Failure Analysis Report

Report Number Date Prepared By Department

1. Summary of Failure

2. Background Information

3. Details of Failure

Date and Time of Failure Location Equipment/Part Involved Failure Mode

4. Investigation & Analysis

Inspection Findings Root Cause Analysis Supporting Data / Evidence

5. Corrective Actions

Action	Responsible	Target Date	Status

6. Preventive Actions

7. Conclusion & Recommendations

Reviewed By Date of Review