Inadequate risk assessment has been implicated as a contributory factor in the deaths and injuries of participants on led outdoor activity (LOA) programmes in both Australia and overseas. The identification and assessment of risks is a required component of LOA programmes, and multiple risk assessment methods and techniques are available to the practitioner. Little, however, is known about the risk assessment approaches currently applied in practice. This study surveyed Australian LOA practitioners to: (1) determine which risk assessment methods and policy guidance are currently used in practice (if any); (2) understand practitioner perspectives around the utility of risk assessments; and (3) identify perceived challenges and barriers in applying these methods to the LOA context. The results paint a concerning picture of confusion and uncertainty in relation to conducting risk assessments, as well as a lack of policy guidance and formal training. The results imply that new and more suitable methods of risk assessment should be developed, focussing on the development, planning and delivery of led outdoor activities.