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The DA 7566 form, also known as the Composite Risk Management Worksheet, serves an important purpose within military operations. Designed to help personnel assess and manage risks associated with specific missions or tasks, it provides a structured way to identify hazards, evaluate risks, and implement controls. The worksheet breaks down elements such as the mission/task identifier, preparation details, and overall risk levels after controls are established. Key fields include subtasks related to the mission, a thorough assessment of hazards, and the initial and residual risk levels. The form emphasizes the need for clear controls that can either eliminate hazards or mitigate their effects. Additionally, it asks for details on how these controls will be executed and supervised, ensuring effective hazard management. By requiring a signature from the risk decision authority, the DA 7566 form establishes accountability in the risk assessment process. Understanding how to effectively fill out this form can significantly enhance safety and efficiency in military operations.

Da 7566 Example

COMPOSITE RISK MANAGEMENT WORKSHEET

For use of this form, see FM 5-19; the proponent agency is TRADOC.

1. MSN/TASK

4. PREPARED BY

2a. DTG BEGIN

2b. DTG END

3. Date PREPARED (YYYYMMDD)

a. LAST NAME

 

 

b. RANK

 

c. POSITION

 

 

 

 

 

 

 

 

 

 

 

 

 

 

7.

 

 

9.

 

 

12.WAS

5. SUBTASK

6. HAZARDS

INITIAL

 

8. CONTROLS

RESIDUAL

10. HOW TO IMPLEMENT

11. HOW TO SUPREVISE

CONTROL

RISK

 

RISK

(WHO)

EFFEC-

 

 

 

 

 

 

 

LEVEL

 

 

LEVEL

 

 

TIVE?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Additional space for entries in Items 5 through 11 is provided on Page 2

13. OVERALL RISK LEVEL AFTER CONTROLS ARE IMPLEMENTED (Check one)

 

 

 

LOW

MODERATE

HIGH

EXTREMELY HIGH

 

 

 

 

 

 

 

 

 

14. RISK DECISION AUTHORITY

 

 

 

 

 

 

 

 

 

 

 

 

a. LAST NAME

 

 

b. RANK

c. DUTY POSITION

d. SIGNATURE

 

 

 

 

 

 

 

DA FORM 7566, APR 2005

Page 1 of 2

ITEMS 5 THROUGH 12 CONTINUED:

5. SUBTASK

6. HAZARDS

7.

INITIAL

RISK

LEVEL

8. CONTROLS

9.

RESIDUAL

RISK

LEVEL

10. HOW TO IMPLEMENT

11.HOW TO SUPREVISE (WHO)

12.WAS

CONTROL

EFFEC-

TIVE?

DA FORM 7566, APR 2005

Page 2 of 2

INSTRUCTIONS FOR PREPARING DA FORM 7566

(See FM 5-19 for supplemental information and general information)

All entries explained below are for electronic or typewrite completion. If computer or typewrite is not available, print in black or blue-black ink insuring

a legible image on all copies. When space for a particular item is insufficient, insert “see addendum” and continue the information on a separate page.

ITEM 1 THROUGH ITEM 4. Self Explanatory

ITEM 5. Subtask relating to the mission or task in block1.

ITEM 6. Hazards Identify hazards by reviewing METT-TC factors for the mission or task. Additional factors include historical lessons learned, experience, judgment, equipment characteristics and warnings, and environmental considerations.

ITEM 7. Initial Risk LevelIncludes historical lessons learned; intuitive analyses, experience, judgment, equipment characteristics and warnings; and environmental considerations. Determine initial risk for each hazard by applying risk assessment matrix. Enter the risk level for each hazard.

ITEM 8. Controls Develop one or more controls for each hazard that will either eliminate the hazard or reduce the risk (probability and/or severity) of a hazardous incident. Specify who, what, where, why, when, and how for each control. Enter controls.

ITEM 9. Residual Risk LevelDetermine the residual risk for each hazard by applying the risk assessment matrix. Enter the residual risk level for each hazard.

ITEM 10. How to Implement Decide how each control will be put into effect or communicated to the personnel who will make it happen (written or verbal instruction; tactical, safety, garrison SOPs, rehearsals). Enter controls.

ITEM 11. How to Supervise (Who) Plan how each control will be monitored for implementation (continuous supervision, spot-checks) and reassess hazards as the situation changes. Determine if the controls worked and if they can be improved. Pass on lessons learned.

ITEM 12. Was Control Effective Indicate "Yes" or "No."

ITEM 13. Overall Risk Level Select the highest residual risk level and circle it. This becomes the overall mission or task risk level. The commander decides whether the controls are sufficient to accept the level of residual

risk. If the risk is too great to continue the mission or task, the commander directs development of additional controls or modifies, changes, or rejects the COA.

ITEM 14. Risk Decision Authority Signed by the appropriate level of command.

Form Characteristics

Fact Name Description
Form Title The DA 7566 form is officially called the Composite Risk Management Worksheet.
Governing Agency This form is governed by TRADOC (Training and Doctrine Command).
Use Reference For guidance on using this form, refer to FM 5-19.
Preparation Date Item 3 captures the date the form was prepared in the format YYYYMMDD.
Risk Levels Initial and residual risk levels are assessed based on various factors, including historical data and environmental considerations.
Control Implementation Item 10 outlines how to implement controls for identified risks, specifying communication methods.
Control Supervision In Item 11, the supervisor plans for monitoring the effectiveness of each control.
Overall Risk Assessment Item 13 requires selecting the highest residual risk level, which determines the overall risk for the task or mission.
Decision Authority The Risk Decision Authority's signature, found in Item 14, must be from an appropriate level of command.
Additional Pages If there is insufficient space, users should write "see addendum" and provide continued information on a separate page.

Guidelines on Utilizing Da 7566

Completing the DA 7566 form involves a careful assessment of risks associated with a task or mission. This process ensures that the appropriate controls are identified and implemented effectively. Following the steps below will guide you through filling out the form accurately.

  1. Item 1: Enter the mission or task related to the document.
  2. Item 2a: Record the date and time the tasks begin (DTG BEGIN).
  3. Item 2b: Record the date and time the tasks end (DTG END).
  4. Item 3: Write the date the form is prepared in the format YYYYMMDD.
  5. Item 4: Provide your last name, rank, and position in the appropriate fields.
  6. Item 5: Describe the subtask related to the mission or task in Item 1.
  7. Item 6: Identify hazards by evaluating METT-TC factors and other relevant considerations.
  8. Item 7: Determine the initial risk level for each hazard using the risk assessment matrix and record it.
  9. Item 8: Develop and specify the controls needed for each hazard.
  10. Item 9: Assess and record the residual risk level for each hazard after controls are implemented.
  11. Item 10: Outline how each control will be communicated and implemented.
  12. Item 11: Plan how to supervise each control, including monitoring methods.
  13. Item 12: Indicate whether the control was effective by marking "Yes" or "No."
  14. Item 13: Select and circle the highest residual risk level for the task.
  15. Item 14: Have the risk decision authority complete their details and sign the form.

What You Should Know About This Form

What is the purpose of the DA 7566 form?

The DA 7566 form, also known as the Composite Risk Management Worksheet, is designed to help individuals and organizations assess risks associated with specific missions or tasks. It provides a structured framework that allows users to identify hazards, evaluate risks, and outline controls to mitigate those risks. This form is essential for ensuring safety and effective decision-making in potentially hazardous situations.

How do I fill out the DA 7566 form?

Filling out the DA 7566 form involves several key steps. First, clearly define the mission or task in Item 1. Then proceed to identify subtasks, potential hazards, and initial risk levels for each hazard. Each control must be detailed in terms of implementation and supervision. Use the risk assessment matrix to determine both initial and residual risk levels. Finally, indicate whether the control measures were effective and assign an overall risk level once all controls are implemented.

What types of hazards should be included in the DA 7566 form?

Hazards to be included in the DA 7566 form can range widely. They might stem from environmental issues, equipment characteristics, historical lessons, or even human factors. It's crucial to thoroughly consider the mission or task using METT-TC factors (Mission, Enemy, Terrain, Troops, Time, and Civilian considerations) to ensure that all potential risks are identified. This comprehensive approach helps in developing effective controls and reducing risks.

What is meant by Initial Risk Level and Residual Risk Level?

The Initial Risk Level refers to the risk associated with each identified hazard before any controls are implemented. This level is determined using a risk assessment matrix based on historical data, experience, and environmental considerations. Residual Risk Level, on the other hand, is the level of risk that remains after controls have been put in place. It's essential to compare these two levels to gauge the effectiveness of the risk management strategies employed.

Who is responsible for signing the DA 7566 form, and why is this important?

The DA 7566 form must be signed by the appropriate level of command, which signifies that the risk assessment has been reviewed and authorized. This signature not only ensures accountability but also indicates that the commander has accepted the residual risk associated with the mission or task. This step is crucial for assuring that an organized approach to risk management is followed and that all necessary precautions have been officially recognized.

Common mistakes

When filling out the DA 7566 form, several common mistakes can lead to incomplete or inaccurate submissions. Understanding these pitfalls ensures better compliance with the form's requirements. One significant mistake is neglecting to include details in the Prepared By section. It is crucial to provide complete information, including the last name, rank, and position of the individual responsible for preparing the document. Incomplete information here can cause delays in processing.

Another common error occurs in sections regarding Hazards and Controls. Individuals often fail to identify all potential hazards associated with the task. This inadequacy stems from not thoroughly reviewing the METT-TC factors, which can result in an underestimation of risks involved in a mission. Furthermore, when developing controls, many overlook specifying who will be responsible for implementation. Clear assignment is critical to ensure effective risk management.

Initial and residual risk levels are frequently miscalculated. Users might apply the risk assessment matrix incorrectly, leading to either overestimation or underestimation of the risks associated with each identified hazard. It is essential to accurately determine these levels to facilitate informed decision-making. Additionally, users may display a lack of clarity in explaining how risks will be managed. The How to Implement section often lacks precise instructions, which can hinder the proper execution of risk control measures.

Individuals filling out the form might also forget to assess and document the effectiveness of controls. The question in section 12 should not be treated casually; indicating "Yes" or "No" without sufficient justification can be misleading. It is essential to provide rationale for these assessments to maintain integrity within the risk management process.

Another frequent oversight is failing to circle the appropriate Overall Risk Level, which is a critical step in determining the mission's risk posture. If this step is ignored, the overall assessment may lack clarity, leaving commanders without essential information to make informed decisions regarding mission continuation.

Moreover, individuals often overlook the importance of the Risk Decision Authority section. This area requires a signature from the appropriate command level, and neglecting to fill it out may result in the form being deemed incomplete. The signature signifies acknowledgment and approval of the risk management decisions made in the preceding sections.

Finally, it is not uncommon for users to disregard the instructions provided for completing the form. Skimming through the guidelines can lead to serious inaccuracies. It is critical that every aspect of the form is filled out according to the specified requirements to avoid complications down the line.

Documents used along the form

The DA 7566 form is essential for assessing and managing risks in military operations. However, several other documents complement its use and help ensure a comprehensive risk management process. Below is a list of these documents, each serving a specific purpose.

  • DA Form 6700 - This form is a Risk Management Planning Worksheet that outlines the overall risk management process for a project or mission. It helps in planning and documenting risk management efforts.
  • DA Form 7279 - This is the Composite Risk Management (CRM) Assessment Tool, used to evaluate risks associated with specific tasks. It provides a structured approach to identify and mitigate hazards.
  • FM 5-19 - This field manual outlines procedures for risk management in military operations. It serves as a guide for personnel on how to assess and control risks effectively.
  • DA Form 2028 - This is a Recommended Changes to Publications form. It allows users to suggest updates or changes to existing risk assessment tools and documents.
  • DA Form 1059 - The Academic Evaluation Report, which documents a soldier’s performance during training courses, helps assess individual readiness in dealing with risks.
  • DA Form 2446 - This form is used for submitting Safety Inspection Reports. It aids in identifying workplace hazards and initiating corrective actions.
  • DA Form 4856 - The Developmental Counseling Form is used by leaders to counsel soldiers. It can address behaviors and actions related to risk management and safety compliance.
  • AR 385-10 - This Army regulation provides guidelines for the Army Safety Program. It sets forth policies that govern the implementation of safety measures alongside risk management efforts.
  • DA Form 7488 - The Safety Inspection Report is filled out after safety inspections. It documents findings and recommendations to improve safety measures and mitigate risks.
  • DA Form 4604 - This is a Hazard Report, allowing personnel to formally report hazardous conditions or unsafe practices. It plays a critical role in identifying and addressing risks in a timely manner.

These forms and documents work together with the DA 7566 to create a robust risk management framework. Ensuring all aspects of risk are documented and assessed safeguards personnel and missions alike.

Similar forms

  • DA Form 3956 - Risk Assessment: Similar to the DA 7566, this form serves to evaluate potential hazards in military operations. It focuses on identifying risks related to specific tasks and provides guidelines to mitigate those risks.

  • DA Form 7799 - Safety and Health Risk Assessment: This document assesses safety and health risks associated with military activities. Like DA 7566, it emphasizes detail in identifying risks and implementing controls to ensure safety during operations.

  • DA Form 4086 - Hazardous Material Information Review: This form is used to review the risks associated with hazardous materials. It parallels DA 7566 by requiring a thorough examination of potential hazards and providing a structure for assessing and managing risk.

  • DA Form 7641 - Mission Risk Assessment: This form focuses on evaluating risks related to specific military missions. Its purpose aligns closely with DA 7566, as both require a systematic approach to identify hazards, assess risks, and document controls.

Dos and Don'ts

When filling out the DA 7566 form, it’s essential to approach the task with attention and care. Here’s a list of things you should do and things you should avoid:

  • DO: Fill out the form electronically or typewrite it for clarity.
  • DO: Use black or blue-black ink if completing by hand.
  • DO: Identify hazards thoroughly, taking into account various factors like historical lessons and environmental considerations.
  • DO: Clearly define controls that will reduce or eliminate risks.
  • DO: Include specific details on how each control will be implemented.
  • DO: Indicate the responsible person for each control in the supervision section.
  • DO: Provide accurate and honest answers in the effectiveness section.
  • DO: Circle the highest residual risk level to determine the overall risk rating.
  • DO: If space is limited, note “see addendum” and continue on a separate page.
  • DO: Get signatures from the appropriate authority to finalize the form.
  • DON'T: Leave any sections blank; provide as much information as needed.
  • DON'T: Use unclear or illegible handwriting if completing by hand.
  • DON'T: Ignore historical data or prior lessons when assessing hazards.
  • DON'T: List vague controls that lack clarity or specificity.
  • DON'T: Forget to monitor how controls are being implemented.
  • DON'T: Use overly complicated language; keep it simple and direct.
  • DON'T: Skip the signature step; an unsigned form may not be accepted.
  • DON'T: Make assumptions; verify all information before submission.
  • DON'T: Submit the form without a thorough review of entries.
  • DON'T: Overlook the importance of accurate risk assessment in achieving safety.

Misconceptions

There are several misconceptions regarding the DA 7566 form, which is crucial for composite risk management. Understanding these myths can help ensure better compliance and more effective risk management processes.

  • The DA 7566 form is only for military personnel. In reality, while the form is primarily used by military units, it can also be valuable for civilian contractors and other organizations involved in military operations or training exercises. Anyone participating in such activities can benefit from using this form to assess and manage risks.
  • The form is just a checkbox exercise. Many believe that filling out the DA 7566 form is merely about checking boxes without understanding the content. It is essential to recognize that the form is designed to facilitate thorough risk assessment and planning, not just a formality. Each section requires careful consideration of various factors, which can significantly impact safety and response strategies.
  • All hazards must be eliminated for the mission to proceed. Some think that if any hazard remains, the mission should be postponed. However, the goal is to assess and mitigate risks by implementing controls. Acceptable levels of residual risk can sometimes allow missions to proceed while maintaining necessary safety measures.
  • Once the DA 7566 form is completed, it doesn’t need to be revisited. A common misconception is that the risk assessment is a one-time task. In truth, risks can evolve. Regular reviews and updates of the DA 7566 form are vital as conditions change, ensuring that the controls remain effective and relevant.

Key takeaways

Filling out and using the DA 7566 form is vital for effective risk management in military operations. Here are four key takeaways to guide users in this process:

  • Comprehensive Hazard Identification: Carefully identify hazards by evaluating METT-TC factors and incorporating lessons learned from past experiences. This thorough approach minimizes risks associated with the mission or task.
  • Clearly Defined Controls: Develop robust controls for each identified hazard. Explain who will implement the control, as well as the specifics of what needs to be done, when, and how. This clarity ensures effective communication and understanding among team members.
  • Regular Risk Assessment: Utilize the risk assessment matrix to establish both initial and residual risk levels for each hazard. This ongoing evaluation is essential for adapting to changing circumstances and ensuring that risk is managed appropriately throughout the operation.
  • Documenting Effectiveness: After implementing controls, it is crucial to assess their effectiveness. Indicate whether controls were successful and be open to adjusting strategies based on real-time evaluations. This practice promotes continuous improvement and learning.