Incident Risk Assessment Worksheet 1. Incident/Activity Name 2. Location Daily Physical Training Identification of Hazards and 3. Name and Title of Analyst 4. Date Risk Assessment 6. Mitigation or Abatement Action 5. Pre-Mitigation (Engineering, Administrative, PPE, Avoidance, 7. Post-Mitigation Education, etc) 9. 10. 12. 13. 15. 11. 14. 8. Hazard Hazard Severity Hazard Severity Acceptable RAC RAC Probability Code Probability Code Yes/No Warm up 10-15 minutes prior to actual exercise Improper Warm Up Use proper stretching techniques Use equipment properly Ensure proper shoes/boots for P/T exercise Ensure clothing is appropriate for existing Poor or improper weather conditions equipment Exercise equipment is functioning properly according to Manufacturers specs Have passed Medical Standards Program fit for duty exam Have passed the Work Capacity Test Unfit for Duty Daily assessment of personnel prior to initiating daily training to participate in daily training, or Don’t allow send home Encourage eating well balance meal prior to daily activity Drink 1 quart of water 30 minutes prior to physical training Improper Diet & Encourage education of workforce on energy Hydration drinks effects & avoid energy drinks Use nutritionist to educate workforce on proper nutrition techniques
Incident Risk Assessment Worksheet 1. Incident/Activity Name Daily Physical Training 2. Location Identification of Hazards and Risk Assessment 3. Name and Title of Analyst 4. Date 5. Pre-Mitigation 6. Mitigation or Abatement Action (Engineering, Administrative, PPE, Avoidance, Education, etc) 7. Post-Mitigation 8. Hazard 9. Hazard Probability 10. Severity Code 11. RAC 12. Hazard Probability 13. Severity Code 14. RAC 15. Acceptable Yes/No Improper Warm Up Warm up 10-15 minutes prior to actual exercise Use proper stretching techniques Use equipment properly Poor or improper equipment Ensure proper shoes/boots for P/T exercise Ensure clothing is appropriate for existing weather conditions Exercise equipment is functioning properly according to Manufacturers specs Unfit for Duty Have passed Medical Standards Program fit for duty exam Have passed the Work Capacity Test Daily assessment of personnel prior to initiating daily training Don’t allow to participate in daily training, or send home Improper Diet & Hydration Encourage eating well balance meal prior to daily activity Drink 1 quart of water 30 minutes prior to physical training Encourage education of workforce on energy drinks effects & avoid energy drinks Use nutritionist to educate workforce on proper nutrition techniques
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