FMEA (Failure Mode and Effects Analysis) Checklist

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This Template was installed 5 times.

Process Definition & Scope

1 of 13

Ensures the process being analyzed is clearly defined and the scope is appropriate for the analysis. This includes understanding inputs, outputs, and key process steps.

Process Name

Brief Process Description

Process Boundaries (Start & End Points)

Process ID / Part Number (if applicable)

List of Key Inputs to the Process

List of Key Outputs from the Process

Stage of Process (e.g., Design, Setup, Operation, Inspection)

Departments/Teams Involved

Process Flow Diagram & Step Identification

2 of 13

Confirms a clear and accurate process flow diagram exists and each process step is distinctly identified and numbered for consistent referencing.

Process Flow Diagram (PDF, PNG, JPEG)

Brief Description of the Process

Total Number of Process Steps Identified

Step 1: Process Step Description

Step 1: Process Step Number

Step 2: Process Step Description

Step 2: Process Step Number

Notes on Step Definition and Boundaries

Process Flow Diagram Accuracy Assessment (Initial Review)

Potential Failure Modes

3 of 13

Focuses on identifying all possible ways a process step could fail, considering different conditions and error sources.

Failure Mode 1: Describe the specific way the process step could fail.

Failure Mode 2: Describe the specific way the process step could fail.

Failure Mode 3: Describe the specific way the process step could fail.

Failure Mode 4: Describe the specific way the process step could fail.

Failure Mode 5: Describe the specific way the process step could fail.

Failure Mode 10: Describe the specific way the process step could fail.

Potential Effects of Failure

4 of 13

Evaluates the impact of each failure mode – what consequences arise for the product, process, or customer.

Immediate Impact on Product Quality

Impact on Subsequent Processes

Impact on Customer Satisfaction

Impact on Safety (Operator or Environment)

Impact on Regulatory Compliance

Potential for Product Recall or Warranty Claims

Impact on Production Schedule or Throughput

Potential Causes of Failure

5 of 13

Identifies the root causes that could lead to each failure mode. This includes materials, equipment, methods, environment, and manpower.

Material Supplier Quality Issues

Equipment Maintenance Deficiencies

Process Parameter Drift (e.g., Temperature)

Operator Training Gaps

Design Error (if applicable)

Environmental Factors (e.g., Humidity, Vibration)

Cycle Time Variation

Tooling Wear/Damage

Severity Rating (S)

6 of 13

Assesses the seriousness of the effect of failure. Uses a pre-defined scale to quantify the impact.

Define Severity Scale

Severity Rating (S) - Product Impact

Justification for Selected Severity Rating

Severity Rating (S) - Customer Impact

Numerical Severity Value (for Calculation)

Documentation of Assessment

Occurrence Rating (O)

7 of 13

Estimates the likelihood of the failure mode occurring. Uses a pre-defined scale based on historical data or experience.

Define Occurrence Rating Scale

Occurrence Rating

Justification for Occurrence Rating

Contributing Factors to Occurrence

Data/Source Used for Rating

Historical Occurrence Data (if available)

Rating Confidence Level

Detection Rating (D)

8 of 13

Evaluates the ability to detect the failure mode *before* it impacts the customer. Assesses existing controls and inspection methods.

Existing Control/Inspection Method?

Detection Rating (D) - Scale 1-10 (10=Perfect Detection)

Justification for Detection Rating (D)

Type of Control/Inspection

Describe the Current Detection Method in Detail

Effectiveness of Current Detection Method?

Potential Improvements to Current Detection Method

Risk Priority Number (RPN) Calculation

9 of 13

Calculates the RPN (Severity x Occurrence x Detection) for each failure mode. This prioritizes areas for improvement.

Severity Rating (S)

Occurrence Rating (O)

Detection Rating (D)

RPN (S x O x D)

RPN Justification/Notes

Is RPN > Threshold?

Threshold Value (If Applicable)

Recommended Actions

10 of 13

Defines specific actions to eliminate or mitigate the failure modes with high RPN values. Includes assigned responsibility and deadlines.

Detailed Description of Recommended Action

Estimated Cost of Action (USD)

Action Priority (High, Medium, Low)

Target Implementation Date

Responsible Department

Responsible Person/Team

Supporting Documentation (e.g., Drawings, Specifications)

Action Type (Select all that apply)

Justification for Selected Action

Action Implementation & Verification

11 of 13

Confirms that recommended actions have been implemented and their effectiveness in reducing risk has been verified.

Planned Completion Date for Action

Estimated Cost of Action Implementation (USD)

Detailed Description of Action Implementation

Person Responsible for Action Implementation

Supporting Documentation (e.g., SOP changes, training records)

Date of Verification/Validation

Description of Verification Method (how was the action verified)

Verification Result (Pass/Fail)

Comments/Notes on Verification Results

Re-Evaluation & RPN Update

12 of 13

Updates the RPN after implementing corrective actions to demonstrate risk reduction and ongoing process improvement.

Date of Re-evaluation

Summary of Changes Made (Brief Description)

New Severity Rating (S) for each failure mode

New Occurrence Rating (O) for each failure mode

New Detection Rating (D) for each failure mode

New RPN Calculated (S x O x D)

Did the action effectively reduce the risk?

Explanation/Justification for any rating changes.

Supporting Documentation (e.g., test results, inspection reports)

Next Review Date

Documentation & Review

13 of 13

Ensures the FMEA document is complete, accurate, and readily available for review and updates. Includes revision history.

FMEA Document Revision History

Date of Last FMEA Review

FMEA Document Version Number

Review Status

Summary of Review Findings/Comments

Supporting Documentation (e.g., revised process maps)

Reviewer Signature

Reviewer Name (Printed)

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