Drone Operation Risk Assessment Form Template

Section 1: Drone Operation Risk Assessment Form

1. Project or Department:

2. Responsible Pilot in Command:

3. Date or expected frequency of mission(s):

4. Specific Location:

5. Description of Operation:

6. Attachments:

Media files attached

Section 2: Explain Risk Mitigation measures for all Medium (yellow) and High (red) risks.

1. Complexity of Mission:

Yes

No

N/A

2. DOC experience with mission type:

Yes

No

3. Controlled Airspace:

Pass

Fail

N/A

4. Private Property:

Good

Fair

N/A

5. Daylight:

Pass

Fail

N/A

6. Wires/Trees/Structures:

Yes

No

N/A

7. Drone Distance from Operator:

8. Proximity to Roads:

Pass

Fail

N/A

9. Proximity to Radio Towers:

Yes

No

N/A

10. Nearby Airport/Heliport:

Pass

Fail

N/A

11. Pedestrians/distraction:

Yes

No

N/A

12. Over Water:

Good

Fair

N/A

13. GPS/Radio Dead Spots:

Good

Fair

N/A

Section 3: Overall Site Risk Rating

1. Fill in highest rating from the above inspection:

Yes

No

N/A