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
BARRIER
BARRIER
Process Barrier Analysis Responsibility and
Potential Hazard or Potential Effects of Potential Cause(s) / Recommended
RPN
RPN
SEV
SEV
EXP
EXP
Function & (Current Risk Target Completion Actions Taken
Risk Failure (Consequences) Mechanism(s) of Failure Actions
Requirements Controls) Date
How is the current risk or
hazard being controlled? Designate who
is responsible
Danger or risk Risk Priority Document actions for the action
associated with Number (RPN) recommended and the
the task. is: Sev X Exp X based on the projected
The experience or RPN Ranking. completion Estimate or
Barrier recalculate the
consequence of the danger date.
or risk. RPN after action
has been taken.
Sign off on actions
taken to reduce RPN.
Page 1 of 6
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 Numbe
Reviewed by Page of
Identification of Ranking of Current Job Title/Task Future or Completed Actions Action Results
Potential Barrier Responsibility
BARRIER
BARRIER
Process Potential Potential Effects
Cause(s) / Analysis Recommended and Target Actions
RPN
RPN
SEV
SEV
EXP
EXP
Function & Hazard or of Failure
Mechanism(s) (Current Risk Actions Completion Taken
Requirements Risk (Consequences)
of Failure Controls) Date
Sales Reduction in Loss of revenue Closed None 3 1 3 9 Diversify customer Sales by 5/5/2020 Secure 1 1 3 3
Sales businesses don't base contracts with
buy per plan 10 new
customers
Supply Chain Production Reduction in Suppliers are None 3 1 3 9 Secure multiple Purchasing by Secure 3 1 1 2 2
Interuption interruptions available inventory operating with suppliers for 5/15/2020 additional
reduced staffing equipment, providers of
or closed down chemicals, and equipment, 2
all together maintenance providers of
supplies. chemicals, and
one additional
maintnencance
supply
provider.
Fuel shortages None 3 1 4 12 Maintain reserves of Purchasing by installed UST 1 1 2 2
stop trucks diesel fuel 7/30/2020 system to store
and dispense
on-road diesel.
Page 2 of 6
Identification of Ranking of Current Job Title/Task Future or Completed Actions Action Results
Potential Barrier Responsibility
BARRIER
BARRIER
Process Potential Potential Effects
Cause(s) / Analysis Recommended and Target Actions
RPN
RPN
SEV
SEV
EXP
EXP
Function & Hazard or of Failure
Mechanism(s) (Current Risk Actions Completion Taken
Requirements Risk (Consequences)
of Failure Controls) Date
Compliance OSHA Fines and future Employee None 2 5 4 40 Train production Plant manager, or Provided 1 1 2 2
Violation audits contracts COVID- employees to delegate, by sanitizing
19 at work protect themselves 5/8/2020 supplies,
and each other hygiene
through social stations, and
distancing, frequent training.
handwashing, and
self-monitoring for
symptoms.
Provide surface
disinfection supplies.
Provide
handwashing
stations and/or hand
sanitizer.
Financial Increased OSHA recordable Virus spreads None 2 5 4 40 Train production Plant manager, or Provided 1 1 2 2
workers illnesses may drive person to person employees to delegate, by sanitizing
comp up workers comp easily protect themselves 5/8/2020 supplies,
premiums premiums and each other hygiene
through social stations, and
distancing, frequent training.
handwashing, and
self-monitoring for
symptoms.
Provide surface
disinfection supplies.
Provide
handwashing
stations and/or hand
sanitizer.
Page 3 of 6
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 Numbe
Reviewed by Page of
Identification of Ranking of Current Job Title/Task Future or Completed Actions Action Results
Potential Barrier Responsibility
BARRIER
BARRIER
Process Potential Potential Effects
Cause(s) / Analysis Recommended and Target Actions
RPN
RPN
SEV
SEV
EXP
EXP
Function & Hazard or of Failure
Mechanism(s) (Current Risk Actions Completion Taken
Requirements Risk (Consequences)
of Failure Controls) Date
Logistics Loss of Supply chain Drivers contract None 2 2 4 16 Train drivers to H&S Department Trained all 1 2 2 4
drivers interruption COVID-19 or protect themselves by 5/5/2020 employees on
have to take care and each other social
of a sick family through social distancing,
member distancing, frequent frequent
handwashing, and handwashing,
self-monitoring for and self-
symptoms. monitoring of
symptoms
Production Loss of Production Employee None 2 5 4 40 Train production Plant manager, or Provided 1 1 2 2
production interruption becomes ill employees to delegate, by sanitizing
employees protect themselves 5/8/2020 supplies,
and each other hygiene
through social stations, and
distancing, frequent training.
handwashing, and
self-monitoring for
symptoms.
Provide surface
disinfection supplies.
Provide
handwashing
stations and/or hand
sanitizer.
Page 4 of 6
Identification of Ranking of Current Job Title/Task Future or Completed Actions Action Results
Potential Barrier Responsibility
BARRIER
BARRIER
Process Potential Potential Effects
Cause(s) / Analysis Recommended and Target Actions
RPN
RPN
SEV
SEV
EXP
EXP
Function & Hazard or of Failure
Mechanism(s) (Current Risk Actions Completion Taken
Requirements Risk (Consequences)
of Failure Controls) Date
Safety/Health Illness Employee contracts Virus spreads None 2 5 4 40 Train production Plant manager, or Provided 1 1 2 2
COVID-19 and person to person employees to delegate, by sanitizing
infects coworkers easily protect themselves 5/8/2020 supplies,
and each other hygiene
through social stations, and
distancing, frequent training.
handwashing, and
self-monitoring for
symptoms.
Provide surface
disinfection supplies.
Provide
handwashing
stations and/or hand
sanitizer.
Psychological Absenteeism Employees won't None 2 5 4 40 Train production Plant manager, or Provided 1 1 2 2
come to work if employees to delegate, by sanitizing
they are scared protect themselves 5/8/2020 supplies,
of getting sick and each other hygiene
through social stations, and
distancing, frequent training.
handwashing, and
self-monitoring for
symptoms.
Provide surface
disinfection supplies.
Provide
handwashing
stations and/or hand
sanitizer.
Page 5 of 6
Severity, Exposure, Probability Ranking for Risk Assessment FMEA
Rank Severity Rank Exposure Rank Barrier/Probability
Extreme - Fatality. Permanent extensive environmental damage
Frequent - Expected - No barriers or controls for
beyond boundaries of site. Regulatory or legal citation. Exceeds
5 5 Many cycles a 5 hazard (Injury or Environmental impact
permit requirements. Does not meet EHS legal requirements. Out
day likely)
of business.
Major - Nonreversible permanent disability; loss of sight; limb
amputation; respiratory damage, etc. Permanent environmental
Likely - Single layer of control or barrier
4 damage contained to boundaries of site. Significant potential for 4 Daily 4
that can be unintentionally bypassed.
exceeding emissions limits; non-compliance with permits and EHS
legal requirements. Bankruptcy.
Serious - Reversible loss of consciousness, burns, breakages, etc.
Moderate - Multiple layers of controls or
Reversible environmental damage contained to boundaries of site,
barriers that can be unintentionally
3 Potentially exceeds permit requirements or EHS legal 3 Weekly 3
bypassed or a single layer that must be
requirements. Significant property damage (> $10,000). Loss of
deliberately bypassed.
$1mm on business.
Low - Recordable Injury - requires medical attention. Adverse
effect on environment. Emissions below environmental permit Unlikely - Multiple layers of controls or
2 levels. Does not exceed Industrial hygiene exposure limits. Does 2 Monthly 2 barriers that must be deliberately
not exceed EHS regulatory requirement thresholds. Loss of bypassed.
$100,000 on the business.
Very Low - bruising, cuts, light abrasions; Incident, No
Seldom - Once
1 environmental impact. Compliance with EHS legal requirements. < 1 1 Rare
a Year
$250 property damage