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Logotype Safety Assessment Report (SAR) Editor Administrator Date Secrecy XXXX XXXXXX YYYY-MM-DD Open/Unclassified Version Document number X.X XXX Safety Assessment Report (SAR) for XXX Picture of the object Approximately 15x10 cm Remove the frame and place the image here instead.

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Logotype Safety Assessment Report (SAR)

Editor

Administrator Date SecrecyXXXX XXXXXX YYYY-MM-DD Open/UnclassifiedVersion Document numberX.X XXX

Safety Assessment Report (SAR) for XXX

Picture of the objectApproximately 15x10 cm

Remove the frame and place the image here instead.

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1 SUMMARY............................................................................................................62 CONCLUSIONS....................................................................................................7

2.1 General.....................................................................................................................72.2 Personal Injury..........................................................................................................72.3 Financial Damage.....................................................................................................8

3 OBJECTIVES AND SCOPE.................................................................................94 DEFINITIONS, ASSUMPTIONS AND BACKGROUND FOR THE ASSUMPTIONS

............................................................................................................................ 104.1 Definitions...............................................................................................................104.2 Assumptions...........................................................................................................104.3 Background for the assumptions............................................................................10

5 SYSTEM IDENTIFICATION................................................................................115.1 Technical Design....................................................................................................115.2 Interfaces to other systems/service units...............................................................115.3 Field of application/Use environment.....................................................................11

6 MODES OF OPERATION...................................................................................126.1 General...................................................................................................................126.2 Modes of Operation................................................................................................12

7 ANALYSIS METHODS.......................................................................................137.1 System Hazard Analysis/Sub System Hazard Analysis (SHA/SSHA)....................137.2 Operating and Support Hazard Analysis (O&SHA)................................................137.3 Environmental Hazard Analysis (EHA)...................................................................137.4 Risk Assessment....................................................................................................147.5 Risk-Reducing Actions...........................................................................................177.6 Risk Log..................................................................................................................187.7 Requirements Analysis...........................................................................................187.8 Hazardous Substances..........................................................................................197.9 Interviews................................................................................................................19

8 DESCRIPTION OF RISKS..................................................................................209 PROPOSED SAFETY INSTRUCTIONS.............................................................2110 REFERENCES....................................................................................................21

10.1 References.............................................................................................................2110.2 Interviews................................................................................................................21

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APPENDICESRisk Log with the closing of risks..............................................................................Appendix 1Requirements Analysis.............................................................................................Appendix 2Hazardous Substances ............................................................................................Appendix 3

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Revision Information

Date Version Issuer Reviewed DescriptionYYYY-MM-DD 1.0 Final issue

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WORD LISTAbbreviation Explanation

EHA Environmental Hazard Analysis

FMV Swedish Defence Materiel Administration (Försvarets Materielverk)

GFE Government Furnished Equipment

GFI Government Furnished Information

MVIF Maintenance instruction in the Swedish Armed Forces

O&SHA Operating and Support Hazard Analysis

PHA Preliminary Hazard Analysis

PHL Preliminary Hazard List

SAR Safety Assessment Report

SCA Safety Compliance Assessment

SHA/SSHA System Hazard Analysis/Sub System Hazard Analysis

SI Safety Instructions

SSPP System Safety Program Plan

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1 SUMMARYThe supplier XXX has, on behalf of XXX, carried out system safety analyses (SHA/SSHA) on XXX, MXXXX-XXXXXX.

This safety assessment report concerns XXX as a complete unit with necessary accessories. The report does not include XXX.

The analyses have been performed and evaluated in accordance with the requirements in the specification for XXX, annexed to the request for proposal/order XXX and System Safety Program Plan (SSPP) for XXX technical service, edition XXX, dated YYYY-MM-DD.

The task has been to identify, analyze and evaluate potential risks for injury to persons or damage to property or the external environment caused by the system. The work has also included proposals for action and implementation of measures to minimize the probability of hazardous events and limit the consequences if they do occur.

Section 2 Conclusions presents all the remaining risks that are considered to be either “not tolerable” or “limited tolerable”. A more detailed description of each risk and proposals for action as well as an account for measures already implemented are described in section 8 Description of risks, their consequences and recommended and already implemented actions.

The safety assessment report provides a consultative basis with proposed actions such as design changes and/or additions or amendments in the relevant publications in order to increase safety for persons, property and the external environment during the life cycle of the system.

The supplier XXX together with XXX has actively been working with system safety issues during the acquisition. The implementation of the proposed actions was verified at XXX, YYYY-MM-DD.

Wording 1: The system safety work identified a total of XXX risks. After implementation of risk-reducing actions a total of XXX risks remain. Based on the risk levels given in the risk matrix in the contract XXX, the system is estimated to have XXX tolerable risks (T), XXX limited tolerable risks (BT) and XXX not tolerable risks (ET).

Wording 2: The system safety work identified a total of XXX risks. If the proposed risk-reducing actions in this report are implemented a total of XXX risks will remain. Based on the risk levels given in the risk matrix in TTEM XXX the system will have XXX tolerable risks (T), XXX limited tolerable risks (BT) and XXX not tolerable risks (ET).

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2 CONCLUSIONS

2.1 GeneralSystem safety is defined as the property of a system not to cause personal injury or damage to property or the external environment. A system is defined as an assembly of supplies, facilities and personnel. The term system generally also includes instructions, regulations etc. for use in training, operation and maintenance in both war, crisis and peace.

To perform a realistic safety assessment, this document is based on the hazardous events that can cause personal injury, environmental damage and/or financial damage (i.e. material damage on your own or third party’s property or the costs associated with environmental remediation) and that may occur both nationally and internationally. The system safety activities do not normally include risks of hostile weapon effects against your own system, personnel or environment.

Hazardous events may occur either as a result of human error, material failure or a combination of these two factors. This document is intended to be a basis to both reduce risks and, in some cases, to exclude the risks altogether.

It is essential that the relevant documentation describes and highlights the remaining risks that cannot, or is not intended to, be avoided by redesigning the system.

Marking, such as handling or warning labels, is sometimes necessary as an additional security measure, e.g. according to current safety legislation. Marking is not recommended as an alternative to possible constructive measures.

2.2 Personal InjuryIn accordance with the risk levels in section 7 Analysis methods, the following risks of personal injury are considered not tolerable or limited tolerable after implementation of the proposed risk-reducing actions. FMV has approved the closure and acceptance of the limited tolerable risks of personal injury. We have not been able to remedy the not tolerable risks of personal injury and leave them for further handling.Risk ID Risk description Current risk level

(probability A-E for a certain injury class I-IV)

Note

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2.3 Financial DamageIn accordance with the risk levels in section 7 Analysis methods, the following risks of damage to your own or third party’s property and environmental damage (expressed in monetary terms, e.g. environmental remediation costs) are considered not tolerable or limited tolerable after implementation of the proposed risk-reducing actions. We have not been able to remedy the not tolerable risks of financial damage and leave them for further handling. The following risks of irreversible environmental damage have been identified. The risks are not tolerable. It is for the Swedish Armed Forces to decide about closure and acceptance of these risks.

Alternatively: No risks for irreversible environmental damage have been identified.Risk ID Risk description Current risk level

(probability A-E for a certain injury class I-IV)

Note

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3 OBJECTIVES AND SCOPEThe objective of the system safety analyses (SHA/SSHA) has been to identify, analyze and evaluate the risks that are considered likely to initiate hazardous events or hazardous conditions, and to propose measures to prevent the identified hazardous events/hazardous conditions or limit the damage if they do occur.

In section 8 Description of risks, their consequences and recommended and already implemented actions, the proposed risk-reducing actions are presented together with each risk, under the heading Proposed actions. Already implemented measures are presented under the heading Implemented actions YYYY-MM-DD. The purpose of the proposed actions is to minimize or eliminate risks of personal injury and damage to property and environment as far as possible.

The following analyses have been conducted: System Hazard Analysis/Sub System Hazard Analysis (SHA/SSHA) Operating and Support Hazard Analysis (O&SHA) Environmental Hazard Analysis (EHA)

The safety assessment report should be viewed as a descriptive document for XXX to be able to reduce the probability of a hazardous event and/or limit the consequences if it does occur.

The performed system safety activities have lead to the identification of risks, assessment of probabilities and consequences, proposed actions, implementation of actions and closure of risks. This has been documented according to Appendix 1, Risk Log.

The system safety activities have also included studying the need for directions/instructions and additions to warnings in the existing documentation as well as operating instructions related to supervision in accordance to the system safety requirements.

A list showing which laws and regulations that should apply to XXX and whether these are met with or not has been established. See Appendix 2, Requirements Analysis.

A list of hazardous substances has been established. See Appendix 3, Hazardous substances.

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4 DEFINITIONS, ASSUMPTIONS AND BACKGROUND FOR THE ASSUMPTIONS

4.1 DefinitionsThe analysis covers XXX regarding design, operation, materiel care and maintenance of XXX in accordance with the Swedish Armed Forces maintenance system (Vård FM).

4.2 AssumptionsThe following assumptions apply to the analysis:

The system XXX is assumed to be complete and without any defects before a hazardous event occurs.

Personnel handling the system are assumed to receive the training necessary to operate and maintain the system XXX in a safe manner before the system is taken into use.

All preventive maintenance is performed according to the current materiel care schedules. Maintenance personnel at the various maintenance levels have intimate knowledge of the

system XXX and have been trained for the purpose. Equipment that is to be connected to the system XXX is not affected by this analysis but is

assumed to be adapted to the purpose and comply with applicable electrical safety requirements, system requirements etc.

4.3 Background for the assumptionsThe assumptions have been made in order to obtain a probability of hazardous events that reflect the actual usage.

If untrained personnel were to operate the system XXX in full, the risks could in many cases be incalculable.

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5 SYSTEM IDENTIFICATION

5.1 Technical DesignA brief description of the system’s fundamental design, function, components, existing subsystems, interfaces between subsystems etc.

5.2 Interfaces to other systems/service unitsA description of all the technical interfaces to other systems/service units and what support/supplies are required, e.g. electricity, water, fuel, heating, cooling, pressure etc.

5.3 Field of application/Use environmentA description of the field of application for the system includes how the system should be used and in which environments it is intended to be used.

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6 MODES OF OPERATION

6.1 GeneralDuring its life cycle the equipment undergoes several different stages, each of which with its special conditions. The product/system utilization has been divided into a number of different modes of operation, as certain risks only occur e.g. at certain sequences or conditions and it can be important that this is made clear in the analysis. Certain risks may occur only during assembly, operation or maintenance etc. The risks’ relations to different modes of operation are presented in Appendix 1, Risk Log.

6.2 Modes of Operation

6.2.1 TransportationExample: ”Transportation of XXX” refers to preparations such as loading and unloading, and driving

on roads and in different terrains. No operative activities are in progress in XXX.

6.2.2 Setting up and breakingExample: ”Setting up and breaking” refers to the activities after the unit has arrived to the

deployment area, including the elements shutdown/arrangement, setting up/breaking of communications etc. and loading for redeployment. At setting up camouflage, grounding and connection of electrical networks as well as establishing connection with other units takes place. Breaking basically includes the same operations as the setting up, but in reverse order.

6.2.3 Operative activitiesExample: During the operative activities, work is taking place in XXX, which is now set up on a

deployment area where reconnaissance has been conducted.

6.2.4 MaintenanceExample: ”Maintenance” refers to both preventive and corrective maintenance. Preventive and

corrective maintenance include daily and special attendance, basic attendance, actions according to MVIF and repairs.

6.2.5 Arrangement/storageExample: ”Arrangement/storage” refers to storage in store XXX or container XXX etc.

6.2.6 DisposalExample: ”Disposal” refers to organized forms and methods in stores supply for the final disposal of

materiel systems and their constituent supplies from all or part of the Swedish Armed Forces. Methods include: destruction, dismantling, scrapping, shredding, disassembly, recycling and/or deposition.

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7 ANALYSIS METHODSThe analyses in this report have been implemented according to the System Safety Program Plan (SSPP) for XXX, Issue XXX, dated YYYY-MM-DD.

The system safety analyses include (e.g. SHA, SSHA, O&SHA and EHA).

7.1 System Hazard Analysis/Sub System Hazard Analysis (SHA/SSHA)The purpose of the System Hazard Analysis/Sub System Hazard Analysis (SHA/SSHA) is to evaluate the hazards that exist in the system and subsystems. The operational oriented analyses for XXX and its subsystems form part of the verification of XXX safety. The safety assessment aims to identify hazardous events and assess the operational risks associated with these, primarily for the entire object/materiel system and the interaction between subsystems, the subsystems and its components.

The analysis activities have been to identify potential risks, evaluate them by assessing their impact and probability, and to propose safety-enhancing changes.

7.2 Operating and Support Hazard Analysis (O&SHA)The purpose of the Operating and Support Hazard Analysis (O&SHA) is to assess the hazards in handling and during maintenance. The analysis should also evaluate whether the operation and maintenance procedures are sufficient and appropriate to eliminate, control or reduce the identified defects or hazards.

The analysis activities have involved the identification of health risks and to propose measures to eliminate or reduce these to acceptable levels.

7.3 Environmental Hazard Analysis (EHA)The purpose of the Environmental Hazard Analysis (EHA) is to identify, analyze and evaluate the events that may pose a burden on the environment. The first step in the environmentally oriented analysis is to identify substances that are potentially hazardous to the environment and in what quantity these exist.

The analysis activities have been to survey and evaluate the substances as regards quantity and impact.

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7.4 Risk AssessmentAll identified risks of injury and financial damage (including environmental damage) are numbered and named. For each risk the probability of a hazardous event and the probability that the assets worthy of protection are exposed to the hazardous event are evaluated. The result of these gives the probability of an accident.

An accident will always have a consequence. However, the outcome of a particular accident may vary. To put it simply, the possible adverse outcomes are broken down by severity into four so-called injury classes.

An assessment/estimation of the likely percentage distribution between these injury classes is performed. The risk of an injury corresponding to a certain injury class is estimated by multiplying the probability of the accident and the percentage of the total outcome of the accident.

The four injury classes (I-IV) of each risk now have an estimated probability. Each of these is arranged under each probability class (A-E) in the current risk matrix. The risk matrix shows the level of tolerance of each injury class within the probability classes.

The risk of an accident is valued after the injury class considered having the strictest tolerance level. For example, the “entire” risk of an accident is considered limited tolerable if the damage corresponding to injury class IV is supposed to occur with a limited tolerable frequency even if the damage corresponding to injury classes I, II and III is supposed to occur with a tolerable frequency and vice versa.

7.4.1 Injury classes/ConsequencesThe following injury classes, probabilities and risk levels for personal injury or financial damage have been used in the assessment and evaluation of the system’s risks before and after the implemented measures. The injury classes, probabilities and risk levels applied during the analysis of the system have been set and specified in FMV Technical specification XXX.NOTE! The injury classes, probabilities and risk levels presented below are only examples. The request for proposal (RFP) for the materiel system is to determine what applies for the specific materiel system.

Injury classes for personal injuriesInjury class Definition

I DeathII Serious injuryIII Less-serious injuryIV Negligible injury

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Injury classes for financial damage Injury class Definition

(own and other’s property damage and remediation costs)

The damage in monetary terms

I Approximately the same cost as a total system loss > 105 $ (> 100 000)

II Significant loss 104 – 105 $ (10 000 – 100 000)

III Limited loss 103 – 104 $ (1000 – 10 000)

IV Slight loss < 103 $ (< 1000)

7.4.2 Accident probability/frequencyThe table below defines the probability of an injury/accident occurring for one example of the materiel system during one year of use. (For risks associated with the mode of operation “disposal” the probability that an accident occurs for one example of the materiel system at some point during this phase is evaluated.) The probabilities are divided into the intervals A-E as follows:

Probability class

Description Probability/frequency(for one example during one year of use)

A The accident is expected to occur

>10-1

B The accident is likely to occur 10-2 – 10-1

C The accident is likely to occur at some point

10-3 – 10-2

D Improbable, but the accident could occur at some point

10-6 – 10-3

E Unlikely, the accident could only happen in exceptional

circumstances

<10-6

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7.4.3 Risk MatrixThe risk matrices define the risk levels for an accident’s injury class outcomes in combination with each injury class’ occurrence probability. The levels of risk are highlighted in the risk matrices with:

T = TolerableBT = Limited tolerableET = Not tolerable

Example: Risk matrix for personal injuries

Example: Risk matrix for financial damage

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Injury class ProbabilityA B C D E

I ET ET ET ET TII ET ET ET BT TIII ET BT BT T TIV BT T T T T

Injury class ProbabilityA B C D E

I ET ET ET BT TII ET ET BT T TIII ET BT T T TIV BT T T T T

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7.5 Risk-Reducing ActionsActions considered able to reduce/eliminate the risks as described in section 8 are preceded by the heading Proposed actions. This heading lists the actions recommended by the provider. Actions that have already been implemented are presented under the heading Implemented actions, YYYY-MM-DD.

Actions can be divided in different action classes. Below is a breakdown of actions in 6 different classes. From a general risk management perspective, actions that belong to a class with a lower figure should have priority over actions belonging to classes with higher figures as shown below.

1. Design ChangesThese actions involve some form of redesign. This implies that the risk is managed by removing, adding, replacing or changing something in the system’s physical characteristics.

2. Protective DevicesThese actions mean that the risk is managed through the introduction of e.g. fixed or automatic safety devices, stop modes, protection zones or protective equipment.

3. Warning DevicesThese actions imply that the risk is managed by warning devices, such as sound or light signals, text messages etc. that cannot be misinterpreted.

4. Instructions/Warning LabelsThese are actions in which the risk is managed by calling attention to it in written form for the personnel who will use the equipment. This can be done through instructions and/or warning labels.

5. TrainingThese actions mean that the risk is managed by calling attention to it as part of the training on the system for the personnel who will use the equipment.

6. TestingThese actions imply that the risk should be verified with some form of trial or testing before final approval is issued.

For each action proposed in section 8 it is clear what action class it belongs to. Each action is preceded by the name of the action class.

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7.6 Risk LogThe risk log, Appendix 1, documents the risk management process that includes the above-described elements of risk management. The following is documented in the risk log:

All identified risks according to the methods described in 7.1-7.3. These are numbered and named with appropriate names.

Initial risk assessment and risk evaluation according to 7.4. All estimated probabilities are reported.

All risk-reducing actions, proposed as well as already implemented, according to 7.5.

A new risk assessment and risk evaluation, also according to 7.4, after proposed or implemented actions.

Acceptance and closure of tolerable risks. It is clear from the risk log when and by whom each risk has been closed.

7.7 Requirements AnalysisMateriel systems intended to be transferred to the Swedish Armed Forces should meet the basic health and safety requirements as listed in Appendix 2, the parts applicable with regard to the materiel system’s intended use and the environment the system will operate in.

Appendix 2 lists the most common regulations for this type of equipment and should therefore not be considered complete. In the list, basic health and safety requirements have been termed “shall requirements” (S).

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7.8 Hazardous SubstancesIt is often not possible to completely avoid contact with products that pose or may pose health or environmental risks in the workplace or the equivalent. Therefore it is important for everyone to know what characterizes the different products and which hazards are associated with them. The preventive and corrective recommendations, along with some factual information, have been compiled on so-called Safety Data Sheets in the Swedish Armed Forces’ database for hazardous substances.

These safety data sheets provide both recommendations how to deal with hazardous and environmentally harmful products in order to avoid/reduce risks, and recommendations for actions to be taken in connection with accidents (injuries).

The hazardous substances/materials that personnel may come into contact with have been listed and assessed. See Appendix 3. The list includes references to the Swedish Armed Forces’ database for hazardous substances or relevant safety data sheets.

7.9 InterviewsInterviews have been conducted with personnel at XXX and YYY. (Any references see section 10.)

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8 DESCRIPTION OF RISKS Below is a description of the risks identified after completed analyses including their consequences and recommended and already implemented actions. To obtain complete information about each risk, the risk log should be studied parallel to this report.

The risks are not presented in order of priority or severity.

Risk No. X Personal injury caused by...Describe the risk briefly, describe the source of the risk/the hazardous condition and how it can cause injury, describe the assets worthy of protection and possible damage, describe in which modes of operation the risk exists and if there are circumstances or contributing factors that may aggravate the consequences.

Proposed actionsDescribe the proposed action and how it is expected to affect the risk, e.g. reduce the probability of a hazardous event, change the injury class outcome (i.e. a greater proportion of accidents result in less serious injuries or damages).

Implemented actions YYYY-MM-DDDescribe the risk-reducing actions that have been implemented.

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9 PROPOSED SAFETY INSTRUCTIONSPropose restrictions and what risks these are derived from. Describe, if possible, what it takes for the restrictions to be cancelled.

10 REFERENCES

10.1 ReferencesExample:

Specification for XXX, Appendix to the request for proposal XXXThe Swedish work environment act, AMLThe Swedish code of statutes, SFSThe Swedish work environment code of statutes, AFSThe Swedish Armed Forces’ database for hazardous substances, FÄ

10.2 InterviewsLast name, Fist name, title, unit/department, company, interview, city, YYYY-MM-DD.

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