Look for Soldiers bypassing controls (e.g., not drinking in to have a full canteen for an inspection). This worksheet (figure B-2) is provided as an example only. Each worksheet should be developed specifically for each site. DELIBERATE RISK ASSESSMENT WORKSHEET MISSION/TASK DESCRIPTION DATE (DD/MM/YYYY) SUBTASK/SUBSTEP OF MISSION/TASK HAZARD INITIAL RISK CONTROL TO WHO WILL IMPLEMENT RESIDUAL RISK LEVEL WBGT (add 5 of backpack or body armor) Adjust activity distances, durations, pace, and (e.g., conduct high-intensity training in cooler morning hours). Ensure proper resources at appropriate locations. Employ cooling measures (shade, arm immersion, misting fans). < Cat 1 Low (L) = 0 points Cat 1 Medium (M) = 1 point Cat 2-3 High (H) = 2 points Cat 4-5 Extremely high (EH) = 3 points Back-to-back Cat 5 days “ 0 L = 0 1 M = 1 2-3 H = 2 > 4 EH = 3 Heat illnesses in past 2 days “ 0 L = 0 Heat Cramps M = 1 Heat Exhaustion H = 2 Heat Stroke/ Death EH = 3 Workload in past 2 days (see TR 350-29 workload classification chart) “ Easy L = 0 Easy or moderate M = 1 Moderate or hard H = 2 Hard EH = 3 Projected workload “ Easy L = 0 Easy or moderate M = 1 Moderate or hard H = 2 Hard EH = 3 Heat acclimatization days “ > 13 L = 0 7-13 M = 1 3-6 H = 2 < 3 EH = 3 Figure B-2. Deliberate Risk Assessment Worksheet factors – heat illness
Heat exhaustion. “Canaries in the coal mine” – catch these before they get to a more extreme case of heat stroke – catch early as they need rest/water/evaluation and possible medical care. Symptoms. Dizziness. Headache. Loss of appetite. Nausea. Weakness. Clumsy/unsteady walk. Profuse sweating and pale (or gray), moist cool skin. Normal to slightly elevated body temperature. Muscle cramps. Heat cramps. Treatment. Rest Soldier in shade. Loosen uniform/remove head gear. Have Soldier drink 2 quarts of water over 1 hour. Seek medical aid. Evacuate if there is no improvement in 30 minutes, or if Soldier's condition worsens Heat stroke. Medical emergency – cases already have abnormal brain function and can be fatal – initiate rapid cooling and EVAC! Symptoms. Hot dry skin. Note. In the early progression of heat stroke, the skin may be moist or wet.
Seek medical aid. Evacuate immediately, and continue cooling during transport, if necessary (until casualty starts shivering). Give nothing by Note. The same person should observe the Soldier during cooling and evacuation in order to spot symptom changes. Hyponatremia intoxication"). This is a Medical Emergency – EVAC immediately. Can be mistaken for heat stroke, though treatment is very different. Note. This condition most often occurs in TRADOC initial entry training units, especially during basic combat training/ one-station unit training. Signs and symptoms. Mental status changes. Vomiting. Excessive water consumption. Poor diet. Abdomen bloated. amounts of clear urine. Note. Large amounts of clear urine may also be the result of a kidney or endocrine disorder, and should be evaluated by healthcare personnel. Treatment: Do not give more water, or intravenous fluids. If awake, allow Soldier to consume salty foods or snacks. Seek medical aid. Evacuate immediately. Reacting to a heat illness casualty:
Outer shell Generation II GORE-TEX® jacket Generation II GORE-TEX® trousers Wind cold weather jacket (wind shirt) Extreme cold/wet weather jacket (hard shell) Extreme cold/wet weather trousers (hard Other: Issued GORE-TEX® gloves with liners Issued wool socks with synthetic liner sock Temperate cold weather boots recommended (Belleville 795, Danner Ft. Lewis 400g Tan Military Boots) Balaclava and neck gaiter Suspenders Knife Arctic necklace (lighter and lip balm worn around neck) Training Knowledge of cold region environmental hazards Knowledge of cold weather clothing capabilities and limitations Skill to use cold weather clothing and equipment to provide protection from the elements Skill to prevent, recognize, and treat cold injuries Shelter and Heat Patrol bag GORE-TEX® bivouac cover Sleeping mat Poncho Poncho liner (optional) Additional Control Measures re-supply plan Sanitation plan Table C-3. Army Cold Weather Uniform and Equipment Posture – 32 °F to 14 °F Area of Consideration Special Requirements and Recommended Actions Clothing Layer: ECWCS Generation II ECWCS Generation III Available Personal Clothing and Equipment Base layer Polypropylene undershirt and drawers Drawers cold weather, polyester, lightweight undershirt and drawers Lightweight cold weather undershirt and drawers Midweight cold weather shirt/drawers Insulating layer and overalls, cold weather, black fleece and/or cold weather, coat and trousers Green fleece jacket Outer shell Generation II GORE-TEX® jacket Generation II GORE-TEX® trousers Wind cold weather jacket (wind shirt) Extreme cold/wet weather jacket (hard shell) Extreme cold/wet weather trousers (hard shell)