Fmea
Fmea
AND
EFFECTS ANALYSIS
Sverdrup
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BACKGROUND…
• Premise: You own/operate/require/design/or are responsible for equipment
essential to a system/process/activity which may be small or large, simple or
complex. It may be a future plan, or be presently in operation.
• Need: Reassurance that causes, effects, and risks of system failures have been
reviewed systematically.
(1) How (i.e., in what ways) can this element fail (failure modes)?
(2) What will happen to the system and its environment if this
element does fail in each of the ways available to it (failure
effects)?
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DEFINITIONS…
• Fault: Inability to function in a desired manner, or operation in an undesired manner,
regardless of cause.
• Failure: A fault owing to breakage, wear out, compromised structural integrity, etc.
FMEA does not limit itself strictly to failures, but “Failure Modes...”
includes faults. is a misnomer — some
sources now call FMEA by
• Failure Mode: The manner in which a fault occurs, i.e. the way another name:
in which the element faults. “Fault Hazard Analysis.”
more ➟
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DEFINITIONS (concl)…
• Failure Effect: The consequence(s) of a failure mode on an operation, function, status
of a system/process/activity/environment. The undesirable outcome of a fault of a
system element in a particular mode. The effect may range from relatively harmless
impairment of performance to multiple fatalities, major equipment loss, and
environmental damage, for example.
All failures are faults; not all faults are failures. Faults can be caused by
actions that are not strictly failures.
A system that has been shut down by safety features responding properly
has NOT faulted (e.g., an overtemperature cutoff).
A protective device which functions as intended (e.g., a blown fuse) has NOT
failed.
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FMEA USES AND PRACTICAL APPLICATIONS…
1. Identify individual elements/operations within a
system that render it vulnerable…
Single Point Failures
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THE PROCESS…
1. Define the system to be analyzed, and obtain necessary
drawings, charts, descriptions, diagrams, component lists.
Know exactly what you’re analyzing; is it an area, activity,
equipment? — all of it, or part of it? What targets are to be
considered? What mission phases are included?
more ➟
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THE PROCESS: Three Questions to Ask / Answer…
1. Will a failure of the system result in intolerable/undesirable loss?
If NO, document and end the analysis. If YES, see (1.a).
2. For each analyzed element, what are the Failure Modes? These two
questions,
alone,
3. For each Failure Mode, what are the Failure Effects? guide
FMEA - General “classical”
FMECA - Severity and Probability assessments FMEA.
*Treat interfaces, at each level of analysis, as system elements at same that level. more ➟
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FMEA Process Flow
1. Identify TARGETS to be protected:
• Personnel • Product • Environment QUESTION: For each element . . .
2. Recognize
• Equipment • Productivity • . . . other . . . • System, then
RISK TOLERANCE LIMITS • Subsystem, then
3. “SCOPE” system as to: (i. e., Risk Matrix Boundaries) • Assembly, then
(a) physical boundaries; (b) operating • Subassembly, then
phases (e. g., shakedown, startup, • . . . etc. . . .
4. IN WHAT WAYS
standard run, emergency stop, mainten- (MODES) CAN THIS • Don’t overlook
ance); and (c) other assumptions made ELEMENT FAIL . . . ? INTERFACES!
(e.g., as-is, as-designed,
no countermeasures
in place) …etc. MODE MODE MODE MODE
1 2 3 m
AND
USE RISK MATRIX…
MATRIX must be defined for and
must match the assessment
DEVELOP Probability Interval and
COUNTERMEASURES ASSESS RISK Force/Fleet Size.
NO IS
ACCEPT
OR RISK See 2. above.
(WAIVER)
ACCEPTABLE
?
YES
ABANDON
STOP
5. Do the countermeasures
introduce NEW hazards? . . . or, 6. Do the countermeasures
IMPAIR system performance?
. . . if so, develop NEW COUNTERMEASURES !
SYSTEM BREAKDOWN CONCEPT…
SYSTEM… a composite of subsystems whose functions are integrated to
achieve a mission / function (includes materials, tools, personnel,
facilities, software, equipment)
more ➟
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Subsystem 1
SYSTEM A Assembly 6
Assembly 6
SA 1
Subsystem 4
Subsystem 3 SA 2 SA =
Subassembly
Assembly 1
Subsystem 1
Subsystem 7
SA 3
Assembly 5
SA 4
Subsystem 5 SA 5
Subsystem 2 Assy 4
Subsystem 6
Assy 2
Assy 3
Subassembly 5
SYSTEM C1 C2 C=
BREAKDOWN Component 3 C3 C4 C5
Component
CONCEPT… 2
DO NOT
System Breakdown 3 overlook
1
can be INTERFACES
“FUNCTIONAL” 5 between
or system elements!
“GEOGRAPHIC”
4 Item
or both.
A.1.6.5.3.5
C 3 contains these Piece Parts
more ➟
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FUNCTIONAL vs. GEOGRAPHIC
SYSTEM BREAKDOWN…
• Functional:
• Cooling System Don’t neglect interface
• Propulsion System components — e.g., if an
engine-driven belt powers
• Braking System both a water pump and a
• Steering System power steering system, be
sure to include it as a part
• …etc… of one, or as a separate
• Geographic / Architectural: Interface Element!
