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Version Control
Version Date Change By
0 20-Jul-07 Original issue (FMEA) Dave Prodger
Version control tab added / Title changed to Process Failure Mode and Effects Analysis (PFMEA) / 'Help Box' function added to 'Blank Template' sheet / Addition of further reference scoring criteria for
Severity, Occurrence and Detection / Addition of column for highlighting classification of features, systems or other that may be influenced within the process step, esp. Controlled Processes, and
those that intentionally modify CCF's / Enhancement of 'hover-over' comments box contents (general) / 'Person responsible' now 'FMEA IPT members & functional areas' e.g. 'ME, Design, Operations,
Quality' / Process Control column definitions enhanced / Additional process control column added for Detection of Potential Failure Mode Cause / File location added to footer / Print date added to
1 12-Sep-11 footer / Issue level added to date revised box / 'Revised by' box added / Completed template example removed; awaiting update using new format / Automatic calculation of RPN inputs / Addition of Mark Fall (49180)
Responsible Business / Department column / Print area settings modified / Image added to help box / Process flow map prompter page added / 7M's / fishbone column added with drop-down menu
and conditional formatting added aligned to RRPS FPM colour scheme / Detection of Potential Failure Mode Cause process controls column 'deleted' / Minor modifications to text and 'help box'
contents
2 9-Dec-11 Spreadsheet unlocked to support increased flexibility / functionality Mark Fall (49180)
Conditional formatting added to 'Classification' column, highlighting CCFs (Conformance Control Features) and CPs (Controlled Processes, as derived through Characteristics Matrix / FVRA
3 12-Mar-12 discussions) / Help box macro removed as previous spreadsheet unlocking facilitates 'freeze' and 'slit screen' functions; this also removes significant data count from the server / 7Ms dropdown menu Mark Fall (49180)
items stored and hidden in AA1:AA7 / Word 'GUIDELINES' capitalised in worksheet and additional customer related examples added for reference
4 14-Jun-12 Layout at top of document amended to separate title details from associated data, preventing loss of title information during input Mark Fall (49180)
5 1-May-13 Process 'Method Owner' clarified as PFMEA owner, delegated via the PI Chief or Manufacturing Manager. Mark Fall (49180)
Process Failure Modes, Causes and Effects example tabs added
6 11-Jun-13 Mark Fall (49180)
Process Flow Diagram template incorporated
Component Load and Transfer potential failure modes updated / 'Lifting' added to Process Flow Diagram tab as a specific item / 'Risk Rankings - Process' - additional guidance criteria added with grey
7 26-Jun-13 Mark Fall (49180)
shaded title in table / 'Identified Failure Modes Lessons Learned - 1. Contents links' updated to show issue level of shared process failure mode materials
Issue judgement column (A/B/C) added to support improvement action prioritisation, management and reporting processes / Note added to 'Severity' rankings regarding Critical Part sensitive areas
subject to potential component lifing restrictions / increased Severity score / 'CP' designation for 'controlled process' changed to 'P' in-line with the new Characteristics Matrix designation
8 19-Nov-13 Mark Fall (49180)
Additional 'Change History record' tab added for 'closed item' copy and paste reference / 'KCF' conditional formatting added in classification column in advance of its formal launch for use
'A' conditional formatting added in classification column to highlight creation, modification or potential risk to 'Category A' features in line with GQP C.4.70 Appendix 10
New 'Blank PFMEA Template' header band and Rolls-Royce logo (in-line with general FMEA materials' corporate colour scheme)
Inclusion of 'faying surface preparation' potential failure modes, causes and effects examples
9 3-Feb-15 Mark Fall (49180)
Addition of FMEA Participant history sheet / attendees' details requirement removed from 'Blank PFMEA Template' tab
Links to 'RRPS PFMEA how-to' and Engineering Function 'General FMEA Guidance Materials' added to RRPS Version Control page below
10 24-May-16 Rationalisation / alignment of risk ranking scoring criterion / guidelines with International Standard SAE J1739 Mark Fall (49180)
Alignment of column headers, content and supporting text with xFMEA software in Blank PFMEA tab
11 10-Aug-16 Mark Fall (49180)
Inversion of scoring guidelines table for transactional processes (10 to 1 now shown top to bottom in descending order of score for Severity, Occurrence and Detection)
Addition of 'Requirements' column related to output expectation of the process 'Function' column
12 22-Sep-16 Mark Fall (49180)
Separation of 'Potential Effects of Failure' into External Customer (system level failure) and Internal Process (typ. SQCDP)
Addition of 'Value status' column in RRPS PFMEA template in support of Lean RFT process development and achieving the goal of Zero Defects
Introduction of RPN Reduction History Sheet (previously 'Change History' tab)
13 20-Jul-17 Integration of AS13004 (Aerospace Standard) min. std. template format Mark Fall (49180)
Addition of introductory 'read first' text boxes in key worksheets
New requirement for column 'H' to be hidden when using RRPS PFMEA template version (Potential Effects of Failure - External / Internal)
Name 1 Area 1
Name 2 Area 2
Name 3 Area 3
Post Process Flow Diagram here for reference
TRANSFORMATION
OTHER (SPECIFY)
ADMINISTRATION
CLASS (KCC)
CLASS (KPC)
LIFT (mechanical /
LOAD / INSTALL
FABRICATION /
INTERACTION
PACKAGING
REWORK
INSPECT
CONTROL
STORE
MOVE
STEP
other)
CHARACTERISTICS CHARACTERISTICS
METHODS
OPERATION (OUTPUTS) (INPUTS)
STEP DESCRIPTION
Page 4 of 43
PROCESS FLOW DIAGRAM
PART NUMBER/S: PREPARED BY:
PART / FAMILY DESCRIPTION: DATE:
ENG. CHANGE LEVEL:
TRANSFORMATION
OTHER (SPECIFY)
ADMINISTRATION
CLASS (KCC)
CLASS (KPC)
LIFT (mechanical /
LOAD / INSTALL
FABRICATION /
INTERACTION
PACKAGING
REWORK
INSPECT
CONTROL
STORE
MOVE
STEP
other)
CHARACTERISTICS CHARACTERISTICS
METHODS
OPERATION (OUTPUTS) (INPUTS)
STEP DESCRIPTION
Page 5 of 43
Page 6 of 43
Version: 13
PFMEA Template
Product Details / Part nos: Process Details: Dates Revised: Revised by: Issue #
The following spreadsheet contains the RRPS Best Practice template and the
AS13004 format acceptable for use as a minimum standard.
