The words you are searching are inside this book. To get more targeted content, please make full-text search by clicking here.
Discover the best professional documents and content resources in AnyFlip Document Base.
Search
Published by michael.hancock, 2021-01-22 10:49:36

Off Duty Recreation Risk Assessment Worksheets

Off Duty Recreation Risk Assessment Book

MCAF Quantico

Recreational Activity Risk Worksheet

OFF-DUTY ACTIVITY RISK ASSESSMENT

Recreational Activity: Skydiving

Date of Assessment: 2019-05-23

1. LCpl Ivan Garcia INDIVIDUALS COMPLETING THE ASSESSMENT
2. MSgt Joseph Camargo 4. 2ndLt Mary Kraynak
3. PFC Josh Langdon 5. Cpl Logan Davis
6.

UNIQUE ACTIVITY INFORMATION

Explanation

Is special training required for this activity? Yes Skydiving Class, Skydiving Specialist

Is special equipment or PPE required? Yes Parachute, Goggles, Harness, Failsafe

parachute, proper clothing

Will weather have an adverse effect? Yes Adverse weather may cancel a jump such as

a thunderstorm or rain.

For safety reasons, is it advisable that this Yes Skydiving is usually something done with a

activity utilize the buddy system? group, and qualified instructors or

individuals. This is not an event you should

do alone.

HAZARD, RISK, AND CONTROL MEASURES

HAZARD: SEVERITY: PROBABILITY: RAC:

Main Parachute Failure I - Catastrophic D - Unlikely RAC 3 - Moderate

CONTROL MEASURES:

Ensure main chute is packed by trained and qualified individuals ONLY. Prior to jumping, ensure your pack

and rigging has been inspected and rechecked by qualified individual. Ensure backup parachute is in place.

HAZARD: SEVERITY: PROBABILITY: RAC:
Landing Injury II – Critical
C - May RAC 3 - Moderate

CONTROL MEASURES:

Ensure appropriate classes are taken on how to land as it is critical to land correctly to avoid impact sprains

and strains brought on by impacting the ground.

HAZARD: SEVERITY: PROBABILITY: RAC:

Weather - strong winds III - Moderate C - May RAC 3 - Moderate

CONTROL MEASURES:

Prior to departure check weather. If winds exceed limitations, cancel the jump. Additionally, check wind

direction to ensure you will not be blown into wooded areas, powerlines, buildings, or populated areas. When

in doubt, stay on the ground.

HAZARD: SEVERITY: PROBABILITY: RAC:

CONTROL MEASURES:

HAZARD: SEVERITY: PROBABILITY: RAC:
CONTROL MEASURES:

HAZARD: SEVERITY: PROBABILITY: RAC:
CONTROL MEASURES:

MCAF Quantico SEVERITY: PROBABILITY: RAC:
Recreational Activity Risk Worksheet
SEVERITY: PROBABILITY: RAC:
HAZARD:

CONTROL MEASURES:

HAZARD:

CONTROL MEASURES:

SPECIAL INSTRUCTIONS
1. Skydiving is inherently dangerous but when proper controls are in place this activity can be safe and fun.
2.
3.
4.
5.
6.

REAL LIFE STORIES (Provided by the Safety Office)

USMC/Off-Duty: Service member was on a recreational skydiving trip at PK airport in Raeford NC,

approximately 30 minutes from Fort Bragg, Fayetteville. Three gear checks were conducted prior to manifest. AAD
was verified and current, reserve was repacked by a certified master rigger and current. The pilot chute was verified,
cocked and bridle routing was correct. The jump was 12.9 K above ground level (AGL), 60 seconds free fall, cleared
and pulled at 4K feet AGL. Canopy opened with line twist, kicked out and was flying straight and level above 2000
feet. 1200 feet AGL SVM was forced to maneuver due to another jumper losing situational awareness. Both jumpers
were going to collide, SVM avoided collision by maneuvered away causing a loss of altitude. SVM was then too
low to make the drop zone. SVM canopy clipped a tree causing a fall from approximately 30 feet from the ground.
SNM suffered a fractured right leg and pelvis, and severely sprained right ankle.

USMC/Off-Duty: SNM was engaged in recreation skydiving and landed incorrectly, rolling and
breaking his left ankle.

USMC/Off-Duty: SNM was on leave with his wife in Australia. While on leave, the couple went
skydiving with the Euroa Skydiving School. SNM had complete all required training by the
school for a solo jump. SNM was an experienced and qualified static line jump master and
military free fall parachutist with more than thirty jumps of each type. Ground witnesses report
that the SNM was properly descending into the wind with a fully deployed canopy. With less
than 500 feet, and being blown approximately 200 meters away from the landing zone, he
attempted to conduct a 360 degree turn which caused him to rapidly descend. The rapid descent
was unrecoverable and the individuals struck his face and head on a concrete runway.
Paramedics responded where SNM was declared deceased at the scene.

MCAF Quantico

Recreational Activity Risk Worksheet

OFF-DUTY ACTIVITY RISK ASSESSMENT

Recreational Activity: Sledding

Date of Assessment: 2019-11-21

1. Ivan Garcia INDIVIDUALS COMPLETING THE ASSESSMENT
2. Mary Kraynak 4. Logan Davis
3. Josh Langdon 5. Joseph Camargo
6.

UNIQUE ACTIVITY INFORMATION

Explanation

Is special training required for this activity? No NA

Is special equipment or PPE required? Yes Warm Weather Gear

Will weather have an adverse effect? Yes Weather can affect the speed and velocity

of travel across the snow.

For safety reasons, is it advisable that this Yes NA

activity utilize the buddy system?

HAZARD, RISK, AND CONTROL MEASURES

HAZARD: SEVERITY: PROBABILITY: RAC:

Hitting a Tree II - Critical D - Unlikely RAC 4 - Minor

CONTROL MEASURES:

Stick to the path and do not stray into any forest. Know that a sled may not always be able to stop or slow

down. Be prepared to jump off.

HAZARD: SEVERITY: PROBABILITY: RAC:
RAC 3 - Moderate
Frostbite II – Critical C - May

CONTROL MEASURES:

Wear the proper warming layers and be cognizant of weather around you.

HAZARD: SEVERITY: PROBABILITY: RAC:

Going into the road II – Critical C - May RAC 3 - Moderate

CONTROL MEASURES:

Be aware of where you are sledding. If your hill leads into a road, ensure you have spotters at the bottom of the

hill. Or relocate your sledding activities.

HAZARD: SEVERITY: PROBABILITY: RAC:

CONTROL MEASURES:

HAZARD: SEVERITY: PROBABILITY: RAC:
CONTROL MEASURES:

HAZARD: SEVERITY: PROBABILITY: RAC:
CONTROL MEASURES:

HAZARD: SEVERITY: PROBABILITY: RAC:
CONTROL MEASURES:

MCAF Quantico SEVERITY: PROBABILITY: RAC:
Recreational Activity Risk Worksheet

HAZARD:

CONTROL MEASURES:

SPECIAL INSTRUCTIONS
1.
2.
3.
4.
5.
6.

REAL LIFE STORIES (Provided by the Safety Office)

USMC/Off-Duty: Service member was up in the mountains sledding in the snow when going down an
unfamiliar path, he ran into a tree injuring his left hand. He reported to a military medical facility and
was diagnosed and treated for a fractured hand.

USMC/Off-Duty: Marine was on leave over the Christmas holiday and went sledding at a popular and
familiar hill. After several runs down the hill, he and the sled went airborne. The impact of the landing
resulted in a dislocated right shoulder. SNM went to the local emergency room where the shoulder was
reset. Individual will report to local medical services when he returns.

USMC/Off-Duty: Marine E6 was snow sledding with a church group over the weekend and as he
accelerated downhill he noticed a tree branch sticking out of the snow but it was too late to avoid a
collision with the branch. The tree branch punctured his right thigh and snapped off into his leg resulting
in a puncture wound and 6 inch laceration filled with debris. Marine went to the local emergency room
for would clearing and stitches.

