Page 1
Product Information
Product Name
Product Description
Intended Use
Intended User
Model Number
Version/Revision
Risk Management Process
Risk Management Plan Established
Risk Analysis Conducted
Identified Hazards
Estimated Risk for each Hazard
Risk Evaluation Criteria Defined
Unacceptable Risks Identified
Risk Control Measures Implemented
Residual Risks Evaluated
Overall Residual Risk Acceptable
Risk Management Report Prepared
Risk Analysis
Severity of Harm
Probability of Occurrence
Risk Level
Rationale for Risk Level
Risk Control
Risk Reduction Strategies Considered
Selected Risk Reduction Measures
Residual Risk Evaluation
Verification of Risk Reduction
Effectiveness of Risk Control Measures
Risk Management Report
Report Prepared By
Report Date
Management Approval
Approval Date
Next Review Date