Risk=Probabilit

y X Severity
Probability

Severity
Risk Summary/ Risk Statement (Nature of Risk Risk Mitigation, Management & Monitoring Plan (RMMM
Sr No Hazard Category Responsible Stake Holder Remarks
Involved PLAN)

Wet Floor signage’s are used.

Floors are immediately dried after water spills or cleaning

If water spills are unnoticed, it may cause trip and
1 Slips & Trips 1 3 3 Housekeeping Supervisor
staff may fall and injure themself.
Staff are trained on Slips and trips

Floor cleaning are done early morning and late night.

Soldering Gun are used at Workstation only

Soldering Gun are used only by Experienced technincian.

2 Fire Due to Short Circuit, or Soldering gun 2 2 4 Bio Medical
Solder Gun Cables are frequently inspected for any
damage.
Workstation must be fitted with RCCB for better
prevention of short circuit.
Heavy Materials should not be stacked above cupboard
top.

proper ladder to use while stacking or removing materials

3 Work Tool Injury from moving or falling heavy materials 2 3 6 Bio Medical
Boxes to be labelled to identify materials inside

Wwhile removing or stacking no one should sit or stand

beside cupboard

Wet Floor signage’s are used.

Floors are immediately dried after water spills or cleaning

If water spills are unnoticed, it may cause trip and
4 Slips & Trips 2 4 8 Kitchen Manager
staff may fall and injure themself.
Staff are trained on Slips and trips

Floor cleaning are done early morning and late night.

 Risk=Probabilit
y X Severity
Probability

Severity
Risk Summary/ Risk Statement (Nature of Risk Risk Mitigation, Management & Monitoring Plan (RMMM
Sr No Hazard Category Responsible Stake Holder Remarks
Involved PLAN)

LPG gas leak detector is installed.

Staff Trained in Immediate action to take if found LPG

leakage
In Kitchen LPG gas leak due to hose damage or
5 Fire leakage due to negligence of staff 2 5 10 LPG Hoses are replaced as per OEM guidelines. Kitchen Manager

LPG gas bank is secured by padlock

Rodent Stick Pad is installed inside kitchen

Sharpened knives are used for chopping to avoid

accidental slips.

Staff are trained on Proper Handling of Knifes

6 Work Tool Cut from Knife While chopping vegetables or Fruits 3 2 6 Kitchen Manager
Staff are trained not to put knifes soaking in basin

Grips are checked before using knifes to avoid accidental

slips.

Scrapyard is cleaned quarterly.

Fire Extinguishers Installed in Scrapyard.

Welding work near scrapyard, If Fire in the Exits/fire exits signage’s pasted.
7 Fire scrapyard. Housekeeping staff, welder & helper 2 5 10 Scrap Co-Ordinator
could suffer from smoke inhalation or burns which
could potentially kill. Conducted a fire risk assessment at scrapyard.

Provided training in the proper use of fire extinguishers.

Provided Sprinkler System at scrapyard


Probability
Risk Summary/ Risk Statement (Nature of Risk
Sr No Hazard Category
Involved
The step ladder with damaged rungs is used daily
in the hospital. The daily activity involves cleaning
the false ceiling AHU grills and repair work .The
8 Working at Height staff carries out the task numerous times a day.
This can lead to a risk of falling from a height and
can cause serious neck injury, spinal cord injury,
bone fracture, and even fatal.
Due to sharp turns at the entrance ramp, this will
Movement of people and lead to the risk of collision of ambulance and
9 vehicles in the workplace pedestrian and cause serious injuries bone
fracture, head injury, and fatality in severe cases.
Welding work at scrapyard. If Fire in the
10 Fire scrapyard, Housekeeping staff, welder & helper
could suffer from smoke inhalation or burns which
could potentially kill.
Risk=Probabilit
y X Severity
Severity
Risk Mitigation, Management & Monitoring Plan (RMMM
Responsible Stake Holder Remarks
PLAN)
Caution Signage Board is placed during the cleaning work.
Gloves &apron are provided for cleaning.
Daily tool box talk is conducted prior to the start of each
3 4 12 shift. Housekeeping Executives
Providing effective supervision.
Provided PPE’s such as hard helmet.
Experienced drivers appointed for ambulance services.
Avoiding over speeding and driving under speed limit
3 4 12 Security Officer
Ensure ambulance are well maintained and are fit for
purpose and comply with safety standards
Provide extra mirror to improve driver visibility and
proximity detector in place to be aware of approaching
object.
Scrapyard is cleaned quarterly.
Fire Extinguishers Installed in Scrapyard.
Exits/fire exits signage’s pasted.
Maintenance
Conducted a fire risk assessment at scrapyard.
Provided training in the proper use of fire extinguishers.
Provided Sprinkler System at scrapyard

