Attachment_4_Deliberate Risk Assessment Worksheet_DD 2977_(Nov2024).pdf

Please wait...

If this message is not eventually replaced by the proper contents of the document, your PDF viewer may not be able to display this type of document.

You can upgrade to the latest version of Adobe Reader for Windows®, Mac, or Linux® by visiting http://www.adobe.com/go/reader_download.

For more assistance with Adobe Reader visit http://www.adobe.com/go/acrreader.

Windows is either a registered trademark or a trademark of Microsoft Corporation in the United States and/or other countries. Mac is a trademark of Apple Inc., registered in the United States and other countries. Linux is the registered trademark of Linus Torvalds in the U.S. and other countries.

PREVIOUS EDITION IS OBSOLETE.

DD FORM 2977, NOV 2024

Page of

DELIBERATE RISK ASSESSMENT WORKSHEET

3. PREPARED BY

Five steps of Risk Management:

(1) Identify the hazards

(2) Assess the hazards

(3) Develop controls & makes 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

10. OVERALL RESIDUAL RISK LEVEL (All controls implemented):

12. APPROVAL OR DISAPPROVAL OF MISSION OR TASK

RISK ASSESSMENT MATRIX

Probability (Expected frequency) Frequent:

Continuous, regular, or inevitable occurrences Likely:

Several or numerous occurrences Occasional:

Sporadic or intermittent occurrences Seldom:

Infrequent occurrences Unlikely:

Possible occurrences but improbable Severity (expected consequence) A B C D E Catastrophic: Mission failure, unit readiness eliminated; death, unacceptable loss or damage I

EH

EH

H H M Critical: Significantly degraded unit readiness or mission capability; severe injury, illness, loss or damage

II

EH

H H M L Moderate: Somewhat degraded unit readiness or mission capability; minor injury, illness, loss, or damage

III

H M M L L Negligible: Little or no impact to unit readiness or mission capability; minimal injury, loss, or damage

IV

M L L L L

LEGEND:

EH - Extremely High Risk H - High Risk M - Medium Risk L - Low Risk

13. RISK ASSESSMENT REVIEW (Required when assessment applies to ongoing operations or activities) Instructions for Completing DD Form 2977, "Deliberate Risk Assessment Worksheet"

1. Mission/Task Description and Execution Date(s): Briefly describe the overall Mission or Task and execution date(s) for which the deliberate risk assessment is being conducted.

2. Date Prepared: Enter date form was prepared.

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. Subtask/SubStep 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 initial risk level. Using the risk assessment matrix (preceding block 13), determine level of risk for each hazard specified. Use probability and severity to determine risk level; enter risk 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. Entered hazards may be automatically sorted by residual risk level by clicking the header for Block 9.

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 button will add a row below the row at which selected. The subtraction button will remove the row at which selected.

9.0.0.2.20120627.2.874785 DD Form 2977, "Deliberate Risk Assessment Worksheet"