• Engine Compartment
• Passenger Compartment
• Dashboard / Control Panel
• Rear End more ➟
• …etc…
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SYSTEM BREAKDOWN EXAMPLE…
System Subsystem Assembly Subassembly
ASSEMBLIES Radiator
10-11
Water Pump
10-12 Develop/implement a
Coding System that
Coolant gives each analyzed
10-13
system element a
Hoses/Clamps unique identification.
10-14
Engine Block
10-15 Subassemblies Radiator Body
10-11-01
Thermostat
10-16 Radiator Cap
10-11-02 more ➟
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DON’T OVERLOOK THESE…
• Utilities — electricity, compressed air, cooling
water, pressurized lube oil, steam, etc.
• Human support activities — e.g., process
control,
• Interface Elements
• All applicable mission phases (for any potential
target)
3. Item name
4. Operational Phase(s)
5. Failure mode
6. Failure cause
7. Failure effect
8. Target(s)
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FMEA/Worksheet
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EXAMPLE: OPERATOR: (1) loads cooker, (2) closes/seals lid,
(3) connects power, (4) observes pressure, (5) times
HEIRLOOM cooking at prescribed pressure, (6) offloads dinner.
PRESSURE
SYSTEM DESCRIPTION:
COOKER*…
• Electric coil heats cooker.
• Thermostat controls tempera-
SAFETY
VALVE
PRESSURE ture — Switch opens >250° F.
GAGE
• Spring-loaded Safety Valve
LID opens on overpressure.
CLAMP
• Pressure Gage red zone
DINNER indicates overpressure.
ELECTRICAL
POWER • High temperature/pressure
THERMOSTAT
cooks/sterilizes food — tender-
SWITCH izes and protects against
HEATING
COIL
botulin toxin.
Project No.:________________________________
Subsystem:________________________________ Sverdrup Technology, Inc. Sheet________of________
Date:_____________________________________
System:___________________________________
Pressure Cooker/Food/Operator
Probability Interval:__________________________
25-year / twice-weekly use
Failure Modes & Effects Analysis Prep. by:__________________________________
Rev. by:___________________________________
FMEA No.:_________________________________
Operational Phase(s):_________________________
Cooking (after load/close/sealing) Approved by:_______________________________
T
ITEM/ A RISK
IDENT. FAILURE FAILURE FAILURE R ASSESSMENT
FUNCTIONAL
No. MODE CAUSE EFFECT G
Risk ACTION REQUIRED / REMARKS
IDENT. E
SEV PROB
T Code
SV Safety Open Broken Spring Steam burns; in- P II
Valve creased production R IV
time E IV
T
ITEM/ A RISK
IDENT. FAILURE FAILURE FAILURE R ASSESSMENT
FUNCTIONAL
No. MODE CAUSE EFFECT G
Risk ACTION REQUIRED / REMARKS
IDENT. E
SEV PROB
T Code
Operator intervenes/ P NA
interrupts process R IV
(mission fails) E IV
more ➟
P: Personnel / E: Equipment / T: Downtime / R: Product / V: Environment
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Pressure Cooker FMEA (conc)
T
ITEM/ A RISK
IDENT. FAILURE FAILURE FAILURE R ASSESSMENT
FUNCTIONAL
No. MODE CAUSE EFFECT G
Risk ACTION REQUIRED / REMARKS
IDENT. E
SEV PROB
T Code
20
ZOOLOGICAL
FMEA…
Not to
Scale
more ➟
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COYOTE HOIST — SYSTEM BREAKDOWN…
Subsystem Assembly Subassembly
Hoist (A) Motor (A-01) Windings (A-01-a)
Inboard bearing (A-01-b)
Outboard bearing (A-01-c)
Rotor (A-01-d)
Stator (A-01-e)
Frame (A-01-f)
Mounting plate (A-01-g)
Wiring terminals (A-01-h)
Drum (A-02)
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Coyote Lifter FMEA
Project No.:________________________________
Subsystem:________________________________ Sverdrup Technology, Inc. Sheet________of________
Date:_____________________________________
System:___________________________________
Coyote Hoist
Probability Interval:__________________________
4 one-way trips ea. Sat. AM / 25 yrs
Failure Modes & Effects Analysis Prep. by:__________________________________
Rev. by:___________________________________
FMEA No.:_________________________________
Operational Phase(s):_________________________
Uprising Approved by:_______________________________
T
ITEM/ A RISK
IDENT. FAILURE FAILURE FAILURE R ASSESSMENT
FUNCTIONAL
No. MODE CAUSE EFFECT G
Risk ACTION REQUIRED / REMARKS
IDENT. E
SEV PROB
T Code
M: Mission more ➟
P: Personnel / E: Equipment / T: Downtime / R: Product / V: Environment
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Coyote Lifter FMEA (conc)
T
ITEM/ A RISK
IDENT. FAILURE FAILURE FAILURE R ASSESSMENT
FUNCTIONAL
No. MODE CAUSE EFFECT G
Risk ACTION REQUIRED / REMARKS
IDENT. E
SEV PROB
T Code
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COUNTERMEASURES FOR
SINGLE-POINT FAILURES…
1. Adopt redundancy. ( Use dissimilar methods — consider
common-cause vulnerability.)
