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Module-10
Failure Modes and Effects Analysis (FMEA)
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At the end of this section delegates will be able to:
Understand the role of Failure Mode and Effects
Analysis, FMEA within the DMAIC ImprovementProcess
Conduct a Process FMEA on an existing, new ormodified transactional process
Use the Process FMEA to prioritise areas forattention
Use the Process FMEA to support the generation ofControl Plans
Failure Mode and Effects Analysis Learning Objectives
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Failure Mode and Effects Analysis - Agenda
Introduction to Failure Mode and Effects Analysis
FMEA Within DMAIC
FMEA Roadmap
FMEA Form and Control Plans
Implementing FMEA
Summary
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Classic Failures
City trader buys 15,000,000 shares instead of 15,000
Leap day shuts down bank cash machines
NASA probe lost due to Metric/Imperial units
confusion
Worldwide Perrier stocks withdrawn due to filter
failure
Pilot shuts down wrong aircraft engine
Company emails confidential account information to
analysts and has to suspend trading
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Introduction to FMEA
Failure Mode and Effects Analysis, FMEA is:
A systematic method of identifying and investigating potential
design or process weaknesses. A means to evaluate and manage product risks.
A means of evolving organizational knowledge.
Developed in the aerospace industry in the mid 1960s Also sometimes referred to as Failure Mode Effect and
Criticality Analysis, FMECA
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FMEA Purpose
Purpose:
Recognise and evaluate the potential failuremodes and causes associated with the designand manufacture of a product or design and
operation of any process. Identify actions which could eliminate or
reduce the chance of the potential failure
occurring. Document the analysis and changes made.
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Application of FMEA in Six Sigma
In Design for Six Sigma - (Design FMEA) : to identify potential failure modes
to identify potential causes of failure to eliminate/minimise the potential failure modes within
the Design process
In Transactional/Operational Six Sigma (ProcessFMEA) : to analyse the existing processes (identify possible xs)
to improve the process (elimination/reduction of failure
modes) to select new process alternatives
to develop control plans
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15 20 25 30 35
LSL USL
Define Measures (ys)
Check Data Integrity
Determine ProcessStability
Determine ProcessCapability
Set Targets forMeasures
Phase Review
Control Critical xs
Monitor ys
Validate ControlPlan
Identify furtheropportunities
Close Project
1 5 10 15 20
10.2
10.0
9.8
9.6
Upper Control Limit
Lower Control Limit
y
Phase Review
Develop DetailedProcess Maps
Identify CriticalProcess Steps (xs)by looking for:
Process Bottlenecks Rework / Repetition
Non-value AddedSteps
Sources of Error /Mistake
Map the Ideal
Process Identify gaps
between current andideal
START
PROCESS
STEPS
DECISION
STOP
Phase Review
Brainstorm PotentialImprovement Strategies
Select ImprovementStrategy
Plan and ImplementPilot
Verify Improvement
ImplementCountermeasures
Criteria A B C D
Time + s - +
Cost + - + s
Service - + - +
Etc s s - +
15 20 25 30 35
LSL USL
Phase Review
Analyse Improve ControlMeasureDefine Select Project
Define Project
Objective
Form the Team
Map the Process
Identify CustomerRequirements
Identify Priorities
Update Project File
Phase Review
Define
Six Sigma Transactional Improvement Process
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Application of PFMEA in DMAIC
Analyse: To analyse the existing processes and identify
possible xs (causes of failure)
Improve: To improve the process (elimination/reduction of
failure modes) To select new process alternatives
Control:
To develop control plans It is only necessary to conduct PFMEA on the
modified/changed areas of the process
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Force Field Analysis6Greenall
Barnard
Associates
Process FMEA
Roadmap
1.DescribeProcess 2.Define
Functions
3.Identify PotentialFailure Modes
4.Describe Effectsof Failure
5.DetermineCauses
6.CurrentControls
7.CalculateRisk
8.TakeAction
9.AssessResults
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Step 1: Describe Process
Process Flow Diagrams
Error & Correction Data Internal Problem Data
Customer Feedback
ProcessKnowledge
1.DescribeProcess
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Suppliers:Sales
Stores
Inputs:Order
ProductPackaging
Customers:Sales
ShippingEnd customer
Outputs:Packaged Product
Shipping requisitionOrder fulfilment note
Step 1: Describe Process- Order Fulfilment
Receive order
Check stock
Pull product and check
Package product
Weigh product
Correct
weight?
Allavailable?
Order stock
Notify Sales
Transfer to Goods Out
Yes
Yes
No
No
1.DescribeProcess
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Process
Flow
Diagram
List of Functions
(Purposes)
Step 2: Define Function
2.DefineFunctions
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ActionVerb Noun
Gather
Publish
Approve
Release
Project
Report
Credit
Product
Data
Sales
Test Part
Check
Contact
Receive
Deliver
Calculate
Address
Customer
Stock
Order
Price
ActionVerb Noun
Process Information
Examples of Functions
2.DefineFunctions
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Step 2: Define Function
Functions Receive order
Check sufficient stock
Notify sales
Order stock
Pull product Check product
Etc.
2.DefineFunctions
Receive order
Check stock
Pull product and check
All
available?
Order stock
Notify Sales
Yes
No
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List of PotentialFailures
FunctionDoes Not
Function?
Does not/Cannot
Too much
Too littleToo early
Too late
Degraded
Intermittent
IncorrectUnwanted
Function
Step 3: Identify Potential Failure Modes
3.Identify PotentialFailure Modes
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Process Function Potential Failure Modes
Receive Order Does not receive orderReceives incorrect order
Receives too many orders
Check sufficient stock Does not check sufficient stock
Incorrect check (wrong conclusion)
-Insufficient stock when sufficient
-Sufficient stock when insufficient
Step 3: Identify Potential Failure Modes
Notify Sales Does not notify salesNotifies sales too late
Notifies sales with incorrect information
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Assume the failure could occur
- what would be the effect ?
Consider : How it affects the process (processor):
next operation
subsequent downstream operations
How it affects the end user (customer).
Immediate & delayed impact.
Be realistic.Note: There may be several potential effects for each failure, but
these are listed together as one overall effect.
Step 4: Describe Effects of Failure
4.Describe Effectsof Failure
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Does not Receive Order
Incorrect stock check(Concludes insufficient when
sufficient available)
Step 4: Describe Effects of Failure
4.Describe Effectsof Failure
Assume the failure could occur
- what would be the effect?
Potential Failure Modes Potential Effects
Order not fulfilled, customer has to
re-submit order
Delay in fulfilling order, excess
stock, possible loss of order
Incorrect stock check(Concludes sufficient stock
when insufficient available)
Incomplete order, delay, customer
dissatisfaction
Notify Sales too late Customer not aware of delay, sales
takes further orders
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What could cause the potential failure mode
to occur ?
Process / processor errors that could lead to the failure Be specific, processor error or equipment failure
are too vague Consider the working environment of the process,condition of equipment, IT systems
There will typically be several causes for each failure
mode Identify root causes for severe failures
Step 5: Determine Causes
5.DetermineCauses
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Step 5: Determine Causes
What could cause the potential failure mode to
occur ?
Potential CausesPotential Failure Modes
5.DetermineCauses
Incorrectly addressed
Delivered to wrong department Lost in post
Does not receive order
Incorrect stock check Error in inventory levels
Entered wrong part code
Entered wrong quantity
Multiple orders in process
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Force Field Analysis6GreenallBarnard
Associates
Process FMEA
Roadmap
1.DescribeProcess 2.Define
Functions
3.Identify PotentialFailure Modes
4.Describe Effectsof Failure
5.DetermineCauses
6.CurrentControls
7.CalculateRisk
8.TakeAction
9.Assess
Results
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1. For the given example, describe the process using a process flowchart. Describeeach process step in terms of its function using a verb noun combination e.g.check stock, calculate profit , complete invoice, check form etc. (N.B. dependingon the detail of the flowchart there may be more than one function at eachstep).
2. Working from the process flowchart, identify potential failure modes by addingthe key words: does not/cannot/incorrect function, too much/too little function,too early/late function etc. Each function should have at least one failure mode.
3. For each of the failure modes identify the potential effects of the failure on theprocess, processor and/or the customer. If there are several effects then group
these together as the overall effect for the failure mode. Each failure modeshould have one effect.
4. For each failure mode, identify the possible causes of the failure. Be specific,processor error" is too vague. There will typically be more than one cause perfailure mode.
5. Prepare a short presentation on your team's findings.Workshop 1
Time:
Workshop 1:Identify Potential Failures Modes
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Force Field Analysis6GreenallBarnard
Associates
Process FMEA
Roadmap
1.DescribeProcess 2.Define
Functions
3.Identify PotentialFailure Modes
4.Describe Effectsof Failure
5.DetermineCauses
6.CurrentControls
7.CalculateRisk
8.TakeAction
9.AssessResults
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In order of preference there are three types of currentcontrols :
1. Prevent the cause2. Detect the cause, leading to corrective action
3. Detect the failure (defect)
These might include: Control Charts Check Sheets Mistake Proofing Training Information Technology
Identify the current controls to prevent / detect the
failure before it reaches the customer
Step 6: Current Controls
6.CurrentControls
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Step 6: Current Controls
Incorrect stock check Error in inventorylevels
Entered wrong partcode
Entered wrong quantity
Multiple orders inprocess
Stock take (annual),Stock control system
Double entry required
No controls
Potential
Causes Current Controls
Potential
Failure Modes
Identify the current controls to prevent / detect
the failure before it reaches the customer6.CurrentControls
Double entry required
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Severity ofthe Effect
Probability
ofOccurrence
Detection
(Capability ofCurrent Controls)
Risk
PriorityNumber
X X =
Step 7: Calculate Risk
7.CalculateRisk
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Process FMEA Severity Rating
How serious is the effect ?
Note : Many organisations choose to modify the descriptions to best describe their industry.
Sev Effect Customer Effect Processor Effect
5 Hazardous Safety compromised or non-
compliance with legal issue
May endanger processor or
process equipment4 High Loss of service Process stops, 100%
transactions incorrect
3 Moderate Very dissatisfied, service
provided but much degraded
Significant process disruption,
many transactions requirecorrecting
2 Low Inconvenient, service provided
but not up to expectations
Some process disruption, some
transactions require reworking
1 Veryminor/none
Not noticed by mostcustomers
Minor disruption to processor no effect
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Process FMEA Occurrence Rating
How likely is the cause ?
Note : Many organisations choose to modify the descriptions to best describe their industry.
Occ Probability Likely failure rates
5 Very high, persistent failures 1 in 10 transactions (opportunities)
4 High, frequent failures 1 in 100 transactions (opportunities)
3 Moderate, occasional failures 1 in 1,000 transactions (opportunities)
2 Low, relatively few failures 1 in 10,000 transactions (opportunities)
1 Remote, failure is unlikely 1 in 100,000 transactions (opportunities)
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Process FMEA Detection Rating
How effective are the Current Controls?
Det Criteria Typical Detection/Control Method Type
5 No Controls Cannot detect or is not checked ?
4 Controls detect failure Inspection, checking 3
3 Controls detect cause Control charts (focused on outputs) 3/2
2 Controls prevent failure Control charts (focused on inputs) 2/1
1 Controls prevent cause Mistake Proofing, training 1
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Effect
Incomplete order, delay, customer
dissatisfaction
Cause
Multiple orders in process
Current Controls
No Controls
Severity = 3
Occurrence = 3
Detection = 5
RPN = 3 x 3 x 5 = 45
Step 7: Calculate Risk
Failure Mode
Incorrect Stock Check
7.CalculateRisk
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Corrective Action Effects On RPN Rating
Note : Do not modify RPN until corrective action is completed (Step 9)
Step 8: Take Action
Corrective Action Severity Occurrence Detection1. Process change Maybe Yes Yes
2. Improve Current Control No Maybe Yes
3. Improve Employee training No Yes Yes
4. Mistake proofing No Yes Yes
5. Increased inspection No No Maybe
8.TakeAction
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Stock is temporarily reserved
against enquiry
Step 8: Take Action
RPN = 3 x 3 x 5 = 45
8.TakeAction
Effect
Incomplete order, delay, customer
dissatisfaction
Cause Multiple orders in process
Current Controls
No Controls
Severity = 3
Occurrence = 3
Detection = 5
Failure Mode
Incorrect Stock Check
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Review corrective actions and modify
RPN figure based on results.
Before Improvement
After ImprovementRPN
Reduced
Risk
Step 9: Assess Results
9.AssessResults
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Stock is temporarily reserved
against enquiry
Step 9: Assess Results
RPN = 3 x 3 x 2 = 18
8.TakeAction
Effect
Incomplete order, delay, customer
dissatisfaction
Cause Multiple orders in process
Current Controls
No Controls
Severity = 3
Occurrence = 3
Detection = 5 2
Failure Mode
Incorrect Stock Check
x
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Force Field Analysis6Greenall
Barnard
Associates
Process FMEA
Roadmap
1.DescribeProcess 2.Define
Functions
3.Identify PotentialFailure Modes
4.Describe Effectsof Failure
5.DetermineCauses
6.CurrentControls
7.CalculateRisk
8.TakeAction
9.AssessResults
FMEA P
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FMEA Purpose
Purpose:
Recognise and evaluate the potential failure
modes and causes associated with the design andmanufacture of a product or any process.
Identify actions which could eliminate or reduce
the chance of the potential failure occurring. Document the analysis and changes made.
FMEA F
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FMEA FormFAILURE MODE & EFFECTS ANALYSIS PROCESS FMEA
Product: PROCESS FMEA No. Page : of
Application: Issue No. Originators:
Customer: Date:
ITEM PROCESS POTENTIAL POTENTIAL POTENTIAL CURRENT RECOMMENDED RESP. ACTION RESULTSFUNCTION FAILURE MODE EFFECTS OF
FAILURESEV CAUSE(S) OF FAILURE OCC CONTROLS DET RPN ACTIONS FOR
ACTIONACTIONSTAKEN
SEV OCC DET RPN
3 Checkssufficient stock
IncorrectStock Check
(Concludessufficient
stock when
insufficientavailable)
Incompleteorder,
delay,customer
dissatisfacti
on
3 Multiple orders in process 3 No controls 5 45 Stock reservedagainst enquiry
SCB 18.08.03 3 3 2 18
FMEA F
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FMEA Form
ITEM PROCESS POTENTIAL POTENTIAL POTENTIALFUNCTION FAILURE MODE EFFECTS OF
FAILURESEV CAUSE(S) OF FAILURE OCC
3 Checks
sufficient stock
Incorrect
Stock Check
(Concludessufficient
stock when
insufficient
available)
Incomplete
order,
delay,customer
dissatisfacti
on
3 Multiple orders in process 3
CURRENT RECOMMENDED RESP. ACTION RESULTSCONTROLS DET RPN ACTIONS FOR
ACTIONACTIONSTAKEN
SEV OCC DET RPN
No controls 5 45 Stock reserved
against enquiry
SCB 18.08.03 3 3 2 18
Expand detail in
Control Plan
C t l Pl
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Control Plan
Detail of the Current Controls are held in anadditional form the Control Plan
Control Plan (and Current Controls) may need to
change based on recommended actions The effectiveness of the Control Plan is tested during
the Control phase of DMAIC
All Critical xs should be included in the ControlPlan
W k h 2 Ri k A t
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Workshop 2: Risk Assessment
1. Transfer the failure modes, effects and causes identified in workshop 1 to the largeFMEA form.
2. Using the Severity rating scale, rate each of the failure mode effects and record thenumber in the appropriate column. Where there are several possible effects for afailure mode, take the worst case for the rating. There should be only one severity
rating for each failure mode.3. Using the Occurrence rating scale and your team's expertise, rate each of the
potential causes of failure and record the numbers in the appropriate column.
4. For the purpose of the exercise, assume there are no Current Controls (Detection
rating = 5), calculate the Risk Priority Numbers (RPN) and record on the chart.There should be one RPN score for each cause listed on the FMEA form.
5. For the top five RPN's, identify possible actions to reduce the RPN scores. Identifywhich of the categories (Severity, Occurrence, and Detection) would be reducedonce the action has been completed.
6. Prepare a short presentation to summarise your team's findings. Workshop 2
Time
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Implementing FMEA
Who Should Do FMEA ?
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Team not an individual
Cross functional opportunity to improve
communication and understanding
Include the processors (people who work in the process)
Consider including the customer where appropriate
Who Should Do FMEA ?
10 Keys To FMEA Success
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10 Keys To FMEA Success
Support by top & middle management
Motivated team members
Cross functional representation on the team
Treat as before the event not after the fact
Generate company specific rating scales
Treat as a living document-reflect latest revisions
Execute recommended actions Integration into your development process
Generate & use a library of generic FMEAs
Follow the spirit, not the form
Common Mistakes
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Common Mistakes
Applied too late
Poor team working, wrong team members or no
team
Over dependence upon the numbers
Inconsistency in numbers Solving all problems in meetings
When Do You Start PFMEA ?
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When Do You Start PFMEA ?
Within Six Sigma DMAIC:
If there is a Process FMEA available this should be
reviewed during the Measure/Analyse phases. If there is
no FMEA then consider completing one for the part of the
process of interest.
During the Improve/Control phases a PFMEA should be
updated/completed for the areas of the process that havechanged.
Improving Organisational Capability
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Improving Organisational Capability
Specific
FMEA
Knowledge
Base
DesignCheck-list
Specific
FMEA
General
FMEA
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Failure Mode and Effects Analysis Summary
Failure Mode and Effects Analysis Summary
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Failure Mode and Effects Analysis Summary
Process Failure Mode and Effects Analysis,PFMEA, can be applied within the DMAICImprovement Process
A Process FMEA can be conducted on an existing,new or modified process
The Process FMEA prioritises areas for attention The Process FMEA can be used to support the
generation of Control Plans
Application of PFMEA in DMAIC
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Application of PFMEA in DMAIC
Analyse: To analyse the existing processes and identify possible xs
(causes of failure)
Improve: To improve the process (elimination/reduction of failure
modes)
To select new process alternatives
Control To develop control plans
It is only necessary to conduct PFMEA on themodified/changed areas of the process
Six Sigma Transactional Improvement Process
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15 20 25 30 35
LSL USL
Define Measures (ys)
Check Data Integrity
Determine ProcessStability
Determine ProcessCapability
Set Targets forMeasures
Phase Review
Control Critical xs
Monitor ys
Validate ControlPlan
Identify further
opportunities Close Project
1 5 10 15 20
10.2
10.0
9.8
9.6
Upper Control Limit
Lower Control Limit
y
Phase Review
Develop DetailedProcess Maps
Identify CriticalProcess Steps (xs)by looking for:
Process Bottlenecks
Rework / Repetition
Non-value AddedSteps
Sources of Error /Mistake
Map the IdealProcess
Identify gapsbetween current andideal
START
PROCESSSTEPS
DECISION
STOP
Phase Review
Brainstorm PotentialImprovement Strategies
Select ImprovementStrategy
Plan and ImplementPilot
Verify Improvement
ImplementCountermeasures
Criteria A B C D
Time + s - +
Cost + - + s
Service - + - +
Etc s s - +
15 20 25 30 35
LSL USL
Phase Review
Analyse Improve ControlMeasureDefine Select Project
Define Project
Objective
Form the Team
Map the Process
Identify CustomerRequirements
Identify Priorities
Update Project File
Phase Review
Define
S S g a a sact o a p ove e t ocess
FMEA References
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References:
AIAG QS9000 - Potential Failure Mode and Effects Analysis 3rd Edition July 2001 , Automotive Industry
SAE J 1739: Potential Failure Mode and Effects Analysis inDesign and Potential Failure Mode and Effects Analysis inManufacturing and Assembly Processes Reference Manual
Mil Standard - 1629 , Military, aerospace applications
Failure Mode and Effect Analysis, Stamatis, D. H. (2003),ISBN: 0-87389-598-3, ASQ Quality Press, Milwaukee, WI