This risk management worksheet identifies potential hazards for a classroom instruction mission and tasks to mitigate risks. It lists hazards such as a wet floor, electrical equipment, chairs sliding back, sickness, and dehydration. Controls are identified such as wiping boots, using power strips safely, being aware of surroundings, hand washing, and taking breaks. The overall remaining risk level after controls is determined to be low.

1. RISK MANAGEMENT WORKSHEET1. Organization and Unit Location:710th ASMC, IL ARNG, North Riverside Armory2. Page:1of13. Mission/Task:Classroom Instruction4. Begin Date / Time Group:(DDTTTTRMMMYY)5. End Date / Time Group: (DDTTTTRMMMYY)6. Date Prepared: 7. Tasks8. Identify Hazards9. Initial Risk Level10. Develop Controls11. Residual Risk Level12. Implement Controls (“How To”)13. Who/How SupervisedClassroom Instruction / Classroom BriefingWet floor during inclement weatherExtension cords and power stripsChairs sliding backSicknessDehydrationL FORMTEXT FORMTEXT FORMTEXT L FORMTEXT FORMTEXT L FORMTEXT FORMTEXT LLWipe 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 FORMTEXT FORMTEXT FORMTEXT L FORMTEXT FORMTEXT L FORMTEXT FORMTEXT LLBrief participants during inclement weather;Brief participants;Brief participants;Brief participants;Brief participants, implement breaks in instruction;InstructorInstructorInstructorInstructorInstructor14. 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:<br />