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.

1Background 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.

2System 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.

2.1Denomination

The system is denominated xxx.

Denomination / Designation / Registration

2.2Scope of system

The system consists of …

“for an example” the vehicle including winch, container-mounting frame, loading platform, government furnished equipment and documentation.

2.3Technical design

The configuration is defined in the following assembly of drawings:

Denomination / Drawing number

2.4Publications

The systems technical design is described in the following operators- and workshop manuals.

Denomination / Designation / Comment

3Range 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.

4Description of the system safety work completed so far

4.1General

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).

4.2Registration 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.

4.3Identification 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.

4.4Hazard 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.

4.5Conceivable 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
8
9
10
11
13
14

4.6Dangerous substances

“Example.”All dangerous substances have been documented in the Safety Assessment Report.
In the list there are references (if exists) for each substance.

5Documentation

5.1Safety 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.

5.2Requirement 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).

5.3Safety 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 Report[2] appendices.

5.4Risk 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

6System 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).

6.1Identification 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.

6.2Hazard reducing measures

Example. The proposals for actions are made according to the Safety Assessment Report2. Additional instructions or warnings will be added to the new operators- and workshop manuals.

6.3Conceivable 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

6.4Dangerous substances

Example. All dangerous substances have been documented in the Safety Assessment Report2.
In the list there are references (if exists) for each substance.

7Restrictions

Example. No restrictions are necessary.

8Safety 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)

[1]xxx

[2]Safety Assessment Report (SAR) with systemsafetyanalyses, xxx