Component Obsolescence Assessment Form
Use this form to assess the lifecycle status, risk, impact, and recommended action for a component that may be becoming obsolete.
Component Identification
Component Name or ID
*
Component Category / Type
*
Please Select
Hardware
Software
Firmware
Electronic Part
Mechanical Part
Assembly
Subassembly
Other
Current Version / Revision
Owning System / Product / Program
*
Obsolescence Assessment
Current Lifecycle Status
*
Active
Limited Support
End of Life
Obsolete
Supplier Support Status
*
Fully Supported
Limited Support
No Longer Supported
Unknown
Replacement Parts or Equivalents Available
*
Yes
No
Unknown
Obsolescence Risk Rating
*
1
2
3
4
5
Impact and Next Steps
Impact Summary
*
Rows
No Impact
Low
Moderate
High
Critical
Operational Impact
1
2
3
4
5
Cost Impact
6
7
8
9
10
Urgency / Action Priority
11
12
13
14
15
Recommended Action
*
Please Select
Continue Use
Monitor
Replace
Redesign
Phase Out
Submit
Should be Empty: