General Data
Traveler Profile
Trip Profile
Step A: Destination Risk (R_destinazione)
Step B: Core Variables (1 to 4)
Step C: Aggravated Generic Risks (R_hazard)
Step A Subtotal
(Dest Risk x 0.25)0.25
Step B Subtotal
(Core Variables Weighted)0.50
Step C Subtotal
(Aggravated Risks x 0.25)0.25
Initial Risk Score (Grand Total)
1.00
Required Mitigation: Level A
Evaluator Mitigation Framework
Space freely fillable by the technician. This box, if not modified, will remain unchanged for subsequent uses until the technician decides to modify it.
Outcome of Travel Risk Assessment
To be delivered to the traveller
| Name and surname | | Business Role | |
| Country of dest. | |
Outcome of the risk assessment
| Destination Risk | | Response Capacity | |
| Traveler Profile | | Activity Profile | |
| Specific Hazards | | Initial Risk | |
Required Mitigation Measures (Applied: )
Additional Notes
Residual risk (after mitigation)
| R_residuo (P × D) | |
Residual Level | |
Declaration for the transferee
The undersigned declares that I have received the results of the risk assessment, mandatory mitigation measures, operating instructions, emergency contacts, and attached documentation.
Signature of transferee: _____________________________ Date: ___ / ___ / ______