Army Form Risk Printable Details

The Army Form Risk is a form that should be filled out by all personnel in the United States Army. The Army Form Risk helps to assess risk factors and determine whether or not you are eligible for deployment. If you have any health issues, it's important to disclose these as they may prevent you from being deployed. The form has 12 sections with several questions pertaining to your medical history, family history, and current status of physical fitness among other things.

Here is some data to help you understand how much time it's going to take to finalize the army form risk.

QuestionAnswer
Form NameArmy Form Risk
Form Length2 pages
Fillable?Yes
Fillable fields26
Avg. time to fill out5 min 46 sec
Other namesarmy form risk online, fillable army risk assessment form, form risk fillable online, risk online

Form Preview Example

RISK MANAGEMENT WORKSHEET

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

1.

Organization and Unit Location:

 

 

 

2. Page

 

 

 

 

 

 

 

 

3.

Mission/Task:

4. Begin Date:

5. End Date:

 

 

 

 

 

 

 

of

1

2

6. Date Prepared:

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

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)

LOW (L)

MODERATE (M)

HIGH (H)

EXTREMELY HIGH (E)

16.

Medical Support: Advanced Trauma Life Support (ATLS) is required within 1 hour.

On-site Medical Support provided (Circle one):

Medic

Combat Lifesaver

ARC/NSC First-Aid Responder

None

 

 

 

 

 

 

17.

Prepared by: (Rank, Last Name, Duty Position)

 

18. Reviewed by Action Officer/Commander: (Rank, Last Name, Duty Position and Signature):

 

 

 

 

 

 

 

19.

Risk Decision Authority (Signature Block and Signature):

 

 

Extremely High Risk: Not Applicable for Cadet Command

 

 

 

 

 

High Risk: CG or DCG

 

 

 

 

 

 

 

Moderate Risk: Brigade Cdr (0-6). At Advanced/Basic Camp – Region Cdr or CofS

 

 

 

 

 

Low Risk: Battalion Cdr. At Advanced/Basic Camp – Committee Chief or Regimental Cdr/TAC Officer

CDTCMD Form 385-1-R-E, Apr 01

Risk Assessment and Risk Management Countermeasure Worksheets in CC Reg 145-3 are OBSOLETE

Sample Risk Management Worksheet

RISK MANAGEMENT WORKSHEET

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

1.

Organization and Unit Location:

 

 

2.

Page

 

 

 

of

 

 

 

ROTC Battalion

 

 

 

 

1

 

 

2

3.

Mission/Task:

4. Begin Date:

5. End Date:

 

6.

Date Prepared:

 

Conduct Rappel Training (include Transportation to and from Tower)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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

Throughout training phase

8. Tasks

9. Identify Hazards

10. Initial

11. Develop Controls

 

 

12. Residual

 

13. Implement Controls (“How To”)

14. Who/How Supervised

Risk Level

 

 

Risk Level

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Transportation to

Driver Fatigue

M

Ensure driver gets adequate rest.

 

 

L

 

 

AR 385-55, Prevention of

Driver – Self

tower.

 

 

 

 

 

 

 

 

 

 

 

Motor Vehicle Accidents

Driver – Self

 

Traffic/Congestion

M

Drive slower and defensively.

 

 

L

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

AR 600-55, Army Driver and

Driver – Self

 

Weather Conditions

H

Drive slower than posted speed limit.

M

 

 

Operator Standardization

 

(rain/ice on road)

 

 

 

 

 

 

 

 

 

 

Program

 

 

 

 

 

Rappelling from a

Inexperienced

H

Instruct and demonstrate: (1) Fundamentals

M

 

 

TSP No.1, Basic Rappelling

Qualified Rappel

34-ft Tower

cadets

 

of rappelling, (2) How to properly tie knots

 

 

 

TC 21-24, Rappelling

Master will supervise.

 

 

 

and (3) Safety requirements.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Always require use of helmets and gloves.

 

 

 

 

 

 

 

 

 

 

 

Equipment failure

H

Conduct a safety inspection of tower and all

M

 

 

TC 21-24, Rappelling

Rappel Master will

 

resulting in falls.

 

rappelling equipment prior to training

 

 

 

 

 

 

 

 

inspect.

 

 

 

exercise.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Conduct annual safety inspection of tower.

M

 

 

AR 385-10, Safety Program

Army Safety Officer,

 

 

 

 

 

 

 

 

 

 

 

 

DA Pam 385-1, Unit Safety

CDSO, Univ. Safety.

 

Heat Injury/

H

Monitor Heat Index, advise all to drink

M

 

 

TB MED 507

 

 

Cadre monitor

 

Dehydration

 

sufficient volumes of water at frequent

 

 

 

Water buffalo/jugs on site.

weather.

 

 

 

intervals, carry canteen(s) and know

 

 

 

GTA 8-5-50

 

 

 

 

 

 

 

 

location of water points.

 

 

 

 

 

 

 

 

 

 

 

 

 

Wildlife, insects and

M

Brief cadets to avoid wildlife, insects and

L

 

 

FM 21-10

 

 

 

Cadre monitor Heat

 

plants

 

plants. Use insect repellent.

 

 

 

 

 

GTAs based on area.

Index.

 

 

 

 

Have bee stings kits available.

 

 

 

 

 

 

 

 

 

 

Use buddy system.

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

 

LOW (L)

MODERATE (M)

 

 

 

HIGH (H)

 

EXTREMELY HIGH (E)

(Circle Highest Remaining Risk Level)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

16. Medical Support: Advanced Trauma Life Support (ATLS) is required within 1 hour. On-site Medical Support provided (Circle one):

Medic

Combat Lifesaver

ARC/NSC First-Aid Responder

None

 

 

 

 

 

 

 

 

 

17. Prepared by: (Rank, Last Name, Duty Position)

 

 

 

 

18. Reviewed by Action Officer/Commander: (Rank, Last Name, Duty Position and Signature):

 

 

 

 

 

 

 

 

 

 

 

 

19. Risk Decision Authority (Signature Block and Signature):

 

 

 

 

 

 

Extremely High Risk: Not Applicable for Cadet Command

 

 

 

 

 

 

 

 

 

 

High Risk: CG or DCG

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Moderate Risk: Brigade Cdr (0-6). At Advanced/Basic Camp – Region Cdr or CofS

 

 

 

 

 

 

 

 

Low Risk: Battalion Cdr. At Advanced/Basic Camp – Committee Chief or Regimental Cdr/TAC Officer

CDTCMD Form 385-1-R-E, Apr 01

 

 

Risk Assessment and Risk Management Countermeasure Worksheets in CC Reg 145-3 are OBSOLETE

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.

Are the Controls Adequate?

Yes

No

Support – Is type/amount/capability/condition of support adequate to carry

 

 

out the mission?

 

 

Personnel

 

 

Supplies

 

 

Equipment/Material

 

 

Services/Facilities

 

 

Standards – Is guidance / procedure adequately clear / practical /specific

 

 

to control hazard?

 

 

Training – Is training adequately thorough and recent to control hazard?

 

 

Leader – Is leadership ready, willing, and able to enforce standards

 

 

required to control hazard?

 

 

Individual/Unit Self-DisciplineIs performance and conduct sufficiently

 

 

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

 

 

 

SEVERITY

Frequent

 

Likely

 

Occasional

Seldom

 

Unlikely

Catastrophic

E

 

E

 

H

H

 

M

Critical

E

 

H

 

H

M

 

L

Marginal

H

 

M

 

M

L

 

L

Negligible

M

 

L

 

L

L

 

L

 

 

 

 

 

 

 

 

 

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

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