DELIBERATE RISK ASSESSMENT WORKSHEET
1.
MISSION/TASK DESCRIPTION AND EXECUTION DATE(S):
NVG Drivers Sustainment Training
2.
DATE PREPARED
3. PREPARED BY
a. Name (Last, First Middle Initial)
b. Rank/Grade
c. Duty Title/Position
d. Unit
e. Work Email
f. Telephone (DSN/Commercial (Include Area Code)
g. UIC/CIN (as required)
h. Training Support/Lesson Plan or OPORD (as required)
Five steps of Risk Management: (1) Identify the hazards
(4) Implement controls
NVG Drivers Sustainment Training
(2) Assess the hazards
(3) Develop controls & make decisions
(5) Supervise and evaluate (Step numbers not equal to numbered items on form)
NVG Drivers
Sustainment
Training
IDENTIFY THE
REQUIRED
ASSETS AND
MATERIALS
-Incomplete
identification of
required assets and
materials for support
functions
(Planning)
7. CONTROL
8. HOW TO IMPLEMENTED
WHO WILL IMPLEMENT
MED
III, C
Complete a coordinated staff review of exercise and publish an
OPORD/FRAGO and other guidance as needed.
-The S-3 and Training OIC will:
a. Ensure an adequate number of vehicles (FMC) are provided to train
personnel.
b. Ensure an adequate number of trained Master Drivers are assigned to
accomplish the mission. (Instructors must be NVD qualified, and licensed
on the vehicle. Designated in writing by the cdr as certified NVD
instructor)
c. Ensure medical personnel (CLS/EFR) are on site.
HOW:
- Staff planning/PCC/PCI
- 626 BSB SOP(s)
- OPORD, FRAGO, CONOP
- CAM Reg 385-5
- AR 600-55
- TC 21-305-2
WHO:
-Staff and Special Staff
supervise by the Battalion
Operations Officer
S3:
Training OIC/NCOIC:
8. RESIDUAL
RISK LEVEL
5. HAZARD
6. INITIAL
RISK LEVEL
4. SUBTASK/SUBSTEP
OF MISSION/TASK
i. Signature of Preparer
LOW
IV, D
Battalion Master Driver:
Medic/CLS/EFR:
PREPARE
SOLDIERS TO
OPERATE
TRAINING
MED
III, C
-Review and adjust risk management worksheet when additional hazards are
identified.
-OIC and NCO will be familiar with current field and technical manuals for
the vehicles and equipment being used
HOW:
- PCC/PCI/Safety Brief/
Area Orientation
- Brief OPORD/FRAGO/
LOW
IV, E
Page 1 of 8
DD Form 2977, NOV 2020
EVENT
-Soldiers are not
trained or prepared
to accomplish the
mission
-Severe weather
-Environmental
Conditions/
Temperature
8. HOW TO IMPLEMENTED
WHO WILL IMPLEMENT
- Master Drivers must be knowledgeable in the Night Vision Devices being
used AN/PVS-7b & AN/PVS-14.
-The Training OIC will:
a. Be responsible for the overall safe conduct of training and proper use of
vehicles and equipment.
b. Be present at the training site
c. Ensure required communications are established and maintained
d. Ensure appropriate safety measures are taken when approached by
outside traffic (civilian and other military vehicles).
e. Ensure that required personal protective equipment (PPE) is being used.
f. Cease operations if severe weather approaches and seek shelter if
needed. (identify and brief location)
- Medics/CLS/EFR must be available as per range guidance and have a strip
map to the nearest medical facility, MEDEVAC procedures/
frequencies known and available.
- Ensure that Class I is available for Soldiers.
- Plan required Class 3 for the length of mission.
CONOP for operation to all
training cadre.
The area west of the line formed by 101 Airborne Division Road, Boiling
Springs Road, Mabry Road, and On-the-Line Road is reserved for blackout
drive only from 1 hour after sunset until 1 hour prior to sunrise. The only
exception to the blackout drive is the use of service drive or headlights on
all paved roads. When civilian traffic is encountered on the route, vehicles
should utilize their headlights to mitigate the risk with aided and unaided
vehicle traffic.
Blackout drive speeds will be consistent with weather, terrain, and
nocturnal light conditions. Blackout drive speeds will not exceed 15mph.
Blackout drive intervals of 15 to 20 meters should be observed if conditions
permit.
Moon illumination is expected to be 0% during training timeline. Moon
rises at the following times: 30 Nov – 2134, 1 Dec – 2231, 2 Dec 2327.
Driving Safety
PREPARE
SOLDIERS FOR
MISSION
-Soldiers are not
trained or prepared
7. CONTROL
MED
III, C
-Unit commanders will ensure their personnel are licensed and current on
the vehicle in which they will receive sustainment NVD training. Personnel
who have not participated in an NVD driving mission in the past 6
months require refresher training.
- All personnel will receive convoy, safety, and area orientation brief for the
8. RESIDUAL
RISK LEVEL
5. HAZARD
6. INITIAL
RISK LEVEL
4. SUBTASK/SUBSTEP
OF MISSION/TASK
- TM 11-5855-306-10
Operator’s Manual for
AN/PVS-14
- TM 11-5855-262-10-2
Operator’s Manual for
AN/PVS-7b
- TM 9-2320-387-10
Operator’s Manual M1151
-TM 9-2320-345-10
Operator’s Manual LHS
-TM 9-9-2320-279-10
Operator’s Manual HEMMT
fuel tanker
-TM 9-2320-280-10
Operator’s Manual
HMMWV/FLA
-TM 9-2320-279-10
Operator’s Manual Wrecker
- 626 BSB Range SOP
- CAM Reg 385-5
- AR 600-55
- TC 21-305-2
- KHOP Illumination Chart
WHO:
Training OIC/NCOIC
Medic/CLS/EFR:
Bn/Co Master Drivers:
HOW:
- On-site Safety Brief
- Area Orientation Brief
- PCC/PCI
- Brief Hazards
LOW
III, D
Page 2 of 8
DD Form 2977, NOV 2020
to accomplish the
mission
NVG Drivers
Sustainment
Training
NVG Operations
PREPARE,
DEPLOY, AND
REDEPLOY
GROUND ASSETS
-Non-mission
capable vehicle or
equipment are used
either intentionally
or unintentionally
-Soldier fatigue
-Inexperienced
AMV drivers
-Adverse
environmental
conditions
-Material and
Mechanical
malfunctions
-Human Error
Improper convoy
procedures.
-Hazardous material
transportation.
-Improper loading
and securing of
passengers and
cargo.
MED
III, B
7. CONTROL
8. HOW TO IMPLEMENTED
WHO WILL IMPLEMENT
mission.
- Drivers will wear the following: Advanced Combat Helmet (ACH),
Individual Body Armor (IBA), hearing, and eye protection or as directed by
Battalion Commander.
(All soldiers will bring appropriate cold/wet weather attire if conditions are
expected)
- CAM Reg 385-5
- TC 21-305-2
- 626 BSB Range SOP
- All vehicle drivers will…
- Be trained, qualified, and licensed on assigned vehicle(s) to include the
use of NVD.
- Have assigned Assistant Drivers/Senior Occupant. If conducting
refresher training, master driver must be in vehicle.
- Receive a pre-convoy safety briefing covering hazards and local driving
conditions.
- Be briefed on times, routes, speeds, and break periods/locations.
- Wear proper PPE such as ACH and hearing protection.
- Inspect their vehicles and ensure equipment and cargo are secure.
Vehicles and equipment must be FMC.
- Vehicle operators will not operate a vehicle for 8 hours after consuming
intoxicating beverages or longer if residual effects remain.
All vehicle drivers will not…
- Use headphones or earphones while driving Army Motor Vehicles.
- Eat or drink in an Army vehicle while it is moving, or smoke at any time
while inside an AMV.
During convoy operations drivers will…
- Not stand on traffic side during convoy halts.
- Use warning lights during periods of darkness or low visibility.
- Begin convoy movement only at convoy commander's signal.
- Maintain close interval until reaching main convoy route.
- Gradually attains proper vehicle interval once on main convoy route.
- Drive with windows and vents open to prevent fatigue (weather
permitting).
8. RESIDUAL
RISK LEVEL
5. HAZARD
6. INITIAL
RISK LEVEL
4. SUBTASK/SUBSTEP
OF MISSION/TASK
WHO:
Responsible leaders,
And continuous supervision
Training OIC/NCOIC
Bn/Co Master Drivers
Medic/CLS/EFR:
HOW:
- PCC/PCI/Safety Brief/
Area Orientation
- Brief all hazards identified
MED
III, C
- 626 BSB SOP
- CAM Reg 385-5
- AR 600-55
- TC 21-305-2
- TC 3-21.60
- All convoy/serial
commanders will read
OPORD/FRAGO
-gives convoy brief to all
ground support drivers
-Convoy commander will
have frequency card and
ensure radios are operational.
-strip maps
- TM 11-5855-306-10
Operator’s Manual for
AN/PVS-14
- TM 11-5855-262-10-2
Operator’s Manual for
AN/PVS-7b
Page 3 of 8
DD Form 2977, NOV 2020
-Accidents
from
excessive speed.
Loss of control
/rollovers.
Low Ambient
Illumination
7. CONTROL
8. HOW TO IMPLEMENTED
WHO WILL IMPLEMENT
- Make maximum effort to clear the traffic lane if an accident occurs to
vehicle ahead.
- TM 9-2320-387-10
Operator’s Manual M1151
-TM 9-2320-345-10
Operator’s Manual LHS
-TM 9-9-2320-279-10
Operator’s Manual HEMMT
Fuel Tanker
-TM 9-2320-280-10
Operator’s Manual
HMMWV/FLA
-TM 9-2320-279-10
Operator’s Manual Wrecker
New and inexperienced drivers will…
- Be identified by the commander.
- Be trained and licensed IAW AR 600-55, and vehicle TMs.
- Be assigned with an experienced assistant driver or senior occupant
(Officer/NCO).
- Be NVD qualified and current within the past 6 months to conduct
sustainment training. If not current within past 6 months refresher training
is required.
Convoy commanders will…
- Ensure AMV opns will be conducted IAW AR 600-55, AR 385-10, and
626 BSB SOPs
- Perform a thorough reconnaissance to identify hazards along the march
route.
- Ensure all vehicles can maintain minimum speed limits.
- Prepare and distribute convoy strip maps to each vehicle commander or
driver during the pre-mission briefing attended by vehicle crewmembers.
- Ensure personnel have been briefed on visual and audio signals.
- Plan and provide for adequate rest periods.
- Communication equipment is assigned and commo check completed for
each vehicle.
- Ensure that all personnel have been trained and have rehearsed crew
evacuation or rollover and fire drills.
Senior occupants/Assistant Driver will ensure…
- Drivers are properly licensed to drive assigned vehicles.
- Drivers do not exceed driving times established by the unit commander or
prescribed in the unit SOP.
- Vehicle occupants wear available seat belts while the vehicle is moving.
- The authorized capacity of the vehicle is not exceeded.
- Maintenance checks are performed properly.
- Required safety devices are present, clean, and operational IAW
AR 385-10.
- Drivers recognize unsafe mechanical conditions on vehicle.
- Personnel comply with convoy and march discipline when at a halt.
8. RESIDUAL
RISK LEVEL
5. HAZARD
6. INITIAL
RISK LEVEL
4. SUBTASK/SUBSTEP
OF MISSION/TASK
WHO:
Training OIC/NCOIC
Convoy Cdr/NCO:
Serial Cdrs:
Senior Occupants/Assistance
Drivers:
Bn/Co Master Drivers:
Responsible leaders,
and continuous supervision
Page 4 of 8
DD Form 2977, NOV 2020
7. CONTROL
8. HOW TO IMPLEMENTED
WHO WILL IMPLEMENT
8. RESIDUAL
RISK LEVEL
5. HAZARD
6. INITIAL
RISK LEVEL
4. SUBTASK/SUBSTEP
OF MISSION/TASK
- The driver’s field of vision is not obstructed by dirt, or other items.
- Vehicle wheel chock blocks are placed at the front and rear of tire when
the vehicle is parked.
- Those drivers who appear fatigued or physically or mentally impaired do
not operate a vehicle.
- That drivers receive assistance when backing vehicles or executing other
difficult maneuvers. Two ground guides required when backing.
- Obey unit SOPs and all traffic regulations.
- Convoy commander or convoy planner will ensure that…
--Weather briefings have been obtained for duration of convoy operations.
- Vehicles will not deploy unless road conditions are “GREEN” at departure
point and destination.
- Provisions are made for obtaining weather updates.
- Special equipment is available based on weather requirements.
- Driving speeds are commensurate with the weather and illumination
conditions
- Drivers will not be assigned to drive an Army wheeled vehicle for more
than 10 continuous hours IAW AR 385-10.
- An operator will be provided with at least 8 consecutive hours of rest
during any 24-hour period.
- An operator will not drive more than 10 hours in a duty period (including
rest and meal breaks).
Ground guides will…
- Perform ground guide procedures IAW AR 385-10 and TC 3-21.60.
- Use standard hand signals
- Not stand between vehicle being guided and another object.
- If conducting vehicle movement under NVDs the ground guide will utilize
NVGs
Vehicle drivers will stop the vehicle immediately if…
- The ground guide is standing dangerously between the vehicle and another
object.
- If the driver has lost sight of the ground guide.
Page 5 of 8
DD Form 2977, NOV 2020
10. OVERALL RISIDUAL RISK LEVEL (All controls implemented)
EXTREMELY HIGH
HIGH
X
MEDIUM
LOW
11. OVERALL SUPERVISION PLAN AND RECOMMENDED COURSE OF ACTION
12. APPROVAL OR DISAPPROVAL OF MISSION OR TASK
a. Name (Last, First, Middle Initial)
Approve
b. Rank/Grade
Disapprove
c. Duty Title/Position
d. Signature of Approval Authority
e. Additional Guidance:
Probability (expected frequency)
Frequent:
Likely:
Continuous,
Several or
regular, or
numerous
inevitable
occurrences
occurrences
RISK Assessment Matrix
Severity (expected consequence)
Occasional:
Sporadic or
intermittent
occurrences
Seldom:
Infrequent
occurrences
Unlikely:
Possible
occurrences but
improbable
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; minor
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
Page 6 of 8
DD Form 2977, NOV 2020
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
Page 7 of 8
DD Form 2977, NOV 2020
Instructions for Completing DD Form 2977, “Deliberate Risk Assessment Worksheet”
1. Mission/Task Description and Execution Date(s): Briefly describe
the overall Mission or Task for which the deliberate risk assessment is
being conducted.
2. Date Prepared: Enter date form was prepared.
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.
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.
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).
Page 8 of 8
DD Form 2977, NOV 2020