DA Form 7566 "Composite Risk Management Worksheet"

What Is DA Form 7566?

DA Form 7566, Composite Risk Management Worksheet, used to be a U.S. Army worksheet used for recording composite risk management. A fillable DA Form 7566 copy can be downloaded through the link below for reference.

Alternate Name:

  • DA Form 7566 CRM.

As of today, the form has been rescinded - all Department of Defence (DoD) units must use DD Form 2977, Deliberate Risk Assessment Worksheet.

The last available edition of the worksheet was issued by the U.S. Department of the Army (DA) on April 1, 2005. Copies of the form are still available on some Military websites but should not be used. An overview of the DA 7566 and previously used guidelines can still be found in the U.S. Army Field Manual (FM) 100-14.

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DA Form 7566 Instructions

The old DA Form 7566 used to consist of thirteen fields on two pages of the form. Filing instructions were as follows:

  1. Boxes 1 through 4 require general information about the event. Boxes 1 and 2 are used for describing the type and time of the event while Boxes 3 and 4 are used for listing the date of entry and the name, rank, and position of the person responsible for completing the form.
  2. Boxes 5 through 12 - continued on the second page of the DA 7566 - provide the space for naming the subtasks of the event, followed by the risk assessment itself.
  3. Box 6 is used to describe the hazards faced by the event. Boxes 7 through 11 overview the level of risk, controls, and supervision plans that were to be implemented. The person preparing the form had to indicate the levels of risk associated with the task as low, moderate, high, or extreme.
  4. Box 12 is for determining if the controls and supervision were adequate and effective in suppressing the hazards.
  5. Box 13 provides space for evaluating the overall risk level of the supervised tasks after the controls had been put in place. After the risks were assessed, the risk decision authority would sign off on DA Form 7566 before handing it off for recording and safekeeping.
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COMPOSITE RISK MANAGEMENT WORKSHEET
For use of this form, see FM 100-14, the proponent agency is TRADOC
1. MSN/TASK
2a. DTG BEGIN
2b. DTG END
3. DATE PREPARED (YYYYMMDD)
4. PREPARED BY
a. LAST NAME
b. RANK
c. POSITION
7.
9.
12. WAS
INITIAL
RESIDUAL
10. HOW TO
11. HOW TO
CONTROL
5. SUBTASK
6. HAZARDS
8. CONTROLS
RISK
RISK
IMPLEMENT
SUPERVISE (WHO)
EFFEC-
LEVEL
LEVEL
TIVE?
Additional space for entries in Items 5 through is provided on Page 2.
13. OVERALL RISK LEVEL AFTER CONTROLS ARE IMPLEMENTED (Check one)
LOW
MODERATE
HIGH
EXTREMELY HIGH
a. LAST NAME
b. RANK
c. DUTY POSITION
d. SIGNATURE
DA FORM 7566, APR 2005
Page 1 of 2
APD V1.01
COMPOSITE RISK MANAGEMENT WORKSHEET
For use of this form, see FM 100-14, the proponent agency is TRADOC
1. MSN/TASK
2a. DTG BEGIN
2b. DTG END
3. DATE PREPARED (YYYYMMDD)
4. PREPARED BY
a. LAST NAME
b. RANK
c. POSITION
7.
9.
12. WAS
INITIAL
RESIDUAL
10. HOW TO
11. HOW TO
CONTROL
5. SUBTASK
6. HAZARDS
8. CONTROLS
RISK
RISK
IMPLEMENT
SUPERVISE (WHO)
EFFEC-
LEVEL
LEVEL
TIVE?
Additional space for entries in Items 5 through is provided on Page 2.
13. OVERALL RISK LEVEL AFTER CONTROLS ARE IMPLEMENTED (Check one)
LOW
MODERATE
HIGH
EXTREMELY HIGH
a. LAST NAME
b. RANK
c. DUTY POSITION
d. SIGNATURE
DA FORM 7566, APR 2005
Page 1 of 2
APD V1.01
ITEMS 5 THROUGH 12 CONTINUED:
7.
9.
12. WAS
INITIAL
RESIDUAL
10. HOW TO
11. HOW TO
CONTROL
5. SUBTASK
6. HAZARDS
8. CONTROLS
RISK
RISK
IMPLEMENT
SUPERVISE (WHO)
EFFEC-
LEVEL
LEVEL
TIVE?
DA FORM 7566, APR 2005
Page 2 o
APD V1.01
Page of 2