COMPOSITE RISK MANAGEMENT WORKSHEET
For use of this form, contact the East Carolina University Enterprise Risk Management Office.
1. Event or Overall Risk Category:
2a. Date/Time BEGIN
4. PREPARED BY
a. FULL NAME
5. SUBTASK
b. POSITION/TITLE
7. INITIAL
RISK
LEVEL
6. HAZARDS/RISKS
2b. Date/Time END
3. DATE PREPARED (YYYYMMDD)
c. DIVISION/WORK SECTION
9.
RESIDUAL
RISK
LEVEL
8. CONTROLS
10. HOW TO IMPLEMENT
11. HOW TO SUPERVISE (WHO)
12.
WAS
CONTR
OL
EFFECTIVE?
Additional space for entries in Items 5 through 11 is provided on Page 2.
13. OVERALL RISK LEVEL AFTER CONTROLS ARE IMPLEMENTED (Check one)
LOW
MODERATE
14. RISK DECISION AUTHORITY*
a. FULL NAME
ECU ERM FORM 1000, JAN 2012
b. POSITION/TITLE
HIGH
EXTREMELY HIGH
c. POSITION/TITLE
d. SIGNATURE & DATE
Page 1 of 2
APD V 2.00
* Note: The designation of the risk decision authority that can approve controls at different OVERALL risk levels is itself a control. Thought should be given to who
(Section Chief, Dean, Director, Vice Chancellor, etc.) is designated to approve/sign depending on whether there is a LOW, MOD, HIGH, or EXTREMELY HIGH risk level.
ITEMS 5 THROUGH 12 CONTINUED
5. SUBTASK
6. HAZARDS/RISKS
ECU ERM FORM 1000, DEC 2011
7. INITIAL
RISK
LEVEL
8. CONTROLS
9.
RESIDUAL
RISK
LEVEL
10. HOW TO IMPLEMENT
11. HOW TO SUPERVISE (WHO)
12.
WAS
CONTR
OL
EFFECTIVE?
Page 2 of 2
APD V 2.00
Risk Assessment Matrix
HAZARD/RISK PROBABILITY
RISK LEVELS
Extremely High - Loss of ability to
accomplish the mission.
FREQUENT
S
E
V
E
R
I
T
Y
CATASTROPHIC
CRITICAL
LIKELY
OCCASIONAL
SELDOM
UNLIKELY
A
B
C
D
E
I
EH
EH
H
H
M
II
EH
H
H
M
L
Medium - Degrades mission capability.
Low - Little or no impact to mission
capability.
Examples
MODERATE
III
H
M
M
L
NEGLIGIBLE
IV
M
L
L
L
L
L
NOTE: THE BELOW DEFINITIONS ARE EXAMPLES ONLY. DIVISIONS WILL NEED TO DETERMINE
WHAT CONSTITUTES THE ASSIGNMENT OF EACH LEVEL/CATEGORY. MEASUREMENTS AND
CATEGORIZATIONS WILL DIFFER DEPENDING ON THE LEVEL OF THE ORGANIZATION CONDUCTING
THE RISK ASSESSMENT (E.G. A HIGH RISK CONCERN AT A BUSINESS UNIT LEVEL MAY NOT BE HIGH
RISK AT THE ENTERPRISE/STRATEGIC LEVEL FOR THE ENTIRE UNIVERSITY.
EFFECT
1. CATASTROPHIC - Death or permanent total disability, system loss, major property damage.
2. CRITICAL - Permanent partial disability, temporary total disability, major system damage, major property damage.
3. MODERATE - Minor injury, lost workdays, compensable injury/illness, minor system damage, minor property damage.
4. NEGLIGIBLE - First aid or minor supportive medical treatment, minor system impairment.
PROBABILITY
A. FREQUENT - Occurs often - resources are continuously exposed.
B. LIKELY - Occurs frequently - resources are exposed frequently and/or several times.
C. OCCASIONAL - Occurs sometimes - resources are exposed sporadically.
D. SELDOM - Remote occurrence - resources are possibly exposed.
E. UNLIKELY - Rare occurrence of exposure
High - Significantly degrades mission
capability.
I/A = Extremely High
II/B = High
III/C = Medium
IV/D = Low