T-TF-028-011 AI Risk Assessment
Table of contents
Purpose
Describe the purpose of this AI Risk Assessment. Reference the applicable standards and regulations (ISO 14971, MDR 2017/745, EU AI Act, IEC 62304, GP-028).
Scope
Define the scope of this risk assessment, including which AI algorithms are covered.
Clinical Models
| Model | Function | Performance Threshold |
|---|---|---|
Non-Clinical Models
| Model | Function | Performance Threshold |
|---|---|---|
Methodology
Risk Identification
Describe the methods used for risk identification.
- Method 1
- Method 2
Risk Estimation
Describe the risk estimation methodology. Reference the Risk Matrix used.
Severity Scale
| Level | Description | Definition |
|---|---|---|
| 1 | Negligible | |
| 2 | Minor | |
| 3 | Moderate | |
| 4 | Critical | |
| 5 | Catastrophic |
Likelihood Scale
| Level | Description | Probability |
|---|---|---|
| 1 | Very low | |
| 2 | Low | |
| 3 | Moderate | |
| 4 | High | |
| 5 | Very high |
Risk Priority Number (RPN)
RPN = Severity × Likelihood
| RPN Range | Risk Class | Required Action |
|---|---|---|
| 1-4 | Acceptable | |
| 5-9 | Tolerable | |
| 10-25 | Unacceptable |
Risk Control Measures
Describe the hierarchy of risk control measures.
- Inherent safety by design: Description
- Protective measures: Description
- Information for safety: Description
Traceability
Describe how risks are traced to other documents.
| AI Risk | Traced To |
|---|---|
Risk Assessment Table
Include the risk assessment table. Can use a component or manual table.
| Risk ID | Risk Description | Hazard | Severity (S) | Likelihood (L) | RPN | Risk Control Measure | Residual S | Residual L | Residual RPN |
|---|---|---|---|---|---|---|---|---|---|
Summary of Risk Assessment
Risk Distribution
| Risk Class | Count | Percentage |
|---|---|---|
| Acceptable (RPN ≤4) | ||
| Tolerable (RPN 5-9) | ||
| Unacceptable (RPN ≥10) |
Critical Risks Requiring Ongoing Monitoring
List any risks that remain at Tolerable level and require enhanced post-market surveillance.
- Risk 1
- Risk 2
Describe the monitoring approach for these risks.
Residual Risk Acceptability
Provide the overall residual risk acceptability statement, including the benefit-risk analysis.
Integration with Device Risk Management
Describe how this AI Risk Assessment integrates with the overall device risk management per ISO 14971.
- Risks transferred to safety: Percentage and description
- Residual risk evaluation: Description
- Change management: Description
References
| Document | Title |
|---|---|
| R-TF-013-001 | |
| R-TF-013-002 | |
| R-TF-028-001 | |
| R-TF-028-002 | |
| R-TF-028-005 | |
| GP-007 | |
| GP-028 |
Signature meaning
The signatures for the approval process of this document can be found in the verified commits at the repository for the QMS. As a reference, the team members who are expected to participate in this document and their roles in the approval process, as defined in Annex I Responsibility Matrix of the GP-001, are:
- Author: JD-009
- Reviewer: JD-009
- Approver: JD-005