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 :