Personal ORM Worksheets

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Instructions

Responsibility: All crew-members

Prior to sortie execution, calculate your respective scores for Personal ORM Worksheet A and Personal ORM Worksheet B and report them to the MEL for rollup into the Pre-Sortie ORM Worksheet scoring.

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Personal ORM Worksheet A - Health & Stress

HEALTH & STRESS RISK FACTORS	0 Points Each (LOW) Green	1 Points Each (MODERATE) Yellow	2 Points Each (HIGH) Orange
12+hr Work/Duty Days Past Week	Minor	Elevated	Serious
Personal/Family Stress (health, finance, relationship, etc.)	Minor	Elevated	Serious
Work/Career Stress	Minor	Elevated	Serious
Perceived Mission Pressure (external & internal)	Minor	Elevated	Serious

Health and Stress Scoring:

• Total of all factors 7 or more = overall score SEVERE
• Any factor HIGH = overall score HIGH
• Total of all four factors 3 or more = overall score HIGH
• Total of all four factors 1-2 = overall score MODERATE
• Total of all four factors 0 = overall score LOW

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Personal ORM Worksheet B - Fatigue

FATIGUE RISK FACTORS	0 Points Each (LOW) Green	1 Points Each (MODERATE) Yellow	2 Points Each (HIGH) Orange
12+hr Work/Duty Days Past Week	≤ 2 days	3 days	≥ 4 days
Combined Prior Sleep (past 72hrs/3 days)	> 18hrs	15-18hrs	< 15hrs
Sleep in Last 12hrs	> 6hrs	4-6hrs	< 4hrs

Fatigue Scoring:

• Total of all factors 5 or more = overall score SEVERE
• Any factor HIGH = overall score HIGH
• Total of all four factors 4 or more = overall score HIGH
• Total of all four factors 1-3 = overall score MODERATE
• Total of all four factors 0 = overall score LOW

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Accountability Reporting

• Update the Rocketchat accountability channel with your calculated ORM scores:

  #orm A:SCORE/B:SCORE

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