$\frac{1}{8}\frac{?}{15}$

AC $120-92$ B

Appendix $2$

APPENDIX $2.$ SAFETY RISK MANAGEMENT $($SRM$)$ WORKSHEETS

The worksheets in this appendix are provided to illustrate the SRM process and a possible way to develop and document the SRM processes required under Title $14$ of the Code of Federal Regulations $(14$ CFR$)$ part $5,$ subpart C$.$ These worksheets are provided for illustrative purposes only. Carriers may develop their own record keeping systems and should determine the amount and depth of documentation and recordkeeping that are needed to show compliance. Not all situations will require the same degree of detail.

FIGURE A$2-1.$ SAFETY RISK MANAGEMENT TRIGGERING CONDITIONS AND SUMMARY

NOTE: Refer to part $5,5\mathrm{.}51$

$\backslash$table$[[$Title:$,],[$Reason for Risk Assessment,$],[$New System Design,$],[$Change to Existing System Design,$],[$New Operational Procedure,$],[$Modification to an Existing Operation or Procedure,$],[$Operational Environment Change,$],[$Ineffective Risk Control,$],[,],[$Brief Summary,$]]$

Where signed below, the authorized manager has determined that no new hazards have been introduced by this change:

Name:

Signature:

Page $1$