AVIATION RISK ASSESSMENT WORKSHEET
Assess the risks involved with the proposed operation. Use additional sheets if necessary.
Chart 3-2:
Risk Assessment
Matrix
EFFECT
Catastrophic
Critical
Moderate
Negligible
HAZARD PROBABILITY
I
II
III
IV
Frequent
Likely
Occasional
Seldom
Unlikely
A
B
C
D
E
Extremely
High(4)
High
Medium
Medium
High(3)
Medium(2)
Medium
Low(1)
Assignment:
Date:
Describe Hazard:
Pre-Mitigation hazards rate out as:
Probability
(A-E)
Effect
(I-IV)
Risk
Level
Mitigation Controls:
Post-Mitigation hazards rate out as:
Probability
(A-E)
Effect
(I-IV)
Risk
Level
Operation Approved by
Title:
Date: