Deliberate Risk Assessment Format follows DD Form 2977 per ATP 5-19. Hazards are pre-populated — review and adjust for your site.

Format per DD Form 2977 · ATP 5-19, Risk Management

Deliberate Risk Assessment Worksheet

NCODP — Leader Presence & Military Bearing

1. Mission / Task DescriptionNCODP classroom block of instruction, 30–50 min, Leader Presence & Military Bearing
2. Date/Time Group Begin
Date/Time Group End
3. Date Prepared
4. Prepared by (Rank / Name / Duty Position)
Unit / Location
# Subtask / Hazard Initial Risk Control Measures Who Implements / How Supervised Residual Risk
1 POV travel to and from drill
Fatigue, distraction, weather, wildlife, MVA
HIGH
C / II
  • Safety brief prior to release; emphasize seatbelts, speed, no texting
  • Battle-buddy / travel-plan accountability for drives over 1 hour
  • Soldiers with excessive fatigue given rest before departure
  • Verify POV serviceability — lights, tires, wipers
  • Weather checked before release; delay authorized
Instructor briefs; squad leaders verify; 1SG accounts for departure LOW
D / III
2 Slips, trips, falls
Classroom / drill floor, cables, chairs, wet entry
MOD
C / III
  • Instructor walks and clears the space before class
  • All power and data cables taped down or routed clear of foot traffic
  • Seating arranged to keep egress lanes clear
  • Spills and tracked-in water cleaned or coned immediately
  • Adequate lighting confirmed
Instructor sets up and inspects; all Soldiers report hazards on sight LOW
D / IV
3 Medical emergency during instruction
Cardiac, diabetic, syncope, pre-existing condition
MOD
D / II
  • AED location identified and briefed before instruction begins
  • Combat lifesaver or medic identified in the room, or on call
  • Cell phone with confirmed signal on the instructor
  • Building street address posted for the 911 caller
  • EMS access route and door identified; someone designated to meet them
Instructor briefs in the admin slide; senior NCO confirms AED serviceable LOW
D / III
4 Heat or cold injury
Unconditioned drill floor, armory bay, seasonal extremes
MOD
C / III
  • Ambient temperature checked before class; WBGT monitored if outdoors or in heat
  • Potable water available in the room; hydration encouraged at breaks
  • Break at 30 minutes if the block runs past 50
  • Uniform adjusted per commander's guidance for conditions
  • Instructor watches for early symptoms and acts without waiting
Instructor monitors continuously; squad leaders watch their own Soldiers LOW
D / IV
5 Fatigue and degraded attention
Drill-weekend tempo, early start, post-lunch block
MOD
B / IV
  • Block scheduled in the morning where the training schedule allows
  • Interactive delivery — discussion prompts every 8–10 minutes
  • Break inserted if the block exceeds 50 minutes
  • Soldiers permitted to stand at the back rather than fight sleep seated
Instructor paces the block; training NCO schedules the timeslot LOW
C / IV
6 Emotional distress from discussion content
Discussion of leadership failure and personal experience
LOW
D / III
  • Ground rule briefed: describe behavior, never name individuals
  • Any Soldier may decline any discussion prompt without explanation
  • Chaplain and behavioral health contact information posted and briefed
  • Instructor monitors the room and follows up privately with anyone affected
  • Instruction remains on doctrine — not a forum for unit grievances
Instructor sets and enforces ground rules; 1SG available for follow-up LOW
E / III
7 Fire / emergency evacuation LOW
E / II
  • Primary and alternate exits briefed before instruction
  • Rally point identified and briefed
  • Extinguisher and pull-station locations known to the instructor
  • Egress lanes kept clear of chairs, cases, and equipment
Instructor briefs; accountability by squad leaders at the rally point LOW
E / III
8 Electrical — projector, cords, outlets LOW
D / III
  • Cords inspected for damage before use; damaged cords removed from service
  • No daisy-chained power strips; no extension cord under carpet
  • Equipment unplugged and stowed at the end of instruction
Instructor inspects during setup and teardown LOW
E / IV
Overall residual risk level after controls
Extremely High High Moderate Low
NCODP · Leader Presence & Military Bearing Page 1 of 2

Format per DD Form 2977 · ATP 5-19, Risk Management

Risk Management Reference & Approval

NCODP — Leader Presence & Military Bearing

The five steps

1Identify hazards
2Assess hazards to determine risk
3Develop controls and make risk decisions
4Implement controls
5Supervise and evaluate

Steps 1 and 2 are assessment. Steps 3 through 5 are management. ATP 5-19

Probability & severity

A — FrequentOccurs often, continuously experienced
B — LikelyOccurs several times
C — OccasionalOccurs sporadically
D — SeldomRemotely possible; could occur
E — UnlikelyCan assume it will not occur
I — CatastrophicDeath, unacceptable loss, mission failure
II — CriticalPermanent partial disability, major damage, significantly degraded capability
III — ModerateLost workday injury, minor damage, degraded capability
IV — NegligibleFirst aid, minimal damage, little or no impact

Risk assessment matrix

Probability ↓  /  Severity → Catastrophic (I)Critical (II)Moderate (III)Negligible (IV)
Frequent (A)EXTREMELY HIGHEXTREMELY HIGHHIGHMODERATE
Likely (B)EXTREMELY HIGHHIGHHIGHMODERATE
Occasional (C)HIGHHIGHMODERATELOW
Seldom (D)HIGHMODERATELOWLOW
Unlikely (E)MODERATELOWLOWLOW

Confirm the matrix and your unit's risk-decision authority levels against the current ATP 5-19 and your command's safety SOP before signature. Approval authority for each risk level is set by the commander.

Additional site-specific hazards identified during setup
Risk Decision Authority (Rank / Name / Position)
Date

Prepared by — Instructor, signature / date

Approved by — Risk decision authority, signature / date

Step 5 — supervise and evaluate

Risk management does not end at signature. Controls are verified in place before instruction begins, monitored during execution, and evaluated in the after action review. Any hazard identified during the block is recorded on the AAR and carried into the next iteration of this assessment.

Retain with unit training records Page 2 of 2