Aviation Operations Risk Assessment Form
Systematically evaluate and document operational risks for aviation activities.
Operation/Flight Name or Reference
*
Date and Time of Operation
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Type of Operation
*
Passenger Flight
Cargo Flight
Training/Instructional
Maintenance/Ferry
Other
Weather Conditions
*
Clear
Cloudy
Rain/Showers
Storm/Thunderstorm
Other
Identify Key Risk Factors (select all that apply)
*
Crew Fatigue
Aircraft Technical Issues
Weather
Airspace Congestion
Runway/Taxiway Condition
Other
Risk Severity Rating
*
Low
1
2
3
4
High
5
1 is Low, 5 is High
Risk Likelihood Rating
*
Rare
1
2
3
4
Almost Certain
5
1 is Rare, 5 is Almost Certain
Risk Matrix Assessment
*
Rows
Severity
Likelihood
Low
1
2
Moderate
3
4
High
5
6
Extreme
7
8
Mitigation Measures Proposed
*
Final Risk Acceptance and Reviewer Comments
*
Submit Assessment
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