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WORKSHEET
Unit: D Co, 3d LAR
Phase 2-Dehydration
Cause
-Dehydration
-Excessive Temperatures
-Falls
-Sprains
-Blisters
Initial
RAC
I/C = 2
Serious
I/C = 2
Serious
II/C = 3
Moderate
Residual
RAC
I/D=3
Moderate
I/D=3
Moderate
II/D=4
Minor
Phase 2 - Animals,
insects, UXO, and other
environmental injuries
Cause
Initial
RAC
III/B=3
Moderate
Residual
RAC
III/D=5
Negligible
Mishap Probability
A- FREQUENT
B- LIKELY
C- OCCASIONAL
D- UNLIKELY
H
A
Z
A
R
D
S
E
V
E
R
I
T
Y
Risk Decision
Authority:
Critical
RSO:____________________
Sgt. Montes
MISHAP PROBABILITY
II
III
OIC: ____________________
2ndLt Smith
Co Cmdr: ________________
1st Lt Johnston
Gunner : _________________
Ssgt. Cushman
Bn S-3:___________________
Maj. Hanson
Required Information
Weapons Qualified
Weapons Knowledgeable
RSO Qualifications
N/A
N/A
OIC Qualifications
N/A
N/A
Bn Cmdr:_________________
LtCol Good
Safety procedures for all weapon systems will be briefed prior to live-fire.
COs initials