MEC_-_Pier_2_MEC_RA_DD_Form_2977-signed.pdf
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- Replace/Upgrade Pier 2 Federal contract opportunity
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- W9123817R0065
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MEC - Pier 2 MEC RA DD Form 2977-signed
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DD FORM 2977, SEP 2014 Page 1 of 4
DELIBERATE RISK ASSESSMENT WORKSHEET
1. MISSION/TASK DESCRIPTION
Munitions and Explosives of Concern (MEC) Clearance Probability Assessment for Pier 2
2. DATE (DD/MM/YYYY)
08/16/2017
3. PREPARED BY
a. Name (Last, First Middle Initial)
Brown, Chad A
b. Rank/Grade
GS-12
c. Duty Title/Position
Explosive Safety Manger
d. Unit
834th Transportation Battalio
e. Work Email chad.a.brown12.civ@mail.mil
f. Telephone (DSN/Commercial (Include Area Code))
925-246-4106
g. UIC/CIN (as required) h. Training Support/Lesson Plan or OPORD (as required) i. Signature of Preparer
Five steps of Risk Management: (1) Identify the hazards (2) Assess the hazards (3) Develop controls & make 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
9. RESIDUAL
RISK LEVEL
Team conducted a 100 percent survey of 161 grids, (50 foot x 50 foot) adjacent to Pier 2 as delineated on the Pier 2 – Pre- Construction Refined footprint dated 22 February 2016, to verify the clearance of MEC. Divers excavated to a depth of 24 inches to investigate contacts in 95 of the 161 grids. In addition, divers excavated to a depth of 60 inches to investigate contacts in 66 of the 161 grids.
Munitions and Explosives of Concern (MEC) and Unexploded Ordnance
(UXO)
H
The primary components of the MEC clearance were visual surveys, coupled with instrument-assisted subsurface clearance, biological oversight, and management of cultural items discovered during operations.
How:
Total of 3,105 field hours were worked during this project investigating MEC and UXO's.
Who:
US Army Corps of Engineers, Sacramento District CA L
10. OVERALL RESIDUAL RISK LEVEL (All controls implemented):
EXTREMELY HIGH HIGH MEDIUM LOW
11. OVERALL SUPERVISION PLAN AND RECOMMENDED COURSE OF ACTION
12. APPROVAL OR DISAPPROVAL OF MISSION OR TASK Approve Disapprove
DD FORM 2977, SEP 2014 Page 2 of 4
a. Name (Last, First, Middle Initial)
Kevin M. Peters
b. Rank/Grade
LCDR/O-4
c. Duty Title/Position
Deputy Commander, 834th Tra
d. Signature of Approval Authority
e. Additional Guidance:
Probability (expected frequency)
Risk Assessment Matrix 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
DD FORM 2977, SEP 2014 Page 3 of 4
13. RISK ASSESSMENT REVIEW (Required when assessment applies to ongoing operations or activities)
a. Date b. Last Name c. Rank/Grade d. Duty Title/Position e. Signature of Reviewer
14. FEEDBACK AND LESSONS LEARNED
15. ADDITIONAL COMMENTS OR REMARKS
DD FORM 2977, SEP 2014 Page 4 of 4
Instructions for Completing DD Form 2977, "Deliberate Risk Assessment Worksheet"
1. Mission/Task Description: Briefly describe the overall Mission or Task for which the deliberate risk assessment is being conducted.
2. Date (DD/MM/YYY): Self Explanatory.
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. Sub-task/Sub-Step 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 probability and severity. Using the risk assessment matrix (page 3), determine level of risk for each hazard specified. probability, severity and associated Risk Level; enter 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.
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 and subtraction buttons are designed to enable users to accomplish this task.
DD FORM 2977, SEP 2014
N E E D S D D 6 7
DRAFT
Page of
DELIBERATE RISK ASSESSMENT WORKSHEET
3. PREPARED BY
3. PREPARED BY
Five steps of Risk Management: (1) Identify the hazards (2) Assess the hazards (3) Develop controls & make 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
9. RESIDUAL RISK LEVEL
9. RESIDUAL RISK LEVEL
10. OVERALL RESIDUAL RISK LEVEL (All controls implemented):
12. APPROVAL OR DISAPPROVAL OF MISSION OR TASK
Probability (expected frequency) Risk Assessment Matrix 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" Instructions for Completing DD Form 2977, "Deliberate Risk Assessment Worksheet"
1. Mission/Task Description: Briefly describe the overall Mission or Task for which the deliberate risk assessment is being conducted.
2. Date (DD/MM/YYY): Self Explanatory.
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. Sub-task/Sub-Step 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 probability and severity. Using the risk assessment matrix (page 3), determine level of risk for each hazard specified. probability, severity and associated Risk Level; enter 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.
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).
Instructions for Completing DD Form 2977, "Deliberate Risk Assessment Worksheet"
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 and subtraction buttons are designed to enable users to accomplish this task.
Instructions for Completing DD Form 2977, "Deliberate Risk Assessment Worksheet" 9.0.0.2.20120627.2.874785 DD 2977, Deliberate Risk Assessment Worksheet, September 2014
WHS/ESD/DD
Munitions and Explosives of Concern (MEC) Clearance Probability Assessment for Pier 2
LOW
Approve
| CurrentPage: |
| PageCount: |
| 1. MISSION/TASK DESCRIPTION: |
| 2. DATE (DD/MM/YYY)): |
| a. Name (Last, First Middle Initial): Brown, Chad A |
| b. Rank/Grade: GS-12 |
| c. Duty Title/Position: Explosive Safety Manger |
| d. Unit: 834th Transportation Battalion |
| e. Work Email: chad.a.brown12.civ@mail.mil |
| f. Telephone (DSN/Commercial (Include Area Code)): 925-246-4106 |
| g. UIC/CIN (as required): |
| h. Training Support/Lesson Plan or OPORD (as required): |
| i. Signature of preparer. WARNING: Signing this block will lock all fields in items 1 through 3.: |
| Click on this button to add an additional entry row (blocks 4-9).: |
| Click this button to delete an entry row (blocks 4-9).: |
| 4. SUBTASK/SUBSTEP OF MISSION/TASK: Team conducted a 100 percent survey of 161 grids, (50 foot x 50 foot) adjacent to |
Pier 2 as delineated on the Pier 2 – Pre-Construction Refined footprint dated 22 February 2016, to verify the clearance of MEC. Divers excavated to a depth of 24 inches to investigate contacts in 95 of the 161 grids. In addition, divers excavated to a depth of 60 inches to investigate contacts in 66 of the 161 grids.
| 5. HAZARD: Munitions and Explosives of Concern (MEC) and Unexploded Ordnance (UXO) |
| 6. INITIAL RISK LEVEL: High |
| 7. CONTROL: The primary components of the MEC clearance were visual surveys, |
coupled with instrument-assisted subsurface clearance, biological oversight, and management of cultural items discovered during operations.
8. HOW TO IMPLEMENT/
WHO WILL IMPLEMENT: Total of 3,105 field hours were worked during this project investigating MEC and UXO's.
8. HOW TO IMPLEMENT/
WHO WILL IMPLEMENT: US Army Corps of Engineers, Sacramento District CA
| 9. RESIDUAL RISK LEVEL: Low |
| EXTREMELY HIGH: |
| HIGH: |
| MEDIUM: |
| LOW: |
| 11. OVERALL SUPERVISION PLAN AND RECOMMENDED COURSE OF ACTION: |
| Approve.: |
| Disapprove: |
| a. Name (Last, First, Middle Initial): Kevin M. Peters |
| b. Rank/Grade: LCDR/O-4 |
| c. Duty Title/Position: Deputy Commander, 834th Transportation Battalion |
| d. Signature of approval authority. WARNING: Signing this block will lock all fields in items 4 through 12.: |
| e. Additional Guidance:: |
| 15. ADDITIONAL COMMENTS OR REMARKS: |
| b. Last Name: |
| c. Rank/Grade: |
| d. Duty Title/Position: |
| e. Signature of Reviewer: |
| e. Signature of Reviewer: |
| e. Signature of Reviewer: |
| designer__defaultHyphenation: |
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