DD Form 2977: Deliberate Risk Assessment Worksheet

Box 1, Mission/Task Description and Execution Date(s): Briefly describe the overall Mission or Task and execution date(s) for which the deliberate risk assessment is being conducted.

Box 2, Date Prepared: Enter date form was prepared.

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

In Box 3, fill in 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)) and SIGN.

In Box 3, g. UIC/CIN (as required) and h. TRAINING SUPPORT/LESSON PLAN OR OPORD (as required).

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

Box 4, Subtask/SubStep of Mission/Task: Briefly describe all subtasks or substeps that warrant risk management.

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

Box 6, Initial Risk Level: Determine initial risk level. Using the risk assessment matrix (preceding block 13), determine level of risk for each hazard specified. Use probability and severity to determine risk level; enter risk level into column.

LEGEND: EH - Extremely High Risk, H - High Risk, M - Medium Risk, L - Low Risk.

Probability (Expected frequency): Frequent: Continuous, regular, or inevitable occurrences; Likely: Several or numerous occurrences; Occasional: Sporadic or intermittent occurrences; Seldom: Infrequent occurrences; Unlikely: Possible occurrences but improbable.

Severity (expected consequence): Catastrophic: Mission failure, unit readiness eliminated; death, unacceptable loss or damage; Critical: Significantly degraded unit readiness or mission capability; severe injury, illness, loss or damage; Moderate: Somewhat degraded unit readiness or mission capability; minor injury, illness, loss, or damage; Negligible: Little or no impact to unit readiness or mission capability; minimal injury, loss, or damage.

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

Box 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. Fill in How: and Who:.

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

Entered hazards may be automatically sorted by residual risk level by clicking the header for Block 9.

Blocks 4-9 may be reproduced as necessary for processing of all subtasks/substeps of the mission/task. In Block 4 to Block 9, the addition button will add a row below the row at which selected. The subtraction button will remove the row at which selected.

Box 10, Overall Residual Risk Level (All controls implemented): Assign an overall residual risk level. This is equal to or greater than the highest residual risk level (from block 9).

10. OVERALL RESIDUAL RISK LEVEL (All controls implemented): EXTREMELY HIGH, HIGH, MEDIUM and LOW.

Box 11, Overall 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.

Box 12, Approval or Disapproval of Mission or 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.

Box 13, Risk Assessment Review (Required when assessment applies to ongoing operations or activities): 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.

In Box 13, fill in a. DATE, b. LAST NAME, c. RANK/GRADE, d. DUTY TITLE/POSITION and SIGN.

Box 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.

Box 15, Additional Comments or Remarks: Preparer or approval authority provides any additional comments, remarks, or information to support the integration of risk management.

DD FORM 2977 is the DELIBERATE RISK ASSESSMENT WORKSHEET. Five steps of Risk Management: (1) Identify the hazards (2) Assess the hazards (3) Develop controls & makes decisions (4) Implement controls (5) Supervise and evaluate (Step numbers not equal to numbered items on form).