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DELIBERATE RISK ASSESSMENT WORKSHEET
1. MISSION/TASK DESCRIPTION
California Cadet Corps Summer Encampment
2. DATE (YYYYMMDD)
3. PREPARED B Y
a. Name (Last, First Middle Initial)
Dionne, Dustin, R.
b. Rank/Grade
SFC/E-
c. Duty Title/Position
Operations NCO
d. Unit
California Cadet Corps
e. Work Email
dustin.r.dionne.mil@mail.mil
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 5. HAZARD 6. INITIAL RISK LEVEL 7. CONTROL 8. HOW TO IMPLEMENT/ WHO WILL IMPLEMENT 9. RESIDUAL RISK LEVE L
Movement (marching) on Camp San Luis Obispo
Vehicle traffic
M
Safety briefing; cadets travel in a formation. Road guards are posted and will wear reflective vests. Move by vehicle when possible.
How:
Supervise Cadet movement
Who:
Cadre
L
Uneven Terrain
M
Identify hazards on roadways & mark. Flashlights at night. Medics and cadet medics on site.
How:
Supervise Cadet Movement
Who:
Cadre
L
Physical Training Muscle Strain and joint/connective tissue pulls
L
Exercise within limits; leaders will conduct proper warm-up and stretching routines
How:
Warm-up/stretch
Who:
Cadre, Cadets
L
MISSION/TASK RISK LEVEL WHO WILL IMPLEMENT RISK LEVE L
Physical Training (Continued)
Running in low-light conditions
M
All cadets will have reflective belt, road guards will be posted at all intersections to control vehicle traffic. Cadre will stay with "fall-outs" during morning runs; cadets will call out obstructions on the road.
How:
Road guards, issue reflec- tive belts
Who:
Cadre, cadet leaders, and cadets.
L
Dehydration
M
Cadets will keep issued canteens filled from water source at all times. Will monitor urine and body for dehydration signs.
How:
Monitor for dehydration
Who:
Cadre and cadets
L
Obstacle Course Muscle Strain and joint/connective tissue pulls
M
Proper (active) warm-up and stretching routine before events. CLS on site.
How:
Group leaders will ensure proper warm-up
Who:
Cadre
L
Dehydration
M
Cadets will keep issued canteens filled from water source at all times. Will monitor urine and body for dehydration signs.
How:
Monitor for dehydration
Who:
Cadre and cadets
L
Falls from height
M
Instructors will supervise, course will be inspected, cadets will act as additional safeties
How:
Comprehensive instruc- tion, monitor cadets on obstacles, climb within means
Who:
Cadre and cadets
L
MISSION/TASK RISK LEVEL WHO WILL IMPLEMENT RISK LEVE L
Live-fire range Uneven terrain
M
Provide initial briefing, watch footing and explain emergency procedures.
How:
Brief range left and right limits and weapon handling
Who:
Range Staff
L
Dehydration & sunburn
M
Cadets will keep canteens filled from water source at all times. Will monitor urine and body for dehydration signs. Sun screen on site and applied together in formation
How:
Monitor for dehydration and apply sunscreen
Who:
Range Staff, Cadet lead- ers, battle buddies
L
Burns from hot brass
M
Wear proper uniform; position firing positions with adequate separation.
How:
Brief proper uniform and enforce its wear on the range
Who:
Range Staff
L
Eye and ear injury
M
Wear proper eye and ear protection IAW CSLO Range SOP.
How:
Issue eye and ear protec- tion, safeties ensure their use while on the firing line
Who:
Range Staff
M
Negligent discharge / firing outside impact area
M
Situational awareness before, during, and after firing. Treat all weapons as if they are loaded.
How:
Brief range left and right limits and weapon han- dling; take all commands from Range personnel
Who:
Range RSO and lane safeties
L
MISSION/TASK RISK LEVEL WHO WILL IMPLEMENT RISK LEVE L
Live-Fire Range (Continued)
Fratricide
H
RSO ensures muzzle discipline and range procedures are briefed and enforced. Medic on site.
How:
Safety brief and constant supervision
Who:
RSO, safeties, and firers
M
Land Navigation Uneven terrain and dehydration
M
Provide initial briefing, watch footing, provide water, and explain emergency procedures
How:
Initial briefing and supervise
Who:
Instructors
L
Indigenous wildlife
M
Safety orientation to include situational awareness, wildlife identification, and interaction procedures, first responders on-site, buddy-teams on course
How:
Initial briefing and con- stant supervision
Who:
Adult cadre and cadet leaders
L
Bivouac Cold and or hot temperatures
L
Prepare for inclement weather, use wet weather gear if needed, and move training indoors if conditions do not improve.
How:
Issue equipment; provide instruction
Who:
Cadre
L
Low-light conditions
M
Flashlight use addressed during orientation, along with block of instruction referencing night movement and post road guards, generator and lights on site
How:
Safety brief; orientation
Who:
Cadre
L
MISSION/TASK RISK LEVEL WHO WILL IMPLEMENT RISK LEVE L
LRC
(Continued)
Getting hit by falling objects
L
Be alert, look up before walking under or near obstacles
How:
Safety brief
Who:
Instructors
L
Serious injury (broken bones, concussion, etc.)
M
Climb within abilities, leaders take charge of all attempts at crossing obstacles, safety brief, medic on site
How:
Safety brief and com- mand & control
Who:
Instructors and cadet leaders
L
Scrapes, cuts, and rope burns
L
Navigate obstacles using proper clothing and PPE; climb within abilities
How:
Pre-check participants; safety brief
Who:
Cadre
L
LCC - High Ropes, Alpine Tower, & Carolina T-Wall
Muscle strain and joint/connective tissue pulls
L
Proper warm-up. Stretching routine before events. CLS on site.
How:
Cadre will ensure hydration
Who:
Cadre
L
Dehydration and sunburn
L
Cadets will keep canteens filled from water source at all times. Will monitor urine and body for dehydration signs. Sun screen on site and applied together in formation.
How:
Monitor for dehydration, apply sunscreen
Who:
Cadre and cadets
L
MISSION/TASK RISK LEVEL WHO WILL IMPLEMENT RISK LEVE L
LCC - High Ropes, Alpine Tower, & Carolina T-Wall (Continued)
Falls from height
M
Instructors will supervise, course will be inspected, only authorized equipment, all knots & securing points will be double-checked
How:
Comprehensive instruction
Who:
Cadre & Certified Facilitator
L
Unsafe technique on obstacles
M
Adult facilitators will remain on site and oversee all activities, briefing and demonstration of correct techniques prior to start (ground school, etc.)
How:
Monitor / assess
Who:
Instructors
L
Scrapes, cuts, and rope burns
L
Navigate obstacles using proper clothing and PPE; climb within abilities
How:
Pre-check participants; safety brief
Who:
Instructors
L
Indigenous wildlife (rattlesnakes, spiders, etc.)
L
Safety orientation to include situational awareness, hazard ID, & avoidance procedures. EPI pen & medics available site & sick call
How:
Medic & Cadre brief
Who:
Cadre and medical personnel
L
Getting hit by falling objects
L
Be alert, look up before walking under or near obstacles; only authorized personnel under climbers, wear helmets withing 50' of course.
How:
Safety brief and com- mand & control
Who:
Certified facilitators
L
MISSION/TASK RISK LEVEL WHO WILL IMPLEMENT RISK LEVE L
Mountaineering Training (Continued)
Dehydration, muscle strain, & sunburn
M
Cadets will keep canteens filled from water source at all times. Will monitor urine and body for dehydration signs. Sun screen on site and applied together in formation. Proper warm-up conducted before ascending/decending
How:
Monitor for dehydration, apply sunscreen
Who:
Cadre and cadets
L
Hiking Cerro Remauldo Indigenous wildlife (rattlesnakes, spiders, etc.)
L
Safety orientation to include situational awareness, wildlife identification, and interaction procedures, first responders on-site
How:
Safety brief, orientation, cadre on-site
Who:
Cadre, cadet leaders, and cadets
L
Poison Oak
L
Safety orientation to include situational awareness, Poison Oak identification, and avoidance/interaction procedures,
How:
Safety brief, situational awareness
Who:
Cadre and cadets
L
Dehydration & sunburn
M
Cadets will keep canteens filled from water source at all times. Will monitor urine and body for dehydration signs. Sun screen on site and applied together in formation
How:
Monitor for dehydration and apply sunscreen
Who:
Cadre and cadets
L
Survival Exercise Low light conditions
M
Limit all night movement, use light sticks for emergencies. cadre mark position w/ light sticks and have headlamps
How:
Brief, issue light sticks, cadre supervise
Who:
Cadre
L
MISSION/TASK RISK LEVEL WHO WILL IMPLEMENT RISK LEVE L
Survival Exercise (Continued)
Dysentery or other water borne parasites from improperly purified water
M
Cadets will be given water purification tablets, water filters, and/or means to boil water.
How:
Issue water purification tablets
Who:
Cadre
L
Dehydration & sunburn
M
Cadets will keep canteens filled from water source at all times. Will monitor urine and body for dehydration signs. Utilize shade cover as much as possible and limit movement to early morning hours.
How:
Monitor for dehydration and use shaded areas
Who:
Cadre
L
Damage to property or chance of burns to individuals during fire preperation
M
Fires will be constructed in approved areas, vicinity will be cleared of vegetation. Instruction will be given on fire creation.
How:
Construct IAW compre- hensive instruction
Who:
Cadre
L
Ingesting poisonous or toxic materials
M
Cadets will be instructed on food identification techniques and how to utilize edibility tests before consuming food.
How:
Comprehensive instruction
Who:
Cadre
L
Malnourishment
M
Cadets will be monitored for signs of malnourishment. Food will be on-site to supplement cadet diets if needed.
How:
Group leaders monitor cadets
Who:
Cadre
L
MISSION/TASK RISK LEVEL WHO WILL IMPLEMENT RISK LEVE L
Survival Exercise (Continued)
Teams or individuals getting lost
M
Individuals must remain in site of their four man teams @ all times; cadre observe each team and perform regaular accountability check-ins via radio; brief on action if individuals are lost
How:
Safety briefing, training, group accountability
Who:
Cadre and cadets
L
Pass and Review (Drill & Ceremonies)
Fainting/minor falls/ strains
L
Identify hazards, watch footing on parade ground. Mow prior to event. Brief to not lock knees during event.
How:
Leader's recon, practice, brief
Who:
Cadre and cadets
L
Dehydration
M
Cadets will keep canteens filled at all times. Will monitor urine & body for dehydration signs.
How:
Water at site, check for dehydration
Who:
Cadre and cadets
L
Self Defense Training Dehydration
M
Cadets will keep canteens filled at all times. Will monitor urine & body for dehydration signs.
How:
Water at site, check for dehydration
Who:
Cadre and cadets
L
Muscle Strain and joint/connective tissue pulls
M
Proper (active) warm-up and stretching routine before events. CLS on site. Match opponents appropriately.
How:
Conduct proper warm-up; supervise
Who:
Cadre
L
MISSION/TASK RISK LEVEL WHO WILL IMPLEMENT RISK LEVE L
Travel to/from CSLO Vehicle accidents
M
PMCS vehicles daily, pre-travel safety brief, ensure adequate sleep, in- progress updates.
How:
Safety brief, regular check-in
Who:
All instructors
L
HEAT Trainer Heavy doors closing on extremities
M
Brief on hazard, monitor evacuation closely, only unlock doors under controlled environment, and communicate with those inside the simulator.
How:
Brief, command and control
Who:
Cadre, HEAT operator
L
Skin abrasions, muscle strains, head injuries
M
Enforce the wear of PPE, provide helmets for mandatory use, instruct how to move in constricted environment, how to remove seat belt, and how to tie everything down. Use of seat belts mandatory when simulator is moving. EMT on-site.
How:
Issue PPR, enforce uni- form, instruct
Who:
Cadre, EMT, cadets, HEAT operator
L
Injury from the HEAT trainer's mechanical parts
M
Enforce no-walk zone around HEAT trainer for observers, simulator does not operate unless rear safety is in place w/ emergency stop button in reach, machine is turned- off and keys are removed when operator is not @ controls
How:
Safety brief, enforce off- limits areas, maintain control of machine
Who:
Operator and safety
L
Cadet leadership and mentoring
Unprofessional conduct
M
Create, brief, and post cadet protection policy outlining safety rules for adult and cadet interaction
How:
Adults and cadets attend mandatory briefing describing cadet protec- tion policy
Who:
Commander, S-2, CACC Cadre
L
10. OVERALL RESIDUAL RISK LEVEL (All controls implemented) :
EXTREMELY HIGH HIGH MEDIUM LOW
13. RISK ASSESSMENT REVIEW (Required when assessment applies to ongoing operations or activities)
a. Date b. Last Name c. Rank/Grade d. Duty Title/Position e. Signature of Reviewer
**14. FEEDBACK AND LESSONS LEARNED
- ADDITIONAL COMMENTS OR REMARKS**
Instructions for Completing DD Form 2977, "Deliberate Risk Assessment Worksheet"
1. Mission/Task Description: Briefly describe
the overall Mission or Task for which the
deliberate risk assessment is being conducted.
2. Date (DD/MM/YYY) : Self Explanatory.
3. Prepared By: Information provided by the
individual conducting the deliberate risk
assessment for the operation or training.
Legend: UIC = Unit Identification Code; CIN =
Course ID Number; OPORD = operation order;
DSN = defense switched network; COMM =
commercial
4. Sub-task/Sub-Step of Mission/Task: Briefly
describe all subtasks or substeps that warrant
risk management.
5. Hazard: Specify hazards related to the
subtask in block 4.
6. Initial Risk Level: Determine probability and
severity. Using the risk assessment matrix (page
3), determine level of risk for each hazard
specified. probability, severity and associated
Risk Level; enter level into column.
7. Control: Enter risk mitigation resources/
controls identified to abate or reduce risk relevant
to the hazard identified in block 5.
8. How to Implement / Who Will Implement:
Briefly describe the means of employment for
each control (i.e., OPORD, briefing, rehearsal)
and the name of the individual unit or office that
has primary responsibility for control
implementation.
9. Residual Risk Level: After controls are
implemented, determine resulting probability,
severity, and residual risk level.
10. Overall Risk After Controls are
Implemented: Assign an overall residual risk
level. This is equal to or greater than the highest
residual risk level (from block 9).
11. Supervision Plan and Recommended
Course of Action: Completed by preparer.
Identify specific tasks and levels of responsibility
for supervisory personnel and provide the
decision authority with a recommend course of
action for approval or disapproval based upon
the overall risk assessment.
12. Approval/Disapproval of Mission/Task:
Risk approval authority approves or disapproves
the mission or task based on the overall risk
assessment, including controls, residual risk
level, and supervision plan.
13. 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 level already approved, operations
should cease until the appropriate approval
authority is contacted and approves continued
operations.
14. Feedback and Lessons Learned: Provide
specific input on the effectiveness of risk controls
and their contribution to mission success or
failure. Include recommendations for new or
revised controls, practicable solutions, or
alternate actions. Submit and brief valid lessons
learned as necessary to persons affected.
15. Additional Comments or Remarks:
Preparer or approval authority provides any
additional comments, remarks, or information to
support the integration of risk management.
Additional Guidance: Blocks 4-9 may be
reproduced as necessary for processing of all
subtasks/ substeps of the mission/task. The
addition and subtraction buttons are designed to
enable users to accomplish this task.