Probability
Risk Summary/ Risk Statement (Nature of Risk
Sr No Hazard Category
Involved
Bikes are overparked at basement leaving almost
no space for shifting or removing center bikes
11 Fire which can be a hurdle in emergency situation such
as fire. It poses a immediate risk of smoke and fire
spread in the basement area if ignited
Due to shortcircuit in electrical equipment at ICU
fire can spread affecting patients and staff with
12 Fire Heat and smoke. Which can cause burns and
suffocation due to smoke inhalation
Due to short-circuit in electrical equipment at OT
fire can spread affecting patients and staff with
13 Fire
Heat and smoke. Which can cause burns and
suffocation due to smoke inhalation
Risk=Probabilit
y X Severity
Severity
Risk Mitigation, Management & Monitoring Plan (RMMM
Responsible Stake Holder Remarks
PLAN)
2 Security Guards are deployed for patrolling the parking
area continuously
2 Fire Hydrant Outlet is regularly Tested & ready to use at
Basement
1 4 4 Safety & Security
2 ABC 1 Co2 & 1 Foam Extinguisher are located near by
Basement Area
Alternate area for parking bikes is under process which
can help in clearing congestion.
Fire extinguisher installed inside ICU
Fire Rid Installed at Nursing Station
Staff Trained on Strategic Evacuation Planning
2 5 10 Fire & Safety
Staff Trained on How to use Fire Extinguishers
Code Red Evacuation Mock Drill Conducted For ICU Staff
ERT team trained on ICU evacuation & Fire Fighting
Fire extinguisher installed inside OT
Fire Rid Installed at Nursing Station
Staff Trained on Strategic Evacuation Planning
2 5 10 Fire & Safety
Staff Trained on How to use Fire Extinguishers
Code Red Evacuation Mock Drill Conducted For OT Staff
ERT team trained on OT evacuation & Fire Fighting
 Risk=Probabilit
y X Severity
Probability

Severity
Risk Summary/ Risk Statement (Nature of Risk Risk Mitigation, Management & Monitoring Plan (RMMM
Sr No Hazard Category Responsible Stake Holder Remarks
Involved PLAN)

Hot work permit is not given anywhere near Liquid

Medical Oxygen Bay

Hot work carried near Liquid Medical Oxygen Bay
can cause extreme fire if comes in contact with
14 Fire
presurrized oygen. Which can casue explosions
and results into sentinel event.
Fence are installed to keep away unauthorised movement
1 5 5 Bio Medical & Fire Safety
Danger and "No Hot work" signages are installed at Bay

Security Guards are depoyed 24X7 at the area

Every Week the sludge are removed from drainage line to

Due to Heavy rains in monsoon it has been avoid any clog
observed drainage spills out groundwater due to
Heavy Powered sump pums are used to avoid back flow of
15 Flooding clogging of sludge inside drainage. Because of that 4 4 16 ground and drain water Maintenance
basement gets flooded with dirty water resulting
in very poor hygiene and even short circuit Additional Pump are used to pump out water directly from
main chamber to outside drainage.

All compressed cylinders are transported in proper trolley

Compressed cylinders are used daily for
transporting patients in OT and Compressor room. All compressed cylinders are stored in proper storage area
While transporting or storing if accidentally the with chain lock for support
Compressed Cylinders
16 cylinders fell and valve is broken it can act as a 2 5 10 Bio- Medical, HK & Safety
Valve Burst All cylinders are equipped with valve guard for additional
missile due to propulsion from compressed gases
destroying property, equipement and harming protection
person.
Trainings are provided to all HK staff for safe
transportation of compressed cylinders

Timely PPM are done of all electrical panels

Energy audits are done yearly

Electrical Substation gives continuous supply of
17 Short Circuit in Electrical electricty via HT and LT panels, if short circuit 2 5 10 Thermography is done yearly to prevent and rectify Enginnering & Maintenance
Panels happens it can affect the power supply for critical hotspots
equipments which can cause chaos in wards.
Regular inspection and maintenance of all electrical panels
are done as per tracker
Fire Tube supression system are installed to prevent major
damage because of short circuit
 Risk=Probabilit
y X Severity
Probability

Severity
Risk Summary/ Risk Statement (Nature of Risk Risk Mitigation, Management & Monitoring Plan (RMMM
Sr No Hazard Category Responsible Stake Holder Remarks
Involved PLAN)

Code Violence is activated for Verbal or PhysicalAbuse

Aggressive Patient and Patient Relatives are part Bouncers are deployed in 3 Shifts
of the Day to Day operations, Often Verbal Abuse
18 Violence at Work Place 5 3 15 Security Officer
and Physical Abuse are seen mainly due to billing Security guards are deployed to be vigilante and identify
issue and during visitor control. aggressive behaviour
Trainings are provided to Security guard, Bouncers and
General Staff.

Vehicle Entry & exit register is maintained by Security

Security guards are deployed at Parking area to monitor

Staff bikes are parked at parking, In past bike theft vehicles
19 Theft 2 3 6 Security Officer
incident has occurred.
CCTV Cameras are installed at Entry, Exit & Parking Bay

Boom Barrier has been installed torestrict movements of

vehicles

We have 2 service provides for security Guards

Absconding or leave without permission guards are

Staff deployement is essential on each and every penalised
Security Staff Abscond
20 From Duty points, Such abscond cases can result in shortage 3 3 9 Security Officer
and vacant post on site. Head guard is deployed to ensure 100% attendance at
post.
Additional Security guards are hired to fill the posiition at
such instance.

Daily Fresh Vegetables are Procured and supplied to F&B

F&B team cooks food for patient as per diet
planned by dietician, Meals are preapred in large
quantity, if spoiled vegetables or cereals are
21 Food Poison
accidentaly used for cooking food it can cause
serious problems of food poisioning in patients at
large numbers.
Quality checks are done by Chef to ensure taste of food is
better
1 5 5 Food & Beverage
While chopping and cooking the quality test are done of
vegetables and cereals
Plates and Utensils are properly cleaned before cooking
and serving food to patients.

Probability
Risk Summary/ Risk Statement (Nature of Risk
Sr No Hazard Category
Involved
Daily ambulance are used for transporting
Ambulance Mechanical patients, if there's a breakdown in ambulance
22
Breakdown whiletransporting patients, it can be a life
threatening scenario for the patient.
Ceiling fan are installed at every ward, rooms and
office space. If the ceiling fan fell due to loose
23 Ceiling Fan fell down bolts it can seriously injured the persons below
the fan.
Housekeeping teams used chemical for cleaning
purpose, accidental spill or wrong mix of
24 Substance Abuse at Work
chemicals can result in a disaster and release of
toxic fumes.
Housekeeping teams does a lot of manual
25 Manual Handling handling of heavy boxes daily, Over a long period
it may cause sever pain and inury.
Risk=Probabilit
y X Severity
Severity
Risk Mitigation, Management & Monitoring Plan (RMMM
Responsible Stake Holder Remarks
PLAN)
Periodically servicing of ambulance are done by
authorised service center.
Timely mechanical parts are replaced by the service center
as per the OEM guidelines
1 5 5 Ambulance HOD
Ambulance drivers are competent and trained and they do
visual check on ambulance on daily basis
Standby ambulance are always ready if any breakdown
happens.
Periodically check are done of ceiling fans and its bolts
Visual Inspections are done by the user and complaint are
2 5 10 lodge if any abnormaly seen Enginnering & Maintenance
ISI approved ceiling fans are only installed in hospital.
Chemicals are appropriately stored in Hazmat Cabinets
All chemicals are labelled properly as per GHS
requirements
2 4 8 Housekeeping
Housekeeping staff are trained in handling chemicals
Hazmat spill kit are procured to tackle major spills
Trainings are provided to staff for corrrect method of
lifting heavy materials.
Staffs are encoraged to lift heavy materials with proper
technique and 2 or more people if required
2 3 6 Housekeeping
Trolleys are provided for transporting heavy materials
Hydraulic hand pallet trolley are recommended to procure
for lifting and shifting heavy materials

Probability
Risk Summary/ Risk Statement (Nature of Risk
Sr No Hazard Category
Involved
The medical air compressor is used daily to
maintain the air pressure in line. The RPM must be
regulated while the compressor is running. The
operator is responsible for calibrating the RPM
Noise. throughout the shift in accordance with the
Generation of loud noise
26 from medical air pressure requirement.
This continuous exposure of the operator with
compressor. loud noise greater than 85db will lead to health
problems The most common health problem is
Noise Induced Hearing Loss (NIHL). Exposure to
loud noise can also cause high blood pressure,
heart disease, sleep disturbances, and stress.
Patients, Relatives & Staffs.
Watering the plant is a daily activity at the
Health, Welfare
entrance lawn. Due to the daily watering of the
& Work plants and the poor drainage system, the stagnant
Environment
27 Stagnant Water water is accumulated at different places of the
lawn. This can result in mosquito breeding and
accumulated at malaria/dengue outbreaks and may lead to serious
garden
health problems,
medical bills and civil lawsuits.
In the medical records department, admission
desk the data entry clerk must enter data into the
WRULD. system on a daily basis. Details of OPD patient files
Excessive use of display
are entered into the system manually. Due to the
screen equipment for a
28 long time. constant input of data, the clerk risks posture
problems with pain in the neck, shoulders, back or
arms, as well as fatigue, headache and strained
eyes.
Risk=Probabilit
y X Severity
Severity
Risk Mitigation, Management & Monitoring Plan (RMMM
Responsible Stake Holder Remarks
PLAN)
Warning signs and posters posted to raise awareness of
noise pollution.
Avoiding the time an operator spends in noisy areas.
Conducting regular maintenance of the compressor in
2 2 4 Bio Medical
order to check the lubrication which contributes to noise
reduction.
Providing regular breaks In case of prolonged exposure.
Carry out noise risk assessment.
Provided ear muffs
Experienced gardener is appointed for gardening.
Provided a French drain trench at lawn for proper
drainage of excess water.
Provided sump pumps to remove stagnant water.
3 4 12 Housekeeping & Gardener
Conduct a regular inspection of lawns to avoid stagnant
water.
Conduct periodic spray at lawns and plants with
insecticidal solution to prevent mosquito breeding
Lighting and temperature are adjusted appropriately
An eye test is provided if the worker requests it.
The workstation and equipmen's are configured to ensure
4 2 8 proper posture. IT & Department HOD
Instructed & trained staff to inform their supervisor of any
pain or discomfort they may have associated with using a
computer.
Provide regular breaks or job rotation (if needed)
 Risk=Probabilit
y X Severity
Probability

Severity
Risk Summary/ Risk Statement (Nature of Risk Risk Mitigation, Management & Monitoring Plan (RMMM
Sr No Hazard Category Responsible Stake Holder Remarks
Involved PLAN)

Good lighting is provided in the passages

Staff, Patients & Visitors.
Daily routine activity is to clean the passages on all Provided floor cleaning machine with inbuilt vacuum to
floors. The housekeeping staffs’ uses floor cleaning prevent wet floors.
Slips & Trips solution and water to clean the floor surface, After
Slippery surface due to Provided training to staffs on safety measures while floor
29 wet floor. the mopping is done , due to the cleaning the floor 4 4 16 cleaning. Housekeeping
gets wet and the surface becomes slippery, which
can result in slips and trips and can cause sprains, Conducting cleaning activities early morning hours to
fractures, dislocated joints, knee injuries or prevent exposure to wet floors.
bruises.
Provided wet floor sign board while floor cleaning

Avoid using damaged ladder at workplace.

Housekeeping, Maintenance & Vendors.

