It is summarized that potential causes of performance degradations and failure mechanisms of crystalline silicon photovoltaic (PV) modules installed in Middle East area. In addition, we also reviewed current PV module qualification test (IEC 61215) and the methods for detection of wear-out fault. The failure of PV modules in the extreme environmental conditions such as deserts is mainly due to high temperature, humidity, and dust storms. In particular, cementation phenomenon caused by combination of sand and moisture leads to rapid degradation in the performance of PV modules. In order to evaluate and guarantee the long term reliability of PV modules, specific qualification tests such as sand dust test, salt mist test and potential induce degradation test considering operating environment of PV module should be carried out.