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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    Worldwide Perrier stocks withdrawn due to filter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