1. 3 4 3 4 3 4 4 3 3 4 3 4 ORM ASSESSMENT WORKSHEET MISSION: SNOWMOBILE
DATE WORKSHEET PREPARED: _________________
APPROVAL / AUTHORITY: _______________________
PARTICIPANT(S):
APPROVED / DISAPPROVED
STEP 2:
ASSESS
HAZARDS
STEP 1.
IDENTIFY HAZARDS
STEP 3:
MAKE RISK DECISIONS
STEP 4:
IMPLEMENT CONTROLS
STEP 5:
SUPERVISE
OPERATION
HAZARD
CAUSES
INIT RAC
DEVELOP CONTROLS
RESID RAC
HOW TO IMPLEMENT
HOW TO SUPERVISE
ALL
HIGH SPEED
IMPACT W/
OBSTACLES 3
STAY AWAY FROM
KNOWN OBSTACLES
RESEARCH AREA TO USE 4
TAKE SNOWMOBILE
TRAINING CLASS /
KNOW ENVIRONMENT
KNOW PERSONAL
LIMITS / ADJUST
ACTIVITY TO ENSURE
SAFETY
HEAD INJURY
INJURY OR
COLLISION W/
OTHERS
OPERATING
AROUND
OTHERS
AVOID CROWDED AREAS
SCAN THE AREA PRIOR TO
ENTRY – ESTAB. SAFE
AREA TO OPERATE 3 4
KEEP HEAD ON
SWIVLE / KEEP SA
HIGH / ADJUST PLAN
AS PLAN CHANGES
SO MUST YOU AND
YOUR ACTIVITY
ALL
OBSTACLES
HIDDEN UNDER SNOW
USE GUIDE OR
MAKE DECISION TO
OPERATE AT SAFE
LOCALE
EQUIPMENT/
BODILY INJURY 3
STUDY AREA TO USE
CONSIDER LOCAL
ORIENTATION COURSE
IF TOO MANY
OBSTACLE EXIST
MOVE AWAY / STOP
ALL 4
AVOID ALCOHOL
TAKE WATER ALONG
WITH YOU ON ACTIVITY
USE APPROP. CLOTHING
DRINK WATER
TAKE FREQUENT REST
BREAKS. ADJUST
CLOTHING LAYERS
LACK OF
H20 / LAYERED
CLOTHING 4
IF YOU ARE THIRSTY
THEN YOU ARE
ALREADY DEHYDRATED
ALL
DEHYDRATION
SUN / COLD 3
POOR DRIVING
SKILLS /
NOT ANTICIPA.
HAZARDS
PLAN TO DRIVE
CONSERVATIVELY AND
SAFELY. ACCOMP.
SAFETY CHECKS
AUTO WRECK
EQUIP DAMAGE 3 4
TRANSPORT / KEEP
ITEMS SECURED
FROM MOVEMENT
CHECK STATUS OF
TRAILER / GEAR /
ENSURE SAFE OPS
TRANSPORT
ATTACK /
BITE
PROXIMITY /
OFF TRAIL 3
HAVE FIRST AID KIT /
STAY CLOSE TO TRAILS 4
KNOW FIRST AID KIT
CONTENTS / MAP /
HAVE COMM DEVICE
SCAN FOR THREATS
INFORM OTHERS
WILDLIFE
LESSONS LEARNED:
ACCEPT RISK: YES NO
COMM WITH HIGHER: YES NO
ALL WORKSHEETS ARE IN COMPLIANCE WITH OR MEET THE INTENT OF CNATRA 3058/1 (5-05)