Attachment D

Airspace Guardian Caution Sign

Risk Management Instruction Sheet

Risk Management Worksheet
CAUTION

Airspace Guardian

UAS/UAV Flights in Progress

Please Stand Clear of Operators 

and UAS/UAV Aircraft
RISK MANAGEMENT WORKSHEET

(CDTCMD Reg 385-10; proponent agency is Cadet Command Safety)

1. Organization and Unit Location: 2. Page

1

of

2

3. Mission/Task: 4. Begin Date: 5. End Date: 6. Date Prepared: 

7. Operational Phase in which the Mission/Task will be conducted:

 

8. Tasks 9. Identify Hazards 10. Initial 

Risk Level 11. Develop Controls 12. ResidualRisk Level 13. Implement Controls (“How To”) 14. Who/How Supervised

15. Determine Overall Mission/Task Risk Level After Countermeasures Are Implemented:

 (Circle Highest Remaining Risk Level)

LOW (L) MODERATE (M) HIGH (H) EXTREMELY HIGH (E)

16. Medical Support: Advanced Trauma Life Support (ATLS) is required within 1 hour. On-site Medical Support provided (Circle one): Medic Combat Lifesaver ARC/NSC First-Aid Responder None

17. Prepared by: (Rank, Last Name, Duty Position) 18. Reviewed by Action Officer/Commander: (Rank, Last Name, Duty Position and Signature):

19. Risk Decision Authority (Signature Block and Signature): Extremely High Risk: Not Applicable for Cadet Command

High Risk: CG or DCG

Moderate Risk: Brigade Cdr (0-6). At Advanced/Basic Camp – Region Cdr or CofS

Low Risk: Battalion Cdr. At Advanced/Basic Camp – Committee Chief or Regimental Cdr/TAC Officer

CDTCMD Form 385-1-R-E, Apr 01 Risk Assessment and Risk Management Countermeasure Worksheets in CC Reg 145-3 are OBSOLETE
Sample Risk Management Worksheet

RISK MANAGEMENT WORKSHEET

(CDTCMD Reg 385-10; proponent agency is Cadet Command Safety)

1. Organization and Unit Location:

 ROTC Battalion

2. Page

1

of

2

3. Mission/Task:

Conduct Rappel Training (include Transportation to and from Tower)

4. Begin Date: 5. End Date: 6. Date Prepared:

7. Operational Phase in which the Mission/Task will be conducted:

 Throughout training phase

8. Tasks 9. Identify Hazards 10. Initial

Risk Level 11. Develop Controls 12. ResidualRisk Level 13. Implement Controls (“How To”) 14. Who/How Supervised

Transportation to

tower.

Rappelling from a

34-ft Tower

Driver Fatigue

Traffic/Congestion

Weather Conditions

(rain/ice on road)

Inexperienced

cadets

Equipment failure

resulting in falls.

Heat Injury/

Dehydration

Wildlife, insects and

plants

M

M

H

H

H

H

M

Ensure driver gets adequate rest.

Drive slower and defensively.

Drive slower than posted speed limit.

Instruct and demonstrate: (1) Fundamentals

of rappelling, (2) How to properly tie knots

and (3) Safety requirements.

Always require use of helmets and gloves.

Conduct a safety inspection of tower and all

rappelling equipment prior to training

exercise.

Conduct annual safety inspection of tower.

Monitor Heat Index, advise all to drink

sufficient volumes of water at frequent

intervals, carry canteen(s) and know

location of water points.

Brief cadets to avoid wildlife, insects and

plants. Use insect repellent.

Have bee stings kits available.

L

L

M

M

M

M

M

L

AR 385-55, Prevention of Motor Vehicle Accidents

AR 600-55, Army Driver and Operator Standardization

Program

TSP No.1, Basic Rappelling

TC 21-24, Rappelling

TC 21-24, Rappelling

AR 385-10, Safety Program

DA Pam 385-1, Unit Safety

TB MED 507 Water buffalo/jugs on site. GTA 8-5-50

FM 21-10 GTAs based on area.

Driver – Self

Driver – Self

Driver – Self

Qualified Rappel Master will supervise.

Rappel Master will

inspect.

Army Safety Officer,

CDSO, Univ. Safety.

Cadre monitor

weather.

Cadre monitor Heat

Index.

Use buddy system.

15. Determine Overall Mission/Task Risk Level After Countermeasures Are Implemented:

 (Circle Highest Remaining Risk Level)  LOW (L) MODERATE (M) HIGH (H) EXTREMELY HIGH (E)

16. Medical Support: Advanced Trauma Life Support (ATLS) is required within 1 hour. On-site Medical Support provided (Circle one): Medic Combat Lifesaver ARC/NSC First-Aid Responder None

17. Prepared by: (Rank, Last Name, Duty Position) 18. Reviewed by Action Officer/Commander: (Rank, Last Name, Duty Position and Signature):

19. Risk Decision Authority (Signature Block and Signature): Extremely High Risk: Not Applicable for Cadet Command

High Risk: CG or DCG

Moderate Risk: Brigade Cdr (0-6). At Advanced/Basic Camp – Region Cdr or CofS

Low Risk: Battalion Cdr. At Advanced/Basic Camp – Committee Chief or Regimental Cdr/TAC Officer

CDTCMD Form 385-1-R-E, Apr 01 Risk Assessment and Risk Management Countermeasure Worksheets in CC Reg 145-3 are OBSOLETE

Work Sheet Instructions

Blocks

1  8. Self explanatory

9. Identify Hazards – Review METT-T factors for the mission or task. Additional factors include 

historical lessons learned, experience, judgment, equipment characteristics and warnings, and 

environmental considerations.

10. Initial Risk Level – Assess hazard and determine initial risk for each hazard by applying risk 

assessment matrix.

11. Develop Controls – Develop one or more controls for each hazard that will either eliminate the 

hazard or reduce the risk (probability and/or severity). Specify who, what, where, why, when, and how 

for each control.

12. Residual Risk Level – Determine the residual risk for each hazard by applying the risk 

assessment matrix, assuming the controls are implemented.

13. Implement Controls – Decide how each control will be put into effect or communicated to the 

personnel who will make it happen (written or verbal instruction; tactical, safety, garrison SOPs, 

rehearsals).

14. Who/How Supervised – Who and how will each control be monitored (continuous 

supervision, spot-checks). Evaluate frequently and pass on lessons learned.

15. Determine Overall Mission/Task Risk – Select the highest residual risk level and circle it. This 

becomes the overall mission or task risk level. The commander decides whether the controls are 

sufficient to accept the level of residual risk. If the risk is too great to continue the mission or task, the 

commander directs development of additional controls or modifies, changes, or rejects the COA.

16. Medical Support – Select type of on-site medical support provided and circle it.

17 & 18. Self explanatory

19. Risk Decision Authority – The decision to accept or not accept the risk(s) associated with an 

action is made by the appropriate commander or leader responsible for performing that action.

Need to Risk Manage a METT-T Hazard

Hazards not adequately controlled are likely to cause loss of combat power. Answer the 

following questions about each hazard to determine if it is adequately controlled. If not, 

hazards needs to be risk managed.

Are the Controls Adequate? Yes No

Support – Is type/amount/capability/condition of support adequate to carry 

out the mission?

 Personnel

 Supplies

 Equipment/Material

 Services/Facilities

Standards – Is guidance / procedure adequately clear / practical /specific 

to control hazard?

Training – Is training adequately thorough and recent to control hazard?

Leader – Is leadership ready, willing, and able to enforce standards 

required to control hazard?

Individual/Unit Self-Discipline – Is performance and conduct sufficiently 

self-disciplined to control hazard?

If all “yes”, no further action required (subject to commander’s risk guidance). If one or more 

“no ”, risk manage this hazard

Risk Assessment Matrix

PROBABILITY

SEVERITY Frequent Likely Occasional Seldom Unlikely

Catastrophic E E H H M

Critical E H H M L

Marginal H M M L L

Negligible M L L L L

PROBABILITY – The likelihood that an event will occur.

FREQUENT – Occurs often, continuously experienced.

LIKELY – Occurs several times.

OCCASIONAL – Occurs sporadically.

SELDOM – Unlikely, but could occur at some time.

UNLIKELY – Can assume it will not occur.

SEVERITY – The expected consequence of an event in terms of degree of injury, property 

damage, or other mission-impairing factors.

CATASTROPHIC – Death or permanent total disability, system loss, major damage, 

significant property damage, mission failure.

CRITICAL – Permanent partial disability, temporary total disability in excess of 3 months, 

major system damage, significant property damage, significant mission degradation.

MARGINAL – Minor injury, lost workday accident, minor system damage, minor property 

damage, some mission degradation.

NEGLIGIBLE – First aid or minor medical treatment, minor system impairment, little/no 

impact on mission accomplishment.

* FM 101-5, 31 May 1997
Version 1.1

 

ENVIRONMENTAL::

□  Check for people, animals, property in the flight vicinity.

□  Notify any bystanders or nearby property owner of your intentions.

□  If flying FPV, discuss flight plan with your check‐pilot.

□  If flying in controlled airspace, notify airspace authority of your intentions.

□  First Aid / Safety Kit on hand,  stocked, readily accessible, and visible to anyone in the area

HARDWARE / EQUIPMENT::

== VISUALLY INSPECT THE AIRFRAME ==

□  Cracks (especially in high stress areas like joints)

□  Loose or damaged screws / fasteners / bands / straps / ties

□  Loose or damaged wiring

□  Loose or damaged connections (solder, plugs, etc)

□  Inspect prop mounts & screws & apply slight counter pressure on arms to check for loosened construction

□  For FPV, inspect/clean FPV and/or Gopro camera lens and ensure that cameras are secured

□  Battery/batteries fully charged, properly seated & secured

□  Remove props and test fail‐safe behavior (if applicable)

□  Props are smooth and free of damage/defect (check blade, surface, & hub)

□  Tighten prop adapters (careful not to over tighten which may damage prop)

□  Ensure voltage alarm is connected

□  Ensure arming/idle timeout is properly configured (6‐15 seconds is generally acceptable)

□  Check whether the right model is selected in the transmitter (if applicable)

□  Check your RC transmitter shows the right range and centering for all sticks

□  If desired, perform range test

PRE‐FLIGHT::

== POWER UP ==

□  Batteries charged & secured

□  Position quad in a level, safe location for takeoff

□  For FPV, power up ground station, video receiver, goggles, etc

□  If using onboard video recorder (i.e., Gopro), turn on camera

□  All transmitter controls move freely in all directions

□  All transmitter trims in its neutral position

□  All transmitter switches in correct position (typically away)

□  Transmitter throttle to zero

□  Radio transmitter on

□  Connect/power on battery to airframe

□  Ensure led indicators & audible tones are all correct

□  Timer on (if applicable)

□  For FPV, check video in goggles

□  Scan for nearby people or animals

□  Stand clear ‐ audibly, loudly announce the word "CLEAR!"

□  Arm flight controller

== PRE TAKEOFF ==

□  Increase throttle slightly listening for any abnormalities

□  Short 20‐30 second hover at 3‐5 feet  

(listen for any weird vibrations or anything that sounds loose)