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OPERATIONAL RISK ASSESSMENT WORKSHEET. Mission/Task:. Mission Date:. Date Prepared:. Page:. Prepared By: Personnel & Position. Phase of Mission or Task:. Step 3 Develop Controls & Make Risk Decisions. Step 2 Assess Hazard. Step 1 Identify Hazard. Step 4 How to Implement. Step 5

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Presentation Transcript
slide1

OPERATIONAL RISK ASSESSMENT WORKSHEET

Mission/Task:

Mission Date:

Date Prepared:

Page:

Prepared By: Personnel & Position

Phase of Mission or Task:

Step 3

Develop Controls &

Make Risk Decisions

Step 2

Assess

Hazard

Step 1

Identify Hazard

Step 4

How to Implement

Step 5

How to Supervise Evaluate

Evaluate (AAR)

Residual

Risk

Risk Decision Authority:

Determine overall mission/task risk level after controls are implemented (Circle one):

MODERATE (M)

HIGH (H)

EXTREMELY HIGH (E)

LOW (L)

slide2

OPERATIONAL RISK ASSESSMENT WORKSHEET

2

3

4

1

Mission Date:

Date Prepared:

Page:

Mission/Task:

Film Water Safety Video at

Oura

Wan Beach

26 Jan 09

16 Jan 09

1 of 1

5

Prepared By: Personnel & Position

Shawn Curtis, Occupational Safety & Health Specialist

6

Entire evolution of activity

Phase of Mission or Task:

Step 2

Step 3

Step 1

Step 4

Step 5

Evaluate

Residual

Assess

Risk

Hazard

Develop Controls

Identify Hazard

How to Implement

How to Supervise

(AAR)

7

12

13

8

9

10

11

Safety Specialist/ Water

Provide lifeguard support. Have

Coordinate w/ local MCCS

Safety & Lifeguard

safety boats in water. Keep Rescue

SAMPLE

B-I

RAC-1

B-IIIRAC-3

Wave surges

lifeguards to assist. Utilize

Instructor on site. Rescue

equip. on site to include Blankets,

only experienced swimmers

boats with operators &

first aid kit, O2, & spine board

in the water for scenes.

lifeguards

Coordinate w/ local MCCS

Safety Specialist/ Water

Contact Japanese weather service

lifeguards to assist. Utilize

Safety & Lifeguard

A-IRAC-1

C-III

RAC-4

Currents

for conditions. Inform RAS of

only experienced swimmers

Instructor on site. Rescue

activities on beach.

in the water for scenes. Stay out

boats with operators &

of water if conditions are unsafe.

lifeguards

Safety Specialist/ Water

B-1RAC-1

Contact Japanese weather service

Do enter water during

hazardous sea states .

Safety & Lifeguard

C-III

RAC-4

Sea Conditions

&

Oura

Wan Boating for

Instructor and Boating

conditions.

Manager on site.

Ensure people are clear of the

Have boat staff conduct

Safety Specialist/ Water

boat, trailer & vehicle during

Launching &

launch & recover

Safety & Lifeguard

launching& recovering operations.

C-IIRAC-3

D-III

RAC-5

recovering

operations. Train people who

Instructor and Boating

Utilize radios during boating

will assist prior to task.

Manager on site.

operations to keep comm. with boat

Watercraft

house.

Risk Decision Authority:

Determine overall mission/task risk level after controls are imp

lemented (Circle one):

15

14

I. M. Tough

MODERATE (M)

HIGH (H)

EXTREMELY HIGH (E)

LOW (L)

slide3
OPERATIONAL RISK ASSESSMENT WORKSHEET GUIDE

BLOCK

1. Mission/Task – Briefly describe the intent of the activity.

2. Mission date – Enter date when the activity is planned to begin and when it is planned to be completed.

3. Date prepared – Enter year/month/day the worksheet was prepared.

4. Page – Enter the page number. Depending on the number of hazards identified, you may have additional pages.

5. Prepared by – Enter the rank, last name and position of the person who prepared the worksheet.

6. Phase of mission or task – Put the portion of the activity being conducted.

7. Identify hazards – Identify hazards that are most likely to result in accidental injury, damage, or mission degradation.

8. Assess hazards – Determine the risk of each hazard by applying the Risk Assessment Code for each hazard. Use the

Risk Assessment Matrix to get the code.

9. Develop controls – For each hazard, develop one or more controls to eliminate or reduce the risk.

10. Determine residual risk – For each hazard, determine the Risk Assessment Code to establish the level once the

control measures are identified. Use the Risk Assessment Matrix.

11. Implement controls – For each control listed in block 9 how will it be put into effect and/or communicated to the

personnel who will make it happen.

12. Supervise – Enter how each control will be monitored to ensure it is implemented.

13. Evaluate – After the exercise is completed, determine the effectiveness of each control to reduce the risk of the

targeted hazard. Enter “yes” if the control was effective. Enter “no” if the control was not effective. For each control

that was not effective, determine why and document what to do the next time this hazard is identified.

14. Overall risk level after controls are implemented – This is the same as the hazard with the highest residual risk for

the exercise.

15. Risk decision authority – Enter the rank, name, and position of the decision making authority for the level of risk

involved in block 13.

slide4

Probability

A - Likely to occur immediately

or within short period of time.

B - Probably will occur in time.

C - May occur in time.

D - Unlikely to occur.

Severity

I - May cause death, loss of

facility/asset.

II - May cause sever injury

illness, property damage.

III - May cause minor injury,

illness, property damage.

IV – Minimal threat.

P R O B A B I L I T Y

Risk

ASSESSMENT

Matrix

A

Likely

B

Probable

C

May

D

Unlikely

MCO 3500.27B

Death,

Loss of Asset

I

1

1

2

3

S E V E R I T Y

Severe Injury,

Damage

II

1

2

3

4

Minor Injury,

Damage

III

2

3

4

5

Minimal

Threat

IV

3

4

5

5

1-Critical2-Serious3-Moderate 4-Minor5-Negligible

RISK

ASSESSMENT

MATRIX

1. Accept risk when the benefit is greater than the cost.

2. Accept no unnecessary risk.

3. Anticipate and manage risk by planning.

4. Make risk decisions at the right level