Form 1112-5 

(May 2001) 

UNITED STATES 

DEPARTMENT OF THE INTERIOR 

BUREAU OF LAND MANAGEMENT 

RISK MANAGEMENT WORKSHEET 

1. Organization and Location 

 Basic Risk Management Worksheet for the SEAT Program. 2. Pag

3. Operation / Task 

RAMP AND SEAT BASE OPERATIONS 

4. Beginning Date: Open 

5. Ending Date: Open 

6. Da

04/20

7. Prepared by (Name / Duty Position) 

8. Identified Hazards: 9. Assess the Hazards 

Initial 

10. Control Measures Developed for Identified Hazards: (Specific measures taken to reduce the probability of a hazard.) 

11. Assess the Hazard’s Residual’s Risk 

12. How to ImplemControls: (Include Sreferences, etc.) 

(Be Specific) L M H E (Be Specific) L M H E (Be Spec

Damage to hearing from working in close proximity of running aircraft engines and pumps. 

 X Use hearing protection when in the vicinity 

of running engines or pumps. 

X The SEAT Manag

ensure that all perworking with the operation have heprotection availab

Working in proximity of running aircraft propellers and engine exhaust.

X Maintain a safe distance from the aircraft at 

all times. Approach and depart from the aircraft in full view of the pilot and with their consent. Stay away from exhaust stacks of all aircraft during operations and for a time after the engine has been shut down. 

X Make sure each p

member reviews tand departure pro

signals with all peauthorized to be oGet a briefing from on the exhaust sys

surfaces. 

14. Remaining Risk Level After Control Measures Are Implemented: 

(CIRCLE HIGHEST REMAINING RISK LEVEL) 

LOW 

(Line Supervisor) 

MEDIUM 

(Branch Chief) 

HIGH 

(District Manager) 

(Mu

15. RISK DECISION AUTHORITY: (Approval/Authority Signature Block) (If Initial Risk Level is Medium, High or Extremely High, Brief Risk Decision Au

Measures used to reduce risks. NOTE: if the person preparing the form signs this block, the signature indicates only that the appropriate risk decision authority was notified of the int

appropriate resources requested; and that the risk was accepted by the decision authority.)

 MARK BICKHAM, BLM NATIONAL SEAT PROGRAM MANAGER 

(Signature) 
CONTINUED 

8. Identified Hazards 9. Assess the Hazards 

Initial 

10. Control Measures Developed for Identified Hazards: (Specific measures taken to reduce the 

probability of a hazard.) 

11. Assess the Hazard’s Residual’s Risk 

12. How to ImplemControls: (Include Sreferences, etc.) 

(Be Specific) L M H E (Be Specific) L M H E (Be Specifi

Working around possible hazardous materials. 

X 

 Have Material Data Safety Sheets (MSDS) 

for all materials used on the base readily available for all persons on base. Review the local using agency’s Hazardous Communication Plan and who to contact if needed. 

X Fo mitillow gation 

procedures outline

MSDS for materiaFollow procedurein the Hazardous Communication Pneeded. 

Falling or tripping from working around 

areas that may be wet or slippery from retardant residue. 

X 

Maintain a clean reloading area. Pick-up or wash down and dilute any spills on surfaces of the reloading area. Flag or sign areas that may become wet or slippery during operations. 

Wear appropriate foot gear with closed toes and compatible with walking on wet or 

potentially slick surfaces. 

X Ensure the contra

following the spil

guidelines in the cBrief all personnethat may have potproblems when w

Monitor the foot gpersonnel working around a wet or sl

Falling or tripping from working around 

equipment and hoses associated with retardant loading operations. 

X 

Try to keep hoses confined to the containment area whenever possible. Keep wash down hoses rolled up when not is use. Ensure that the ramp area is well organized and that all equipment has a designated space to be returned to when not in use. 

X Provide all person

a briefing on the rlayout Limit access to arthe ramp that hosedeployed frequentloading. 
CONTINUED 

8. Identified Hazards 9. Assess the Hazards 

Initial 

10. Control Measures Developed for Identified Hazards: (Specific measures taken to reduce the 

probability of a hazard.) 

11. Assess the Hazard’s Residual’s Risk 

12. How to ImplemControls: (Include Sreferences, etc.) 

(Be Specific) L M H E (Be Specific) L M H E (Be Specifi

Working around areas that may cause injury to eyes and skin from blowing dust 

and debris from prop wash. 

X Wear eye protection in and around the ramp 

area. Establish a Foreign Object Debris (FOD) 

program for the SEAT base. Inspect the 

ramp and surrounding areas continuously 

for objects that may be blown into the air by 

the prop wash. 

Ensure all containers have secure lids or tie downs in place to withstand the prop wash. 

X protEye ection wi

worn by all person

the ramp as SOP. 

All crew member

inspect the SEAT 

daily for possible 

material. 

Public and animal access to the ramp and 

SEAT base areas. 

X Limit access to loading area and the ramp 

area to authorized personnel only by utilizing flagging materials if possible. Establish a staging area for the general public to view the SEAT operation. Make an assessment of the perimeter airport fencing for animal access control and develop procedures for detecting and controlling any stray animals. 

X Conduct briefings 

personnel on the 

procedures for detand controlling wdomestic animalsProvide each memthe general public the area with a bri

the established viearea. 
CONTINUED 

8. Identified Hazards 9. Assess the Hazards 

Initial 

10. Control Measures Developed for Identified Hazards: (Specific measures taken to reduce the 

probability of a hazard.) 

11. Assess the Hazard’s Residual’s Risk 

12. How to ImplemControls: (Include Sreferences, etc.) 

(Be Specific) L M H E (Be Specific) L M H E (Be Specif

Motor vehicle traffic interfering with the SEAT base and ramp areas. 

X Limit the access of the ramp and SEAT base 

to designated routes and areas. 

Establish parking lots and post signs to 

assist drivers. 

Identify and flag any critical areas that may require a member of the SEAT operation to escort vehicles to and from the area. 

X Ensure each drive

receives a briefing 

established traffic 

and designated pa

areas. Conduct debriefinsessions each nighmonitor traffic co

General threat of theft, vandalism or 

security concerns. 

X Assess the current security level of the base, identify the potential and probability of 

security threats and relay the information to 

the using agency. Establish an airport watch awareness program with all personnel associated with 

the SEAT base. 

Conduct regular inspections of the aircraft, vehicles and SEAT base for possible tampering or vandalism. 

X 

Ensure each memreceives a briefing 

airport watch awa

program procedur

Review the findinthe daily inspectioperformed each d

Incorporate any mprocedures the usagency has identifimprove security 

NOTE: THIS IS A BASIC HAZARD LIST FOR RAMP AND SEAT OPERATIONS. THE SEAT MANADDITIONAL HAZARDS THAT MAY BE SPECFIC TO THEIR OPERATION.