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JUDUL PROSES

TANGGAL DIMULAI
TANGGAL SELESAI
KETUA
ANGGOTA

FASILITATOR
NOTULEN
SASARAN

Project Status
Status
TOTAL FAILURE MODE :

COMPLETE
.

LANGKAH 2
ALUR PROSES
PROSES

a
b
c
d
e

SUBPROSES

SUBPROSES

SUBPROSES

SUBPROSES

SUBPROSES

h
i

SUBPROSES

MODUS KEGAGALAN

MODUS KEGAGALAN

MODUS KEGAGALAN

MODUS KEGAGALAN

MODUS KEGAGALAN

AMKD Langkah 4 - Analisis Hazard

MODUS
Kegagalan :

POTENSI
PENYEBAB

HAZARD SKORING
K
e
g
a
w
a
t
a
n

Evaluasi awal
modus kegagalan
sebelum

AMKD Langkah 5 - Identifikasi Tindakan & Outcome

N
i
l
a
i
P
r
o
b
a
b
i
l
i
t
a
s

H
a
z
a
r
d

Analisis Pohon Keputusan


P
o
i
n
T
u
n
g
g
a
l
K
e
l
e
m
a
h
a
n
?

A
d
a
k
a
h

A
p
a
k
a
h

P
r
o
s
e
s

K
o
n
t
r
o
l
/
P
e
n
g
e
n
d
a
l
i
a

m
u
d
a
h

d
i
d
e
t
e
k
s
i
?

indakan & Outcome

Tindakan / Alasan
untuk mengakhiri

Tipe
Tindakan
(Kontrol,
terima,
Eliminasi)

U
k
u
r
a
n
O
u
t
c
o
m
e

Y
a
n
g
B
e
r
t
a
n
g
g
u
n
g
J
a
w
a
b

D
u
k
u
n
g
a
n
M
a
n
a
j
e
m
e
n

Action Plan :
Failure Mode

CAUSE

Recommendation(s)

Action(s) to achieve
recommendations (How)

Failure Mode

CAUSE

Recommendation(s)

Action(s) to achieve
recommendations (How)


Implementation by
Whom

Implementation by
when

Implementation of the
place (Where)

Resource
required
(Time)

Resource
required (Money)

Resource
required
(Time)

Resource
required (Money)

ACTION PLAN:
Implementation by
Whom

Implementation by
when

Implementation of the
place (Where)

Evidence of
completion

Monitoring &
evaluation
arrangements

Sign-off by

Sign-off
Date

Evidence of
completion

Monitoring &
evaluation
arrangements

Sign-off by

Sign-off
Date