REPORT SUMMARY Date: 8/31/2015

Page 1 of 15

In addition to this summary, this report includes the following forms:

Functional Failure Analysis
Failure Effect Categorization (One per Effect)
Maintenance Task Selection (One per Cause)
Tasks

RCM++ Report Sample

This report was generated with ReliaSofts RCM++ software in Microsoft Word. Similar reports can
also be generated in Microsoft Excel. You can easily replace the RCM++ logo graphic with your
own company logo. Within Word and Excel, reports can be edited/annotated, if necessary, and
generated in PDF and/or HTML format for easy distribution.

This report includes:

The functional failure analysis spreadsheet report.

The full details of the failure effect categorization (FEC) values identified during the analysis.
The full maintenance task selection details for each failure mode identified during the analysis.
A summary of the maintenance tasks created during the analysis.

The analysis shown in the report is based on the SAE JA1012 A Guide to the Reliability-Centered
(RCM) Standard guidelines.

For Demonstration Purposes only - does not represent specific equipment.

Date Created: 8/31/2015 Creator Reliability Engineer Generated by ReliaSoft's RCM++ Software http://www.ReliaSoft.com
 Functional Failure Analysis
Pump_Centrifugal_Motor Drive Date: 8/31/2015

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Function # Function Failure # Functional Failure Effect # Effect Cause # Failure Mode
TAG# 1234567 - Pump_Centrifugal_Motor Drive
1 Move a given fluid while maintaining an 1 Functional Failure: External leak rate at 1 Loss of fluid to the ground / sewer 1 Packing Gland too tight or loss of
acceptable leak rate at the Shaft the Shaft is above the acceptable rate lubrication
Failure Mode: Packing worn 2 Incorrect installation
3 Wear Out - Normal wear
2 Functional Failure: Leak rate at the Shaft 1 Packing prematurely worn 1 Packing bolts over tightened
is below the acceptable rate
Failure Mode: Packing mis-adjusted
(too tight)

3 Functional Failure: Catastrophic failure 1 Process impact and Loss of fluid to the 1 Induced - Gland Follower corrosion /
of the Shaft Seal ground / sewer failure
Failure Mode: Seal/Packing blowout 2 Induced - Gland Follower stress / failure

Impeller and shaft sub-assembly

1 Induce fluid movement at xx gallons per 1 Low output volume less than xx gpm 1 Loss of production. 1 Vane wear due to fluid dynamics
minute and xx lbs force with yy head
pressure . . . . 2 Broken / damaged impeller vane due to
age, fatigue, debris in fluid

For Demonstration Purposes only - does not represent specific equipment.

Date Created: 8/31/2015 Creator Reliability Engineer Generated by ReliaSoft's RCM++ Software http://www.ReliaSoft.com
 FAILURE EFFECT CATEGORIZATION Date: 8/31/2015
Page 3 of 15

Name TAG# 1234567 - Pump_Centrifugal_Motor Drive

Function 1 - Move a given fluid while maintaining an acceptable leak rate at the Shaft

Functional Failure 1 - Functional Failure: External leak rate at the Shaft is above the acceptable rate
Failure Mode: Packing worn
Effect 1 - Loss of fluid to the ground / sewer

Failure Effect Categorization Answers and Explanations

1 - (A) Will the loss of function caused by this failure mode on

its own become evident to the operating crew under normal
circumstances? 1 Yes

Yes No

2 - (B and C) Is there an intolerable risk that the effects of 3 - (E and F) Is there an intolerable risk that the effects of the
this failure mode could injure or kill someone OR Is there an multiple failure could injure or kill someone OR Is there an
intolerable risk that the effects of this failure mode could intolerable risk that the effects of the multiple failure could 2 No
breach a known environmental standard or regulation? breach a known environmental standard or regulation?

Yes No Yes No

Category - 2 - Evident Economic Consequences

Remarks Will affect the production line and may affect output.

-1- -3-
-2- -4-
Evident Safety and Hidden Safety and
Evident Economic Hidden Economic
Environmental Environmental
Consequences Consequences
Consequences Consequences

For Demonstration Purposes only - does not represent specific equipment.

Date Created: 8/31/2015 Creator Reliability Engineer Generated by ReliaSoft's RCM++ Software http://www.ReliaSoft.com
 FAILURE EFFECT CATEGORIZATION Date: 8/31/2015
Page 4 of 15

Name TAG# 1234567 - Pump_Centrifugal_Motor Drive

Function 1 - Move a given fluid while maintaining an acceptable leak rate at the Shaft

Functional Failure 2 - Functional Failure: Leak rate at the Shaft is below the acceptable rate
Failure Mode: Packing mis-adjusted (too tight)
Effect 1 - Packing prematurely worn

Failure Effect Categorization Answers and Explanations

1 - (A) Will the loss of function caused by this failure mode on

its own become evident to the operating crew under normal
circumstances? 1 No

Yes No

2 - (B and C) Is there an intolerable risk that the effects of 3 - (E and F) Is there an intolerable risk that the effects of the
this failure mode could injure or kill someone OR Is there an multiple failure could injure or kill someone OR Is there an
intolerable risk that the effects of this failure mode could intolerable risk that the effects of the multiple failure could 2
breach a known environmental standard or regulation? breach a known environmental standard or regulation?

Yes No Yes No

3 No

Category - 4 - Hidden Economic Consequences

Remarks

-1- -3-
-2- -4-
Evident Safety and Hidden Safety and
Evident Economic Hidden Economic
Environmental Environmental
Consequences Consequences
Consequences Consequences

For Demonstration Purposes only - does not represent specific equipment.

Date Created: 8/31/2015 Creator Reliability Engineer Generated by ReliaSoft's RCM++ Software http://www.ReliaSoft.com
 FAILURE EFFECT CATEGORIZATION Date: 8/31/2015
Page 5 of 15

Name TAG# 1234567 - Pump_Centrifugal_Motor Drive

Function 1 - Move a given fluid while maintaining an acceptable leak rate at the Shaft

Functional Failure 3 - Functional Failure: Catastrophic failure of the Shaft Seal

Failure Mode: Seal/Packing blowout
Effect 1 - Process impact and Loss of fluid to the ground / sewer

Failure Effect Categorization Answers and Explanations

1 - (A) Will the loss of function caused by this failure mode on

its own become evident to the operating crew under normal
circumstances? 1 Yes

Yes No

2 - (B and C) Is there an intolerable risk that the effects of 3 - (E and F) Is there an intolerable risk that the effects of the
this failure mode could injure or kill someone OR Is there an multiple failure could injure or kill someone OR Is there an
intolerable risk that the effects of this failure mode could intolerable risk that the effects of the multiple failure could 2 No
breach a known environmental standard or regulation? breach a known environmental standard or regulation?

Yes No Yes No

Category - 2 - Evident Economic Consequences

Remarks

-1- -3-
-2- -4-
Evident Safety and Hidden Safety and
Evident Economic Hidden Economic
Environmental Environmental
Consequences Consequences
Consequences Consequences

For Demonstration Purposes only - does not represent specific equipment.

Date Created: 8/31/2015 Creator Reliability Engineer Generated by ReliaSoft's RCM++ Software http://www.ReliaSoft.com
 FAILURE EFFECT CATEGORIZATION Date: 8/31/2015
Page 6 of 15

Name 1.1 - Impeller and shaft sub-assembly

Function 1 - Induce fluid movement at xx gallons per minute and xx lbs force with yy head pressure . . . .

Functional Failure 1 - Low output volume less than xx gpm

Effect 1 - Loss of production.

Failure Effect Categorization Answers and Explanations

1 - (A) Will the loss of function caused by this failure mode on

its own become evident to the operating crew under normal
circumstances? 1 No

Yes No

2 - (B and C) Is there an intolerable risk that the effects of 3 - (E and F) Is there an intolerable risk that the effects of the
this failure mode could injure or kill someone OR Is there an multiple failure could injure or kill someone OR Is there an
intolerable risk that the effects of this failure mode could intolerable risk that the effects of the multiple failure could 2
breach a known environmental standard or regulation? breach a known environmental standard or regulation?

