DATA ITEM DESCRIPTION
Form A,c+vuvsd
OMW No, 0704.01.98
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1. TITLE
2. IDENTIFICATION NUMBER
Safety Assessment Report (SAR)
D1-SMT-801O2A
1,
DESCRIPT!OIVPURPOSE
3.1
‘f%eSafety Assessment Report is a comprehensive evaluation of the stiety risks being assumed prior to test or
operationof the system or at comma completion. It identifies alf safety featuresof the system, design, and procedural
hazardsthat may be present in the system h+ng acquired, and specific pmpceduraf controls and prccaudons that shoufd
befolfowed.
I
f+wPMRPF:~)LDATE
5, OFFICE OF PRIMARY REsP0Ns101L17_f (OPR)
6a. DTIC APPLICABLE
SO.GIDEPAPPLIcABLE
F/AFMC-SE
930119
APPLICATIONANTERREIATIONSHIP
7.1 This DtutIItem Description (DID) contains the content nndformat preparation instructions for that data generated
by Task 301. or Task 401, or Task 402 of MfL-STD-882C.
7.2 Data items which relate to this DfD are D1-SAIT-80100A, System Safety program PlarLD1.%UT-801O1A,
System Safety Hazard Analysis ReporC D1-S~-80103A, f3ngineefig CfmngepIUfSOSflSYstemS~etY ReWm
DI-SAfT-SO104A,Waiver or Deviation System Safety Repml DI-SAFF80 105A,System Safety Pmgmm progress
Report; and D1-SAIT-801O6A,HeaJfr HazmrlAssessment Repmt.
(Continued on Page 2)
1. APPROVAL LIMITATION
9iI. APPLICABLE FORMS
9b. AM5C NUMBER
F6864
].
PREPARATION INSTRUCTIONS
10.I ~. The applicable issue of the documents cited herein, includhrgtheir approval dates and diites
of my applicable
msrendments and revisions, shafl be as reflectedin the contract.
10.2 Qnt.eQ& The Safety Assessment Repml (SAR) shall include the folfowing information:
10.2.1
State, in narmtive form, tfrepurpose of the safety ttssessmentreport.
10.2.2
Ilk section maybe develo~d by referencingother pmgmm documentation such as
techrdcafrnarnmls,System Prograsr Plan, System Specification, etc., and shall include tie following:
a.
The purpose and intended use of the system.
b.
A brief historical summary of system development.
(Continued on Page 2)
11.
DISTRIBUTION STATEMENT
DISTRfBUTfONSTATEMENT A: Approved forpubfic release; distribution is unlimited.
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