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picture1_Excel Sheet Download 28027 | Appendix G Risk Assessment Fmea Example Template


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File: Excel Sheet Download 28027 | Appendix G Risk Assessment Fmea Example Template
sheet 1 instruction card risk assessment failure mode and effects analysis ra fmea department fmea number job title date prepared job task date revised prepared by revision number reviewed by ...

icon picture XLSX Filetype Excel XLSX | Posted on 03 Aug 2022 | 3 years ago
Partial file snippet.
Sheet 1: Instruction Card
Risk Assessment Failure Mode and Effects Analysis
RA FMEA
Department

FMEA Number
Job Title

Date Prepared:
Job Task

Date Revised
Prepared by

Revision Number
Reviewed by

Page
of
















Identification of Ranking of Current Job Title/Task
Future or Completed Actions Action Results
Process Function & Requirements Potential Hazard or Risk Potential Effects of Failure (Consequences) Potential Cause(s) / Mechanism(s) of Failure Barrier Analysis (Current Risk Controls) SEV EXP BARRIER RPN Recommended Actions Responsibility and Target Completion Date Actions Taken SEV EXP BARRIER RPN



































































































Sheet 2: Business Impact
Risk Assessment Failure Mode and Effects Analysis
RA FMEA
Department Business
FMEA Number 1
Job Title

Date Prepared:
Job Task

Date Revised
Prepared by

Revision Number
Reviewed by

Page
of
















Identification of Ranking of Current Job Title/Task
Future or Completed Actions Action Results
Process Function & Requirements Potential Hazard or Risk Potential Effects of Failure (Consequences) Potential Cause(s) / Mechanism(s) of Failure Barrier Analysis (Current Risk Controls) SEV EXP BARRIER RPN Recommended Actions Responsibility and Target Completion Date Actions Taken SEV EXP BARRIER RPN
Sales Reduction in Sales Loss of revenue Closed businesses don't buy per plan None 3 1 3 9 Diversify customer base Sales by 5/5/2020 Secure contracts with 10 new customers 1 1 3 3
Supply Chain Interuption Production interruptions Reduction in available inventory Suppliers are operating with reduced staffing or closed down all together None 3 1 3 9 Secure multiple suppliers for equipment, chemicals, and maintenance supplies. Purchasing by 5/15/2020 Secure 3 additional providers of equipment, 2 providers of chemicals, and one additional maintnencance supply provider. 1 1 2 2
Fuel shortages stop trucks None 3 1 4 12 Maintain reserves of diesel fuel Purchasing by 7/30/2020 installed UST system to store and dispense on-road diesel. 1 1 2 2
Compliance OSHA Violation Fines and future audits Employee contracts COVID-19 at work None 2 5 4 40 Train production employees to protect themselves and each other through social distancing, frequent handwashing, and self-monitoring for symptoms.
Provide surface disinfection supplies.
Provide handwashing stations and/or hand sanitizer.
Plant manager, or delegate, by 5/8/2020 Provided sanitizing supplies, hygiene stations, and training. 1 1 2 2
Financial Increased workers comp premiums OSHA recordable illnesses may drive up workers comp premiums Virus spreads person to person easily None 2 5 4 40 Train production employees to protect themselves and each other through social distancing, frequent handwashing, and self-monitoring for symptoms.
Provide surface disinfection supplies.
Provide handwashing stations and/or hand sanitizer.
Plant manager, or delegate, by 5/8/2020 Provided sanitizing supplies, hygiene stations, and training. 1 1 2 2

Sheet 3: Human Impact
Risk Assessment Failure Mode and Effects Analysis
RA FMEA
Department Human Impact
FMEA Number 2
Job Title

Date Prepared:
Job Task

Date Revised
Prepared by

Revision Number
Reviewed by

Page
of
















Identification of Ranking of Current Job Title/Task
Future or Completed Actions Action Results
Process Function & Requirements Potential Hazard or Risk Potential Effects of Failure (Consequences) Potential Cause(s) / Mechanism(s) of Failure Barrier Analysis (Current Risk Controls) SEV EXP BARRIER RPN Recommended Actions Responsibility and Target Completion Date Actions Taken SEV EXP BARRIER RPN
Logistics Loss of drivers Supply chain interruption Drivers contract COVID-19 or have to take care of a sick family member None 2 2 4 16 Train drivers to protect themselves and each other through social distancing, frequent handwashing, and self-monitoring for symptoms. H&S Department by 5/5/2020 Trained all employees on social distancing, frequent handwashing, and self-monitoring of symptoms 1 2 2 4
Production Loss of production employees Production interruption Employee becomes ill None 2 5 4 40 Train production employees to protect themselves and each other through social distancing, frequent handwashing, and self-monitoring for symptoms.
Provide surface disinfection supplies.
Provide handwashing stations and/or hand sanitizer.
Plant manager, or delegate, by 5/8/2020 Provided sanitizing supplies, hygiene stations, and training. 1 1 2 2
Safety/Health Illness Employee contracts COVID-19 and infects coworkers Virus spreads person to person easily None 2 5 4 40 Train production employees to protect themselves and each other through social distancing, frequent handwashing, and self-monitoring for symptoms.
Provide surface disinfection supplies.
Provide handwashing stations and/or hand sanitizer.
Plant manager, or delegate, by 5/8/2020 Provided sanitizing supplies, hygiene stations, and training. 1 1 2 2

Psychological Absenteeism Employees won't come to work if they are scared of getting sick None 2 5 4 40 Train production employees to protect themselves and each other through social distancing, frequent handwashing, and self-monitoring for symptoms.
Provide surface disinfection supplies.
Provide handwashing stations and/or hand sanitizer.
Plant manager, or delegate, by 5/8/2020 Provided sanitizing supplies, hygiene stations, and training. 1 1 2 2

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...Sheet instruction card risk assessment failure mode and effects analysis ra fmea department number job title date prepared task revised by revision reviewed page of identification ranking current titletask future or completed actions action results process function amp requirements potential hazard consequences cause s mechanism barrier controls sev exp rpn recommended responsibility target completion taken business impact sales reduction in loss revenue closed businesses don t buy per plan none diversify customer base secure contracts with new customers supply chain interuption production interruptions available inventory suppliers are operating reduced staffing down all together multiple for equipment chemicals maintenance supplies purchasing additional providers one maintnencance provider fuel shortages stop trucks maintain reserves diesel installed ust system to store dispense onroad compliance osha violation fines audits employee covid at work train employees protect themselves ea...

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