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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”)

1000

+48 hrs

15 JUL XX

Tanker, Stud

Retrans

Infil

Heat

(90+)

Rough

Terrain

Enemy

Troops

P = F

S = C

R = E

P = L

S = C

R = H

P = F

S = C

R = E

-Force hydration

-Night move

-Carry H20

-Follow scouts

-Check NVG’s

-Map Recon

-Follow Scouts

-Clear Site Loc.

-Camo Pos

-TACSOP

-PCI

-Verbal

-Coord L/U

-PCI

-Verbal

-Coord L/U

-TACSOP

P = L

S = C

R = H

P = O

S = M

R = M

P = O

S = C

R = H

Retrans TM Infil

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