Army Form Risk PDF 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 Length4 pages
Fillable?Yes
Fillable fields171
Avg. time to fill out35 min 16 sec
Other namesarmy form risk pdf, fillable form risk template, army form risk fill, us army risk assessment form

Form Preview Example

DELIBERATE RISK ASSESSMENT WORKSHEET

1. MISSION/TASK DESCRIPTION

2.DATE (DD/MM/YYYY)

3. PREPARED BY

 

a. Name (Last, First, Middle Initial)

 

 

 

 

b. Rank/Grade

 

 

c. Duty Title/Position

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

d. Unit

 

e. Work Email

 

 

 

f. Telephone (DSN/Commercial (Include Area Code))

 

 

 

 

 

 

 

 

 

 

 

 

g. UIC/CIN (as required)

 

h. Training Support/Lesson Plan or OPORD (as required)

i. Signature of Preparer

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Five steps of Risk Management: (1) Identify the hazards

(2) Assess the hazards

(3) Develop controls & make decisions

 

 

 

 

 

(4) Implement controls

(5) Supervise and evaluate

 

(Step numbers not equal to numbered items on form)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

4. SUBTASK/SUBSTEP

 

5. HAZARD

6. INITIAL

 

7. CONTROL

 

 

8. HOW TO IMPLEMENT/

 

9. RESIDUAL

 

 

RISK

 

 

 

WHO WILL IMPLEMENT

 

RISK LEVEL

 

OF MISSION/TASK

 

 

 

LEVEL

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

How:

 

 

 

 

 

 

 

 

 

 

 

 

 

Who:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

How:

 

 

 

 

 

 

 

 

 

 

 

 

 

Who:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

How:

 

 

 

 

 

 

 

 

 

 

 

 

 

Who:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

How:

 

 

 

 

 

 

 

 

 

 

 

 

 

Who:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

How:

 

 

 

 

 

 

 

 

 

 

 

 

 

Who:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Additional entries for items 5 through 9 are provided on page 2.

 

 

 

10. OVERALL RESIDUAL RISK LEVEL (All controls implemented):

 

 

 

 

 

 

 

 

EXTREMELY HIGH

 

HIGH

 

 

MEDIUM

LOW

 

11. OVERALL SUPERVISION PLAN AND RECOMMENDED COURSE OF ACTION

 

 

 

 

 

 

12. APPROVAL OR DISAPPROVAL OF MISSION OR TASK

APPROVE

DISAPPROVE

a.Name (Last, First, Middle Initial)

b. Rank/Grade

c. Duty Title/Position

d. Signature of Approval Authority

e. Additional Guidance:

DD FORM 2977, JAN 2014

Page 1 of 2 Pages

 

Adobe Professional X

 

 

DELIBERATE RISK ASSESSMENT WORKSHEET

 

 

 

 

 

 

 

 

 

4. SUBTASK/SUBSTEP

 

5. HAZARD

6.

INITIAL

7. CONTROL

8. HOW TO IMPLEMENT/

9. RESIDUAL

 

 

RISK

OF MISSION/TASK

 

 

 

 

WHO WILL IMPLEMENT

RISK LEVEL

 

 

 

LEVEL

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

How:

 

 

 

 

 

 

 

Who:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

How:

 

 

 

 

 

 

 

Who:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

How:

 

 

 

 

 

 

 

Who:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

How:

 

 

 

 

 

 

 

Who:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

How:

 

 

 

 

 

 

 

Who:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

How:

 

 

 

 

 

 

 

Who:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

How:

 

 

 

 

 

 

 

Who:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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Who:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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Who:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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Who:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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Who:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

How:

 

 

 

 

 

 

 

Who:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

How:

 

 

 

 

 

 

 

Who:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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DD FORM 2977, JAN 2014

 

 

 

 

2

2

 

 

 

 

Page ____ of ____ Pages

DELIBERATE RISK ASSESSMENT WORKSHEET

 

 

 

 

 

 

 

 

Probability (expected frequency)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Risk Assessment Matrix

 

 

Frequent:

 

Likely:

 

 

Occasional:

 

Seldom:

Unlikely:

 

 

Continuous,

 

Several or

 

 

Sporadic or

 

Infrequent

Possible

 

 

 

 

 

regular, or

 

numerous

 

 

intermittent

 

occurrences

occurrences but

 

 

 

 

 

inevitable

 

occurrences

 

 

occurrences

 

improbable

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

occurrences

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Severity (expected consequence)

 

 

A

 

B

 

 

C

 

D

E

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Catastrophic: Death, unacceptable

 

I

 

EH

 

 

EH

 

 

H

 

 

H

M

 

loss or damage, mission failure,

 

 

 

 

 

 

 

 

 

or unit readiness eliminated

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Critical: Severe injury, illness, loss,

 

II

 

EH

 

 

H

 

 

 

H

 

M

L

or damage; significantly degraded

 

 

 

 

 

 

 

 

unit readiness or mission capability

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Moderate: Minor injury, illness, loss,

 

III

 

