{"text_format":"1","workbook":"xlsx","n_sheets":5,"sheets":["RA Worksheet","ORM Tools","Instructions","Tailgate Safety Session","Medical Emergency"],"not_rendered":{"charts":0,"images":1,"macros":1,"external_links":0,"defined_names":16,"comments":1,"pivot_tables":0},"unopened":[],"bounds":{"document_bytes":16777216,"sheet_cells":100000,"rows_first":2000,"rows_last":500,"rows_between":2000,"halvings":0,"cell_chars":16384,"cell_head_chars":4096},"cells_cut":0,"cells_raw":0,"read":"whole","date_system":"1900"}

{"sheet":"RA Worksheet","index":0,"n_rows":15,"n_cols":11,"rows_kept":15,"cut":false,"hidden":false,"merged":[[2,0,2,3],[2,4,2,6],[2,7,2,10],[0,0,1,3],[0,4,0,6],[0,7,0,10],[1,4,1,6],[1,7,1,10],[7,0,7,1],[7,2,7,4],[5,0,5,3],[5,4,5,6],[5,7,5,10],[7,6,7,9],[3,0,3,3],[3,4,3,6],[3,7,3,10],[4,0,4,10],[6,0,6,3],[6,4,6,6],[6,7,6,10]]}
["Operational Risk Assessment Worksheet  ",null,null,null,"1. Project/Work Activity:",null,null,"2.  Location:"]
[]
["3. Specific Objective:",null,null,null,"4.  Name and Title of Preparer:",null,null,"5.  Date Prepared:"]
[]
["6.  Risk Decision Authority:  The risk decision authority block should be signed after the worksheet is completed. Use the Risk Decision Authority matrix to determine the authorization required to sign in block 6. \n"]
["Signature:",null,null,null,"Title:",null,null,"Date:"]
[]
["Identify Hazards",null,"Assess Hazards",null,null,"Develop Controls","Make Risk Decisions",null,null,null,"Implement"]
["7. Task","8. Hazard","9. Hazard\nProbability","10. Severity","11. RAC","12. Identify risk mitigations & controls\n(press [alt + enter] to add a line)","13. Hazard\nProbability","14. Severity","15. RAC","16. Task\nNecessary?","17. Hazard Control\nAssigned to:"]
[null,null,null,null,{"$f":"IFERROR(INDEX('ORM Tools'!$D$5:$H$13,MATCH(D10,('ORM Tools'!$C$5:$C$13),0),MATCH(C10,('ORM Tools'!$D$3:$H$3),0)),\"No Data\")","v":"No Data"},null,null,null,{"$f":"IFERROR(INDEX('ORM Tools'!$D$5:$H$13,MATCH(H10,('ORM Tools'!$C$5:$C$13),0),MATCH(G10,('ORM Tools'!$D$3:$H$3),0)),\"No Data\")","v":"No Data"}]
[null,null,null,null,{"$f":"IFERROR(INDEX('ORM Tools'!$D$5:$H$13,MATCH(D11,('ORM Tools'!$C$5:$C$13),0),MATCH(C11,('ORM Tools'!$D$3:$H$3),0)),\"No Data\")","v":"No Data"},null,null,null,{"$f":"IFERROR(INDEX('ORM Tools'!$D$5:$H$13,MATCH(H11,('ORM Tools'!$C$5:$C$13),0),MATCH(G11,('ORM Tools'!$D$3:$H$3),0)),\"No Data\")","v":"No Data"}]
[null,null,null,null,{"$f":"IFERROR(INDEX('ORM Tools'!$D$5:$H$13,MATCH(D12,('ORM Tools'!$C$5:$C$13),0),MATCH(C12,('ORM Tools'!$D$3:$H$3),0)),\"No Data\")","v":"No Data"},null,null,null,{"$f":"IFERROR(INDEX('ORM Tools'!$D$5:$H$13,MATCH(H12,('ORM Tools'!$C$5:$C$13),0),MATCH(G12,('ORM Tools'!$D$3:$H$3),0)),\"No Data\")","v":"No Data"}]
[null,null,null,null,{"$f":"IFERROR(INDEX('ORM Tools'!$D$5:$H$13,MATCH(D13,('ORM Tools'!$C$5:$C$13),0),MATCH(C13,('ORM Tools'!$D$3:$H$3),0)),\"No Data\")","v":"No Data"},null,null,null,{"$f":"IFERROR(INDEX('ORM Tools'!$D$5:$H$13,MATCH(H13,('ORM Tools'!$C$5:$C$13),0),MATCH(G13,('ORM Tools'!$D$3:$H$3),0)),\"No Data\")","v":"No Data"}]
[null,null,null,null,{"$f":"IFERROR(INDEX('ORM Tools'!$D$5:$H$13,MATCH(D14,('ORM Tools'!$C$5:$C$13),0),MATCH(C14,('ORM Tools'!$D$3:$H$3),0)),\"No Data\")","v":"No Data"},null,null,null,{"$f":"IFERROR(INDEX('ORM Tools'!$D$5:$H$13,MATCH(H14,('ORM Tools'!$C$5:$C$13),0),MATCH(G14,('ORM Tools'!$D$3:$H$3),0)),\"No Data\")","v":"No Data"}]
[null,null,null,null,{"$f":"IFERROR(INDEX('ORM Tools'!$D$5:$H$13,MATCH(D15,('ORM Tools'!$C$5:$C$13),0),MATCH(C15,('ORM Tools'!$D$3:$H$3),0)),\"No Data\")","v":"No Data"},null,null,null,{"$f":"IFERROR(INDEX('ORM Tools'!$D$5:$H$13,MATCH(H15,('ORM Tools'!$C$5:$C$13),0),MATCH(G15,('ORM Tools'!$D$3:$H$3),0)),\"No Data\")","v":"No Data"}]

{"sheet":"ORM Tools","index":1,"n_rows":41,"n_cols":12,"rows_kept":41,"cut":false,"hidden":false,"merged":[[3,9,5,14],[28,4,28,7],[6,9,6,14],[29,4,30,7],[31,4,32,7],[11,6,12,6],[11,7,12,7],[8,4,10,4],[8,5,10,5],[8,6,10,6],[4,7,5,7],[8,7,10,7],[30,9,31,10],[30,11,31,14],[15,9,18,14],[19,9,19,14],[21,1,23,2],[11,3,12,3],[11,4,12,4],[11,5,12,5],[13,1,13,7],[14,1,14,2],[14,3,14,7],[21,3,23,7],[18,1,20,2],[15,1,17,2],[15,3,17,7],[18,3,20,7],[6,3,7,3],[6,4,7,4],[6,5,7,5],[6,6,7,6],[6,7,7,7],[1,9,1,14],[2,9,2,14],[27,1,27,7],[9,2,10,2],[7,9,9,14],[10,9,10,14],[11,9,13,14],[14,9,14,14],[1,1,3,2],[1,3,1,7],[4,1,12,1],[4,3,5,3],[4,4,5,4],[4,5,5,5],[4,6,5,6],[8,3,10,3],[33,1,34,3],[32,9,33,10],[32,11,33,14],[34,9,35,10],[34,11,35,14],[35,1,36,3],[33,4,34,7],[35,4,36,7],[28,1,28,3],[29,1,30,3],[31,1,32,3],[24,9,25,10],[24,11,25,14],[26,9,27,10],[26,11,27,14],[28,9,29,10],[28,11,29,14],[24,1,26,2],[24,3,26,7],[20,9,21,10],[20,11,21,14],[22,9,23,10],[22,11,23,14],[36,9,37,10],[36,11,37,14],[38,9,39,10],[38,11,39,14],[37,1,41,7],[40,9,41,10],[40,11,41,14]]}
[]
[null,"Risk Assessment Matrix",null,"Probability                                                                                                                                     \nLikelihood of Mishap if Hazard is Present",null,null,null,null,null,"Operational Risk Management Principles"]
[null,null,null,"Almost Certain","Likely","Possible","Unlikely","Rare",null,"Accept No Unnecessary Risk"]
[null,null,null," (Continuously\nexperienced)"," (Will occur frequently)"," (Will occur several times)","(Remotely possible but not probable)","(Improbable; but has occurred in the past)",null,"All projects, work activities and daily routines entail risk. Unnecessary risk is any risk that, if taken, will not contribute meaningfully to the mission or task accomplishment or will needlessly jeopardize personnel or equipment. The most logical courses of action for accomplishing a project/work activity are those that meet objectives while exposing personnel and resources to the lowest possible risk. ORM provides tools to determine which risk or what degree of risk is unnecessary."]
