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Instructions for using the Risk Assessment form
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Column 1bDescribe the work activity to be carried out. Note: Please do not fill in names of machines/equipment to be used. Therefore, a computer is not an activity, but working on a computer is
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Column 1cIdentify hazard(s) and its risks associated with the activity to be carried out. Examples of hazards include chemical, biological, electrical, mechanical, physical, ergonomics, psychosocial, slip & fall etc.
Identify possible accidents/ill health associated with each identified hazard. Examples of possible accidents/ill health include fires, explosions, cuts, burns, frost bites, fractures etc.
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Column 1dGroup exposed
List who might be harmed such as patients, staff, visitors.
Note: Vulnerable such as pregnant lady, disabled, children etc.to be considered.
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Column 1eRisk Area:
Hospital Premises ( both interior and exterior) where the risk is present.
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Column 2bInherent risk
L=Likelihood of occurrence of an accident, incident or ill health is defined as the probability that the said accident, incident or ill health will happen. Choose the likelihood from a value between 1 and 5. Consider the records of such events happening in the past when deciding on the likelihood. Refer to the Risk Matrix tab for the likelihood table.
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Column 2cS=Severity is the degree or extent of injury or harm caused by the hazards, or as a result of an accident. Choose the most likely severity from a value between 1 and 5, rather than the most extreme. Refer to the Risk Matrix tab for the severity table
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Column 2dRisk Rating
Risk Rating = Combination of Likelihood X Severity.
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Column 3aExisting control measures
Indicate risk control measures that are already in place to eliminate or minimize risks. Elimination of the hazard should take first priority while PPE should be the last line of defense. -Elimination -Substitution -Engineering Controls -Administrative Controls -Personal Protective Equipment
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Column 3bResidual Risk Rating
The residual risk is the amount of risk or danger associated with an action or event remaining after inherent risks have been reduced by risk controls
L=Likelihood L may reduce upon introduction of existing control measures
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Column 3cS=Severity S may reduce upon introduction of existing control measures
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Column 3dRisk Rating =Severity X Likelihood
Will reduce upon introduction of existing control measures
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Column 3eAdditional risk control measures are required when the Risk Rating indicated in column 2d exceeds 6. If the RPN is 6 or less, enter "NA" in the column
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Column 3fEnter the name of the person appointed to oversee the implementation of the control measures.
Enter the frequency of implementation.
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