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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. SUBTASK/SUBSTEP OF MISSION/TASK How: Who: How: Who: How: Who: How: Who: How: Who: Additional entries for items 5 through 9 are provided on page 2. 10.

Risk Assessment Review: 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. If the residual risk rises above the …

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