DD Form 2977, Deliberate Risk Assessment Worksheet Instructions
This form contains 177 fields organized into 26 sections. Below is a complete list of every field, its type, and what information is expected.
| Field Name | Type | Description |
|---|---|---|
| 14. FEEDBACK AND LESSONS LEARNED | ||
| Feedback and Lessons Learned | Text |
Provide any feedback or lessons learned related to the risk assessment conducted.
|
| Page number of this page | Text | |
| Approval or Disapproval of Mission or Task | ||
| Approve | Radiobutton |
Check this box if you approve of the mission or task.
|
| Disapprove | Radiobutton |
Check this box if you disapprove of the mission or task.
|
| Approval Authority Name | Text |
Enter the full name of the approval authority, including last name, first name, and middle initial. Fill only if 'Approve', 'Disapprove' is selected, any.
Depends on:
Approve, Disapprove
|
| Approval Authority Rank/Grade | Text |
Enter the rank or grade of the approval authority. Fill only if 'Approve', 'Disapprove' is selected, any.
Depends on:
Approve, Disapprove
|
| Approval Authority Duty Title/Position | Text |
Enter the duty title or position of the approval authority. Fill only if 'Approve', 'Disapprove' is selected, any.
Depends on:
Approve, Disapprove
|
| Additional Guidance for Approval/Disapproval | Text |
Provide any additional guidance or comments related to the approval or disapproval of the mission or task. Fill only if 'Approve', 'Disapprove' is selected, any.
Depends on:
Approve, Disapprove
|
| Current Page Number | ||
| Current Page Number | Text |
Please enter the current page number of the form.
|
| Eighth Risk Assessment Row | ||
| Eighth Row Subtask/Substep | Text |
Provide the subtask or substep of the mission or task for the eighth risk assessment entry.
|
| Eighth Row Hazard | Text |
Describe the identified hazard for the eighth risk assessment entry.
|
| Eighth Row Initial Risk Level | Combobox |
Enter the initial risk level determined for the eighth risk assessment entry.
1
4
3
2
0
|
| Eighth Row Control | Text |
Detail the control measures to mitigate the hazard for the eighth risk assessment entry.
|
| Eighth Row How to Implement | Text |
Explain how the control measures will be implemented for the eighth risk assessment entry. Fill only if 'Eighth Row Control' is specified.
Depends on:
Eighth Row Control
|
| Eighth Row Who Will Implement | Text |
Specify who will be responsible for implementing the control measures for the eighth risk assessment entry. Fill only if 'Eighth Row Control' is specified.
Depends on:
Eighth Row Control
|
| Eighth Row Residual Risk Level | Combobox |
Enter the residual risk level remaining after implementing controls for the eighth risk assessment entry. Fill only if 'Eighth Row Control' is specified.
1
4
3
2
0
Depends on:
Eighth Row Control
|
| Eleventh Risk Assessment Row | ||
| Mission Subtask/Substep | Text |
Enter the specific subtask or substep of the mission for this risk assessment row.
|
| Hazard | Text |
Enter the identified hazard associated with this row's subtask or substep.
|
| Initial Risk Level | Combobox |
Enter the initial risk level for this row before controls are implemented.
1
4
3
2
0
|
| Control Measures | Text |
Enter the control measures to mitigate the identified hazard for this row.
|
| How to Implement Control | Text |
Describe how the control measures for this row will be implemented. Fill only if 'Control Measures' is specified.
Depends on:
Control Measures
|
| Who Will Implement Control | Text |
Enter the individual or team responsible for implementing the control measures for this row. Fill only if 'Control Measures' is specified.
Depends on:
Control Measures
|
| Residual Risk Level | Combobox |
Enter the residual risk level for this row after control measures are implemented. Fill only if 'Control Measures' is specified.
1
4
3
2
0
Depends on:
Control Measures
|
| Fifth Risk Assessment Row | ||
| Fifth Subtask/Substep | Text |
Enter the subtask or substep of the mission or task for the fifth risk assessment entry.
|
| Fifth Hazard | Text |
Describe the hazard identified for the fifth risk assessment entry.
|
| Fifth Initial Risk Level | Combobox |
Indicate the initial risk level before controls are implemented for the fifth risk assessment entry.
1
4
3
2
0
|
| Fifth Control | Text |
Describe the control measure implemented for the fifth risk assessment entry.
|
| Fifth How to Implement | Text |
Explain how the control measure will be implemented for the fifth risk assessment entry.
|
| Fifth Who Will Implement | Text |
Specify who will be responsible for implementing the control measure for the fifth risk assessment entry.
|
| Fifth Residual Risk Level | Combobox |
Indicate the residual risk level after controls have been implemented for the fifth risk assessment entry.
1
4
3
2
0
|
| Fifth Subtask/Substep | Text |
Please enter the fifth subtask or substep of the mission or task.
|
| Fifth Hazard | Text |
Please enter the fifth hazard identified for the risk assessment.
|
| Fifth Initial Risk Level | Combobox |
Please enter the initial risk level for the fifth identified hazard.
1
4
3
2
0
|
| Fifth Control | Text |
Please enter the control measure implemented for the fifth identified hazard.
|
| Fifth Implementation Method | Text |
Please describe how the control measure for the fifth hazard will be implemented. Fill only if 'Fifth Control' is specified.
Depends on:
Fifth Control
|
| Fifth Implementer | Text |
Please enter who will implement the control measure for the fifth hazard. Fill only if 'Fifth Control' is specified.
Depends on:
Fifth Control
|
| Fifth Residual Risk Level | Combobox |
Please enter the residual risk level after implementing control measures for the fifth hazard. Fill only if 'Fifth Control' is specified.
1
4
3
2
0
Depends on:
Fifth Control
|
| First Risk Assessment Reviewer | ||
| Date | Date |
Enter the date of the risk assessment review. Fill only if 'MISSION/TASK DESCRIPTION' applies to ongoing operations or activities
Depends on:
Mission Task Description
|
| Last Name | Text |
Enter the last name of the risk assessment reviewer. Fill only if 'MISSION/TASK DESCRIPTION' applies to ongoing operations or activities
Depends on:
Mission Task Description
|
| Rank/Grade | Text |
Enter the rank or grade of the risk assessment reviewer. Fill only if 'MISSION/TASK DESCRIPTION' applies to ongoing operations or activities
Depends on:
Mission Task Description
|
| Duty Title/Position | Text |
Enter the duty title or position of the risk assessment reviewer. Fill only if 'MISSION/TASK DESCRIPTION' applies to ongoing operations or activities
Depends on:
Mission Task Description
|
| First Risk Assessment Row | ||
| Subtask/Substep | Text |
Enter the specific subtask or substep of the mission or task being assessed.
|
| Hazard | Text |
Describe the hazard identified for this subtask or substep.
|
| Initial Risk Level | Combobox |
Provide the initial risk level before any controls are implemented.
1
4
3
2
0
|
| Control | Text |
List the control measures to mitigate the identified hazard.
|
| How to Implement Control | Text |
Explain how the control measures will be implemented.
|
| Who Will Implement Control | Text |
Identify the individual or team responsible for implementing the control measures.
|
| Residual Risk Level | Combobox |
Provide the risk level remaining after the control measures have been implemented.
1
4
3
2
0
|
| Subtask/Substep of Mission/Task | Text |
Provide the specific subtask or substep of the mission or task being assessed.
|
| Hazard | Text |
Describe the identified hazard associated with the subtask or substep.
|
| Initial Risk Level | Combobox |
Enter the initial risk level before implementing any controls.
1
4
3
2
0
|
| Control | Text |
Specify the controls that will be implemented to mitigate the identified hazard.
|
| How to Implement | Text |
Describe how the control measures will be implemented. Fill only if 'Control' is specified.
Depends on:
Control
|
| Who Will Implement | Text |
Identify who is responsible for implementing the control measures. Fill only if 'Control' is specified.
Depends on:
Control
|
| Residual Risk Level | Combobox |
Enter the risk level remaining after the implementation of controls. Fill only if 'Control' is specified.
1
4
3
2
0
Depends on:
Control
|
| Fourteenth Risk Assessment Row | ||
| Subtask/Substep of Mission/Task | Text |
Provide a description of the subtask or substep of the mission or task.
|
| Hazard | Text |
Describe the identified hazard associated with the subtask or mission.
|
| Initial Risk Level | Combobox |
Enter the initial assessed risk level for the identified hazard.
1
4
3
2
0
|
| Control | Text |
Describe the control measures implemented to mitigate the identified hazard.
|
| How to Implement | Text |
Explain how the control measures will be implemented. Fill only if 'Control' is specified.
Depends on:
Control
|
| Who Will Implement | Text |
Identify who is responsible for implementing the control measures. Fill only if 'Control' is specified.
Depends on:
Control
|
| Residual Risk Level | Combobox |
Enter the residual risk level after implementing the control measures. Fill only if 'Control' is specified.
1
4
3
2
0
Depends on:
Control
|
| Fourth Risk Assessment Row | ||
| Fourth Subtask/Substep | Text |
Provide the fourth subtask or substep of the mission or task.
|
| Fourth Hazard | Text |
Describe the fourth identified hazard for the mission or task.
|
| Fourth Initial Risk Level | Combobox |
Enter the fourth initial risk level before controls are implemented.
1
4
3
2
0
|
| Fourth Control | Text |
Describe the fourth control measure to mitigate the hazard.
|
| Fourth Control Implementation Method | Text |
Explain how the fourth control measure will be implemented.
|
| Fourth Control Implementer | Text |
Specify who is responsible for implementing the fourth control measure.
|
| Fourth Residual Risk Level | Combobox |
Enter the fourth residual risk level after controls are implemented.
1
4
3
2
0
|
| Fourth Row Subtask/Substep | Text |
Enter the specific subtask or substep of the mission or task for the fourth risk assessment row.
|
| Fourth Row Hazard | Text |
Describe the identified hazard associated with the subtask or substep for the fourth risk assessment row.
|
| Fourth Row Initial Risk Level | Combobox |
Provide the initial assessed risk level before implementing any controls for the fourth risk assessment row.
1
4
3
2
0
|
| Fourth Row Control | Text |
Detail the control measures implemented to mitigate the identified hazard for the fourth risk assessment row.
|
| Fourth Row How To Implement Control | Text |
Explain how the control measures will be implemented for the fourth risk assessment row. Fill only if 'Fourth Row Control' is specified.
Depends on:
Fourth Row Control
|
| Fourth Row Who Will Implement Control | Text |
Specify who is responsible for implementing the control measures for the fourth risk assessment row. Fill only if 'Fourth Row Control' is specified.
Depends on:
Fourth Row Control
|
| Fourth Row Residual Risk Level | Combobox |
State the residual risk level after implementing control measures for the fourth risk assessment row. Fill only if 'Fourth Row Control' is specified.
1
4
3
2
0
Depends on:
Fourth Row Control
|
| General | ||
| i. Signature of preparer. WARNING: Signing this block will lock all fields in items 1 - 9 on pages 1 and 2 | Signature | |
| d. Signature of Approval Authority. Warning: Signing this block will lock all fields in Items 10 through 12 on this page | Signature | |
| e. Signature of Reviewer | Signature | |
| e. Signature of Reviewer | Signature | |
| e. Signature of Reviewer | Signature | |
| 14. Feedback and lessons learned | Text | |
| 15. Additional comments or remarks | Text | |
| Mission/Task Description | ||
| Mission Task Description | Text |
Enter a detailed description of the mission or task.
|
| Date | Date |
Provide the date of this deliberate risk assessment.
|
| Ninth Risk Assessment Row | ||
| Ninth Subtask/Substep | Text |
Enter the ninth subtask or substep of the mission or task being assessed.
|
| Ninth Hazard | Text |
Enter the ninth hazard identified for this subtask or substep.
|
| Ninth Initial Risk Level | Combobox |
Enter the initial risk level before controls are applied for the ninth hazard.
1
4
3
2
0
|
| Ninth Control Measure | Text |
Enter the control measure implemented to mitigate the ninth hazard.
|
| Ninth Control Implementation Method | Text |
Explain how the ninth control measure will be implemented. Fill only if 'Ninth Control Measure' is specified.
Depends on:
Ninth Control Measure
|
| Ninth Control Implementer | Text |
Enter the person or team responsible for implementing the ninth control measure. Fill only if 'Ninth Control Measure' is specified.
Depends on:
Ninth Control Measure
|
| Ninth Residual Risk Level | Combobox |
Enter the residual risk level after the control measures are applied for the ninth hazard. Fill only if 'Ninth Control Measure' is specified.
1
4
3
2
0
Depends on:
Ninth Control Measure
|
| Overall Residual Risk Level | ||
| EXTREMELY HIGH | Radiobutton |
Check this box if the overall residual risk level is determined to be extremely high after all controls have been implemented.
|
| HIGH | Radiobutton |
Check this box if the overall residual risk level is determined to be high after all controls have been implemented.
|
| MEDIUM | Radiobutton |
Check this box if the overall residual risk level is determined to be medium after all controls have been implemented.
|
| LOW | Radiobutton |
Check this box if the overall residual risk level is determined to be low after all controls have been implemented.
|
| Overall Supervision Plan and Recommended Course of Action | ||
| Supervision Plan and Recommended Action | Text |
Provide details of the overall supervision plan and recommended course of action for the mission or task.
|
| Page Number | ||
| Total Pages | Number |
Please enter the total number of pages in the document.
|
| Preparer Information | ||
| Preparer Name | Text |
Enter the full name of the preparer, including last name, first name, and middle initial.
|
| Preparer Rank/Grade | Text |
Enter the rank or grade of the preparer.
|
| Preparer Duty Title/Position | Text |
Enter the duty title or position of the preparer.
|
| Preparer Unit | Text |
Enter the unit of the preparer.
|
| Preparer Work Email | Text |
Enter the work email address of the preparer.
|
| Preparer Telephone | Text |
Enter the telephone number of the preparer, including the area code.
|
| Preparer UIC/CIN | Text |
Enter the Unit Identification Code (UIC) or Command Identification Number (CIN) of the preparer, if required.
|
| Training Support/Lesson Plan or OPORD | Text |
Enter details regarding the training support, lesson plan, or Operations Order (OPORD), if required.
|
| Second Risk Assessment Reviewer | ||
| Second Reviewer Date | Date |
Enter the date the second risk assessment reviewer completed their review. Fill only if 'MISSION/TASK DESCRIPTION' applies to ongoing operations or activities
Depends on:
Mission Task Description
|
| Second Reviewer Last Name | Text |
Enter the last name of the second risk assessment reviewer. Fill only if 'MISSION/TASK DESCRIPTION' applies to ongoing operations or activities
Depends on:
Mission Task Description
|
| Second Reviewer Rank/Grade | Text |
Enter the rank or grade of the second risk assessment reviewer. Fill only if 'MISSION/TASK DESCRIPTION' applies to ongoing operations or activities
Depends on:
Mission Task Description
|
| Second Reviewer Duty Title/Position | Text |
Enter the duty title or position of the second risk assessment reviewer. Fill only if 'MISSION/TASK DESCRIPTION' applies to ongoing operations or activities
Depends on:
Mission Task Description
|
| Second Risk Assessment Row | ||
| Second Subtask/Substep | Text |
Provide a detailed description of the second subtask or substep of the mission or task.
|
| Second Hazard | Text |
Identify and describe the second potential hazard associated with the subtask or substep.
|
| Second Initial Risk Level | Combobox |
Enter the initial risk level before implementing any controls for the second identified hazard.
1
4
3
2
0
|
| Second Control | Text |
Describe the control measures implemented to mitigate the second identified hazard.
|
| Second Control Implementation Method | Text |
Explain how the control for the second hazard will be implemented.
|
| Second Control Implementer | Text |
Identify the individual or group responsible for implementing the control for the second hazard.
|
| Second Residual Risk Level | Combobox |
Enter the residual risk level after implementing the controls for the second identified hazard.
1
4
3
2
0
|
| Subtask/Substep | Text |
Enter the specific subtask or substep of the mission or task being assessed.
|
| Hazard | Text |
Describe the identified hazard associated with the subtask or substep.
|
| Initial Risk Level | Combobox |
Indicate the initial risk level before any controls are implemented.
1
4
3
2
0
|
| Control | Text |
Describe the control measures put in place to mitigate the identified hazard.
|
| How to Implement | Text |
Explain how the control measures will be implemented. Fill only if 'Control' is specified.
Depends on:
Control
|
| Who Will Implement | Text |
Identify who is responsible for implementing the control measures. Fill only if 'Control' is specified.
Depends on:
Control
|
| Residual Risk Level | Combobox |
Indicate the risk level remaining after control measures have been implemented. Fill only if 'Control' is specified.
1
4
3
2
0
Depends on:
Control
|
| Seventh Risk Assessment Row | ||
| Seventh Subtask/Substep | Text |
Enter the subtask or substep of the mission for this seventh risk assessment row.
|
| Seventh Hazard | Text |
Describe the identified hazard for this seventh risk assessment row.
|
| Seventh Initial Risk Level | Combobox |
State the initial risk level before controls are implemented for this seventh risk assessment row.
1
4
3
2
0
|
| Seventh Control | Text |
Detail the control measures to mitigate the identified hazard for this seventh risk assessment row.
|
| Seventh Implementation Method | Text |
Describe how the control measures will be implemented for this seventh risk assessment row. Fill only if 'Seventh Control' is specified.
Depends on:
Seventh Control
|
| Seventh Implementer | Text |
Identify who is responsible for implementing the control measures for this seventh risk assessment row. Fill only if 'Seventh Control' is specified.
Depends on:
Seventh Control
|
| Seventh Residual Risk Level | Combobox |
State the residual risk level after control measures are implemented for this seventh risk assessment row. Fill only if 'Seventh Control' is specified.
1
4
3
2
0
Depends on:
Seventh Control
|
| Sixth Risk Assessment Row | ||
| Subtask/Substep | Text |
Enter the specific subtask or substep of the mission or task for this risk assessment row.
|
| Hazard | Text |
Describe the potential hazard identified for this subtask or substep.
|
| Initial Risk Level | Combobox |
Enter the initial assessed risk level for the identified hazard before controls are applied.
1
4
3
2
0
|
| Control Measures | Text |
Detail the control measures proposed or in place to mitigate the identified hazard.
|
| How to Implement Control | Text |
Explain how the control measures will be implemented. Fill only if 'Control Measures' is specified.
Depends on:
Control Measures
|
| Who Will Implement Control | Text |
Specify who is responsible for implementing the control measures. Fill only if 'Control Measures' is specified.
Depends on:
Control Measures
|
| Residual Risk Level | Combobox |
Enter the assessed risk level remaining after the control measures have been implemented. Fill only if 'Control Measures' is specified.
1
4
3
2
0
Depends on:
Control Measures
|
| Tenth Risk Assessment Row | ||
| Subtask/Substep of Mission/Task | Text |
Enter the details of the subtask or substep of the mission or task for this risk assessment row.
|
| Hazard | Text |
Describe the identified hazard for this risk assessment row.
|
| Initial Risk Level | Combobox |
Provide the initial risk level before controls are implemented.
1
4
3
2
0
|
| Control | Text |
Describe the control measures put in place to mitigate the identified hazard.
|
| How to Implement Control | Text |
Explain how the control measures will be implemented. Fill only if 'Control' is specified.
Depends on:
Control
|
| Who Will Implement Control | Text |
Specify who is responsible for implementing the control measures. Fill only if 'Control' is specified.
Depends on:
Control
|
| Residual Risk Level | Combobox |
Provide the residual risk level after controls have been implemented. Fill only if 'Control' is specified.
1
4
3
2
0
Depends on:
Control
|
| Third Risk Assessment Reviewer | ||
| Third Reviewer Date | Date |
Enter the date of the third risk assessment review. Fill only if 'MISSION/TASK DESCRIPTION' applies to ongoing operations or activities
Depends on:
Mission Task Description
|
| Third Reviewer Last Name | Text |
Enter the last name of the third risk assessment reviewer. Fill only if 'MISSION/TASK DESCRIPTION' applies to ongoing operations or activities
Depends on:
Mission Task Description
|
| Third Reviewer Rank/Grade | Text |
Enter the rank or grade of the third risk assessment reviewer. Fill only if 'MISSION/TASK DESCRIPTION' applies to ongoing operations or activities
Depends on:
Mission Task Description
|
| Third Reviewer Duty Title/Position | Text |
Enter the duty title or position of the third risk assessment reviewer. Fill only if 'MISSION/TASK DESCRIPTION' applies to ongoing operations or activities
Depends on:
Mission Task Description
|
| Third Risk Assessment Row | ||
| Third Subtask/Substep | Text |
Enter the subtask or substep of the mission or task for the third risk assessment row.
|
| Third Hazard | Text |
Describe the hazard identified for this subtask/substep in the third risk assessment row.
|
| Third Initial Risk Level | Combobox |
Enter the initial risk level before controls are applied for the third risk assessment row.
1
4
3
2
0
|
| Third Control | Text |
Describe the control measure implemented to mitigate the identified hazard for the third risk assessment row.
|
| Third How to Implement Control | Text |
Describe how the control measure will be implemented for the third risk assessment row.
|
| Third Who Will Implement Control | Text |
Identify who is responsible for implementing the control measure for the third risk assessment row.
|
| Third Residual Risk Level | Combobox |
Enter the residual risk level after controls have been implemented for the third risk assessment row.
1
4
3
2
0
|
| Subtask/Substep 3 | Text |
Enter the third subtask or substep of the mission or task.
|
| Hazard 3 | Text |
Enter the third identified hazard.
|
| Initial Risk Level 3 | Combobox |
Enter the initial risk level for the third hazard before controls are implemented.
1
4
3
2
0
|
| Control 3 | Text |
Enter the control measure for the third hazard.
|
| How to Implement Control 3 | Text |
Describe how the control measure for the third hazard will be implemented. Fill only if 'Control 3' is specified.
Depends on:
Control 3
|
| Who Will Implement Control 3 | Text |
Enter the person or team responsible for implementing the control measure for the third hazard. Fill only if 'Control 3' is specified.
Depends on:
Control 3
|
| Residual Risk Level 3 | Combobox |
Enter the residual risk level for the third hazard after controls are implemented. Fill only if 'Control 3' is specified.
1
4
3
2
0
Depends on:
Control 3
|
| Thirteenth Risk Assessment Row | ||
| Subtask/Substep | Text |
Please provide the subtask or substep of the mission or task for this row.
|
| Hazard | Text |
Please describe the hazard identified for this row.
|
| Initial Risk Level | Combobox |
Please enter the initial risk level for this hazard.
1
4
3
2
0
|
| Control Measure | Text |
Please describe the control measure implemented for this hazard.
|
| How to Implement Control | Text |
Please explain how the control measure will be implemented. Fill only if 'Control Measure' is specified.
Depends on:
Control Measure
|
| Who Will Implement Control | Text |
Please specify who will be responsible for implementing the control measure. Fill only if 'Control Measure' is specified.
Depends on:
Control Measure
|
| Residual Risk Level | Combobox |
Please enter the residual risk level after implementing the control measure. Fill only if 'Control Measure' is specified.
1
4
3
2
0
Depends on:
Control Measure
|
| Twelfth Risk Assessment Row | ||
| Subtask/Substep of Mission/Task | Text |
Enter the subtask or substep of the mission or task for this risk assessment row.
|
| Hazard | Text |
Enter the identified hazard for this risk assessment row.
|
| Initial Risk Level | Combobox |
Enter the initial risk level before controls are implemented.
1
4
3
2
0
|
| Control | Text |
Enter the control measures to mitigate the identified hazard.
|
| How to Implement Control | Text |
Describe how the control measures will be implemented. Fill only if 'Control' is specified.
Depends on:
Control
|
| Who Will Implement Control | Text |
Identify who is responsible for implementing the control measures. Fill only if 'Control' is specified.
Depends on:
Control
|
| Residual Risk Level | Combobox |
Enter the residual risk level after controls have been implemented. Fill only if 'Control' is specified.
1
4
3
2
0
Depends on:
Control
|