<p> RISK MANAGEMENT WORKSHEET ( The proponent of this form is Directorate of Public Safety) Page 1 of 2 Pages 1. MISSION/TASK: Sergeant’s Time Training: 2. BEGIN DTG: 060730AUG09 3. DATE PREPARED: 4. PREPARED BY: (Rank, Last Name, Duty Position) React To Man-To-Man Contact at Camp Casey END DTG: 061200AUG09 21 JUL 09 SGT, </p><p>Y Y K T T S I I I Y Y L L K R I I T T</p><p>S I I I B B L R R R A A</p><p>A E E B B L U V V O O A E D E I I R R S S T S P P I 11. WHO/HOW 14. E H H N D D T T I R</p><p>5. HAZARDS I I</p><p>N N</p><p>. 7. CONTROLS . 10. HOW IMPLEMENTED SUPERVISED CONTROL 6 W A 8 W A EFFECTIVE MOVEMENT TO TA: MED Conduct PCC/PCI’s LOW Leader Execution Leadership 3/C Conduct Movement 4/E SOP’s □ Ortho Injuries (Ankle/Knee) Conduct Route Recon NCOs ensure proper hydration □ Improper Uniform Use Communication throughout the ranks. □ Vehicle Traffic □ Inadequate Conditions OCCUPYING THE TA: MED Ensure all personnel are wearing protective gear. LOW Leader Execution Leadership 3/C Secure all weapons on each person; weapons will 4/D Rehearsals □ Unloading of Training not be left anywhere but in person’s possession. Equipment Vehicles will be parked in approved areas, close □ Security of Weapons attention will be paid to uneven areas, swamp and non EUSA approved areas.</p><p>WILDERNESS/LAND: MED Ensure all personnel avoid insects and wild LOW Leader Execution Leadership 2/D animals which will inhabit the Training Area. 3/D Soldier Discipline □ Insects Poisonous Plants can cause moderate to severe Safety Brief □ Poisonous Plants bodily reactions and sometimes allergic reactions, avoid contact with any poisonous Animals □ plants/shrubberies. □ Terrain Terrain will be uneven and random in some areas, when at all possible use roads which are already in place and trails.</p><p>9. MISSION/TASK RISK AFTER CONTROLS ARE IMPLEMENTED 12. REVIEW 13. APPROVING AUTHORITY</p><p>LOW X MEDIUM HIGH EXTREMELY HIGH , SGT, USA, NCOIC , CPT, DC, OIC CHARLIE COMPANY, 168TH MED BN, RISK ASSESSMENT FORM RISK MANAGEMENT WORKSHEET - CONTINUATION Page 2 of 2 Pages</p><p>Y Y K T T S I I I Y Y L L K R I I T T</p><p>S I I I B B L R R R A A</p><p>A E E B L B U V V O A O E D E I R I S R S T</p><p>P S I P 14.CONTROL</p><p>H E H</p><p>N WHO/HOW</p><p>D 11. T D I T R</p><p>I</p><p>I N EFFECTIVE</p><p>N .</p><p>5. HAZARDS 7. CONTROLS . 10. HOW IMPLEMENTED</p><p>6 W A SUPERVISED 8 W A PERSONEL CONDUCT: MED Ensure all soldiers are fully rested prior to the LOW Leader Execution Leadership 2/C mission. 1/E □ Fatigue Movement within and on the perimeter of the □ Buddy Teams Training Area should utilize buddy teams. □ Movement through Training Area</p><p>WEATHER: MED Ensure all personnel are equipped with proper LOW Leader execution 3/C uniform. 4/D Safety Brief Leadership □ Rain/Lightning Ensure Soldiers receive site orientation. Site Orientation Brief □ Wet, Slippery Terrain Enforce hydration when necessary. Ensure Soldiers have food and water. HOT Weather Injuries □ Ensure all personnel are equipped with wet □ Exertion Injuries weather gear. Utilize the Buddy System.</p><p>CLEARING THE TA B/D: MED LOW Training OIC, NCOIC, Leadership 3/C Conduct PCC/PCI’s 4/D Safety Officer □ Ortho Injuries (Ankle/Knee) Conduct Movement □ Improper Uniform Use Conduct Route Recon Communication throughout the ranks. □ Vehicle Traffic □ Inadequate Conditions PROBABILITY S RISK ASSESSMENT E MATRIX FREQUENT LIKELY OCCASIONAL SELDOM UNLIKELY V E A B C D E R CATASTROPHIC 1 EXTREMELY M I CRITICAL 2 HIGH HIGH M T MODERATE 3 H MEDIUM Y NEGLIGIBLE 4 M LOW</p><p>9. MISSION/TASK RISK AFTER CONTROLS ARE IMPLEMENTED 12. REVIEW 13. APPROVING AUTHORITY</p><p>LOW X MEDIUM HIGH EXTREMELY HIGH , SGT, USA, NCOIC , CPT, DC, OIC</p>