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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”)

Retrans TM Infil

1000

+48 hrs

15 JUL XX

Tanker, Stud

Retrans

Infil

Equip

Load

Sleep

Loss

Artillery

P = L

S = C

R = H

P = F

S = C

R = E

P = L

S = C

R = H

-Extra H20

-MRE’s x 2

-Loadplans

-Sleep Plan

-Rotate Personel

-Displace equip

-Camo position

-Dig positions

-CFZ’s, NFA’s

-PCI

-Verbal

-TACSOP

-TACSOP

-Inspection

-Verbal

-TACSOP

-Inspection

-Verbal

P = S

S = M

R = L

P = O

S = C

R = H

P = O

S = M

R = M

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