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WHEN IS AN FMEA BEST PERFORMED…?
• An FMEA cannot be done until design has
proceeded to the point that System Elements
have been selected at the level the analysis is to
explore.
• Ideally, FMEA is best done in conjunction with or
soon after PHA efforts. Results can be used to
identify high-vulnerability elements and to guide
resource deployment for best benefit. An FMEA
can be done anytime in the system lifetime,
from initial design onward.
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PRINCIPAL LIMITATIONS & ABUSES OF FMEA…
• Frequently, human errors and hostile environments are
overlooked.
• Because the technique examines individual faults of system
elements taken singly, the combined effects of coexisting
failures are not considered.
• If the system is at all complex and if the analysis extends to the
assembly level or lower, the process can be extraordinarily
tedious and time consuming.
• Failure probabilities can be hard to obtain; obtaining,
interpreting, and applying those data to unique or high-stress
systems introduces uncertainty which itself may be hard to
evaluate.
• Sometimes FMEA is done only to satisfy the altruistic urge or
need to “do safety.” Remember that the FMEA will find and
summarize system vulnerability to SPFs, and it will require lots
of time, money, and effort. How does the recipient intend to
use the results? Why does he need the analysis? more ➟
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FMEA LIMITATIONS & ABUSES (cont)…
• Ignoring the role of Mission Phasing.
• When a facility proprietor learns the facility has 100s or 1000s of
SPFs, frequently he panics, develops SPF paranoia, and
demands “Critical Items Lists” or “Total System
Redundification.” This paranoia leads to (1) misplaced fear
(“This SPF-loaded system is sure to get us one day!”) and (2)
loss of focus on other, possibly deadlier, system threats.
more ➟
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FMEA LIMITATIONS & ABUSES (cont)…
Single Points Abound! You encounter them daily, yet continue to
function. Remember:
Each day you… (a biological bundle of SPFs with only 1
brain,spinal chord, stomach, bladder, liver,
pancreas)
drive your vehicle… (a rolling cathedral of SPFs with only 1 engine,
brake pedal, carburetor, steering wheel,
radio, fuel gage)
to work … (past a jungle of SPFs — traffic signals, other
vehicles, bridges)
to spend the day… (at a facility laden with SPFs — 1 desk,
computer, wastebasket)
earning money
to buy commodities… (filled with SPFs — TV with 1 picture tube,
toaster with 1 cord, phone with 1 of each
pushbutton)
Most system nastiness results from complex
threats, not from SPFs — don’t ignore more ➟
SPFs, just keep them in perspective.
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FMEA LIMITATIONS & ABUSES (concl)…
Redundifying to reduce the single-point threat?
Will the amount spent on redundifying exceed the price you
would pay if the undesired event occurred? Don’t forget to
include the cost of redundant parts, their installation, and their
upkeep. Don’t overlook the need to make room and weight
allowances for the extra equipment. How are you going to
protect yourself against common-causing? Who decides which
of two identical items is the “routine-use item” and which is the
“backup?” You’ll have to devise means for switching from to the
other. If it’s an automatic switching device, don’t forget to
redundify that element, too!
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BENEFITS OF FMEA…
• Discovers potential single-point failures.
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APPENDIX
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APPENDIX
FMECA 1629A
Worksheet from
MIL-STD-1629A
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APPENDIX
CRITICALITY ANALYSIS 1629A
Worksheet from
MIL-STD-1629A
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APPENDIX
Sverdrup FMEA
Project No.:________________________________
Subsystem:________________________________ Sverdrup Technology, Inc. Sheet________of________
Date:_____________________________________
System:___________________________________
Probability Interval:__________________________
Failure Modes & Effects Analysis Prep. by:__________________________________
Rev. by:___________________________________
FMEA No.:_________________________________
Operational Phase(s):_________________________ Approved by:_______________________________
T
ITEM/ A RISK
IDENT. FAILURE FAILURE FAILURE R ASSESSMENT
FUNCTIONAL
No. MODE CAUSE EFFECT G
Risk ACTION REQUIRED / REMARKS
IDENT. E
SEV PROB
T Code
Concept Page
Background 2
Definitions 3-4
Uses & Practical Applications 5
Procedure - Process 6-8
System Breakdown Concept 9-12
Don’t Forget These & Items Typically Ignored 14
FMEA Worksheets 15-16
Pressure Cooker Problem & Example 17-20
Coyote Hoist Problem & Example 21-24
SPF Countermeasures 25
When is an FMEA performed? 26
Benefits of FMEA 31
Limitations & Abuses of FMEA 27-30
Further Reading 32
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