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Hazard Identification; Risk Assessment & Mitigation (HIRAM) Form

System / Project / Activity to be evaluated :


Description of System/ Project/ Activity :
Objective System/ Project/ Activity :
Others System / Project / Activity may be influenced :

Nbr

Hazard

Consequence (s)

Existing Risk
Index (RI)

Proposed Mitigation
Action

Expected Risk
Index (RI)

Follow up Action
UIC
Target

Exercise III HIRAM Process


Group: ..
Page :

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