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RISK MANAGEMENT WORKSHEET

A.  Mission or Task

D.  Prepared By:  (Rank, Last Name, Duty Position)

B.  Date/Time Group

     Begin:

     End:

C.  Date Prepared:

LOW (L)          MODERATE  (M)         HIGH (H)        EXTREMELY HIGH  (E)

K.  Overall risk level after controls are implemented (circle one)

E.  Task

F. Identify

   Hazards

G. Assess

   Hazards

H. Develop Controls

I. Residual

   Risk

J. Implement Controls

(“How To”)

NTC FTX Foot March

0600

0900

22 Apr XX

Tanker, Stud

Foot

March

Foot

March

Foot

March

Equip

Load

Wild-

Life

(Snakes)

Blistered

feet

P = F

S = M

R = H

P = O

S = C

R = H

P = F

S = N

R = M

-Evenly distrib

the load

-Brief Unit

-Proper Hygiene

-Clean Socks

-Inspection

-Verbal

-Unit

TACSOP

-Verbal

instructions

-Unit

TACSOP

P = O

S = M

R = L

P = S

S = C

R = M

P = L

S = N

R = M

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