This spreadsheet features 2 buttons to activate/hide the relevant format;
please see notes in row 1 for instructions. Current Specified Process Controls: Recommendations Action results
Planned Completion
AS13004 min. std.:
Classification
Responsibility
1.
1. The
The AS13004
AS13004 Standard
Standard hashas 23
23 columns
columns which
which illustrate
illustrate the
the minimum
minimum PFMEA
PFMEA
Potential requirements
requirements
Effect(s)
Failure -
of to
to comply
comply with with Current Process Current Process Actual
the
the Aerospace
Aerospace (SAE)
(SAE) Standard.
Standard. Column
Column 'H'
'H' will
will need
need to
to be
be visible
visible /
/ unhidden
unhidden before
before use.
use.
OCCr
OCCi
SEVr
DETr
SEVi
DETi
Op Seq Potential Failure Potential Cause(s) of
Date
Step Function Requirement External Customer Controls Controls RPNi Recommended Action Actions Taken Completion RPNr
Number Mode Failure
(product / system (Prevention) (Detection) Date
level) and Internal
2.
2. The
The RRPS
RRPS PFMEA
PFMEA template
template has
has additional
additional columns
columns to
to drive
drive activity
activity and
and capture
capture data
data that
that represents
represents best
Process (SQCDP) best
known
known Lean
Lean practice.
practice. 8 MCC 0 8 0
Column
Column 'H'
'H' should
should be
be hidden
hidden when
when using
using the
the RRPS
RRPS PFMEA
PFMEA template
template format.
format. 9 KCF 0 9 0
10 CCF 0 10 0
7 A 0 7 0
P 0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
please see notes in row 1 for instructions. Current Specified Process Controls: Recommendations Action results
Planned Completion
AS13004 min. std.:
Classification
1.
1. The
The AS13004
AS13004 Standard
Standard hashas 23
23 columns
columns which
which illustrate
illustrate the
the minimum PFMEA requirements to
to comply
comply with
Responsibility
minimum PFMEA
Potential requirements
Effect(s)
Failure -
of with Current Process Current Process Actual
the
the Aerospace
Aerospace (SAE) Standard.
(SAE) Standard. Column 'H'
Column 'H' will need to be visible
will need to be visible / unhidden
/ unhidden before
before use. use.
OCCr
OCCi
SEVr
DETr
SEVi
DETi
Op Seq Potential Failure Potential Cause(s) of
Date
Step Function Requirement External Customer Controls Controls RPNi Recommended Action Actions Taken Completion RPNr
Number Mode Failure
(product / system (Prevention) (Detection) Date
level) and Internal
2.
2. The
The RRPS
RRPS PFMEA
PFMEA template
template has
has additional
additional columns
columns to
to drive
drive activity
activity and
and capture
capture data
data that
that represents
represents best
Process (SQCDP) best
known
known Lean
Lean practice.
practice. 0 0 0
Column
Column 'H'
'H' should
should be
be hidden
hidden when
when using
using the
the RRPS
RRPS PFMEA
PFMEA template
template format.
format. 0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
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0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
please see notes in row 1 for instructions. Current Specified Process Controls: Recommendations Action results
Planned Completion
AS13004 min. std.:
Classification
1.
1. The
The AS13004
AS13004 Standard
Standard hashas 23
23 columns
columns which
which illustrate
illustrate the
the minimum PFMEA requirements to
to comply
comply with
Responsibility
minimum PFMEA
Potential requirements
Effect(s)
Failure -
of with Current Process Current Process Actual
the
the Aerospace
Aerospace (SAE) Standard.
(SAE) Standard. Column 'H'
Column 'H' will need to be visible
will need to be visible / unhidden
/ unhidden before
before use. use.
OCCr
OCCi
SEVr
DETr
SEVi
DETi
Op Seq Potential Failure Potential Cause(s) of
Date
Step Function Requirement External Customer Controls Controls RPNi Recommended Action Actions Taken Completion RPNr
Number Mode Failure
(product / system (Prevention) (Detection) Date
level) and Internal
2.
2. The
The RRPS
RRPS PFMEA
PFMEA template
template has
has additional
additional columns
columns to
to drive
drive activity
activity and
and capture
capture data
data that
that represents
represents best
Process (SQCDP) best
known
known Lean
Lean practice.
practice. 0 0 0
Column
Column 'H'
'H' should
should be
be hidden
hidden when
when using
using the
the RRPS
RRPS PFMEA
PFMEA template
template format.
format. 0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
please see notes in row 1 for instructions. Current Specified Process Controls: Recommendations Action results
Planned Completion
AS13004 min. std.:
Classification
1.
1. The
The AS13004
AS13004 Standard
Standard hashas 23
23 columns
columns which
which illustrate
illustrate the
the minimum PFMEA requirements to
to comply
comply with
Responsibility
minimum PFMEA
Potential requirements
Effect(s)
Failure -
of with Current Process Current Process Actual
the
the Aerospace
Aerospace (SAE) Standard.
(SAE) Standard. Column 'H'
Column 'H' will need to be visible
will need to be visible / unhidden
/ unhidden before
before use. use.
OCCr
OCCi
SEVr
DETr
SEVi
DETi
Op Seq Potential Failure Potential Cause(s) of
Date
Step Function Requirement External Customer Controls Controls RPNi Recommended Action Actions Taken Completion RPNr
Number Mode Failure
(product / system (Prevention) (Detection) Date
level) and Internal
2.
2. The
The RRPS
RRPS PFMEA
PFMEA template
template has
has additional
additional columns
columns to
to drive
drive activity
activity and
and capture
capture data
data that
that represents
represents best
Process (SQCDP) best
known
known Lean
Lean practice.
practice. 0 0 0
Column
Column 'H'
'H' should
should be
be hidden
hidden when
when using
using the
the RRPS
RRPS PFMEA
PFMEA template
template format.
format. 0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
please see notes in row 1 for instructions. Current Specified Process Controls: Recommendations Action results
Planned Completion
AS13004 min. std.:
Classification
1.
1. The
The AS13004
AS13004 Standard
Standard hashas 23
23 columns
columns which
which illustrate
illustrate the
the minimum PFMEA requirements to
to comply
comply with
Responsibility
minimum PFMEA
Potential requirements
Effect(s)
Failure -
of with Current Process Current Process Actual
the
the Aerospace
Aerospace (SAE) Standard.
(SAE) Standard. Column 'H'
Column 'H' will need to be visible
will need to be visible / unhidden
/ unhidden before
before use. use.
OCCr
OCCi
SEVr
DETr
SEVi
DETi
Op Seq Potential Failure Potential Cause(s) of
Date
Step Function Requirement External Customer Controls Controls RPNi Recommended Action Actions Taken Completion RPNr
Number Mode Failure
(product / system (Prevention) (Detection) Date
level) and Internal
2.
2. The
The RRPS
RRPS PFMEA
PFMEA template
template has
has additional
additional columns
columns to
to drive
drive activity
activity and
and capture
capture data
data that
that represents
represents best
Process (SQCDP) best
known
known Lean
Lean practice.
practice. 0 0 0
Column
Column 'H'
'H' should
should be
be hidden
hidden when
when using
using the
the RRPS
RRPS PFMEA
PFMEA template
template format.
format. 0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
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0 0 0
Version: 13
The following spreadsheet serves as an Risk Archive to record the change history of the
PFMEA risks and redundant lines in the PFMEA.
How to use:
1. Ensure you are using the correct template type (AS13004 or RRPS Lean best practice)
before moving data to ensure correct presence or absence of column 'H'.
2. Cut and paste the original / existing line information from the PFMEA template Current Specified Process Controls: Recommendations Action results
3. Paste in time-series order to provide a historical record ofAS13004 previous existing conditions
Planned Completion
min. std.:
Classification
and RPN values
Responsibility
Potential Effect(s) of
Failure - Current Process Current Process Actual
OCCr
4.Number
Update
Step the PFMEA template with the new condition data.
OCCi
SEVr
DETr
SEVi
DETi
Op Seq Potential Failure Potential Cause(s) of
Date
Function Requirement External Customer Controls Controls RPNi Recommended Action Actions Taken Completion RPNr
Mode Failure
(product / system (Prevention) (Detection) Date
level) and Internal
Process (SQCDP)
Insert stub-shaft into grinding fixture Shaft ground undersize Shaft not set hard against Check end float with Integrate end-float sensor poka-yoke Integrate end-float sensor poka-yoke
140 3 Max end float 0.003mm End float > 0,003mm 7 MCC 3 None 5 105 JC 6/9/2016 6/7/2016 7 2 2 28
XY3 leading to scrap datum feeler gauge in fixture in fixture
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3. Paste in time-series order to provide a historical record ofAS13004 previous existing conditions
Planned Completion
min. std.:
Classification
and RPN values
Responsibility
Potential Effect(s) of
Failure - Current Process Current Process Actual
OCCr
4.Number
Update
Step the PFMEA template with the new condition data.
OCCi
SEVr
DETr
SEVi
DETi
Op Seq Potential Failure Potential Cause(s) of
Date
Function Requirement External Customer Controls Controls RPNi Recommended Action Actions Taken Completion RPNr
Mode Failure
(product / system (Prevention) (Detection) Date
level) and Internal
Process (SQCDP)
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3. Paste in time-series order to provide a historical record ofAS13004 previous existing conditions
Planned Completion
min. std.:
Classification
and RPN values
Responsibility
Potential Effect(s) of
Failure - Current Process Current Process Actual
OCCr
4.Number
Update
Step the PFMEA template with the new condition data.
OCCi
SEVr
DETr
SEVi
DETi
Op Seq Potential Failure Potential Cause(s) of
Date
Function Requirement External Customer Controls Controls RPNi Recommended Action Actions Taken Completion RPNr
Mode Failure
(product / system (Prevention) (Detection) Date
level) and Internal
Process (SQCDP)
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0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
3. Paste in time-series order to provide a historical record ofAS13004 previous existing conditions
Planned Completion
min. std.:
Classification
and RPN values
Responsibility
Potential Effect(s) of
Failure - Current Process Current Process Actual
OCCr
4.Number
Update
Step the PFMEA template with the new condition data.
OCCi
SEVr
DETr
SEVi
DETi
Op Seq Potential Failure Potential Cause(s) of
Date
Function Requirement External Customer Controls Controls RPNi Recommended Action Actions Taken Completion RPNr
Mode Failure
(product / system (Prevention) (Detection) Date
level) and Internal
Process (SQCDP)
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0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
3. Paste in time-series order to provide a historical record ofAS13004 previous existing conditions
Planned Completion
min. std.:
Classification
and RPN values
Responsibility
Potential Effect(s) of
Failure - Current Process Current Process Actual
OCCr
4.Number
Update
Step the PFMEA template with the new condition data.
OCCi
SEVr
DETr
SEVi
DETi
Op Seq Potential Failure Potential Cause(s) of
Date
Function Requirement External Customer Controls Controls RPNi Recommended Action Actions Taken Completion RPNr
Mode Failure
(product / system (Prevention) (Detection) Date
level) and Internal
Process (SQCDP)
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(Customer Effect) (Manuf. / Assy) Prevention/Detection Criteria Detection Reliability Typical Detection
Potentially hazardous failure without No controls exist, or current controls will not
≥ 100 per 1000 pieces or cannot detect the failure or defect
warning. Failure potentially affects safe May endanger operator (machine or No current process control; cannot detect or is not
10 10 Very high 10 No Detection Opportunity 10 Almost impossible No known controls available occurrence. < 1% In-service
operation of the product or causes assembly) without warning measured,verified, analysed or confirmed Defective parts will be shipped to the
≥ 1 in 10
regulatory non-compliance. Customer.
Failure to meet safety
Failure to meet safety and
and/or regulatory
or regulatory requirements
requirements
Minor effect on operability. Minor product Failure Mode detection 'in-station' by automated
Annoyance A proportion of the production run ≥ 0.01 per 1000 pieces 100% checks using mistake proofed variable
non-conformance. Failure causes minor Problem detection at controls that will detect discrepant part and
3 3 may have to be reworked in station 3 3 High or attribute gauging, reasonable Gauge R&R 95 - 98%
customer dissatisfaction noticed by many Source automatically lock part in-station to prevent (10-15%) Failures can sometimes be prevented.
before it proceeds ≥ 1 in 100,000 Control measures are highly effective with a
(50%) customers. further processing
good chance of early detection of the failure
Low mode or defect.
Same operation
Subsequent operations are protected from
Slight effect on operability. Product does
≥ 0.001 per 1000 pieces Error (cause) detection 'in-station' by automated Measurement processes have good gauge accepting discrepant parts.
not conform. Failure causes slight Slight inconvenience to process, Error detection and / or
2 2 Minor Disruption 2 controls that will detect error and prevent non- 2 Very high R&R (<10%). 100% mistake proofed checks > 98%
customer annoyance noticed by most operation or operator problem prevention in place using variable data
≥ 1 in 1,000,000 conformance being produced
discerning (< 25%) customers.
When complete please e-mail this sheet to: mark.fall@rolls-royce.com (RRPS Team - Quality Operating System module co-ordinator)
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Process Step Identified Failure Mode Potential Effects Potential Cause of Failure Possible Detection Possible Prevention
Check component ID matches up with Component ID does not match up Loss of traceability resulting in
Component marked wrongly
batch card with batch card scrap component
Check component ID matches up with Component ID does not match up Loss of traceability resulting in Paperwork swapped to another
batch card with batch card scrap component part
Mistake on data entry - faulty bar
Check component marked correctly Component marked incorrectly Lost traceability
code scan
Wrong route card scanned for Arrange drop down area to
Check component marked correctly Component marked incorrectly Scrap component
serial number mitgate any confusion
Operator enters incorrect use bar code scanner to
Check component marked correctly Component marked incorrectly Lost traceability
information enter part mark data
Check component marked in correct Component marked in wrong Use physical mask with
Rework/concession/scrap Operator chose the wrong location
location location location window
Check component marked in correct Component marked in wrong Fixture not placed on the marker
Rework/concession/scrap
location location correctly
Check component marked in correct Component marked in wrong Part not loaded into the fixture Baulk fixture to prevent wrong
Rework/concession/scrap
location location correctly part being loaded
Check component marked in correct Component marked in wrong Wrong marking program is
Rework/concession/scrap
location location selected
Check component marked in correct Component marked in wrong
Rework/concession/scrap Marker selected the wrong location
location location
Check stylus prior to each
Check component mark legible Component mark unreadable Rework/concession/scrap Stylus is worn
marking batch
Check component mark legible Component mark unreadable Rework/concession/scrap Stylus is worn Monitor stylus condition
Check component mark legible Component mark unreadable Rework/concession/scrap Marker has a fault Monitor marker condition
Process Step Identified Failure Mode Potential Effects Potential Cause of Failure Possible Detection Possible Prevention Comments
Damage to machine / fixture. Lifting method must be agreed at fixture concept design stage.
Transport fixture from storage, load to Fixture collides with machine Wrong lifting equipment Lifting equipment to be unique to fixture - Lifting equipment to be unique to fixture - cannot lift
Process delay. Lifting method must be subject to H&S Risk Assessment. Incorporate risk
machine table and secure in correct position and / or operator used cannot lift fixture incorrectly fixture incorrectly
Lost-time injury mitigations into lifting equipment design and method statement.
Damage to machine / fixture. Lifting method must be agreed at fixture concept design stage.
Transport fixture from storage, load to Fixture collides with machine Lifting equipment damages Lifting equipment to be unique to fixture - Lifting equipment to be unique to fixture - cannot
Process delay. Lifting method must be subject to H&S Risk Assessment. Incorporate risk
machine table and secure in correct position and / or operator fixture cannot damage fixture damage fixture
Lost-time injury mitigations into lifting equipment design and method statement.
Lost-time injury
Transport fixture from storage, load to Incorrect lifting equipment Positive lifting equipment provided on Review during pre-production to assure no use of
Fixture dropped Damage to fixture
machine table and secure in correct position used fixture (eg lifting eyes) slings and 'variable' lifting devices
Damage to machine
Lost-time injury
Transport fixture from storage, load to
Fixture dropped Damage to fixture Failure of crane / lifter None Regular certification of lifting equipment
machine table and secure in correct position
Damage to machine
Transport fixture from storage, load to Part scrap / rework. Fixture secured in wrong Fixture supplied with register and / or timing Use automated 'Speedy Zero Point' or 'Erowa'
Fixture not correctly positioned
machine table and secure in correct position Process delay. position pin to assure correct position. systems to locate fixture into equipment.
Transport fixture from storage, load to Part scrap / rework. Fixture positioning device Asset Care Routine completed by Operator /
Fixture not correctly positioned Visual inspection prior to loading fixture
machine table and secure in correct position Process delay. missing / damaged Maintenance prior to storage.
Scrap / rework Lifting method must be agreed at fixture concept design stage.
Lift part from packaging and correctly locate Wrong lifting equipment Lifting equipment to be unique to part - cannot lift
Part not correctly located in fixture Process delay. Positive lifting equipment provided on part. Lifting method must be subject to H&S Risk Assessment. Incorporate risk
in fixture used part incorrectly
Lost-time injury mitigations into lifting equipment design and method statement.
Scrap / rework Lifting method must be agreed at fixture concept design stage.
Lift part from packaging and correctly locate Lifting equipment damages Positive lifting equipment provided on Lifting equipment to be unique to part - cannot
Part not correctly located in fixture Process delay. Lifting method must be subject to H&S Risk Assessment. Incorporate risk
in fixture part fixture (eg lifting eyes) damage part
Lost-time injury mitigations into lifting equipment design and method statement.
Scrap / rework
Lift part from packaging and correctly locate Fixture 'guides' to be developed to protect part and
Part not correctly located in fixture Process delay. Part collides with fixture None
in fixture fixture during loading
Lost-time injury
Scrap / rework
Lift part from packaging and correctly locate Operator compares part number to fixture Each fixture has unique features for 'its' part and will
Part not correctly located in fixture Process delay. Wrong part
in fixture number in TI not allow loading of incorrect part.
Lost-time injury
Process delay.
Part scrap / rework.
NOTE - TORQUE IS NOT EQUAL TO LOAD. A torque wrench is better than
Manual - torque wrench setting.
Potential lost-time injury if part not secured to nothing but varying bolt condition can later the load on the component by a
Part not correctly clamped in Hydraulic - pressure setting on power pack.
Clamp part correctly in fixture fixture Clamping force incorrect None factor of 6.
fixture Gauge on fixture confirms correct pressure prior to
In all cases, powered clamping through hydraulics or electrics is the only
lock-off.
Potential damage to product, tooling, fixturing or prevention for incorrect clamping load.
equipment if part not correctly located and/or
securely loaded to fixture
Process delay.
Part scrap / rework.
Asset Care regime
Potential lost-time injury if part not secured to Clamping force not Manual - confirmation of bolt/clamp Hydraulic - pressure setting on power pack.
Part not correctly clamped in
Clamp part correctly in fixture fixture maintained during condition. Manual - clamps designed to be within safe limits for
fixture
processing Hydraulic - pressure test of actuators to stress
Potential damage to product, tooling, fixturing or detect leaks / failures.
equipment if part not correctly located and/or
securely loaded to fixture
Process delay.
Part scrap / rework.
Potential lost-time injury if part not secured to Location device design prevents mis-loading. Avoid any use of 'clocking' to remove variability of position.
Part not correctly clamped in Measure part position prior to start of
Clamp part correctly in fixture fixture Location position incorrect Use of mandrels and chucks for centring. Utilise mandrels, chucks and other automated position devices to assure
fixture machining
prevention of mis-location.
Potential damage to product, tooling, fixturing or
equipment if part not correctly located and/or
securely loaded to fixture
Process delay.
Part scrap / rework.
Manual - use of SOP detailing clamping
sequence. Hydraulic clamping sequence set automatically
Potential lost-time injury if part not secured to
Part not correctly clamped in Clamping sequence Hydraulic - clamping sequence set through power pack.
Clamp part correctly in fixture fixture
fixture incorrect automatically through power pack. Use automated clamping systems to assure correct
Measure part position prior to start of sequencing of clamps.
Potential damage to product, tooling, fixturing or
machining.
equipment if part not correctly located and/or
securely loaded to fixture
Process delay.
Part scrap / rework.
Potential lost-time injury if part not secured to Probe part prior to start of machining. Barring or error-proofing device safely prevents load
Part not correctly clamped in Part not to condition of Ensure that previous operations have verified that the correct part is sent to
Clamp part correctly in fixture fixture (NOTE - may not be able to probe location of part not in condition of supply for current this operation.
fixture supply
diameters - masked by fixture) operation.
Potential damage to product, tooling, fixturing or
equipment if part not correctly located and/or
securely loaded to fixture
Process delay.
Part scrap / rework.
Process delay.
Part scrap / rework.
Process delay.
Part scrap / rework.
Hydraulic - pressure set in power pack, automatic
Potential lost-time injury if part not secured to All clamping sequences to be pre-set in hydraulic power packs / fixture
Part not correctly clamped in Clamping pressure operation.
Clamp part correctly in fixture fixture None hydraulic circuits, and operated by single operator-initiated start sequence.
fixture incorrect Manual - torque wrench setting prior to tightening
Manual - calibrate torque wrench
nuts/bolts.
Potential damage to product, tooling, fixturing or
equipment if part not correctly located and/or
securely loaded to fixture
Process delay.
Part scrap / rework.
Process delay.
Part scrap / rework.
Process delay.
Part scrap / rework.
Process delay
Part not retained in fixture during Tool / machine collides with Tool paths confirmed using Vericut prior to use of Error-proofing required to ensure that only verified tool progams are used on
Retain part in fixture during processing None
processing fixture during processing process program. production parts - Machining strand
Potential damage to machine and / or fixture.
Process delay
Part not retained in fixture during Excess force imparted to Use of process monitoring for spindle / machine load
Retain part in fixture during processing None
processing part during processing with shut-off for excess load
Potential damage to machine and / or fixture.
Unload part-fixture from machine and Part not removed from fixture and Process delay. Manual - number/colour code clamps to show
unclamp part / or part damaged during removal Part scrap / rework. Unclamping sequence sequence of removal.
Cannot remove part
incorrect Hydraulic - clamping sequence set automatically
through power pack.
Assure Asset Care regimes are completed to time and quality after any
Clamp damaged / broken Cannot remove part Visual examination of clamps prior to unloading.
damage is found
Damage to machine / fixture. Lifting method must be agreed at fixture concept design stage.
Unsecure fixture from machine table, unload Fixture collides with machine Wrong lifting equipment Lifting equipment to be unique to fixture - cannot lift
Process delay. None Lifting method must be subject to H&S Risk Assessment. Incorporate risk
from machine and place to storage. and / or operator used fixture incorrectly
Lost-time injury mitigations into lifting equipment design and method statement.
None (Note - visual examination may be
Damage to machine / fixture.
Unsecure fixture from machine table, unload Fixture collides with machine Lifting equipment damages possible, but needs a very tight definition of Lifting equipment to be unique to fixture - cannot
Process delay.
from machine and place to storage. and / or operator fixture 'damage' and equipment to examine and damage fixture
Lost-time injury
measure damage.)
None. (Note - visual examination may be
Damage to machine / fixture. Lifting method must be agreed at fixture concept design stage.
Unsecure fixture from machine table, unload Fixture collides with machine Fixture collides with possible, but needs a very tight definition of Machine design to assure free access for crane and
Process delay. Lifting method must be subject to H&S Risk Assessment. Incorporate risk
from machine and place to storage. and / or operator machine 'damage' and equipment to examine and load, with good visibility during loading.
Lost-time injury mitigations into lifting equipment design and method statement.
measure damage.)
None. (Note - failure is usually detected
Lost-time injury
Unsecure fixture from machine table, unload once the effects are seen. The first sign of
Fixture dropped Damage to fixture Failure of lifting equipment Regular certification of lifting equipment
from machine and place to storage. failed lifting equipment is 'damage' to
Damage to machine
people and machinery.)
Lost-time injury
Unsecure fixture from machine table, unload Incorrect lifting equipment Positive lifting equipment provided on fixture (eg
Fixture dropped Damage to fixture None Lifting method must be agreed at fixture concept design stage.
from machine and place to storage. used lifting eyes)
Damage to machine
Lost-time injury Lifting method must be agreed at fixture concept design stage.
Unsecure fixture from machine table, unload
Fixture dropped Damage to fixture Failure of crane / lifter None Regular certification of lifting equipment Lifting method must be subject to H&S Risk Assessment. Incorporate risk
from machine and place to storage.
Damage to machine mitigations into lifting equipment design and method statement.
Lost-time injury
Unsecure fixture from machine table, unload
Fixture dropped Damage to fixture Wrong fixture unloaded Operator compares TI with fixture tool Only one fixture to unload
from machine and place to storage.
Damage to machine number prior to unloading.
Unsecure fixture from machine table, unload Securing device not Use of automatic hydraulic systems providing assured position and clamping-
Fixture not correctly unsecured Process delay. Cannot remove fixture Unclamping SOP provided, with check routine
from machine and place to storage. correctly removed pressure feedback
Unsecure fixture from machine table, unload Wrong tool used to remove Unsecuring devices common to machine, and fit all
Fixture not correctly unsecured Process delay. Cannot remove fixture
from machine and place to storage. securing device fixtures
Pick up component
Lift component on to machine Component dropped Injury to operator and/or damage to part incorrectly causing
component to drop
Collision causing
Lift component on to machine Component dropped Injury to operator and/or damage to part
component to drop
Lifting equipment failure
Lift component on to machine Component dropped Injury to operator and/or damage to part causing component to
drop
Associate does not use
Lift component on to machine Component dropped Injury to operator and/or damage to part lifting equipment to
manipulate component
Equipment malfunction:
Lift component on to machine Component dropped Injury to operator and/or damage to part suction cups damaged or
loose on lifting equipment
Non-conformance and/or tooling Tool incorrectly identified, tools easily Probe tooling prior to cutting
Select correct tool Wrong tool selected Provide pre-kitted tooling
damage confused, instructions incorrect
Worn and conforming tooling not Ensure all worn tooling is
Select correct tool Worn tool selected Non-conformance
segregated segregated
Tool not correctly secured in
Assemble toolholder Damage to part and/or toolholder Operator distracted
holder
Incorrect dimensions read from Wrong dimensions enter into machine
Measure tooling with pre-setter Non-conformance
pre-setter tool
Load tools into correct machine Location into which tool should go
Tools loaded into incorrect location Damage to part and/or tooling
location unclear
Load tools into correct machine
Tools loaded into incorrect location Damage to part and/or tooling Toolholder incorrectly marked
location
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Process Step Identified Failure Mode Potential Effects Potential Cause of Failure Possible Detection Possible Prevention
Production Delays, part non- Probe part and/or fixture to verify Use bar code to ensure correct
Load correct Program Incorrect program loaded Multiple programs available
conforming program correct selection,
Loading program data Serial number incorrectly entered Production delay Serial number typed incorrectly Utilise bar code reader
Incorrect Measure cut offsets Damage to tooling and/or non- Probe part to directly measure and
Loading program data Component measured incorrectly
entered conformance load offset dimensions
Incorrect Measure cut offsets Damage to tooling and/or non- Probe part to directly measure and
Loading program data Offsets calculated incorrectly
entered conformance load offset dimensions
Incorrect Measure cut offsets Damage to tooling and/or non- Probe part to directly measure and
Loading program data Offsets entered incorrectly
entered conformance load offset dimensions
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Process Step Identified Failure Mode Potential Effects Potential Cause of Failure Possible Detection Possible Prevention
Correctly set probe sensitivity Probe sensitivity set incorrectly Programming error Trial probing on dummy objects
Fixture location not correctly Warning if probed dimension out of Check probing with fixture in a series of
Probe fixture location probed Time wasted Probe touches on wrong part of fixture expected range locations
Fixture location not correctly Warning if probed dimension out of Wash part and fixture with coolant
Probe fixture location probed Time wasted Swarf/dirt on fixture expected range prior to probing
Fixture location not correctly
Probe fixture location probed Time wasted Programming or data input error
Time wasted Warning if probed dimension out of Carry out probing trials over range of
Probe part Part not probed correctly Non-conformance generated Wrong section of part probed expected range possible positions
Time wasted Warning if probed dimension out of Carry out probing trials over range of
Probe part Part not probed correctly Non-conformance generated probe touches on fixture expected range possible positions
Time wasted Warning if probed dimension out of Wash part and fixture with coolant
Probe part Part not probed correctly Non-conformance generated Swarf/dirt on part expected range prior to probing
Time wasted Warning if probed dimension out of
Probe part Part not probed correctly Non-conformance generated Inappropriate probing angle expected range Trial probing on dummy objects
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Process Step Identified Failure Mode Potential Effects Potential Cause of Failure Possible Detection Possible Prevention
Deburr to specification Excessive material removed Non-conforming part Incorrect tools used Ensure only correct tools are
instructed and available
component or tools slip resulting in Ensure machine programmes
Deburr to specification Excessive material removed Non-conforming part
damage remove burr material
Deburr to specification Burrs not removed Time waste & rework Instructions not explicit
Provide clear standards
Deburr to specification Burrs not removed Time waste & rework Operator disturbed & omits item Ensure no disturbance during
operation
Lighting conditions not sufficient to
Deburr to specification Burrs not removed Time waste & rework
allow spotting of problems Ensure adequate lighting
No clear visual standard for
Deburr to specification Insufficient material removed Time waste & rework
deburring. Provide clear standards
Lighting conditions not sufficient to
Deburr to specification Insufficient material removed Time waste & rework
allow spotting of problems Ensure adequate lighting
Operator injured by sharp Ensure machine programmes
Deburr to specification Lost time injury Excessive burr material on part
burr/edge remove burr material
Operator injured by sharp Ensure machine programmes
Deburr to specification Lost time injury Failure to wear PPE
burr/edge remove burr material
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Process Step Identified Failure Mode Potential Effects Potential Cause of Failure Possible Detection Possible Prevention
Enforce inspection order +
Non-conforming product leaves confirmation - consider deploying
Visually inspect part to specification Visual defects not identified inspection area Inspection order not explicit INSPECT
Enforce inspection order +
Non-conforming product leaves Inspection instructions not followed confirmation - consider deploying
Visually inspect part to specification Visual defects not identified inspection area correctly INSPECT
Regular check and confirmation of
Non-conforming product leaves light levels. Light meter with warning
Visually inspect part to specification Visual defects not identified inspection area Lighting conditions inadequate sound
Non-conforming product leaves Implement and enforce no
Visually inspect part to specification Visual defects not identified inspection area Inspector disturbed and misses defect disturbance rules
Non-conforming product leaves
Visually inspect part to specification Visual defects not identified inspection area Visual standards not adequate Improve visual standards
Acceptable issues identified as Non-conforming product leaves
Visually inspect part to specification defects inspection area Visual standards not adequate Improve visual standards
Regular check and confirmation of
Acceptable issues identified as Time wasted doing unneccessary light levels. Light meter with warning
Visually inspect part to specification defects rework Lighting conditions inadequate sound
Collect defect data Defect data not collected Unable to define required rework Defect list lost
Inspector disturbed and forgets to log Implement and enforce no
Collect defect data Defect data only partially collected Rework cannot be defined correctly defect disturbance rules
No action being taken to address Implement defect data collection and
Analyse defect data Defect data not analysed defects - risk of escapes No process in place to analyse defect data improvement process
No action being taken to address
Analyse defect data Defect data not analysed defects - risk of escapes Data logged but not passed on for analysis
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Process Step Identified Failure Mode Potential Effects Potential Cause of Failure Possible Detection Possible Prevention
Confirm coolant flow Lack of coolant Poor surface finish Worn pump Warning if coolant flow/pressure Regular maintance checks on
goes below set levels pump
Confirm coolant flow Coolant incorrectly aim/pressure Poor surface finish Nozzle damaged Regular check of coolant nozzle
Confirm coolant flow Coolant incorrectly aim/pressure Poor surface finish Nozzle displaced Regular check of coolant nozzle
Temperature control system
Confirm coolant flow Coolant temperature incorrect Poor surface finish Temperature control system failed Warning if temperature goes out of function monitored and machine
specified range refuses to start if system shows
faults
Remove material Material not fully removed Non-conformance Cutting tool damaged part way through Probe tool part way through Op Tool life management
operation Monitor spindle torque
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Process Step Identified Failure Mode Potential Effects Potential Cause of Failure Possible Detection Possible Prevention
Component loaded in wrong CMM collides with the part, Fixture does not preclude Probe component position prior to
Load component to CMM Fixture precludes incorrect loading of component
position possible damage incorrect loading starting measurement cycle
Component does not seat Dirt of burrs on component or Check cleanliness of part/fixture
Load component to CMM Incorrect measurement results
correctly fixture prior to loading
Incorrect CMM programme Probe component to check
Select CMM programme Collision with component Multiple programmes available Use bar code reader to select programme
selected consistent with programme
Incorrect CMM programme Probe component to check
Select CMM programme Incorrect measurement results Multiple programmes available Use bar code reader to select programme
selected consistent with programme
Non-conformance incorrectly Room temperature outside of
Measure part Measurement results incorrect Audible temperature warning in room CMM does not run if temp out of limits
identified or missed limits
Non-conformance incorrectly Warning on screen if CMM not
Measure part Measurement results incorrect CMM not calibrated CMM refuses to run if not in calibration
identified or missed calibrated
Non-conformance incorrectly
Measure part Measurement results incorrect Stylus worn Visual check of stylus for wear
identified or missed
Non-conformance incorrectly
Measure part Measurement results incorrect Stylus damaged Visual check of stylus for damage
identified or missed
Non-conformance incorrectly
Measure part Measurement results incorrect Stylus dirty Visual check of stylus for dirt Clean stylus & ensure part is clean prior to every run.
identified or missed
Measurement routine does not
Measure part Re-measure and time waste Lack of air pressure
complete
Measurement routine does not Probe component position prior to
Measure part Re-measure and time waste Collision with component Fixture prevents incorrect positioning of component
complete starting measurement
Measurement routine does not Check no other objects on table prior
Measure part Re-measure and time waste Collision with other object
complete to measurement run
Non-conformance not Incorrect tolerancing in CMM CMM programme tolerancing
Interpret CMM results Non-conformance escapes
identified programme overchecked before issue
Non-conformance not Inspector fails to note non- Produce separate print out/display of System does not allow component to move to next Op
Interpret CMM results Non-conformance escapes
identified conforming feature(s) non-conforming features until non-conformance has been sanctioned
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Process Step Identified Failure Mode Potential Effects Potential Cause of Failure Possible Detection Possible Prevention
Load correct diamond roll Incorrect diamond roll loaded Non-conforming part Diamond roll not checked against datacard Visual
Load correct diamond roll Incorrect diamond roll loaded Damage to grinding wheel and part Diamond rolls easily confused
Correctly grind component Component not to size Non-conformance Part movement due to a worn / damaged fixture Visual
Correctly grind component Impact damage on component Scrap/non-conformance Error in nozzle alignment causing machine/fixture collision SOP in place for nozzle alignment
Wrong nozzle used as no checks completed against nozzle Set-up trays available for each job with correct set-
Correctly grind component Surface finish not to specification Scrap/non-conformance
no. and datacard up kit
Error in nozzle alignment due to unclear/ambiguous op. Operator involved in creation of datacard and
Correctly grind component Burning of Component Scrap/non-conformance
drawings cross check datacard before shopfloor release
Incomplete grind due to corruption in server leading to non- IT partner maintenance of server and back up
Correctly grind component Can the control system be inaccurate? Dimensional errors
conforming component programmes
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Process Step Identified Failure Mode Potential Effects Potential Cause of Failure Possible Detection Possible Prevention
Laser component Laser cut not conforming Scrap/concession/rework Laser head not in position
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Process Step Identified Failure Mode Potential Effects Potential Cause of Failure Possible Detection Possible Prevention
Install welding head Incorrect welding head selected Non-conforming weld Welding heads are easily confused
Damaged welding heads not
Install welding head Damaged welding head fitted Non-conforming weld segregated
Only correct cleaning material
Clean weld surfaces Weld surfaces not clean Weld porosity incorrect cleaning agents used available
Clean weld surfaces Weld surfaces not clean Weld porosity Incorrect cleaning process Implement laser cleaning
Select correct gas Incorrect gas selected Contamination of weld Gas supply/bottles easily confused Only 1 supply available
Set gas flow rate Gas flow too low Oxidation of weld difficult to set correct flow Only 1 fixed flow
Set gas flow rate Gas flow too high Damage to gas shield Flow gauge difficult to interpret Only 1 fixed flow
Set correct weld current Weld current too high Component burned through Instructions misinterpreted Scan batch card to set current
Set correct weld current Weld current too low Lack of weld penetration Current indication incorrect Scan batch card to set current
Install gas shielding Shielding incorrectly installed Oxidation of weld Difficult to install shield correctly
Install gas shielding Shielding missing Oxidation of weld Not obvious when shield not installed
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Process Step Identified Failure Mode Potential Effects Potential Cause of Failure Possible Detection Possible Prevention
Load correct Grinding wheel to Wrong Wheel Used Poor Quality of Polished Part Unclear Identification on Wheels ID & Colour Code Already on
machine Wheels
Load correct Grinding wheel to Wheel undertightened on Wheel released from machine, Torque settings and torque
machine machine HSE impact wrench not provided
Load correct Grinding wheel to Wheel overtightened on Wheel breaks up, HSE impact Torque settings and torque
machine machine wrench not provided
Set correct Spindle Speed Set Incorrect Spindle Speed Poor Quality of Polished Part Incorrect Speed Readout Use of Technical Instructions and
Setting Disciplines Setting of LED Readout
Dress Grinding Wheel using Wrong Dressing Stone Used Carborundum Honing Stick or
Abrasive Stone Wheel Not correctly Dressed Poor Quality of Polished Part Rotary Grinding Torch Specified