Yes No Yes No

3 No

Category - 4 - Hidden Economic Consequences

Remarks

-1- -3-
-2- -4-
Evident Safety and Hidden Safety and
Evident Economic Hidden Economic
Environmental Environmental
Consequences Consequences
Consequences Consequences

For Demonstration Purposes only - does not represent specific equipment.

Date Created: 8/31/2015 Creator Reliability Engineer Generated by ReliaSoft's RCM++ Software http://www.ReliaSoft.com
 MAINTENANCE TASK SELECTION Date: 8/31/2015

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Name TAG# 1234567 - Pump_Centrifugal_Motor Drive

FEC
Function 1 - Move a given fluid while maintaining an acceptable leak rate at the Shaft

Functional Failure 1 - Functional Failure: External leak rate at the Shaft is above the acceptable rate
Failure Mode: Packing worn
-2-
Evident Economic
Effect 1 - Loss of fluid to the ground / sewer
Consequences

Failure Mode 1 - Packing Gland too tight or loss of lubrication

Question Yes No Explanation

4: Is a scheduled on-condition task technically feasible and worth doing? X

5A: Is a scheduled restoration task technically feasible and worth doing? X

5B: Is a scheduled discard task technically feasible and worth doing? X

# Task Description Status Type Assigned interval Crew Task Duration

1 Training; Maintenance - Proper Packing Tra 1 Year PM Crew $180/Hr 40.000000 Hour
2 IN - Inspection for leaks OC 6 Week Pump Crew - Inspection 0.250000 Hour

For Demonstration Purposes only - does not represent specific equipment.

Date Created: 8/31/2015 Creator Reliability Engineer Generated by ReliaSoft's RCM++ Software http://www.ReliaSoft.com
 MAINTENANCE TASK SELECTION Date: 8/31/2015

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Name TAG# 1234567 - Pump_Centrifugal_Motor Drive

FEC
Function 1 - Move a given fluid while maintaining an acceptable leak rate at the Shaft

Functional Failure 1 - Functional Failure: External leak rate at the Shaft is above the acceptable rate
Failure Mode: Packing worn
-2-
Evident Economic
Effect 1 - Loss of fluid to the ground / sewer
Consequences

Failure Mode 2 - Incorrect installation

Question Yes No Explanation

4: Is a scheduled on-condition task technically feasible and worth doing? X

5A: Is a scheduled restoration task technically feasible and worth doing? X

5B: Is a scheduled discard task technically feasible and worth doing? X

# Task Description Status Type Assigned interval Crew Task Duration

1 Training; Maintenance - Proper Packing Tra 1 Year PM Crew $180/Hr 40.000000 Hour

For Demonstration Purposes only - does not represent specific equipment.

Date Created: 8/31/2015 Creator Reliability Engineer Generated by ReliaSoft's RCM++ Software http://www.ReliaSoft.com
 MAINTENANCE TASK SELECTION Date: 8/31/2015

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Name TAG# 1234567 - Pump_Centrifugal_Motor Drive

FEC
Function 1 - Move a given fluid while maintaining an acceptable leak rate at the Shaft

Functional Failure 1 - Functional Failure: External leak rate at the Shaft is above the acceptable rate
Failure Mode: Packing worn
-2-
Evident Economic
Effect 1 - Loss of fluid to the ground / sewer
Consequences

Failure Mode 3 - Wear Out - Normal wear

Question Yes No Explanation

4: Is a scheduled on-condition task technically feasible and worth doing? X

5A: Is a scheduled restoration task technically feasible and worth doing? X

5B: Is a scheduled discard task technically feasible and worth doing? X

# Task Description Status Type Assigned interval Crew Task Duration

For Demonstration Purposes only - does not represent specific equipment.

Date Created: 8/31/2015 Creator Reliability Engineer Generated by ReliaSoft's RCM++ Software http://www.ReliaSoft.com
 MAINTENANCE TASK SELECTION Date: 8/31/2015

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Name TAG# 1234567 - Pump_Centrifugal_Motor Drive

FEC
Function 1 - Move a given fluid while maintaining an acceptable leak rate at the Shaft

Functional Failure 2 - Functional Failure: Leak rate at the Shaft is below the acceptable rate
Failure Mode: Packing mis-adjusted (too tight)
-4-
Hidden Economic
Effect 1 - Packing prematurely worn
Consequences

Failure Mode 1 - Packing bolts over tightened

Question Yes No Explanation

9: Is a scheduled on-condition task technically feasible and worth doing? X

10A: Is a scheduled restoration task technically feasible and worth doing? X

10B: Is a scheduled discard task technically feasible and worth doing? X

11: Is a scheduled failure-finding task technically feasible and worth doing? X

# Task Description Status Type Assigned interval Crew Task Duration

1 Training; Maintenance - Proper Packing Tra 1 Year PM Crew $180/Hr 40.000000 Hour

For Demonstration Purposes only - does not represent specific equipment.

Date Created: 8/31/2015 Creator Reliability Engineer Generated by ReliaSoft's RCM++ Software http://www.ReliaSoft.com
 MAINTENANCE TASK SELECTION Date: 8/31/2015

Page 11 of 15

Name TAG# 1234567 - Pump_Centrifugal_Motor Drive

FEC
Function 1 - Move a given fluid while maintaining an acceptable leak rate at the Shaft

Functional Failure 3 - Functional Failure: Catastrophic failure of the Shaft Seal

Failure Mode: Seal/Packing blowout
-2-
Evident Economic
Effect 1 - Process impact and Loss of fluid to the ground / sewer
Consequences

Failure Mode 1 - Induced - Gland Follower corrosion / failure

Question Yes No Explanation

4: Is a scheduled on-condition task technically feasible and worth doing? X

5A: Is a scheduled restoration task technically feasible and worth doing? X

5B: Is a scheduled discard task technically feasible and worth doing? X

# Task Description Status Type Assigned interval Crew Task Duration

1 OC- Inspection for corrosion OC 12650 Hour Pump Crew - Inspection 0.500000 Hour

For Demonstration Purposes only - does not represent specific equipment.

Date Created: 8/31/2015 Creator Reliability Engineer Generated by ReliaSoft's RCM++ Software http://www.ReliaSoft.com
 MAINTENANCE TASK SELECTION Date: 8/31/2015

Page 12 of 15

Name TAG# 1234567 - Pump_Centrifugal_Motor Drive

FEC
Function 1 - Move a given fluid while maintaining an acceptable leak rate at the Shaft

Functional Failure 3 - Functional Failure: Catastrophic failure of the Shaft Seal

Failure Mode: Seal/Packing blowout
-2-
Evident Economic
Effect 1 - Process impact and Loss of fluid to the ground / sewer
Consequences

Failure Mode 2 - Induced - Gland Follower stress / failure

Question Yes No Explanation

4: Is a scheduled on-condition task technically feasible and worth doing? X

5A: Is a scheduled restoration task technically feasible and worth doing? X

5B: Is a scheduled discard task technically feasible and worth doing? X

# Task Description Status Type Assigned interval Crew Task Duration

1 PM - Gland Follower RR 330000 Hour PM Crew $180/Hr 3.000000 Hour

For Demonstration Purposes only - does not represent specific equipment.

Date Created: 8/31/2015 Creator Reliability Engineer Generated by ReliaSoft's RCM++ Software http://www.ReliaSoft.com
 MAINTENANCE TASK SELECTION Date: 8/31/2015

Page 13 of 15

Name 1.1 - Impeller and shaft sub-assembly

FEC
Function 1 - Induce fluid movement at xx gallons per minute and xx lbs force with yy head pressure . . . .