H

 

M

 

 

M

 

L

L

or damage; somewhat degraded

 

 

 

 

 

 

unit readiness or mission capability

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Negligible: Minimal injury, loss,

 

IV

 

M

 

L

 

 

L

 

L

L

or damage; little or no impact

to

 

 

 

 

 

 

unit readiness or mission capability

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Legend:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

EH – extremely high risk

H – high risk

 

M – medium risk

L – low risk

 

 

 

 

 

 

 

 

13. RISK ASSESSMENT REVIEW 5HTXLUHGZKHQDVVHVVPHQWDSSOLHVWRRQJRLQJRSHUDWLRQVRUDFWLYLWLHV

a. Date

b. Last Name

c. Rank/Grade

d. Duty Title/Position

e. Signature of Reviewer

14. FEEDBACK AND LESSONS LEARNED

15. ADDITIONAL COMMENTS OR REMARKS

DD FORM 2977, JAN 2014

Page ____ of 2 Pages

Instructions for Completing DD Form 2977, "Deliberate Risk Assessment Worksheet"

1.Mission/Task Description: Briefly describe the overall Mission or Task for which the deliberate risk assessment is being conducted.

2.Date ''00<<<<: Self Explanatory.

3.Prepared By: Information provided by the individual conducting the deliberate risk assessment for the operation or training .

Legend: UIC = Unit Identification Code; CIN = Course ID Number; OPORD = operation order; DSN = defense switched network; COMM = commercial

4.Sub-task/Sub-Step of Mission/Task: Briefly describe all subtasks or substeps that warrant risk management.

5.Hazard: Specify hazards related to the subtask in block 4.

6.Initial Risk Level: Determine probability and severity. Using the risk assessment matrix (page 3), determine level of risk for each hazard specified. probability, severity and associated Risk Level; enter level into column.

7.Control: Enter risk mitigation resources/controls identified to abate or reduce risk relevant to the hazard identified in block 5.

8.How to Implement / Who Will Implement: Briefly describe the means of employment for each control (i.e., OPORD, briefing, rehearsal) and the name of the individual unit or office that has primary responsibility for control implementation.

9.Residual Risk Level: After controls are implemented, determine resulting probability, severity, and residual risk level.

10.Overall Risk After Controls are Implemented: Assign an overall residual risk level. This is the highest residual risk level (from block 9).

11.Supervision Plan and Recommended Course of Action: Completed by preparer. Identify specific tasks and levels of responsibility for supervisory personnel and provide the decision authority with a recommend course of action for approval or disapproval based upon the overall risk assessment.

12.Approval/Disapproval of Mission/Task: Risk approval authority approves or disapproves the mission or task based on the overall risk assessment, including controls, residual risk level, and supervision plan. Space provided for authority to provide additional guidance; use continuation page if needed.

13. Risk Assessment Review: Should be conducted on a regular basis. Reviewers should have sufficient oversight of the mission or activity and controls to provide valid input on changes or adjustments needed. If the residual risk rises above the level already approved, operations should cease until the appropriate approval authority is contacted and approves continued operations.

14.Feedback and Lessons Learned: Provide specific input on the effectiveness of risk controls and their contribution to mission success or failure. Include recommendations for new or revised controls, practicable solutions, or alternate actions. Submit and brief valid lessons learned as necessary to persons affected.

15.Additional Comments or Remarks: Preparer provides additional comments, remarks, or information to support the risk assessment. If block 15 is used as a continuation of block 14, strike through the block number and title.

Additional Guidance: Block 4-9 continuance page may be reproduced as necessary for processing of all subtasks/ substeps of the mission/task. If a complete page is not utilized, write “NOTHING FOLLOWS” on the first unused row, immediately after the final item assessed.

DD FORM 2977 INSTRUCTIONS, JAN 2014

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entering details in fillable army risk assessment form part 1

Complete the How, Who How, Who, How, Who How, Who EXTREMELY, HIGH HIGH, MEDIUM, and LOW section with all the details asked by the software.

step 2 to completing fillable army risk assessment form

Outline the essential information in the b, Rank, Grade APPROVE, DISAPPROVE, c, Duty, Title, Position d, Signature, of, Approval, Authority e, Additional, Guidance DD, FORM, JAN and Page, of, Pages, Adobe, Professional, X area.

step 3 to filling out fillable army risk assessment form

It is important to spell out the rights and responsibilities of both sides in space SUB, TASK, SUB, STEP, OF, MISSION, TASK HAZARD, INITIAL, RISK, LEVEL CONTROL, HOW, TO, IMPLEMENT, WHO, WILL, IMPLEMENT How, Who How, Who How, Who How, Who How, Who How, Who and RESIDUAL, RISK, LEVEL

Entering details in fillable army risk assessment form part 4

Finalize by analyzing the next areas and filling them in as needed: How, Who How, Who How, Who How, Who How, Who How, Who and How, Who

fillable army risk assessment form HowWho, HowWho, HowWho, HowWho, HowWho, HowWho, and HowWho blanks to fill

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