This study presents a participatory, risk-based validation framework for a manually actuated standing wheelchair. The standing function offers both physical and psychosocial benefits, including greater independence, improved social interaction, and better access to vertical space. However, adoption of such devices remains limited, especially in low-resource settings, due to concerns about usability, comfort, and safety. Rather than emphasizing technical novelty, the contribution of this study lies in applying a user-centered risk-matrix approach to systematically translate stakeholder concerns into design priorities. Through engagement with eight stakeholders, including direct users and institutional representatives, the study collected qualitative feedback on user experience. This feedback was organized into eight thematic risk categories. Among them, stability during transitions and the level of physical effort required were identified as the most pressing concerns. Each risk type was then evaluated using a qualitative 5×5 matrix to assess its likelihood and potential impact. This structured process enabled the design team to prioritize and implement targeted improvements, effectively reducing the likelihood of tipping-related risks. However, physical accessibility, particularly for users with limited upper-body strength, remained a high, unmitigated risk due to inherent limitations of manual operation. The study highlights the importance of integrating structured risk analysis with real user input to inform assistive technology development that is not only functional, but also contextually responsive.