Mechanical Component Failure Analysis Report

1. General Information

Component Name Part Number Location/Assembly Date of Failure Reported By Analyzed By

2. Failure Description

Failure Mode Visual Appearance Service Conditions (load, speed, temperature, environment, etc.)

3. Background

Component Function Operating History Maintenance History

4. Evidence Collected

Physical Samples Photographs / Images Test Results

5. Analysis

Inspection and Observations Material Analysis Root Cause Determination

6. Conclusions

Summary of Findings

7. Recommendations

Corrective Actions Preventive Actions

8. Appendices

Additional Notes Reference Documents Signatures

Name	Position	Date	Signature