Police Risk Assessment Form
Use this form to assess incident risk, document scene conditions, and record the response decision.
Incident Overview
Incident type
*
Assault
Domestic disturbance
Traffic collision
Burglary
Theft
Suspicious activity
Vandalism
Missing person
Public disorder
Other
Incident date and time
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Incident location/address
*
Reporting officer name or badge identifier
*
Incident summary
*
Subjects, Parties, and Scene Details
Number of Involved Persons
*
Subject Behavior or Posture
*
Calm and cooperative
Agitated or verbally escalated
Refusing commands
Fleeing or evasive
Aggressive or threatening
Unknown
Weapons or Dangerous Objects Present
*
No
Yes
Unknown
Known Intoxication or Impairment Indicators
None observed
Alcohol suspected
Drug impairment suspected
Mixed or unknown impairment
Unknown
Bystanders or Vulnerable Persons Present
*
No
Yes, bystanders present
Yes, vulnerable person(s) present
Both bystanders and vulnerable person(s)
Unknown
Immediate Hazards at the Scene
Traffic
Fire or smoke
Broken glass or sharp debris
Aggressive animal
Hazardous chemicals
Downed power lines
Poor lighting
Unstable structure
None observed
Other
Risk Assessment Matrix
Threat Level
*
Low
1
2
3
4
5
6
7
8
9
High
10
1 is Low, 10 is High
Likelihood of Escalation
*
Unlikely
1
2
3
4
5
6
7
8
9
Very Likely
10
1 is Unlikely, 10 is Very Likely
Officer Safety Risk
*
Low
1
2
3
4
5
6
7
8
9
Severe
10
1 is Low, 10 is Severe
Public Safety Risk
*
Low
1
2
3
4
5
6
7
8
9
Severe
10
1 is Low, 10 is Severe
Urgency of Response
*
Routine
1
2
3
4
5
6
7
8
9
Immediate
10
1 is Routine, 10 is Immediate
Risk Factor Assessment Table
Response Actions and Resources
Actions taken so far
*
Verbal warning
Scene secured
Detained subject
Witness interviewed
Evidence collected
Reports filed
Other
Requested resources or support
Backup units
Medical support
Crowd control
Supervisor review
Specialist unit
Traffic control
Interpreter
Other
Recommended next step
*
Monitor and continue on scene
Escalate to supervisor
Request additional units
Transport involved party
Close incident with documentation
Other
Follow-up notes or instructions
Submit Assessment
Should be Empty: