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The DA 7566 form, known as the Composite Risk Management Worksheet, plays a crucial role in ensuring the safety and effectiveness of military operations. Designed for use in conjunction with FM 5-19, the form facilitates a structured approach to identifying and managing risks associated with various tasks and missions. Key components include sections for listing the task details, identifying hazards, assessing initial and residual risk levels, and developing and implementing controls aimed at mitigating identified risks. Users must document how these controls will be supervised and evaluate their effectiveness after implementation. The form culminates in an overall risk level assessment, guiding commanders in making informed decisions about whether to proceed with the mission based on the evaluated risk. Additionally, the signature of the risk decision authority affirms that the necessary precautions have been considered and addressed, reflecting a commitment to safety and operational readiness.

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.

File Breakdown

Fact Name Description
Form Purpose The DA 7566 form is used as a Composite Risk Management Worksheet, helping to identify and manage risks in military operations.
Governing Agency The proponent agency for this form is TRADOC (Training and Doctrine Command).
Risk Assessment It utilizes a risk assessment matrix to determine both initial and residual risk levels for each identified hazard.
Control Measures The form requires users to develop specific control measures for each hazard, detailing who will implement them and how.
Overall Risk Level After implementing controls, users must select the highest residual risk level as the overall risk for the mission or task.
Signature Requirement The form must be signed by a designated Risk Decision Authority to validate the risk assessment and decisions made.
Two Pages The form consists of two pages, with additional space provided for entries on the second page.
Instructions Clear instructions are provided for completing the form, including guidance for electronic or handwritten completion.

Guide to Using Da 7566

Completing the DA 7566 form requires careful attention to detail. Follow these steps to fill it out correctly, ensuring all necessary information is included. This form is essential for managing risks related to specific tasks or missions.

  1. Item 1: Enter the mission or task indicated in this block.
  2. Item 2a: Fill in the date and time when the task begins.
  3. Item 2b: Fill in the date and time when the task ends.
  4. Item 3: Write the date the form is prepared using YYYYMMDD format.
  5. Item 4: Provide your last name, rank, and position.
  6. Item 5: Identify subtasks related to the main mission or task in Item 1.
  7. Item 6: Identify hazards by reviewing METT-TC factors and other considerations.
  8. Item 7: Determine the initial risk level for each hazard using the risk assessment matrix.
  9. Item 8: Develop one or more controls for each hazard to either eliminate or reduce risk.
  10. Item 9: Assess and enter the residual risk level for each identified hazard.
  11. Item 10: Describe how each control will be implemented and communicated.
  12. Item 11: Decide how to supervise the implementation of each control.
  13. Item 12: Indicate whether each control was effective by answering "Yes" or "No."
  14. Item 13: Identify the overall risk level by circling the highest residual risk level.
  15. Item 14: Obtain the appropriate authority's signature, including their last name, rank, and duty position.

Once completed, review the form for accuracy and ensure it is signed by the necessary authority. This ensures that all stakeholders are aware of the risks and controls implemented.

Get Answers on Da 7566

What is the purpose of the DA Form 7566?

The DA Form 7566, known as the Composite Risk Management Worksheet, is designed for assessing and managing risks associated with military missions and tasks. It helps in identifying potential hazards, evaluating the initial and residual risks, and implementing controls to mitigate those risks. By using this form, leadership can ensure that proper safety protocols are followed, ultimately enhancing the safety and effectiveness of operations.

How do I fill out the risk assessment sections?

To fill out the risk assessment sections of the DA Form 7566, follow these steps:

  1. Subtask: Identify the specific subtask related to the main mission.
  2. Hazards: Assess potential hazards by considering factors like equipment characteristics and environmental conditions.
  3. Initial Risk Level: Evaluate and assign an initial risk level for each identified hazard using the risk assessment matrix.
  4. Controls: Develop measures to either eliminate the hazard or minimize its impact. Specify how and when these controls will be implemented.
  5. Residual Risk Level: After implementing controls, assess and document the remaining risk level.
  6. Implementation and Supervision: Describe how controls will be communicated and monitored for effectiveness.

Make sure to thoroughly document each step to ensure clarity and accountability.

How is overall risk level determined?

The overall risk level is determined by identifying the highest residual risk level from the individual hazards you've assessed. This is done by reviewing the information documented in the risk assessment sections. Once you find the highest level, circle it. This level reflects the combined risk for the mission or task and is critical for decision-making.

Who is responsible for signing the DA Form 7566?

