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Print # Rev. Fmea # Item: Process Resp: Prepared: Model Year(s) /vehicle(s) Key Date Date (Orig.) Core Team: Date (Rev.)

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POTENTIAL

FAILURE MODE AND EFFECTS ANALYSIS


Print # (example for training) Rev. 0 (PROCESS FMEA) FMEA # 1000

Item: Filling car with gasoline at gas station Process Resp: Vehicle Owner Prepared: Mike Walton

Model Year(s)/Vehicle(s) N/A Key Date N/A Date (Orig.) 3/1

Core Team: Mike Cole, Vick Deitrik, Gary Reimer, Joe Stull Date (Rev.) N/A
C
Process S l Potential O D R Action Results
Potential Potential Recommende
Function/ E a Causes/ C Current Process Controls E P Resp. &
Failure Effect(s) d Actions
Require- V s Mechanisms C T N Target Date
Mode of Failure Action(s) Taken
ments s of Failure
Open Gas Door to Vehicle owner Owner will have to 3 Minor Vehicle owner not 2 No controls around 10 60 No action for N/A N/A
Access Gas Cap cannot find lever to ask for assistance at familiar with gas door owner awareness / now - monitor
(this is the first step release door the gas station or call release levers and does training verification service calls
in filling the gas for help (…a fairly not have access to (impossible to detect and add a
tank) minor situation - owner's manual (…this when a vehicle owner visible,
severity is set low at is a fairly rare situation) does not know where removable tag
3) the gas-door release to gas door
lever is lever if
complaints are
significant

Replace gas cap Owner forgets to Gas cap lost (the 5 Moderat Human error (this 7 Vehicle owner visually 5 175 Add strap to John Smith - Strap
replace gas cap, set severity of this effect e situation is much more detects cap on roof or gas gap so it 6/1/2011 implemented
on verhicle roof is higher than when likely to happen than sees open gas door in will never be
the owner cannot find the owner not being side mirror prior to detached from
the gas door lever, able to find the gas departing from gas vehicle (in this
since in this case the door lever - thus the station case, the high
customer may need to Occurrence value is RPN value
purchase another gas much higher) warrants
cap) action)

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POTENTIAL
FAILURE MODE AND EFFECTS ANALYSIS
Print # (example for training) Rev. 0 (PROCESS FMEA) FMEA # 1000

Item: Filling car with gasoline at gas station Process Resp: Vehicle Owner Prepared: Mike Walton

Model Year(s)/Vehicle(s) N/A Key Date N/A Date (Orig.) 3/1

Core Team: Mike Cole, Vick Deitrik, Gary Reimer, Joe Stull Date (Rev.) N/A
C
Process S l Potential O D R Action Results
Potential Potential Recommende
Function/ E a Causes/ C Current Process Controls E P Resp. &
Failure Effect(s) d Actions
Require- V s Mechanisms C T N Target Date
Mode of Failure Action(s) Taken
ments s of Failure

Page 2 of 4
1000

Mike Walton

3/1

N/A

Action Results
S O D R
E C E P
V C r N
N/A N/A N/A N/A

5 1 5 25

Page 3 of 4
1000

Mike Walton

3/1

N/A

Action Results
S O D R
E C E P
V C r N

Page 4 of 4

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