Template FMEA 1

14
JUDUL PROSES TANGGAL DIMULAI TANGGAL SELESAI LANGKAH 1 PEMBENTUKAN TIM KETUA ANGGOTA FASILITATOR NOTULEN SASARAN Status COMPLETE TOTAL FAILURE MODE ………. ALUR PROSES PROSES 1 2 3 4 5 Project Status

description

tabel fmea

Transcript of Template FMEA 1

Page 1: Template FMEA 1

JUDUL PROSESTANGGAL DIMULAI TANGGAL SELESAI

LANGKAH 1PEMBENTUKAN TIMKETUA ANGGOTA

FASILITATORNOTULEN

SASARAN

Status COMPLETE

TOTAL FAILURE MODE ……….

ALUR PROSES

PROSES1 2 3 4 5

Project Status

Page 2: Template FMEA 1

SUB PROSES

a

b

c

d

e

f

Page 3: Template FMEA 1

LANGKAH 3,4,5,6

MODUS KEGAGALAN DAN DAMPAK

Process/Product: 1. ………………………….. ; Tim leader : ………………….. ; Date : ……………..

Se

veri

ty

Lik

elih

oo

d

Det

ect

ion

RP

N

Rea

sse

ssm

ent

Da

te

Lik

elih

oo

d

Se

veri

ty

Det

ect

ion

New

RP

NPotential Failure Mode

Potential Causes for

Failure

Potential Effects of

Failure

Current Controls

Recommended Action

Page 4: Template FMEA 1

MODUS KEGAGALAN DAN DAMPAK

Process/Product: 1. ………………………….. ; Tim leader : ………………….. ; Date : ……………..

Lik

elih

oo

d

Se

veri

ty

Det

ect

ion

RP

N

Rea

sse

ssm

ent

Da

te

Lik

elih

oo

d

Se

veri

ty

Det

ect

ion

New

RP

NPotential Failure Mode

Potential Causes for

Failure

Potential Effects of

Failure

Current Controls

Recommended Action

Page 5: Template FMEA 1

MODUS KEGAGALAN DAN DAMPAK

Process/Product: 1. ………………………….. ; Tim leader : ………………….. ; Date : ……………..

Lik

elih

oo

d

Se

veri

ty

Det

ect

ion

RP

N

Rea

sse

ssm

ent

Da

te

Lik

elih

oo

d

Se

veri

ty

Det

ect

ion

New

RP

NPotential Failure Mode

Potential Causes for

Failure

Potential Effects of

Failure

Current Controls

Recommended Action

Page 6: Template FMEA 1

MODUS KEGAGALAN DAN DAMPAK

Process/Product: 1. ………………………….. ; Tim leader : ………………….. ; Date : ……………..

Lik

elih

oo

d

Se

veri

ty

Det

ect

ion

RP

N

Rea

sse

ssm

ent

Da

te

Lik

elih

oo

d

Se

veri

ty

Det

ect

ion

New

RP

NPotential Failure Mode

Potential Causes for

Failure

Potential Effects of

Failure

Current Controls

Recommended Action

Page 7: Template FMEA 1

MODUS KEGAGALAN DAN DAMPAK

Process/Product: 1. ………………………….. ; Tim leader : ………………….. ; Date : ……………..

Lik

elih

oo

d

Se

veri

ty

Det

ect

ion

RP

N

Rea

sse

ssm

ent

Da

te

Lik

elih

oo

d

Se

veri

ty

Det

ect

ion

New

RP

NPotential Failure Mode

Potential Causes for

Failure

Potential Effects of

Failure

Current Controls

Recommended Action

Page 8: Template FMEA 1

Severi

ty

Lik

elih

ood

Dete

cti

on

RP

NPotential Failure Mode

Potential Effects for

Failure

Potential Causes of

Failure

Current Controls

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Recommended Action

Lik

elih

ood

Severi

ty

Dete

cti

on

New

RP

N

Reassessm

en

t D

ate

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Action Plan :………………………

Failure Mode CAUSE Recommendation(s)

ACTION PLAN: …………………………

Failure Mode CAUSE Recommendation(s)

Action(s) to achieve

recommendations (How)

Implementation by Whom

Action(s) to achieve

recommendations (How)

Implementation by Whom

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ACTION PLAN: …………………………

Implementation by when

Implementation of the place

(Where)

Resource required (Time)

Resource required (Money)

Evidence of completion

Monitoring & evaluation

arrangements

Implementation by when

Implementation of the place

(Where)

Resource required

(Time)

Resource required (Money)

Evidence of completion

Monitoring & evaluation

arrangements

Page 12: Template FMEA 1

Sign-off by

ACTION PLAN: …………………………

Sign-off by

Sign-off Date

Sign-off Date