Army Form Risk – Fill Out and Use

RISK MANAGEMENT WORKSHEET

(CDTCMD Reg 385-10; proponent agency is Cadet Command Safety)

of

6. Date Prepared:

8. Tasks

9. Identify Hazards

10.Initial

Risk Level

11. Develop Controls

12.Residual

Risk Level

13. Implement Controls (“How To”)

14. Who/How Supervised

15. Determine Overall Mission/Task Risk Level After Countermeasures Are Implemented:

(Circle Highest Remaining Risk Level)

Sample Risk Management Worksheet

RISK MANAGEMENT WORKSHEET

(CDTCMD Reg 385-10; proponent agency is Cadet Command Safety)

7.Operational Phase in which the Mission/Task will be conducted:

Throughout training phase

Work Sheet Instructions

Blocks

18. Self explanatory

9.Identify Hazards – Review METT-T factors for the mission or task. Additional factors include historical lessons learned, experience, judgment, equipment characteristics and warnings, and environmental considerations.

10.Initial Risk Level – Assess hazard and determine initial risk for each hazard by applying risk assessment matrix.

11.Develop Controls – Develop one or more controls for each hazard that will either eliminate the hazard or reduce the risk (probability and/or severity). Specify who, what, where, why, when, and how for each control.

12.Residual Risk Level – Determine the residual risk for each hazard by applying the risk assessment matrix, assuming the controls are implemented.

13.Implement Controls – Decide how each control will be put into effect or communicated to the personnel who will make it happen (written or verbal instruction; tactical, safety, garrison SOPs, rehearsals).

14.Who/How Supervised – Who and how will each control be monitored (continuous supervision, spot-checks). Evaluate frequently and pass on lessons learned.

15.Determine Overall Mission/Task Risk – Select the highest residual risk level and circle it. This becomes the overall mission or task risk level. The commander decides whether the controls are sufficient to accept the level of residual risk. If the risk is too great to continue the mission or task, the commander directs development of additional controls or modifies, changes, or rejects the COA.

16.Medical Support – Select type of on-site medical support provided and circle it.

17 & 18. Self explanatory

19.Risk Decision Authority – The decision to accept or not accept the risk(s) associated with an action is made by the appropriate commander or leader responsible for performing that action.

Need to Risk Manage a METT-T Hazard

Hazards not adequately controlled are likely to cause loss of combat power. Answer the following questions about each hazard to determine if it is adequately controlled. If not, hazards needs to be risk managed.

self-disciplined to control hazard?

If all “yes”, no further action required (subject to commander’s risk guidance). If one or more “no ”, risk manage this hazard

Risk Assessment Matrix

PROBABILITY – The likelihood that an event will occur.

FREQUENT – Occurs often, continuously experienced.

LIKELY – Occurs several times.

OCCASIONAL – Occurs sporadically.

SELDOM – Unlikely, but could occur at some time.

UNLIKELY – Can assume it will not occur.

SEVERITY – The expected consequence of an event in terms of degree of injury, property damage, or other mission-impairing factors.

CATASTROPHIC – Death or permanent total disability, system loss, major damage, significant property damage, mission failure.

CRITICAL – Permanent partial disability, temporary total disability in excess of 3 months, major system damage, significant property damage, significant mission degradation.

MARGINAL – Minor injury, lost workday accident, minor system damage, minor property damage, some mission degradation.

NEGLIGIBLE – First aid or minor medical treatment, minor system impairment, little/no impact on mission accomplishment.

* FM 101-5, 31 May 1997