A usability engineering file is the record required by IEC 62366-1 showing how a device’s user interface was designed and evaluated for safety: the use specification, user interface characteristics related to safety, known use problems, hazard-related use scenarios, the formative evaluations and the summative evaluation. ISO 14971 sets out the risk management process, and its risk management file holds the hazards, hazardous situations, risk controls and verification.
The two are meant to connect. A hazard-related use scenario in the usability file should appear as a hazardous situation in the risk file, its risk control should be a design or labelling change, and the summative evaluation should verify that control. In practice the files are kept by different people in different tools, and the links break.
Traceability is where AI earns its place: reading both files, proposing the links, and flagging every scenario without a risk entry, every control without verification and every formative finding that never reached the risk file.