The scope is a manually loaded, fixture-assisted assembly of an electromechanical unit (e.g. a motor controller with display, harness and external connectors) at a six-station flow line. Each station has a dedicated fixture, a torque tool, a barcode scanner and an MES interlock to the next station. Functional test runs at station 5; conformal labeling and packaging at station 6. The PFMEA reflects the realistic ratio of human-error failures (torque, routing, missed steps) to equipment-driven failures.
| Process Step | Failure Mode | Effect | Cause | Prevention | Detection | S | O | D | AP |
|---|---|---|---|---|---|---|---|---|---|
| Kitting | Wrong sub-component pulled into kit | Wrong part assembled; functional failure | Bin mislabeled or location swap during 5S | Pick-by-light + barcode verification at kitting | End-of-line cross-check against BOM | 8 | 3 | 4 | High |
| Sub-assembly screwing | Cross-threaded fastener | Joint failure in vibration / service | Operator misalignment of fastener to thread | Self-piloting screws + fixture guides | Torque-angle signature monitoring | 7 | 4 | 3 | Medium |
| Wire harness routing | Wire pinched between housing halves | Insulation damage → short circuit in service | Free routing with no guide; operator variation | Routing channels in assembly fixture | End-of-line hipot / isolation test | 9 | 3 | 4 | High |
| Connector mating | Connector half-mated (latch not engaged) | Intermittent loss of signal in service | No tactile click; operator over-confidence | Connector design with audible click + Poka-yoke fixture | End-of-line continuity test | 8 | 4 | 3 | High |
| Torque application | Under-torqued bolt | Joint loosening under vibration | Torque tool calibration drift | Daily torque tool calibration check | DC torque tool data logging per joint | 8 | 3 | 2 | Medium |
| Torque application | Over-torqued bolt | Thread strip or housing crack | Wrong tool program selected for joint | Program selection tied to fixture barcode | Inline torque trace SPC + reject on out-of-band | 7 | 3 | 3 | Medium |
| Functional test | Test station bypassed (skip) | Defective unit shipped to customer | Operator override; flow disruption | Mandatory serial-number gating at next station | Daily golden-unit verification of test station | 9 | 2 | 3 | Medium |
| Label application | Wrong label printed on unit | Traceability lost; wrong product data shipped | Label printer queue misaligned with MES serial | Label print triggered by serial scan at the station | End-of-line label barcode scan vs MES record | 6 | 3 | 2 | Low |
| Final assembly inspection | Cosmetic damage on visible surface missed | Customer return / cosmetic rejection | Inspector lighting / fatigue | Standardized lighting + inspector rotation | Sampling re-inspection by quality at packout | 5 | 4 | 5 | Medium |
| Packaging | Missing accessory in box | Customer complaint, replacement shipment | Picker error during packout | Pick-list verification + weight check on sealed box | Outgoing weight check vs reference | 5 | 4 | 3 | Medium |
| Trigger | Failure chain | Customer impact |
|---|---|---|
| Operator routes harness over the housing rib instead of through the channel | Housing closes on the wire → insulation cut by sharp edge → intermittent short to chassis weeks later | Field failure, potentially safety-related on automotive |
| Connector latch not fully engaged at station 3 | Unit passes functional test (signal present) → vibration in shipping unseats latch → no signal at customer install | Customer install delay + field service callout |
| Operator skips functional test station during a stoppage | Defective unit moves to packaging without test → shipped → fails at customer power-up | RMA and audit non-conformance against control plan |
Three rows promote to AP High: wrong kit, wire pinch, half-mated connector. These share the same structural pattern — Severity 8–9, Occurrence 3–4, Detection 3–4. The AIAG-VDA AP table is explicit that any High Severity row with non-trivial Occurrence and Detection above 2 belongs in the High bucket. The under-torque row sits at AP Medium because Detection is 2 (every joint is logged) and Occurrence is well-controlled; a team that drops the daily calibration check would see Occurrence rise to 5 and promote this row to High.
IATF 16949 and customer assembly-line audits specifically look for: torque program traceability per joint, MES interlock evidence (no station skip without exception record), end-of-line test correlation to golden unit, and operator certification matrix tied to PFMEA-identified critical steps. Build the PFMEA so each High-AP row can be pointed at a specific control plan line item and a specific work instruction.
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