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1、Part/material No.Part/material nameAuthorStatusDocument No.Project NoProject nameOwnerDoc typeDoc partVersionProduct groupCustomerDocument descriptionSafety PlanReview Record Part/material No.Part/material nameAuthorStatusDocument No.Project NoProject nameOwnerDoc typeDoc partVersionProduct groupCus

2、tomerDocument descriptionTable of Contents1 Table of Contents22 Revision History33 Introduction44 Review information44.1 XXXXX Work Product subject for review44.2 Review type44.3 Review participants45 Review conclusion56 Review checklist56.1 XXXXX Work Product independent checks56.2 XXXXX Work Produ

3、ct dependent checks57 Review remarks6Part/material No.Part/material nameAuthorStatusDocument No.Project NoProject nameOwnerDoc typeDoc partVersionProduct groupCustomerDocument descriptionRevision HistoryVersionECN no.Changed byChange from last version01The change history shall be a detailed enough d

4、escription of what sections that have been changed since the last version. Depending on the changes that have been made it may be necessaty to describe the changes more in detail.Blue text in italic is informatioti/explanation directed to the issuer of the document. Before releasing the Work Product

5、 (document) all blue italic text must be removed.Mark unused sections of this document as NOT APPLICABLE, do not remove the paragraph heading Text marked with a reen backgrounds) is to be replaced by something specific This shall he used if there are specific keywords within standardized paragraphs

6、that shall be replaced when creating the Work Product from the templatePart/material No.Part/material nameAuthorStatusDocument No.Project NoProject nameOwnerDoc typeDoc partVersionProduct groupCustomerDocument description3 IntroductionThis section is filled in when all review remarks have been close

7、d and the moderator has approved the object under review, or a new review has been performed without remarksReleased revision of the XXXXX Work Product subject for review, (after applicable updates):Date of final approval:Moderator signature:4 Review information4.1 XXXXX Work Product subject for rev

8、iewName of the XXXXX Work Product subject for review:ID and revision of the XXXXX Work Product subject for review:Author of the XXXXX Work Product subject for review:4.2 Review typeType of review(mark with X)Internal review (XXXXX only)External review (XXXXX + customer and/or supplier)SpecifyReview

9、methodOther4.3 Review participantsNameRoleModerator:Project ManagerReviewer(s):Project ManagerSystem Design ResponsibleSystem DesignerHardware ResponsibleSoftware ResponsiblePart/material No.Part/material nameAuthorStatusDocument No.Project NoProject nameOwnerDoc typeDoc partVersionProduct groupCust

10、omerDocument description5 Review conclusionDecisionDescriptionActions neededSatisfied Cosmetic or no remarks. No changes required. None.Action due dateConditionally satisfied Unclear issuesMinor improvements and clarifications necessary. New review is not required Updates required A new review is no

11、t required. Updates are to be approved by the moderator.Not satisfied At least one requirement is not met. Major improvements and clarifications necessary. New review is required Updates required A new review is required6 Review checklist6.1 XXXXX Work Product independent checksItenis to checkYesNoI

12、s the XXXXX Work Prcxiuct that is subject for review, and all referenced objects, placed under configuration control?Is the XXXXX Work Product that is subject for review, and all referenced objects, saved in a non-editable state?Have all relevant roles been invited to the review?Has sufficient time

13、been allocated for performing the review?Have the review participants submitted review remarks prior to the review meeting?6.2 XXXXX Work Product dependent checksItenis to checkYesNoAre all Work Products defined by ISO26262 listed in the Safety Plan as planned, not applicable or out of scope?Do all

14、Work Products, that are planned to be performed, have a responsible role assigned?Do all Work Products, that are planned to be performed, have a verification method assigned?Do all Work Products, that are planned to be performed, have a confirmation method assigned where required by ISO26262?Do all Work Products, that are planned to be performed, have an approver assigned?Part/material No.Part/material nameAuthorStatusDocument No.Project NoProject nameOwnerDoc typeDoc partVersionProduct groupCustomerDocument descriptionDo all

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