Alaska Wing Civil Air Patrol

Tactical Risk Management Worksheet

Hazard Identification

Risk-LOW

Pts

Risk-MODERATE

Pts

Risk-HIGH

Pts

Human

Experience

>1000 hrs PIC

0

250-1000 hrs PIC

5

<250 hrs PIC

10

Float/Ski (if applicable)

>20 hrs PIC

0

20-10 hrs PIC

5

<10 hrs PIC

10

Time in Type

>20 hrs PIC

0

20-10 hrs PIC

5

<10 hrs PIC

10

Training (SAR/DR only)

>50 hrs Msn Time

0

25-50 hrs Msn time

5

<25hrs Msn time

10

Recency/Currence

10 hrs last 30 days

0

5-10 hrs last 30 days

10

<5 hrs last 30 days

20

Crew Rest

Rested

0

Some Fatigue Noted

5

Fatigued

R

Health

Good

0

Fair

5

Poor

NG

Machine

Maintenance

Fully Operational

0

Squawks/Airworthy

5

Not Airworthy

NG

Performance Factors

<5000 Density Alt

0

 

 

>5000 Density Alt

20

Mission

Operations Tempo

1-3 Msn Aircraft

0

4-6 Msn Aircraft

5

>6 Msn Aircraft

15

Complexity

Simple Tasks

0

Complex Task – No New Technology

5

Complex Task – New Technology

15

Environment

Ceiling in Msn Area

>3000 Ft

0

1000-3000 Ft

10

<1000 Ft

R

Visibility in Msn Area

>7 Miles

0

3-7 Miles

5

<3 Miles

R

Icing

None

0

Forecast Icing

15

Known Icing

NG

Winds in Msn Area

<10 Kts

0

10-20 Kts

15

>20 KTS

20

Terrain

Low/<2000 Ft MSL

0

Medium 2000-5000 Ft MSL

15

High >5000 Ft MSL

 *W/MTN Flying Crs

30*

15

Night/Ambient Lighting

Bright Daylight

0

Dusk/Good Moon Light

15

Night/Moonless

15

Mission Airfields

Familiar/Undemanding

0

Unfamiliar

15

Demanding

 

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                                                            Total                                                                        Total                                                          Total

 

Total Points

Risk Assessment

Required Approval (note 1)

0-75 points

Green – Low Risk

FRO or Higher Approval

76-150 Points

Yellow (Caution) – Moderate Risk

Sqdrn CC, DO, or Higher Approval

Over 150 Points

Red (Is Msn Necessary) – High Risk

Wing CC, CV, DO, DOX, or MC/IC Approval

R Categories

Referral

Wing CC or CV Approval

Note 1: FRO-Flight Release Officer; CC-Squadron or Wing Commander; VC-Wing Vice Commander; DO-Director of Operations;

DOS-Emergency Services Officer; MC-Mission Coordinator; IC-Incident Commander

 

AKW Form 61    27 November 2006