Electrical Component Failure Analysis Report

Report Number:
Date:
Prepared By:

1. Component Information

Component Name:
Part Number:
Manufacturer:
Serial / Lot Number:

2. Failure Description

3. Operating Environment

Parameter Value
Voltage
Current
Temperature
Humidity
Other

4. Visual Inspection Findings

5. Test Results

6. Failure Mode Analysis

7. Root Cause Determination

8. Corrective and Preventive Actions

9. Attachments / References

Reviewed By:
Date: