Safety Compliance Assessment for xxx
The name of the materiel system, to which the Safety Compliance Assessment
(SCA) refers, shall be given in heading. The SCA shall be dated.
The SCA should be written on the supplier’s notepaper.
1
Background information
Reference will be given to the actual order/contract including the
specification of requirements, FMV SSPP etc. and, whenever applicable, (to
TTEM/TEMU, Tactical-Technical Economic Target and Technical Economic Target
for Educational Materiel)
This Safety Compliance Assessment covers the xxx during 20XX to FMV (Swedish Defence Materiel
Administration) according to the order XXXXXXX.. Etc.
2
System identity
The actual materiel and its configuration at the time of delivery will be
defined under this section. References can be given to the manufacturing
number, general assembly drawings etc. Furthermore the instructions on
handling and/incl. safety regulations will be defined.
2.1
Denomination
The system is denominated xxx.
Denomination
2.2
Designation
Registration
Scope of system
The system consists of …
“for an example” the vehicle including winch, container-mounting frame,
loading platform, government furnished equipment and documentation.
2.3
Technical design
The configuration is defined in the following assembly of drawings:
Denomination
2.4
Drawing number
Publications
The systems technical design is described in the following operators- and workshop manuals.
Denomination
Designation
Comment
Denomination
3
Designation
Comment
Range of application
This section will specify the intended and permitted use, and the
environment of use for the actual system. Reference can be made to other
documents.
Example. The vehicles are developed to be used as transport of personnel and material by the
Swedish Armed Forces, both domestic and internationally.
4
Description of the system safety work completed so far
4.1
General
This section will provide a summary of the system safety work completed so
far, including the drawing-up of a system safety program plan (SSPP).
Furthermore, reference will be given to the minutes taken at the SSWG
(System Safety Work Group) meetings and/or the minutes from the SSPR
(System Safety Program Reviews).
4.2
Registration inspection / Certified / Accrediting
Registration inspection, CE-notification respective another type of
inspection/certify/accrediting of independent part and who have has the
performing shall be described here.
4.3
Identification of hazards
“Example.” The analysis identifies xx different hazards. Modifications or other
measurements that already been made has been described and taken into consideration.
Proposals for further actions have been provided.
4.4
Hazard reducing measures
“Example.” The proposals for actions are made according to the Safety Assessment Report.
Additional instructions or warnings will be added to the new operators- and workshop
manuals.
4.5
Conceivable hazard events, remaining hazards
“Example.” A list of xx conceivable hazards has been documented in the Safety Assessment Report.
The hazards has been identified and estimated before and after measures have been made.
Hazard Made actions
1
3
4
5
6
7
Hazard Made actions
8
9
10
11
13
14
4.6
Dangerous substances
“Example.” All dangerous substances have been documented in the Safety Assessment Report.
In the list there are references (if exists) for each substance.
5
Documentation
5.1
Safety Assessment Report
Example. The FMV requirements for system safety activities are settled according to the Requirement
Specification1 .The results of the System Safety work are documented in a Safety Assessment Report2.
A brief abstract including some of the most essential part of the report are given in section 5 below.
The report is attached as an appendix to this document.
5.2
Requirement Specification
Example. The System Safety work has been performed according to the Requirement Specification 1
from FMV except for the System Safety Program Plan (SSPP), the Preliminary Hazard Analysis and
list (PHA/PHL).
5.3
Safety criteria implemented
Example. The safety criteria implemented for the system safety activities comprise:
Applicable Swedish Legislation and statues from the Swedish Authorities (Chemicals Inspectorate,
Nature Conservancy Board etc) as listed in Safety Assessment Report2 appendices.
5.4
Risk assessment
Example. The method described in the System Safety Manual has been used when evaluating the risk.
Risk tolerability has been classified in matrices with the following levels:
Not tolerable risk level
Limited tolerable risk level
Tolerable risk level
1
xxx
2
Safety Assessment Report (SAR) with systemsafetyanalyses, xxx
6
System safety activities performed
This section will provide a summary of the system safety work completed so
far, including the drawing-up of a system safety program plan (SSPP).
Furthermore, reference will be given to the minutes taken at the SSWG
(System Safety Work Group) meetings and/or the minutes from the SSPR
(System Safety Program Reviews).
6.1
Identification of hazards
Example. The analysis identifies xx different hazards. Modifications or other measurements that
already been made has been described and taken into consideration. Proposals for further actions have
been provided.
6.2
Hazard reducing measures
Example. The proposals for actions are made according to the Safety Assessment Report 2. Additional
instructions or warnings will be added to the new operators- and workshop manuals.
6.3
Conceivable hazard events, remaining hazards
Example. A list of xx conceivable hazards has been documented in the Safety Assessment Report2.
The hazards has been identified and estimated before and after measures have been made.
Hazard Made actions
1
3
4
5
6
7
8
9
10
11
13
14
6.4
Dangerous substances
Example. All dangerous substances have been documented in the Safety Assessment Report2.
In the list there are references (if exists) for each substance.
7
Restrictions
Example. No restrictions are necessary.
8
Safety Compliance Assessment
The xxx has gone through extensive verifications to increase safety. Measures have been taken in
order to minimize the possibility for human injury, property damage and environmental damage.
xxx are as safe as can be reasonably expected.
Company Name
Managing Director (or Deputy Managing Director)