Deployment Review Worksheet

A pre-deployment operational checklist to evaluate legal classification, hazard controls, agency permissions, and operational design limits before placing physical machines or autonomous systems into service.

Who this is for

Deployment managers, safety engineers, compliance officers, and enterprise counsel.

Instructions

Complete one worksheet per deployment. Retain the completed worksheet with the deployment file as evidence of the pre-deployment review.

1. System identification

Manufacturer name:

System model and hardware serial identifiers:

Software stack version:

Physical form factor:

2. Operational task and environment

Intended mission description:

Physical location:

Location type identified (public roadway, sidewalk pedestrian area, controlled industrial workcell, healthcare facility, private commercial site, or agricultural property)
Environmental boundaries documented (geofence, facility map, route corridor)

3. Personnel and public exposure

Operator qualification requirements defined
Employee interaction thresholds documented
Bystander and vulnerable population exposure assessed (children, patients, elderly individuals)
Physical separation measures specified (fencing, barriers, marked zones)

4. Statutory and product classification

Primary legal categorization under state and federal law:

Automated motor vehicle under Texas Transportation Code § 545.451
Personal delivery device under Texas Transportation Code § 552A.0001
Small uncrewed aircraft system under 14 C.F.R. § 107.3
Industrial machinery under 29 C.F.R. § 1910.212
Medical device under 21 U.S.C. § 360c
Consumer product under 15 U.S.C. § 2052

Classification selected:

5. Responsible parties

Authorization holder:

Fleet operator:

Maintenance contractor:

Software developer:

Remote support supervisor:

Premises owner:

6. Regulatory approvals and filings

TxDMV commercial driverless authorization under 43 TAC Chapter 220 (if applicable)
DPS first responder interaction plan under 37 TAC § 39.1 (if applicable)
FAA Part 107, Part 135, or waiver/exemption approvals (if applicable)
FCC equipment authorizations verified; Covered List status checked
Local permit requirements verified

7. Operational design domain (ODD) boundaries

Validated speed limits documented
Weather restrictions defined (rain, fog, wind)
Lighting conditions specified (daytime, night operations)
Geographic geofencing parameters set
Minimal risk condition capability confirmed under Texas Transportation Code § 545.451(11)

8. Risk review sign-off

Safety case validation completed
Insurance policy verified (coverage type, limits, effective dates)
Operational readiness confirmed

Reviewer name and title:

Signature:

Date: