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Practical template

Radio module to final product evidence matrix

Use this template with your own product details and evidence. Copy the text into your document to complete the fields and add rows as needed.

  • Module model/revision: [fill in]
  • Host model/revision: [fill in]
  • Reviewer/date: [fill in]
  • Vendor instructions and reports/revisions: [fill in]
  • Firmware/settings: [fill in]
ConditionModule assessed conditionHost actual conditionDifference/evidenceRequirement impactedAdditional assessment/action
Antenna type/gain/layout[fill in][fill in][fill in][fill in][fill in]
Enclosure/nearby metal[fill in][fill in][fill in][fill in][fill in]
Simultaneous transmitters[fill in][fill in][fill in][fill in][fill in]
Channels/power/duty cycle[fill in][fill in][fill in][fill in][fill in]
Supply/cables/interfaces[fill in][fill in][fill in][fill in][fill in]

Evidence reuse rationale: [fill in]. Uncovered conditions: [fill in]. Conformity route reviewed: [fill in]. Approved purchasing substitutions: [fill in]. This matrix does not transfer module conformity to the host.