[{"$f":"C5","v":"Catastrophic                                "},"Severity/ Consequences                                             Consequence if Mishap Occurs","Catastrophic                                ","Extremely\nHigh","Extremely\nHigh","Extremely\nHigh","High","Moderate"]
[{"$f":"C7","v":"Critical                                                   "},null,"(Imminent and immediate danger of death or permanent disability; major property or facility damage; loss of critical system or equipment)"]
[{"$f":"C9","v":"Moderate                                           "},null,"Critical                                                   ","Extremely\nHigh","Extremely\nHigh","High","Moderate","Moderate",null,"Accept Risk When Benefits Outweigh Costs"]
[{"$f":"C12","v":"Negligible                                                      "},null,"(Permanent partial disability, temporary total disability; moderate environmental damage; extensive damage to equipment)",null,null,null,null,null,null,"Even high-risk endeavors may be undertaken when decision-makers clearly acknowledge the sum of the benefits exceeds the sum of the costs. Balancing costs and benefits may be a subjective process open to interpretation. Ultimately, the appropriate decision authority may have to determine the balance, therefore personnel with knowledge and experience of the project/work activity must be involved in risk decisions."]
[null,null,"Moderate                                           ","High","High","Moderate","Low","Low"]
[null,null,"(Hospitalized minor injury, reversible illness; minor damage to equipment, property or the environment)"]
[null,null,null,null,null,null,null,null,null,"Make Risk Decisions at the Appropriate Level"]
[null,null,"Negligible                                                      ","Moderate","Moderate","Low","Low","Low",null,"Depending on the situation, anyone can make a risk decision. However, the appropriate level to make those decisions is that which most effectively understands the risk, allocates the resources to reduce the risk, eliminate the hazard, and implement controls. Leaders at all levels must ensure subordinates are aware of how much risk they are accepting. If subordinates determine that the available controls will not reduce risk to an acceptable level, the decision must be elevated to the next level in the chain of command."]
[null,null,"(First aid or minor medical treatment; little or no property or environmental damage)"]
[null,"Severity of Consequences"]
[null,"Risk Assessment Codes",null,"Definition",null,null,null,null,null,"Anticipate and Manage Risk by Planning"]
[null,"Extremely High",null,"Complete or near complete failure to meet objectives; Major property or facility damage; Death or permanent total disability; Severe environmental damage; Loss of major or critical system or equipment.",null,null,null,null,null,"Thorough planning identifies associated hazards and the steps necessary to complete the project/work activity. ORM is critically important in an operation’s planning stages and risk can change dramatically during an actual project/work activity. Therefore, supervisors and senior leadership should remain flexible and integrate ORM in executing tasks as much as in planning for them."]
[]
[]
[null,"High",null,"Significantly degraded capability for meeting the objective or accomplishing the project/incident/work activity; Injury that results in permanent partial disability, or temporary total disability lasting more than three months; Serious environmental damage."]
[null,null,null,null,null,null,null,null,null,"Definitions"]
[null,null,null,null,null,null,null,null,null,"Identified Risk",null,"The existing risk that we recognize that could reduce the likelihood of achieving our objective."]
[null,"Moderate",null,"Degraded capability for meeting objective or accomplishment of the project/incident/work activity; Lost days due to injury or illness not exceeding three months; Moderate damage to property or the environment."]
[null,null,null,null,null,null,null,null,null,"Risk",null,"An estimate of the probability and severity/consequence of uncertain future events. The International Standards Org. (ISO 31000) defines risk as \"the effect of uncertainty on objectives.\""]
[]
[null,"Low",null,"No adverse impact to meeting objective or accomplishment of the project/incident/work activity; Little or no medical treatment required; Little or no damage to equipment, systems, property or environment.",null,null,null,null,null,"Hazard",null,"Any real or potential condition that can cause damage, loss, or harm to people, infrastructure, equipment, natural resources, or property."]
[]
[null,null,null,null,null,null,null,null,null,"Probability",null,"A measure or likelihood of the chance of event occurrence."]
[null,"Risk Decision Authority"]
[null,"Risk Assessment Codes",null,null,"Project/Work Activity",null,null,null,null,"Severity",null,"The magnitude of impacts or consequences stemming from an event."]
[null,"Extremely High",null,null,"USFS Line Officer"]
[null,null,null,null,null,null,null,null,null,"Consequence",null,"The outcome or effect of an event or incident, usually evaluated with respect to objectives."]
[null,"High",null,null,"USFS Line Officer"]
[null,null,null,null,null,null,null,null,null,"Risk Control",null,"A strategy or deliberate action is taken to reduce the potential for loss, maintain risk at acceptable levels, or enhance the potential for benefits, in a manner consistent with objectives."]
[null,"Moderate",null,null,"Supervisor or Lead"]
[null,null,null,null,null,null,null,null,null,"Residual Risk",null,"The portion of total risk that remains after mitigation measures have been employed. Residual risk comprises acceptable risk and unidentified risk."]
[null,"Low",null,null,"Individual",null,null,null,{"$f":"IF(COUNTA(O28:O32)=6,SUM(O28:O32),\"\")","v":""}]
[null,null,null,null,null,null,null,null,{"$f":"IF(AND(I36>=6,I36<=23),\"LOW RISK\",IF(AND(I36>=24,I36<=44),\"MEDIUM RISK\",IF(AND(I36>=45,I36<=60),\"HIGH RISK\",IF(AND(I36=\"\"),\"\"))))","v":""},"Acceptable Risk",null,"The risks that are acceptable in order to meet objectives. Acceptable risk includes the residual and unidentified risks determined to be acceptable based on the importance of meeting objectives."]
[null,"Risk Decision Authority: Risk decision authority defines who should approve projects at each risk level and to ensure that all personnel understand the approval process. A key element of the risk decision process is determining if the risk is necessary. This decision must be made at the appropriate level by the individual who can balance the risk against the potential benefit and value. This individual decides if controls are sufficient and acceptable and whether to accept the resulting residual risk. These risk-based decisions should not be made in a silo but instead should be made in collaboration with employees who are impacted by these decisions and other stakeholders. Ultimately, acceptance of the residual risk is decided by the employees who are exposed to the hazards. If they are not comfortable with the risk remaining after controls are in place, further assessment needs to occur with their input. \n"]
[null,null,null,null,null,null,null,null,null,"Unacceptable Risk",null,"That portion of identified risk that cannot be tolerated and must be either controlled or avoided."]
[]
[null,null,null,null,null,null,null,null,null,"USFS Risk \nManagement Website",null,"https://sites.google.com/firenet.gov/operational-risk-management"]

{"sheet":"Instructions","index":2,"n_rows":35,"n_cols":4,"rows_kept":35,"cut":false,"hidden":false,"merged":[[6,1,6,3],[1,1,1,3],[2,1,2,3],[3,1,3,3],[4,1,4,3],[5,1,5,3],[7,1,7,3],[8,1,8,3],[9,1,9,3],[10,1,10,3],[11,1,11,3],[19,1,19,3],[22,1,22,3],[26,1,26,3],[28,1,28,3],[33,1,33,3]]}
[]
[null,"Risk Assessment Worksheet Instructions"]
[null,"[Reference FSM 6709-6720]"]
[]
[null,"Purpose. The purpose of the Risk Assessment Worksheet is to aid the project/work leader in completing an operational risk assessment to identify hazards and the associated risk so appropriate controls can be developed and communicated to employees. This worksheet facilitates risk communication between line officer, safety manager, program manager, project/work leader and employees. The worksheet is best utilized in the planning phase prior to the work activity or project implementation and sharing during Tailgate Safety Sessions."]
[]
[null,"Preparation. The Risk Assessment Worksheet is typically prepared by the project/work leader during the planning phase of the project or work activity. When the project/work leader is preparing for the project or work activity, the project/work leader collaborates with other employees to complete the Risk Assessment Worksheet. Project or work activity tasks are listed along with associated hazards and risks. For those projects and work activities involving hazards and risk, mitigations or controls should be developed to safeguard employees, and appropriate personnel should be briefed on the hazards, risk, mitigations, and related measures."]
[]
[null,"Distribution. When the Risk Assessment Worksheet is completed, the form is distributed to employees to help prepare for the project or work activity. All completed risk assessments should be available to employees and included in the project documentation."]
[]
[null,"Notes:  • Do not copy and paste into the worksheet over in blocks 9-11 and blocks 13-15 to prevent errors in the worksheet.\n              • It is recommended to review the Risk Assessment Worksheet with employees prior to the project or work activity \n                implementation and during Tailgate Safety Meetings. All tabs are formatted to be printed."]
[]
[null,"Block Number","Block Title","Instructions"]
[null,1,"Project/Work Activity","Enter the name of project or work activity"]
[null,2,"Location","Enter the location of project or work activity"]
[null,3,"Specific Objective","Enter the specific objective to be accomplished by the project or work activity"]
[null,4,"Name and Title of Preparer","Enter the name and title of person preparing the Risk Assessment Worksheet"]
[null,5,"Date Prepared","Enter the date that the preparer filled out the Risk Assessment Worksheet"]
[null,6,"Risk Decision Authority","Use the Risk Decision Authority matrix to determine the authorization required to sign in block 6.  The intent is to brief the Risk Decision Authority on the Control Measures used to reduce risk.  "]
[null,"Identify Hazards: See instructions for blocks 7-8"]
[null,7,"Task","Enter the tasks where employees are likely to encounter hazards. This block can be combined with other tasks that have the same hazard and risk."]
[null,8,"Hazard","List the specific hazards likely to be encountered by employees at the project area or with the work activity relevant to the tasks assigned."]
[null,"Assess Hazards: See instructions for blocks 9-11"]
[null,9,"Probability","Enter the Probability a hazard will be encountered during task. "]
[null,10,"Severity","Enter the Severity/Consequence should an event occur."]
[null,11,"RAC (Risk Assessment Code)","Utilize the Risk Assessment Matrix to determine the Risk Assessment Code (RAC) by intersecting Severity (left rows) with the Probability column."]
[null,"Develop Controls: Identify mitigation and control actions in block 12"]
[null,12,"Identify Hazard Mitigations","List all hazard mitigations and control actions taken to reduce the probability and/or severity for each identified hazard to eliminate or minimize residual risk. (e.g. Elimination, Substitution, Engineering, Administrative, PPE)"]
[null,"Make Risk Decisions: See instructions for blocks 13-16"]
[null,13,"Probability","Enter the Probability following hazard mitigation or control actions."]
[null,14,"Severity","Enter the Severity/Consequence following hazard mitigation or control actions."]
[null,15,"RAC (Risk Assessment Code)","Utilize the Risk Assessment Matrix to determine the RAC. Risk decisions are based on determining if the benefits outweigh the residual risk, which is valid only if the selected hazard controls are implemented and remain effective."]
[null,16,"Task Necessary?","A key element of the risk decision process is determining if the risk is necessary. This decision must balance the risk against the potential benefit and value. Is accepting the residual risk necessary to accomplish the objective?"]
[null,"Implement Controls: See instructions for block 17"]
[null,17,"Hazard Control Assigned to:","Person assigned the hazard mitigations.  List the individual or individuals with accountability that mitigations and controls are implemented."]

{"sheet":"Tailgate Safety Session","index":3,"n_rows":49,"n_cols":10,"rows_kept":49,"cut":false,"hidden":false,"merged":[[5,6,5,8],[5,2,6,2],[23,7,23,8],[13,2,13,6],[14,2,14,6],[22,7,22,8],[14,8,15,8],[15,2,15,6],[20,2,20,4],[22,3,22,5],[21,7,21,8],[12,2,12,5],[1,2,1,8],[1,1,2,1],[3,2,3,8],[9,1,20,1],[16,2,16,6],[16,8,17,8],[17,2,17,6],[18,2,18,6],[18,8,19,8],[19,2,19,6],[9,2,9,8],[10,2,10,6],[11,2,11,5],[4,1,8,1],[4,3,4,5],[6,3,6,5],[2,2,2,5],[2,6,2,8],[25,1,25,8],[23,3,23,5],[24,3,24,5],[21,1,22,1],[23,1,24,1],[21,3,21,5],[4,6,4,8],[6,6,6,8],[7,3,7,5],[7,6,7,8],[8,3,8,5],[8,6,8,8],[24,7,24,8],[5,3,5,5],[35,1,35,8],[27,1,27,8],[26,1,26,8],[28,1,28,4],[29,1,29,8],[30,1,30,8],[31,1,31,8],[34,1,34,8],[33,1,33,8],[32,5,32,8],[28,5,28,8],[48,1,48,8],[37,1,37,8],[38,1,38,8],[36,1,36,4],[36,5,36,8],[43,1,43,8],[44,1,44,8],[45,1,45,8],[46,1,46,8],[47,1,47,8],[39,1,39,3],[39,5,39,7],[40,1,40,8],[41,1,41,8],[42,1,42,8]]}
[]
[null,null,"TAILGATE  SAFETY  SESSION  (TSS)"]
[null,null,"USDA-FOREST SERVICE ",null,null,null,"[REF: FSM 6709-6720]"]
[null,"}","INSTRUCTIONS: First-line supervisor or work leader will engage job participants in dialogue at the worksite prior to beginning job and when hazards change due to a change in worksite location or other condition. Reference (FSH 6709.11) to help identify recommended work procedures and protective equipment."]
[null,"STOP","PLANNING &  \nPREPARATION","Steps to a safe project include adequate time to plan, prepare, and discuss work;  ensure pre-work activities, and requirements have been completed and approved.",null,null,"☐ Completed         ☐ Not Completed     "]
[null,null,"MISSION\nBRIEFING\nObjectives\nLeader's Intent\nSite Specific Info","Project or Work Activity Plan",null,null,"Site Specific Information"]
[null,null,null,"☐ Overview & Objectives of the project or work activity\n☐ Task - what is the goal of the work to be performed\n☐ Purpose - why does the work need to be done\n☐ End state - how should the situation should look \n     when the work is successfully completed\n☐ Specific procedures that may be required\n☐ Work assignments",null,null,"☐ Weather Forecast for the work area\n☐ Vegetation and terrain at work location\n☐ Communications with each other and dispatch\n☐ Check-In/Out procedures\n☐ Logistical considerations\n☐ Resource concerns such as heritage or wildlife\n☐ Medical Emergency Procedures and Plan"]
[null,null,"RISK ASSESSMENT","Risk Assessment has been prepared for the project or work activity. Completed risk assessment is signed and available for employees to review at briefing.",null,null,"☐ Completed         ☐ Not Completed     "]
[null,null,"RISK MANAGEMENT\nCommunicate Evaluate \nValidate","☐ Identified tasks and associated hazards \n☐ Assessed risk of identified hazards\n☐ Identified risk mitigations & controls\n☐ Residual risk after mitigations are implemented\n☐ Unnecessary tasks and associated hazards ",null,null,"☐ Who is the individual that is ensuring risk mitigations \n     and controls are implemented and effective?\n☐ Continue to communicate, evaluate and validate \n     hazards throughout the work period\n☐ Complete the RAT to assess real-time risk"]
[null,"THINK","Risk Assessment Tool (Real-Time Risk Management)"]
[null,null,"1. Do you know the risk associated with your task today?\n2. Do you understand why you're doing this task and what the end state looks like?",null,null,null,null,"☐ Yes\n☐ Yes","☐ No\n☐ No"]
[null,null,"3. Determine whether the benefits of meeting your objective exceeds the degree of risk that will entail (Amount of gain in meeting objectives)",null,null,null,"☐ Low Gain","☐ Moderate Gain","☐ High Gain"]
[null,null,"4. Determine the probability of success in completing your assigned mission. (Probility of success in meeting objectives)",null,null,null,"☐ Low P.O.S.","☐  Medium P.O.S.","☐ High P.O.S."]
[null,null,"5. RISK ELEMENTS - THESE SIX ELEMENTS ARE IDENTIFIED AS CONTRIBUTING TO A LARGE PORTION OF RISK ON PROJECTS/WORK ACTIVITIES. (RATE EACH ELEMENT 1 THROUGH 10)",null,null,null,null,"SCORE\nElement Rating","Total risk element scores for GAR risk "]
[null,null,"Supervision - Leadership is actively engaged, good communication, organized, qualifications, experience levels, clear chain of command. (1=Very competent; 10=Terrible organization)",null,null,null,null,null,"Total Score =\n6-23 GREEN\n(Low Risk)"]
[null,null,"Planning - Thoroughly planned, risk assessment, resources match the job, timeline appropriate, emergency contingency in place. (1=Organized & well thought out; 10=No planning, ill-prepared)"]
[null,null,"Leader's Intent - Clear task, purpose, and end state; adequate briefings; safety first\n(1=Same page, objectives addressed; 10=Vague, instructions and assignments not understood)",null,null,null,null,null,"Total Score =\n24-44 AMBER\n(Medium Risk)"]
[null,null,"Team Fitness - physical/mental fitness, good morale, mindful, high level of situational awareness, experience, cohesiveness. (1=Strong body & mind; 10=Physically/mentally struggling)"]
[null,null,"Environment - Weather & environment conditions, rugged terrain, remoteness, hazards -snags, wildlife, manmade hazards, etc. (1=limited, low risk hazards; 10=numerous, high risk hazards)",null,null,null,null,null,"Total Score =\n45-60 RED\n(High Risk)"]
[null,null,"Duration/Complexity - task duration, repetitive, overextended, air support or logistics dependent \n(1=Short term project, not many moving parts; 10=Long-term project, many moving parts)",null,null,null,null,null,null,{"$f":"IF(COUNTA(H15:H20)=6,SUM(H15:H20),\"\")","v":""}]
[null,null,"6. DOES THE GAIN WARRANT THE RISK?",null,null,null,"ßGAIN VS.\nRISKà",{"$f":"J21","v":""},"Discuss results with team members",{"$f":"IF(AND(J20>=6,J20<=23),\"LOW RISK\",IF(AND(J20>=24,J20<=44),\"MEDIUM RISK\",IF(AND(J20>=45,J20<=60),\"HIGH RISK\",IF(AND(J20=\"\"),\"\"))))","v":""}]
[null,"DISCUSS","RISK DISCUSSION","Facilitate an interactive group discussion, starting with the risk elements above. Everyone regardless of position has an obligation to communicate critical information. ",null,null,"For Future use with the Risk Assessment Tool App for smart devices","Risk Assessment Tool - It is highly encouraged for each team member to independently rate each element and share their ratings with the group."]
[null,null,"GROUP \nDECISION","Risk decisions should be made in collaboration with employees who are impacted by the decision. Is the residual risk, after mitigations are implemented, acceptable and necessary to accomplish the mission?",null,null,"☐ YES - Continue to communicate, evaluate and validate hazards.   ","☐ NO - If team members are not comfortable with the risk remaining after controls are in place, further assessment needs to occur with their input."]
[null,"ACT","☐ GO\nDECISION","Orientation & risk dialog favorable; Decision made at appropriate level; We have thoroughly discussed and accept the risk of this project/work activity.",null,null,"Supervise & Monitor","Provide leadership to ensure the controls are effective and remain in place. Changes requiring further risk management must be identified and acted on."]
[null,null,"☐ NO-GO\nDECISION","Orientation & risk dialog not favorable; We have thoroughly discussed and decline the risk of this project/work activity. →Reevaluate Risk Assessment",null,null,"Make Risk Decisions at the Appropriate Level","If employees determine that the available controls will not reduce risk to an acceptable level, the decision must be elevated to the next level in the chain of command."]
[null,"WORK LEADER OR SUPERVISOR TAILGATE SAFETY SESSION  REPORT"]
[null,"Instructions: "]
[null,"To be completed by first-line supervisor or work leader at the worksite prior to beginning job and when hazards change due to a change in worksite location or other condition.  Reference Health and Safety Code Handbook (FSH 6709.11) to help identify recommended work procedures and protective equipment."]
[null,"Study/Project/Job:______________________",null,null,null,"Work Leader/Supervisor:________________________"]
[null,"Work Description:_____________________________________________________________________ "]
[null,"___________________________________________________________________________________"]
[null,"___________________________________________________________________________________"]
[null,"Project Start Date:______________________",null,null,null,"Date Discussed with Crew:_______________________"]
[null,"Medical Emergency Procedures"]
[null,"Work supervisors and crew members are responsible for developing and discussing field medical emergency procedures and alternatives in the event a person(s) becomes seriously ill or injured at the worksite."]
[null,"Be prepared to provide the following information:"]
[null,"a. Incident summary (avoid using victim's name).\nb. Severity of emergency / Transport priority (number of patients).\nc. Nature of Injury or Illness & Mechanism of Injury.\nd. Transport request: Air Ambulance/ Ground Ambulance / Other.\ne. Patient Location, Descriptive Location & Lat. / Long. (WGS84).\nf. Contact person on scene.",null,null,null,"f. Initial Patient Assessment for each patient as applicable.\ng. Transportation Plan, Evacuation location, road name/number), Patient's ETA.\nh. Additional resources, equipment needs: AED, Trauma Bag, Splints, Extrication. \ni. Communications: Identify Air/Ground EMS Frequencies.\nj. Contingency considerations if primary options fail, Be thinking ahead.\nk. Additional information: Updates/Changes"]
[null,"TSS and Medical Emergency Procedures Acknowledgment"]
[null,"The undersigned work leader and crew members, acknowledge participation in the Tailgate Safety Session and accompanying medical emergency procedures. We have thoroughly discussed and accept the risk of this project/work activity:"]
[null,"SIGNATURE",null,null,"DATE","SIGNATURE",null,null,"DATE"]
[null,"___________________________________________   ________________________________________________"]
[null,"___________________________________________   ________________________________________________"]
[null,"___________________________________________   ________________________________________________"]
[null,"___________________________________________   ________________________________________________"]
[null,"___________________________________________   ________________________________________________"]
[null,"___________________________________________   ________________________________________________"]
[null,"___________________________________________   ________________________________________________"]
[null,"___________________________________________   ________________________________________________"]
[null,"NOTE:  Staple attachments to form as needed.   Submit as requested.  To be filed at end of project with other project documents."]

{"sheet":"Medical Emergency","index":4,"n_rows":36,"n_cols":8,"rows_kept":36,"cut":false,"hidden":false,"merged":[[0,0,0,7],[1,0,1,7],[2,0,2,7],[14,2,14,5],[14,6,14,7],[12,2,12,7],[13,2,13,7],[3,0,3,7],[4,0,4,7],[5,0,5,7],[6,0,6,7],[7,0,7,7],[16,2,16,5],[9,2,9,7],[10,2,10,7],[17,6,17,7],[17,0,17,1],[25,0,25,7],[8,0,13,1],[8,2,8,7],[19,2,19,5],[19,6,19,7],[20,0,20,7],[19,0,19,1],[11,2,11,7],[17,2,17,5],[18,0,18,1],[18,2,18,5],[18,6,18,7],[15,0,15,1],[15,2,15,5],[15,6,15,7],[16,0,16,1],[26,0,26,7],[16,6,16,7],[14,0,14,1],[35,0,35,7],[31,1,31,2],[32,1,32,2],[33,0,33,7],[34,0,34,7],[27,0,27,7],[28,0,28,7],[29,1,29,2],[30,1,30,2],[21,0,21,7],[22,0,22,7],[23,0,23,7],[24,0,24,7]]}
["Medical Incident Report"]
["FOR A NON-EMERGENCY MEDICAL, WORK THROUGH CHAIN OF COMMAND TO REPORT AND TRANSPORT \nINJURED PERSONNEL AS NECESSARY."]
["FOR A MEDICAL EMERGENCY: IDENTIFY ON SCENE CONTACT BY NAME AND POSITION AND ANNOUNCE \n\"MEDICAL EMERGENCY\" TO INITIATE RESPONSE FROM COMMUNICATIONS/DISPATCH."]
["Use the following items to communicate situation to communications/dispatch."]
["1. CONTACT COMMUNICATIONS / DISPATCH (Verify correct frequency prior to starting report)"]
["Ex: \"Dispatch, Wildlife Biologist Jones. Stand-by for Emergency Traffic.\""]
["2. INCIDENT STATUS: Provide incident summary (including number of patients) and command structure."]
["Ex: “Dispatch, I have a Red priority patient, unconscious, struck by a falling tree.  Requesting air ambulance to Forest Road 1 at (Lat./Long.)  This will be the Trout\nMeadow Medical, IC is Wildlife Biologist Jones. EMT Smith is providing medical care.”"]
["Severity of Emergency / Transport Priority",null,"☐ RED / PRIORITY 1 - Life or limb threatening injury or illness.  Evacuation need is IMMEDIATE"]
[null,null,"      Ex: Unconscious, difficulty breathing, bleeding severely, 2o – 3o burns more than 4 palm sizes, heat stroke, disoriented."]
[null,null,"☐ YELLOW / PRIORITY 2 - Serious Injury or illness.  Evacuation may be DELAYED if necessary."]
[null,null,"      Ex: Significant trauma, unable to walk, 2o – 3o burns not more than 1-3 palm sizes."]
[null,null,"☐ GREEN / PRIORITY 3 - Minor Injury or illness.  Non-Emergency transport"]
[null,null,"      Ex: Sprains, strains, minor heat-related illness."]
["Nature of Injury or Illness & Mechanism of Injury",null,null,null,null,null,"Brief Summary of Injury or Illness\n(Ex: Unconscious, Struck by Falling Tree)"]
["Transport Request",null,null,null,null,null,"Air Ambulance / Short Haul\nGround Ambulance / Other"]
["Patient Location",null,null,null,null,null,"Descriptive Location & \nLat. / Long. (WGS84)"]
["Incident Name",null,null,null,null,null,"Geographic Name + \"Medical\"\n(Ex: Trout Meadow Medical)"]
["On-Scene Contact",null,null,null,null,null,"Name of on-scene contact of medical incident (Ex: Wildlife Biologist Jones)"]
["Patient Care",null,null,null,null,null,"Name of Care Provider\n(Ex: EMT Smith)"]
["3. INITIAL PATIENT ASSESSMENT: Complete this section for each patient as applicable (start with the most severe patient)"]
["Patient Assessment: See IRPG PAGE 106"]
["Treatment:"]
["4. TRANSPORT PLAN:"]
["Evacuation Location (if different): (Descriptive Location (drop point, intersection, etc.) or Lat. / Long.)   Patient's ETA to Evacuation Location: "]
["Helispot / Extraction Site Size and Hazards: "]
["5. ADDITIONAL RESOURCES / EQUIPMENT NEEDS:"]
["Example: Paramedic/EMT, Crews, Immobilization Devices, AED, Oxygen, Trauma Bag, IV/Fluid(s), Splints, Rope rescue, Wheeled litter, HAZMAT, Extrication  "]
["6. COMMUNICATIONS: Identify Air/Ground EMS Frequencies and Hospital Contacts as applicable"]
["Function","Channel Name/Number",null,"Receive (RX)","Tone/NAC","Transmit (TX)","Tone/NAC","Repeater Name"]
["DISPATCH"]
["AIR-TO-GRND"]
["TACTICAL"]
["7. CONTINGENCY: Considerations: If primary options fail, what actions can be implemented in conjunction with primary evacuation method? Be thinking ahead."]
["8. ADDITIONAL INFORMATION: Updates/Changes, etc."]
["REMEMBER: Confirm ETA's of resources ordered. Act according to your level of training. Be Alert. Keep Calm. Think Clearly. Act Decisively. "]