RISK MANAGEMENT WORKSHEET1. Organization and Unit Location:710th ASMC, IL ARNG, North Riverside Armory

2. Page:1 of 1

3. Mission/Task:Classroom Instruction

4. Begin Date / Time Group:(DDTTTTRMMMYY)

5. End Date / Time Group: (DDTTTTRMMMYY)

6. Date Prepared:

7. Tasks 8. Identify Hazards 9. Initial Risk Level 10. Develop Controls 11. Residual

Risk Level 12. Implement Controls (“How To”) 13. Who/How Supervised

Classroom Instruction / Classroom Briefing

Wet floor during inclement weather

Extension cords and power strips

Chairs sliding back

Sickness

Dehydration

L

L

L L

L

Wipe boots on mats, mop floors as necessary;

Practice awareness and avoidance, keep drinks away from electrical equipment;

Practice awareness, look prior to sitting down;

Hand washing, trash disposal, cover mouth when sneezing;

Drink water, breaks in instruction;

L

L

L L

L

Brief participants during inclement weather;

Brief participants;

Brief participants;

Brief participants;

Brief participants, implement breaks in instruction;

Instructor

Instructor

Instructor

Instructor

Instructor

14. Overall Mission/Task Risk Level After Countermeasures are Implemented: (Circle Highest Remaining Risk Level) LOW (L) MODERATE (M) HIGH (H) EXTREMELY HIGH (E)

15. Prepared By: 16. Authority: