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| DOE-HDBK-1100-2004
Table 4.20. Example FMEA Worksheet
DATE:
PAGE:
of
PLANT:
SYSTEM:
ITEM:
REFERENCE:
FAILURE
FAILURE
OPERATIONAL
DETECTION
COMPENSATING
SEVERITY
REMARKS/
MODE
CAUSE(S)
MODE
FAILURE EFFECTS
PROVISIONS
CLASS
ACTIONS
METHOD
56
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