 n/a
1 1 1 1 n/a
1 1 1 1 n/a
1 1 1 1 n/a
1 1 1 1 n/a
1 1 1 1 n/a
1 1 1 1 n/a
1 1 1 1 n/a
1 1 1 1 n/a
1 1 1 1 n/a
1 1 1 1 n/a
1 1 1 1 n/a
1 1 1 1 n/a
1 1 1 1 n/a
1 1 1 1 n/a

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appendix_13_3_PFMEA_and_DFMEA
Revised: October 7, 2009
 Global Supply Management

System
Sub System Potential Failure Mode and Effects Analysis (Design) DFMEA Ident:
Component
Signature (pg 1): Prepared By:
Approver Name: Dsgn Resp: DFMEA Rev Date:
Product/Item: Mod Yr/Veh: Part Production Drawing Rev: n/a
Core Team: Key Date: Part Outline Drawing Rev: n/a

9 10 11 12 13 14 15 16 16 17 18 19 20 Action Results
Ident Item / Function Potential Potential Potential Current Current Rec. Actions Resp. and 21
Failure Mode Effects of Cause(s) / Design Design Target

Class

RPN

RPN
Occ

Occ
Sev

Sev
Det

Det
Failure Mechanisms Controls Controls Completion Actions
of Failure Prevent Detect Date Taken

1 1 1 1 n/a
1 1 1 1 n/a
1 1 1 1 n/a
1 1 1 1 n/a
1 1 1 1 n/a
1 1 1 1 n/a
1 1 1 1 n/a
1 1 1 1 n/a
1 1 1 1 n/a
1 1 1 1 n/a
1 1 1 1 n/a
1 1 1 1 n/a
1 1 1 1 n/a
1 1 1 1 n/a
1 1 1 1 n/a
1 1 1 1 n/a
1 1 1 1 n/a
1 1 1 1 n/a
1 1 1 1 n/a
1 1 1 1 n/a
1 1 1 1 n/a
1 1 1 1 n/a
1 1 1 1 n/a

Page 3 of 5
Document Printed: 04/19/2017 13:41:56
appendix_13_3_PFMEA_and_DFMEA
Revised: October 7, 2009
 Global Supply Management

NOTE: Relation of FMEA to

FMEA product drawing dates may be

documented in other locations.
Enter "n/a" when appropriate.
Date of Index Date on FMEA FMEA Ident

This FMEA applies to the following Part Numbers

Part Number Drwg Rev Prod

Drwg Rev
Outline Part Number Drwg Rev Prod
Drwg Rev
Outline Part Number Drwg Rev Prod
Drwg Rev
Outline

appendix_13_3_PFMEA_and_DFMEA
Revised: October 7, 2009
 Part
FMEA Number <Type P/N>

Pointer Document
For information on this Part
Refer to the FMEA identified as:

appendix_13_3_PFMEA_and_DFMEA
Revised: October 7, 2009