Functional Failure 1 - Low output volume less than xx gpm

-4-
Hidden Economic
Effect 1 - Loss of production.
Consequences

Failure Mode 1 - Vane wear due to fluid dynamics

Question Yes No Explanation

9: Is a scheduled on-condition task technically feasible and worth doing? X

10A: Is a scheduled restoration task technically feasible and worth doing? X

10B: Is a scheduled discard task technically feasible and worth doing? X

11: Is a scheduled failure-finding task technically feasible and worth doing? X

# Task Description Status Type Assigned interval Crew Task Duration

1 PdM - Track Flow Rate OLM 1 Month Pump Crew - Inspection 0.250000 Hour

For Demonstration Purposes only - does not represent specific equipment.

Date Created: 8/31/2015 Creator Reliability Engineer Generated by ReliaSoft's RCM++ Software http://www.ReliaSoft.com
 MAINTENANCE TASK SELECTION Date: 8/31/2015

Page 14 of 15

Name 1.1 - Impeller and shaft sub-assembly

FEC
Function 1 - Induce fluid movement at xx gallons per minute and xx lbs force with yy head pressure . . . .

Functional Failure 1 - Low output volume less than xx gpm

-4-
Hidden Economic
Effect 1 - Loss of production.
Consequences

Failure Mode 2 - Broken / damaged impeller vane due to age, fatigue, debris in fluid

Question Yes No Explanation

9: Is a scheduled on-condition task technically feasible and worth doing? X

10A: Is a scheduled restoration task technically feasible and worth doing? X

10B: Is a scheduled discard task technically feasible and worth doing? X

11: Is a scheduled failure-finding task technically feasible and worth doing? X

# Task Description Status Type Assigned interval Crew Task Duration

1 Inspect for broken / damaged impeller vane IN 3 Month PM Crew $180/Hr 0.500000 Hour

For Demonstration Purposes only - does not represent specific equipment.

Date Created: 8/31/2015 Creator Reliability Engineer Generated by ReliaSoft's RCM++ Software http://www.ReliaSoft.com
 TASKS Date: 8/31/2015

Page 15 of 15

Reference Proposed Assigned

Task ID Task Description Type Status Condition Comments Zone Access Last Updated By Last Updated Name Failure Mode
Document Interval interval
32 Training; Tra 1 Year ReliaSoft 4/9/2013 10:53 AM Pump_Centrifugal_Motor Packing bolts
Maintenance - Corporation Drive over tightened
Proper Packing

35 PM - Gland RR 330000 Hour ReliaSoft 4/9/2013 10:53 AM Pump_Centrifugal_Motor Induced -

Follower Corporation Drive Gland Follower
stress / failure

34 OC- Inspection for OC 12650 Hour ReliaSoft 4/9/2013 10:53 AM Pump_Centrifugal_Motor Induced -
corrosion Corporation Drive Gland Follower
corrosion /
failure
32 Training; Tra 1 Year ReliaSoft 4/9/2013 10:53 AM Pump_Centrifugal_Motor Packing Gland
Maintenance - Corporation Drive too tight or
Proper Packing loss of
lubrication
36 IN - Inspection for OC 6 Week ReliaSoft 4/9/2013 10:53 AM Pump_Centrifugal_Motor Packing Gland
leaks Corporation Drive too tight or
loss of
lubrication
32 Training; Tra 1 Year ReliaSoft 4/9/2013 10:53 AM Pump_Centrifugal_Motor Incorrect
Maintenance - Corporation Drive installation
Proper Packing

31 Inspect for broken IN 3 Month ReliaSoft 4/19/2013 11:53 Impeller and shaft sub- Broken /
/ damaged Corporation AM assembly damaged
impeller vane impeller vane
due to age,
fatigue, debris
in fluid
33 PdM - Track Flow OLM 1 Month ReliaSoft 4/9/2013 10:53 AM Impeller and shaft sub- Vane wear due
Rate Corporation assembly to fluid
dynamics

For Demonstration Purposes only - does not represent specific equipment.

Date Created: 8/31/2015 Creator Reliability Engineer Generated by ReliaSoft's RCM++ Software http://www.ReliaSoft.com