MCAF Quantico

Recreational Activity Risk Worksheet

OFF-DUTY ACTIVITY RISK ASSESSMENT

Recreational Activity: Snowball Fight

Date of Assessment: 2019-11-21

1. Ivan Garcia INDIVIDUALS COMPLETING THE ASSESSMENT
2. Mary Kraynak 4. Josh Langdon
3. Joseph Camargo 5. Logan Davis
6.

UNIQUE ACTIVITY INFORMATION

Explanation

Is special training required for this activity? No

Is special equipment or PPE required? Yes Warm weather gear

Will weather have an adverse effect? Yes It will effect this activity by determining the

strength of the snow

For safety reasons, is it advisable that this Yes

activity utilize the buddy system?

HAZARD, RISK, AND CONTROL MEASURES

HAZARD: SEVERITY: PROBABILITY: RAC:

Concussion II - Critical C - May RAC 3 - Moderate

CONTROL MEASURES:

If an ice ball is thrown, it can make some get a lot of damage. It can break skin or cause someone to get a

concussion

HAZARD: SEVERITY: PROBABILITY: RAC:

Frostbite III - Moderate C - May RAC 3 - Moderate

CONTROL MEASURES:

If your clothes get wet with sweat and then freeze it can cause you to get frostbite. It is important to monitor

the weather and your body temperature/sweat ratio. Go inside to avoid frostbite. Do not stay outside for

extended periods of time.

HAZARD: SEVERITY: PROBABILITY: RAC:

Strained/pulled muscle III - Moderate D – Unlikely RAC 5 - Negligible

CONTROL MEASURES:

Stretch before your start to throw snowballs at each other.

HAZARD: SEVERITY: PROBABILITY: RAC:

CONTROL MEASURES:

HAZARD: SEVERITY: PROBABILITY: RAC:
CONTROL MEASURES:

HAZARD: SEVERITY: PROBABILITY: RAC:
CONTROL MEASURES:

HAZARD: SEVERITY: PROBABILITY: RAC:
CONTROL MEASURES:

MCAF Quantico SEVERITY: PROBABILITY: RAC:
Recreational Activity Risk Worksheet

HAZARD:
CONTROL MEASURES:

SPECIAL INSTRUCTIONS
1.
2.
3.
4.
5.
6.

REAL LIFE STORIES (Provided by the Safety Office)

USMC/Off-Duty: Marine was engaged in a snowball fight outside of the barracks when he was hit in the
eye with an extremely well packed snowball. Over the next several hours, considerable swelling closed
the eye and broken blood vessels started filling the eye with blood. Individual was transported to a local
army hospital where he was treated and realized. SNM received 2 days SIQ and 7 days light duty with
restrictions on driving until his vision returns to normal.

MCAF Quantico

Recreational Activity Risk Worksheet

OFF-DUTY ACTIVITY RISK ASSESSMENT

Recreational Activity: SNOWBOARDING

Date of Assessment: 2019-11-20

INDIVIDUALS COMPLETING THE ASSESSMENT

1. Mary Kraynak / Ivan Garcia / Logan Davis 4. Damian Tramel / Maxwell Bartoloni / Damien Jones

/ Michael Gladden

2. Joseph Camargo, Josh Langdon, Sgt Christopher 5. Sgt Zachary Watkins / SSgt Brandon Ashbrook / Cpl

Swogger / Cpl Ben Jordan / Sgt Seth Bragg Daniel Kalinuk

3. Nickolas Lapolla / Antonio Seaforth / Jonathan 6. Travis Loggins / Devon Richards / Alexander

Cousineau Gaskin / Clyde Rash / Joshua Palmeri

UNIQUE ACTIVITY INFORMATION

Explanation

Is special training required for this activity? Yes INITIAL SNOWBOARDING LESSONS

Is special equipment or PPE required? Yes HELMET, WARM WEATHER GEAR,

GLOVES, SNOW BOOTS, GOGGLES

Will weather have an adverse effect? Yes IF THERE ARE BLIZZARD-LIKE

CONDITIONS IT WILL BE DIFFICULT

TO SNOWBOARD SAFELY DOWN THE

MOUNTAINS

For safety reasons, is it advisable that this Yes

activity utilize the buddy system?

HAZARD, RISK, AND CONTROL MEASURES

HAZARD: SEVERITY: PROBABILITY: RAC:

Frostbite / Hypothermia III - Moderate C - May RAC 3 - Moderate

CONTROL MEASURES:

Wear proper warming layers, have an emergency blanket. Make sure another person knows that you are going

out into the cold for extended periods of time. Ensure you have adequate cold weather training. Practice good

time management to limit exposure. Have an established emergency plan to minimize exposure.

HAZARD: SEVERITY: PROBABILITY: RAC:
Impacting a tree, person, or other object II – Critical
C - May RAC 3 - Moderate

CONTROL MEASURES:

If you are untrained in snowboarding and not efficient at navigating the slopes, you are at increased risk of

running into a tree or other object. Ensure you stay within your skill level and do not board in locations where

you can injure yourself or others.

HAZARD: SEVERITY: PROBABILITY: RAC:

Sprains / Strains III - Moderate C - May RAC 3 - Moderate

CONTROL MEASURES:

If you are snowboarding, and performing maneuvers without properly stretching. There is an increased risk for

pulling/straining a muscle/ In order to prevent sprains and strains you should stretch and warm up prior.

HAZARD: SEVERITY: PROBABILITY: RAC:

Avalanche I - Catastrophic D – Unlikely RAC 3 - Moderate

CONTROL MEASURES:

Know the signs of avalanches. Use the buddy program. Don't venture out to unknown areas of the mountain.

HAZARD: SEVERITY: PROBABILITY: RAC:

Getting Lost II – Critical C - May RAC 3 - Moderate

CONTROL MEASURES:

Stay on established paths. Use the buddy program. Keep a phone on you. Know the area you're at. If driving

have a GPS and mark the resort.

MCAF Quantico
Recreational Activity Risk Worksheet

HAZARD: SEVERITY: PROBABILITY: RAC:

Riding the ski lift I - Catastrophic D – Unlikely RAC 3 - Moderate

CONTROL MEASURES:

No horse playing while riding the ski lift. Follow the attendant’s instructions. Do not hinder the movement of

others debarking the ski lift and it may cause injury to yourself or others. Use the safety bar, proper posture

while riding, embarking, and debarking the lift.

HAZARD: SEVERITY: PROBABILITY: RAC:

CONTROL MEASURES:

HAZARD: SEVERITY: PROBABILITY: RAC:
CONTROL MEASURES:

SPECIAL INSTRUCTIONS
1.
2.
3.
4.
5.
6.

REAL LIFE STORIES (Provided by the Safety Office)

USMC/Off-Duty: Service member was snowboarding at Tsugaike Ski Resort. While he was halfway down the

mountain, he shifted his weight and fell forward. He landed on his left shoulder and heard a snap. Service member
looked over and saw a piece of his collar bone sticking out under his skin. He pushed the bone back in and
immediately took the train back to base where he received medical treatment.

USMC/Off-Duty: SNM was a first time snowboarder. SNM was snowboarding at Big Bear Mountain when the

injury occurred. SNM was snowboarding down a beginner's hill when SNM fell backwards onto SNM's arm causing
a hairline fracture to SNM's left forearm. SNM was given pain medication, received a down chit, and placed on light
duty.

USMC/Off-Duty: Service member fell while on a snowboarding trip to the Hachinohe Ski Resort near Misawa,

Japan. His fall resulted in a concussion and some minor lacerations to his face and nose.

USMC/Off-Duty: Service member was snowboarding with limited experience and fell due to icy conditions.

Member fractured his left thumb. A cast is placed on the members left arm/hand for 7-8 weeks

MCAF Quantico

Recreational Activity Risk Worksheet

OFF-DUTY ACTIVITY RISK ASSESSMENT

Recreational Activity: Snowmobile

Date of Assessment: 2019-11-21

1. Mary Kraynak INDIVIDUALS COMPLETING THE ASSESSMENT
2. Ivan Garcia 4. Logan Davis
3. Josh Langdon 5. Joseph Camargo
6.

UNIQUE ACTIVITY INFORMATION

Explanation

Is special training required for this activity? Yes Lesson on how to use machinery

Is special equipment or PPE required? Yes Helmet, warming layers

Will weather have an adverse effect? Yes Will determine difficulty to traverse the

terrain.

For safety reasons, is it advisable that this Yes

activity utilize the buddy system?

HAZARD, RISK, AND CONTROL MEASURES

HAZARD: SEVERITY: PROBABILITY: RAC:

Frostbite/hypothermia II - Critical C - May RAC 3 - Moderate

CONTROL MEASURES:

Wear the proper warming layers. Return to base camp if showing signs of frostbite/hypothermia.

HAZARD: SEVERITY: PROBABILITY: RAC:

Hit a tree II – Critical C - May RAC 3 - Moderate

CONTROL MEASURES:

Be cognizant of where you are directing the Snowmobile. Avoid trees and pay attention to what is in front of

you.

HAZARD: SEVERITY: PROBABILITY: RAC:
D – Unlikely RAC 3 - Moderate
Flip the Snow Mobile. I - Catastrophic

CONTROL MEASURES:

Stay focused on where you are driving the snow mobile.

HAZARD: SEVERITY: PROBABILITY: RAC:

Falling through ice. I - Catastrophic D – Unlikely RAC 3 - Moderate

CONTROL MEASURES:

Avoid driving over lakes and ponds. This will prevent you from going into the cold water.

HAZARD: SEVERITY: PROBABILITY: RAC:

CONTROL MEASURES:

HAZARD: SEVERITY: PROBABILITY: RAC:
CONTROL MEASURES:

HAZARD: SEVERITY: PROBABILITY: RAC:
CONTROL MEASURES:

MCAF Quantico SEVERITY: PROBABILITY: RAC:
Recreational Activity Risk Worksheet

HAZARD:

CONTROL MEASURES:

SPECIAL INSTRUCTIONS
1.
2.
3.
4.
5.
6.

REAL LIFE STORIES (Provided by the Safety Office)

MCAF Quantico

Recreational Activity Risk Worksheet

OFF-DUTY ACTIVITY RISK ASSESSMENT

Recreational Activity: Snowshoeing

Date of Assessment: 2019-11-21

1. Ivan Garcia INDIVIDUALS COMPLETING THE ASSESSMENT
2. Mary Kraynak 4. Logan Davis
3. Josh Langdon 5. Joseph Camargo
6.

UNIQUE ACTIVITY INFORMATION

Explanation

Is special training required for this activity? No

Is special equipment or PPE required? Yes Snow shoes, Warming Layers

Will weather have an adverse effect? Yes Blizzards can cause frostbite and

hypothermia

For safety reasons, is it advisable that this Yes

activity utilize the buddy system?

HAZARD, RISK, AND CONTROL MEASURES

HAZARD: SEVERITY: PROBABILITY: RAC:

Frostbite/Hypothermia III - Moderate C - May RAC 3 - Moderate

CONTROL MEASURES:

Wear the proper warming layers and be cognizant of the sweat on your body so it does not freeze to you.

HAZARD: SEVERITY: PROBABILITY: RAC:
RAC 4 - Minor
Broken Snow Shoe II – Critical D – Unlikely

CONTROL MEASURES:

If a snow shoe breaks, it will be difficult to traverse the terrain. Carry an extra.

HAZARD: SEVERITY: PROBABILITY: RAC:

CONTROL MEASURES:

HAZARD: SEVERITY: PROBABILITY: RAC:
CONTROL MEASURES:

HAZARD: SEVERITY: PROBABILITY: RAC:
CONTROL MEASURES:

HAZARD: SEVERITY: PROBABILITY: RAC:
CONTROL MEASURES:

HAZARD: SEVERITY: PROBABILITY: RAC:
CONTROL MEASURES:

HAZARD: SEVERITY: PROBABILITY: RAC:

MCAF Quantico
Recreational Activity Risk Worksheet

CONTROL MEASURES:

SPECIAL INSTRUCTIONS
1.
2.
3.
4.
5.
6.

REAL LIFE STORIES (Provided by the Safety Office)


Click to View FlipBook Version