in Technical Instructions
Dress Grinding Wheel using Wheel Not correctly Dressed Poor Quality of Polished Part Worn dressing stone used
Abrasive Stone
Correctly dress component Component under-dressed Rework required Poor lighting in area
Correctly dress component Component under-dressed Rework required Instructions not explicit
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Process Step Identified Failure Mode Potential Effects Potential Cause of Failure Possible Detection Possible Prevention
Fit masks to parts Masks not fitted to parts Surface damage to parts Masks difficult to fit Design masks to be simple to fit
Fit masks to parts Masks incorrectly fitted Surface damage to parts Masks difficult to fit Design masks to be simple to fit
Fit masks to parts Worn masks fitted Surface damage to parts No check on condition of masks Initiate regular condition checks
Check surface finish Surface finish read too rough Uneccessary rework Difficult to use gauge correctly
Check surface finish Surface finish read too smooth Non-conforming part escapes Difficult to use gauge correctly
Process Step Identified Failure Mode Potential Effects Potential Cause of Failure Possible Detection Possible Prevention
Load components into correct Components loaded into Components treated at wrong No clear instructions on how to Holding fixtures baulked to prevent
position in furnace incorrect position in furnace temperature load furnace incorrect placement in furnace
Enter heat treat temperature Instructions misread, typing error, Inspection of Temperature -v- Temperature profile selected by
Temperature entered too high Component scrapped
to controller confusion with other parts time graph scanning batchcard
Enter heat treat temperature Material chemistry not Instructions misread, typing error, Inspection of Temperature -v- Temperature profile selected by
Temperature entered too low
to controller achieved - scrap/concession confusion with other parts time graph scanning batchcard
Heat treat to defined Material chemistry not Inspection of Temperature -v- Temperature profile selected by
Heat treat to wrong profile Timer(s) not correctly set
temperature v time profile achieved - scrap/concession time graph scanning batchcard
Heat treat to defined Material chemistry not Control Thermocouple not Use triplicate thermocouples Regular thermocouple calibration
Heat treat to wrong profile
temperature v time profile achieved - scrap/concession calibrated to isolate incorrect reading regime
Heat treat to defined Material chemistry not Control Thermocouple reading Use triplicate thermocouples Regular thermocouple calibration
Heat treat to wrong profile
temperature v time profile achieved - scrap/concession incorrectly to isolate incorrect reading regime
Heat treat to defined Material chemistry not Control thermocouple incorrectly Use triplcate thermocouples Regular thermocouple calibration
Heat treat to wrong profile
temperature v time profile achieved - scrap/concession positioned in furnace to isolate incorrect reading regime
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Process Step Identified Failure Mode Potential Effects Potential Cause of Failure Possible Detection Possible Prevention
Set part at correct angle Part not set to correct angle Uneven surface roughness
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Process Step Identified Failure Mode Potential Effects Potential Cause of Failure Possible Detection Possible Prevention
Set correct spray pressure Spary pressure too high Metal spray may not bond Faulty pressure regulator Regular checks of pressure regulator
Set correct spray pressure Spray pressure too low Metal spray may not bond Faulty pressure regulator
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Process Step Identified Failure Mode Potential Effects Potential Cause of Failure Possible Detection Possible Prevention
Check correct media level Media level too high Machine damage Media level difficult to interpret
Set correct blast pressure Blast pressure too high Machine damage Faulty pressure regulator
Automated Sandblasting Blast pressure too low Oxide layer not removed Faulty pressure regulator
Degrease part Parts not properly degreased Contamination of next process Water Contaminated
Degrease part Parts not properly degreased Contamination of next process Soap concentration incorrect
Degrease part Parts not properly degreased Contamination of next process Water not replaced Replacement programme?
Faulty thermostat in
Degrease part Parts not properly degreased Contamination of next process
degeasing machine
Faulty motor in degreasing Could incorporate a 'wheel check' prior to job. It is
Degrease part Parts not properly degreased Contamination of next process
machine possible to check wheel rotates with lid open.
Degreasing cycle stopped
Degrease part Parts not properly degreased Contamination of next process
before complete
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Process Step Identified Failure Mode Potential Effects Potential Cause of Failure Possible Detection Possible Prevention
Select correct part Incorrect part selected Escape to customer or rework Parts easily misidentified
Select correct part Incorrect part selected Escape to customer or rework Parts wrongly identified
Select correct part Incorrect part selected Escape to customer or rework Parts stored in wrong location
Select correct fastenings Incorrect fastenings selected Escape to customer or rework Fastenings easily misidentified
Select correct fastenings Incorrect fastenings selected Escape to customer or rework Fastenings wrongly identified
Select correct fastenings Incorrect fastenings selected Escape to customer or rework Fastenings stored in wrong location
Select tool(s) Incorrect tool(s) selected Damage to component/tool Tools easily mistaken
Select tool(s) Incorrect tool(s) selected Damage to component/tool Correct tool not available
Select tool(s) Incorrect tool(s) selected Damage to component/tool Tools poorly identified
Select tool(s) Incorrect tool(s) selected Damage to component/tool Tools not correctly specified
Time wasted
Remove covers Covers not removed Damage to product Covers not visually obvious
Measure and record data Recording incorrectly Product performance not optimum
Unable to despatch product
Measure and record data Partially record data Time waste and rework
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Process/Worksheet Process Step Identified Failure Mode Potential effects Potential Cause of Failure Possible Detection Possible Prevention
Preparation of faying surface Cleaning performed using JES 221 instructs to use the hand gloves
for electrical bonding as per Cleaning of faying surface Improper cleaning
bare hand
Visual inspection
to carry out the cleaning process
JES221
Preparation of faying surface Fitter distracted and not PL ensures that fitters are assigned
for electrical bonding as per Cleaning of faying surface Mating faces partially cleaned completed the cleaning Visual inspection
single task at a time
JES221 process
Preparation of faying surface Non conformance. Delay in Fitter missed to clean the JES 221 indicates the cleaning area and
for electrical bonding as per Cleaning of faying surface Mating faces partially cleaned process as the mating faces entire area / extra periphery Visual inspection
JES221 on the faying surface fitter training on cleaning process
to be re cleaned again
Preparation of faying surface Poor electrical conductivity Poor lighting facility, fitter
for electrical bonding as per Cleaning of faying surface Swarfs not removed during test, need rework. may not notice the swarf Visual inspection Periodic illumination audit
JES221 Hence delay in process present on the faying surface
Preparation of faying surface Swarf trapped in Blanking plug/Masking tape PL and store incharge ensures the
for electrical bonding as per Cleaning of faying surface holes/Threaded surface not available
Visual inspection continuous availability of blanking
JES221 Applies less clamping plug/masking tape
pressure
When complete please e-mail this sheet to: mark.fall@rolls-royce.com (RRPS Core Team - Quality Operating System module co-ordinator)