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DELIBERATE RISK ASSESSMENT WORKSHEET

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.

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. 5. Hazard: Specify hazards related to the subtask in block 4. 13. Risk Assessment Review: Should be conducted on a regular basis.

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