The DA Form 7566 must be signed by the Risk Decision Authority. This authority typically has a higher command role. Their signature confirms that the risk assessment has been reviewed and that they agree with the proposed controls and overall risk level. This process ensures responsibility and accountability within the chain of command.

Common mistakes

Filling out the DA 7566 form correctly is crucial for effective risk management. Many individuals make common mistakes that can lead to misunderstandings or incomplete assessments. Here are seven mistakes to avoid.

Firstly, failure to identify all hazards is a frequent error. People often overlook critical factors when assessing risks. Reviewing METT-TC factors thoroughly is essential. Don’t rush this step; every hazard has the potential to affect the overall risk level significantly.

Secondly, inaccurate risk level assessments can misrepresent the situation. It’s important to properly apply the risk assessment matrix to determine both initial and residual risk levels. Neglecting to base these assessments on historical data or personal experience can lead to a skewed understanding of the actual risk.

Additionally, inadequate controls can expose teams to unnecessary danger. Each identified hazard should be met with a robust control strategy aimed at either eliminating the hazard or minimizing its associated risks. Simply listing controls without thorough consideration of their effectiveness is a mistake that can compromise safety.

Furthermore, neglecting implementation procedures is a critical oversight. It's not enough to outline controls; explaining how these will be communicated and put into practice is vital. Lack of clarity on roles and responsibilities may hinder execution.

Another common mistake is poor supervision planning. Without a clear plan on how to monitor and enforce the controls, risks may re-emerge. Continuous supervision or regular spot-checking should be added to the implementation strategy to ensure that safety measures remain effective.

Moreover, failing to assess control effectiveness afterward creates significant risks. Marking controls as effective or ineffective without adequate evaluation can lead to repeating mistakes. Feedback on what worked and what did not is vital for future assessments.

Lastly, overlooking the overall risk level before submitting the form is a grave mistake. Identifying and circling the highest residual risk ensures that decision-makers are aware of the potential dangers. This step requires careful consideration, as it can influence command decisions on whether to proceed with the mission.

Avoiding these common mistakes can enhance the effectiveness of the DA 7566 form process. Clear, thorough, and accurate completion is key to successful risk management.

Documents used along the form

The DA 7566 form, also known as the Composite Risk Management Worksheet, is essential for assessing and managing risks in military operations. To effectively use this form, there are several other documents and forms commonly associated with it. Here’s a brief overview of some of them:

  • DA Form 7279: This is the Army's Risk Management Checklist. It helps identify potential hazards and assess risks related to specific activities or tasks. This form is typically used in operational planning and ensures all potential issues are addressed before execution.
  • DA Form 4430: Known as the Risk Assessment Tool, the DA 4430 aids in evaluating risks associated with field exercises. It provides a structured approach to measure the likelihood and impact of various risks, ensuring a comprehensive analysis.
  • DA Form 2807-1: This is a Medical Prescreen Report and is vital for assessing the health risks of personnel involved in specific activities. The form collects necessary medical data, which can impact the effectiveness and safety of missions.
  • FM 5-19: This is the Army's manual on Composite Risk Management. It provides guidelines for implementing the risk management process, including principles and procedures crucial for effective risk assessment and mitigation.

Utilizing these documents alongside the DA 7566 form facilitates a thorough approach to risk management. Together, they create a comprehensive framework for enhancing safety and effectiveness in military operations.

Similar forms

The DA Form 7566, known as the Composite Risk Management Worksheet, serves a critical role in assessing risks associated with military tasks or missions. It is similar to several other documents that also focus on risk assessment, management, and operational planning. Below is a comparison of the DA 7566 with seven other related documents.

  • DA Form 2028: This form is used for recommending changes to Army publications. Like the DA Form 7566, it emphasizes thorough documentation and structured data entry, enabling the identification of potential improvements in operational procedures.
  • DA Form 4856: The Developmental Counseling Form facilitates writing counseling reports for soldiers. It parallels the DA Form 7566 in that both require identifying specific issues and documenting them clearly for effective communication and accountability.
  • DA Form 705: This form tracks the Army Physical Fitness Test (APFT) results. Similar to the DA Form 7566, it involves risk assessment by evaluating a soldier's physical capabilities and outlining corrective actions to improve physical readiness.
  • DA Form 2823: The Sworn Statement form is used to collect eyewitness accounts. Both forms emphasize clarity of information and detailed descriptions, which are crucial in understanding the context and potential hazards in military operations.
  • DA Form 4140: This form tracks supplies and inventory management. Like the DA Form 7566, it focuses on controlling and mitigating risks, ensuring that resources are adequately managed to support mission success.
  • Risk Management Plans (RMP): These documents outline strategies for identifying and managing risks on larger scales. They provide comprehensive overviews akin to the DA Form 7566 but typically involve multi-layered operations with higher stakes and broader implications.
  • Incident Report (DA Form 285): This form documents incidents and accidents within military operations. It shares similarities with the DA Form 7566 in that both center on identifying causes, assessing impacts, and recommending preventative measures to avoid future occurrences.

Dos and Don'ts

When filling out the DA 7566 form, attention to detail is essential. Here’s a helpful list to guide you through the process. Some actions will enhance accuracy, while others could lead to errors. Follow these do's and don'ts carefully.

  • Do ensure you use black or blue-black ink if you are completing the form by hand.
  • Don't use pencil or any other color ink, as legibility may be compromised.
  • Do review historical lessons and utilize METT-TC factors to identify hazards accurately.
  • Don't skip entries in sections; ensure every section is filled out to provide complete information.
  • Do clearly define controls for each hazard, detailing who will implement them and how.
  • Don't leave important sections vague; specificity is key in implementing safety measures.
  • Do indicate whether controls were effective with a clear "Yes" or "No."
  • Don't forget to assess residual risks after implementing controls; this is vital for understanding overall risk.
  • Do communicate the plan for monitoring control effectiveness through clear instructions.
  • Don't overlook the need for proper signatures. The risk decision authority must sign off on the document to validate it.

Keeping these do's and don'ts in mind will help you complete the DA 7566 form accurately and effectively. Attention to detail and a clear understanding of risks are paramount for successful risk management.

Misconceptions

Misconception 1: The DA Form 7566 is only for use in combat situations.

This form is applicable in various environments, not just combat. It can be useful for any mission or task where risk management is required, including training and operational planning.

Misconception 2: You need to have advanced training to fill out the DA Form 7566.

The form is designed to be user-friendly. Basic knowledge of risk management principles is sufficient for anyone to complete it.

Misconception 3: Filling out the form guarantees safety during operations.

While the form helps identify and manage risks, it does not eliminate them. It is part of a larger risk management process that requires continuous monitoring and adjustments.

Misconception 4: The information on the DA Form 7566 is only relevant to the individual completing it.

In fact, the form serves as a communication tool. It shares important risk information with others involved in the mission or task, making it a team-oriented process.

Misconception 5: Once the form is completed, it does not need to be revisited.

Risk conditions can change rapidly. It is essential to review and update the form as new information or hazards emerge during a mission or task.

Misconception 6: The DA Form 7566 is used solely for identifying hazards.

While hazard identification is a key component, the form also includes steps for evaluating risks, implementing controls, and assessing the effectiveness of those controls.

Misconception 7: The form is not necessary if you have previous experience with similar tasks.

Even experienced personnel should complete the form. Each mission or task has unique risks that need careful evaluation, regardless of prior experience.

Misconception 8: Completing the form is a one-time event.

Risk management is an ongoing process. The form may need to be completed multiple times as missions evolve or as new risks are discovered.

Key takeaways

The DA Form 7566, known as the Composite Risk Management Worksheet, serves a critical function in managing risk for military tasks. Understanding how to fill it out correctly is essential for ensuring safety and compliance. Below are key takeaways for using this form effectively.

  • Purpose and Importance: The form assists teams in identifying and managing risks associated with specific missions or tasks.
  • Completing the Form: Use either a computer or typewriter to fill out the form. If neither option is available, write clearly in black or blue-black ink.
  • Identify Hazards: Review the factors of METT-TC (Mission, Enemy, Terrain and Weather, Troops, Time Available, Civilian Considerations) to identify potential hazards specific to the mission.
  • Initial Risk Assessment: Assess the initial risk level for each identified hazard by applying the risk assessment matrix. Historical lessons learned can guide this evaluation.
  • Establish Controls: Develop controls to either eliminate or mitigate the risks associated with each identified hazard. Clearly specify how these controls will be implemented.
  • Residual Risk Level: After implementing controls, determine the residual risk level for each hazard. This indicates the remaining risk once controls are in place.
  • Implementation Strategies: Provide details on how each control will be communicated to the personnel responsible for implementing them, whether through written instructions or oral communication.
  • Supervision Plans: Outline how the implementation of controls will be monitored. Continuous supervision and regular spot-checks should be part of this plan.
  • Decision Authority: The appropriate decision authority must sign off on the form, indicating that they accept the overall risk level and are aware of the necessary controls and their implementation.

Each of these elements plays a significant role in the successful management of risk within military operations. Properly addressing them ensures that risks are minimized and that personnel can safely perform their duties.