DELIBERATE RISK ASSESSMENT WORKSHEET
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1 1. ISSION/TASK DESCRIPTION (INCUDE DATES OF EVENT) 2. DATE (DD//YYYY) DJI atrice100 Video Platform, Camp Roberts testing, arth 20-24, /14/ PREPARED BY a. Name (ast, First, iddle Initial) b. Rank/Grade Smith, John A GS-12 c. Duty Title/Position Associate Pressor e. Work f. Telephone (DSN/Commercial (Include Area Code)) NPS johnsmith@nps.edu xxxx g. UIC/CIN (as required) h. Training Support/esson Plan or OPORD (as required) i. Signature Preparer d. Unit John Smith Five steps Risk anagement: (1) Identify the hazards (2) Assess the hazards (4) Implement controls oss control aircraft (5) Supervise and evaluate (Step numbers not equal to numbered items on form) Initial pre-flight checks will be conducted prior to each Preflight checks for rotor structural integrity prior to each 9. RESIDUA 8. OW TO IPEENT/ WO WI IPEENT 7. CONTRO oss propulsion oss lift due to structural failure (3) Develop controls & make decisions Visual and hands-on pre-flight checks. Visual and hands-on pre-flight inspections. oss ink Ensure GPS satellite lock and Calibrate and monitor compass calibration prior to instruments via pilot app. flight operations. PIC oss Control Surface performance Constantly monitor vehicle performance during flight visually and via pilot app. Visual and stware-based inspection batteries prior to oss UAV electrical power Visual and pilot app monitoring during Inspection and monitoring battery with app. Additional entries for items 5 through 9 are provided on page OVERA RESIDUA (All controls implemented): EXTREEY IG IG EDIU OW 11. OVERA SUPERVISION PAN AND RECOENDED COURSE OF ACTION Operate at the far (West) end Runway 29 (dropping to the South it). ide during take-f and landing operations behind concrete barriers, which are set about 150 ft away from a runway centerline. ave RTV handy and back gate open to be able to get to the potential crash location and extinguish fire quickly. 12. APPROVA OR DISAPPROVA OF ISSION OR TASK a. Name (ast, First, iddle Initial) John Smith APPROVE b. Rank/Grade c. Duty Title/Position GS-15 Pressor DISAPPROVE d. Signature Approval Authority e. Additional Guidance: DD FOR 2977, JAN Adobe Pressional X
2 oss control (cont) oss GCS Controlled flight into ground ission planning error or operator error Check GCS operational prior to flights. Ensure charged transmitter and tablet. Verify mission plan with CIRPAS / NPS / Atcturus personnel prior to Navigation error Ensure fully operational GCS equipment/stware. Ensure flight plan is clear with all personnel. Entire team. Constant observation the vehicle. aintain visual line--sight Knowledge terrain and and ensure terrain is known to vehicle position. Verify fly home works prior to mission-related operations. Verify fly home function is operational. and ground crew. PIC Ensure GPS and altimeter report accurately, and maintain visual line--sight. aintain constant awareness vehicle and other aircraft to ensure safe operations. Careful and safe mission planning with constant aintain line--sight aircraft and personnel. onitor aircraft altitude (pilot app) and V-OS. PIC and ground crew Know others' flight plans and monitor aircraft. and ground crew. PIC ission planning error Careful mission planning. Not seen by other aircraft Being aware other aircraft and maintaining Pilot induced oscillation PIC will constantly monitor the aircraft. Test automatic landing system prior to flight operations. Operator error DD FOR 2977, JAN 2014 onitor vehicle position via pilot app and visually during Unable to "see and avoid" Automatic landing system failure Quad pilot app altitude & Verify altitude estimate in pilot sensor check. app prior to operations (GPS and range finder). aintain visual line--sight the vehicle and the surrounding area. Navigation error Altitude error Take f and/or landing mishaps 9. RESIDUA oss link "fly-home" mode id-air collision 8. OW TO IPEENT/ WO WI IPEENT Altitude error Failure to see and avoid terrain 7. CONTRO PIC maintains constant Persistent monitoring airspace PIC and ground crew Perform autonomous landing PIC Test autopilot landing Constant communication with
3 Vehicle loss Inadequate operator response Incorrect inputs critical parameters Operator information overload Critical information unavailable, inadquate, blocked atency flight control commands Thorough preflight checks and experienced PIC ensure safe flights. Ground crew monitor aircraft data with second remote aintain clear mission plan and communicate with airfield ficials routinely. Built-in stware failsafe Off-the-shelf system maintains capabilities. excellent latency with automatic failsafe procedures. Preflight inspections. onitor second remote crew, Communication with team and site ficials. Ground Flight operations are very short (less than 15 minutes). Compare control frequencies and evaluate interference with other operators. No autionomous flight operations, all commands are entered by the Range hazards Ensure flight plans have been approved by site ficials. Short duration missions spaced sufficiently apart. Communicate with other aircraft operators. No autonomous operations. Communicate with site ficials. Flight line hazards Aircraft unintentional landing Aircraft unintentional departure from runway while taking f or landing 9. RESIDUA Experienced Control multiple UAVs Injury to others on ground or damage to property PIC is experienced with this particular aircraft configuration. Injury on ground to crew 8. OW TO IPEENT/ WO WI IPEENT Operator fatigue Stware paths to unsafe state 7. CONTRO aintain visual OS. aintain constant line--sight, and ensure safe vertical landing location. Find safe location to land in the event emergency. FPilot attempts to steer aircraft to safe location. Ensure takef/landing PIC is experienced with area is clear. aircraft system and ground crew ensures safe takef/land DD FOR 2977, JAN 2014
4 7. CONTRO 8. OW TO IPEENT/ WO WI IPEENT 9. RESIDUA DD FOR 2977, JAN 2014
5 Formatted Table Probability (expected frequency) Risk Assessment atrix Severity (expected consequence) Frequent: ikely: Continuous, regular, or inevitable Several or numerous Occasional: Seldom: Unlikely: Sporadic or intermittent Infrequent Possible but improbable A B C D E I II oderate: inor injury, illness, loss, or damage; somewhat degraded III Negligible: inimal injury, loss, or damage; little or no impact to IV Catastrophic: Death, unacceptable loss or damage, mission failure, or unit readiness eliminated Critical: Severe injury, illness, loss, or damage; significantly degraded egend: extremely high risk high risk medium risk low risk 13. ASSESSENT REVIEW (Required when assessment applies to on going operation activities) a. Date b. ast Name c. Rank/Grade d. Duty Title/Position e. Signature Reviewer 14. FEEDBACK AND ESSONS EARNED 15. ADDITIONA COENTS OR REARKS DD FOR 2977, JAN 2014
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