The step ladder with damaged rungs is used for Conducting regular maintenance of the step ladder.
Working at Height maintenance work at height. The activity involves
fitting & cleaning work. This can lead to a risk of
30 Damaged rungs of step falling from a height and can cause serious neck 4 5 20 Repaired the ladder damaged rungs before starting any Maintenacne, housekeeping,
ladder. activity. Security & Safety
injury, spinal cord injury, bone fracture, and even
fatal.
Provided effective supervision during height work activity
by ladder.

Provided PPE’s such as hard helmet.


Sr No Hazard Category Risk Summary/ Risk Statement (Nature of
Risk Involved
The medical air compressor is used daily to
maintain the air pressure in line. The RPM
must be regulated while the compressor is
running. The operator is responsible for
Noise. calibrating the RPM throughout the shift in
Generation of loud accordance with the pressure requirement.
1 noise from medical air This continuous exposure of the operator
compressor. with loud noise greater than 85db will lead
to health problems The most common
health problem is Noise Induced Hearing
Loss (NIHL). Exposure to loud noise can
also cause high blood pressure, heart
disease, sleep disturbances, and stress.
Patients, Relatives & Staffs.
Watering the plant is a daily activity at the
Health, Welfare entrance lawn. Due to the daily watering
& Work of the plants and the poor drainage
2 Environment system, the stagnant water is accumulated
Stagnant Water at different places of the lawn. This can
accumulated at result in mosquito breeding and
garden malaria/dengue outbreaks and may lead to
serious health problems,
medical bills and civil lawsuits.
Risk=Probability X
Probability
Severity
Severity
Risk Mitigation, Management & Monitoring Plan Responsible Stake Holder Remarks
(RMMM PLAN)
Warning signs and posters posted to raise
awareness of noise pollution.
Avoiding the time an operator spends in noisy
areas.
Conducting regular maintenance of the
compressor in order to check the lubrication
which contributes to noise reduction.
2 2 4 Providing regular breaks In case of prolonged Bio Medical
exposure.
Carry out noise risk assessment.
Provided ear muffs
Experienced gardener is appointed for gardening.
Provided a French drain trench at lawn for proper
drainage of excess water.
3 4 12 Provided sump pumps to remove stagnant water. Housekeeping & Gardener
Conduct a regular inspection of lawns to avoid
stagnant water.
Conduct periodic spray at lawns and plants with
insecticidal solution to prevent mosquito
breeding

Probability
Sr No Hazard Category Risk Summary/ Risk Statement (Nature of
Risk Involved
In the medical records department,
WRULD. admission desk the data entry clerk must
Excessive use of enter data into the system on a daily basis.
display screen Details of OPD patient files are entered
3 equipment for a long into the system manually. Due to the
time. constant input of data, the clerk risks
posture problems with pain in the neck,
shoulders, back or arms, as well as fatigue,
headache and strained eyes.
Staff, Patients & Visitors.
Daily routine activity is to clean the
passages on all floors. The housekeeping
Slips & Trips staffs’ uses floor cleaning solution and
4 Slippery surface due to water to clean the floor surface, After the
wet floor. mopping is done , due to the cleaning the
floor gets wet and the surface becomes
slippery, which can result in slips and trips
and can cause sprains, fractures, dislocated
joints, knee injuries or bruises.
Risk=Probability X
Severity
Severity
Risk Mitigation, Management & Monitoring Plan Responsible Stake Holder Remarks
(RMMM PLAN)
Lighting and temperature are adjusted
appropriately
An eye test is provided if the worker requests it.
The workstation and equipmen's are configured
4 2 8 to ensure proper posture. IT & Department HOD
Instructed & trained staff to inform their
supervisor of any pain or discomfort they may
have associated with using a computer.
Provide regular breaks or job rotation (if needed)
Good lighting is provided in the passages
Provided floor cleaning machine with inbuilt
vacuum to prevent wet floors.
Provided training to staffs on safety measures
4 4 16 while floor cleaning. Housekeeping
Conducting cleaning activities early morning
hours to prevent exposure to wet floors.
Provided wet floor sign board while floor cleaning
 Risk=Probability X
Probability

Severity

Severity
Sr No Hazard Category Risk Summary/ Risk Statement (Nature of Risk Mitigation, Management & Monitoring Plan Responsible Stake Holder Remarks
Risk Involved (RMMM PLAN)

Avoid using damaged ladder at workplace.

Conducting regular maintenance of the step

ladder.
Housekeeping, Maintenance & Vendors.
The step ladder with damaged rungs is
Working at Height used for maintenance work at height. The Maintenacne,
Damaged rungs of step activity involves fitting & cleaning work. Repaired the ladder damaged rungs before
5 ladder. This can lead to a risk of falling from a 4 5 20 starting any activity. housekeeping, Security &
height and can cause serious neck injury, Safety
spinal cord injury, bone fracture, and even
fatal. Provided effective supervision during height work
activity by ladder.

Provided PPE’s such as hard helmet.

Wet Floor signage’s are used.

Floors are immediately dried after water spills or
If water spills are unnoticed, it may cause cleaning
6 Slips & Trips trip and staff may fall and injure themself. 1 3 3 Staff are trained on Slips and trips Housekeeping Supervisor

Floor cleaning are done early morning and late

7 Fire
night.
Soldering Gun are used at Workstation only
Soldering Gun are used only by Experienced
technincian.
Due to Short Circuit, or Soldering gun 2 2 4 Solder Gun Cables are frequently inspected for Bio Medical
any damage.
Workstation must be fitted with RCCB for better
prevention of short circuit.
 Risk=Probability X
Probability

Severity

Severity
Sr No Hazard Category Risk Summary/ Risk Statement (Nature of Risk Mitigation, Management & Monitoring Plan Responsible Stake Holder Remarks
Risk Involved (RMMM PLAN)

Heavy Materials should not be stacked above

cupboard top.
proper ladder to use while stacking or removing
Injury from moving or falling heavy materials
8 Work Tool 2 3 6 Bio Medical
materials
Boxes to be labelled to identify materials inside

Wwhile removing or stacking no one should sit or

If water spills are unnoticed, it may cause
9 Slips & Trips trip and staff may fall and injure themself.
In Kitchen LPG gas leak due to hose
10 Fire damage or leakage due to negligence of
staff
stand beside cupboard
Wet Floor signage’s are used.
Floors are immediately dried after water spills or
cleaning
2 4 8 Kitchen Manager
Staff are trained on Slips and trips
Floor cleaning are done early morning and late
night.
LPG gas leak detector is installed.
Staff Trained in Immediate action to take if found
LPG leakage
2 5 10 Kitchen Manager
LPG Hoses are replaced as per OEM guidelines.

LPG gas bank is secured by padlock

Rodent Stick Pad is installed inside kitchen

Probability
Sr No Hazard Category Risk Summary/ Risk Statement (Nature of
Risk Involved
11 Work Tool Cut from Knife While chopping vegetables
or Fruits
Welding work near scrapyard, If Fire in the
scrapyard. Housekeeping staff, welder &
12 Fire helper could suffer from smoke inhalation
or burns which could potentially kill.
The step ladder with damaged rungs is
used daily in the hospital. The daily activity
involves cleaning the false ceiling AHU grills
13 Working at Height and repair work .The staff carries out the
task numerous times a day. This can lead
to a risk of falling from a height and can
cause serious neck injury, spinal cord
injury, bone fracture, and even fatal.
Risk=Probability X
Severity
Severity
Risk Mitigation, Management & Monitoring Plan Responsible Stake Holder Remarks
(RMMM PLAN)
Sharpened knives are used for chopping to avoid
accidental slips.
Staff are trained on Proper Handling of Knifes
3 2 6 Kitchen Manager
Staff are trained not to put knifes soaking in basin
Grips are checked before using knifes to avoid
accidental slips.
Scrapyard is cleaned quarterly.
Fire Extinguishers Installed in Scrapyard.
Exits/fire exits signage’s pasted.
Conducted a fire risk assessment at scrapyard.
2 5 10 Scrap Co-Ordinator
Provided training in the proper use of fire
extinguishers.
Provided Sprinkler System at scrapyard
Caution Signage Board is placed during the
cleaning work.
Gloves &apron are provided for cleaning.
3 4 12 Daily tool box talk is conducted prior to the start Housekeeping Executives
of each shift.
Providing effective supervision.
Provided PPE’s such as hard helmet.

Probability
Sr No Hazard Category Risk Summary/ Risk Statement (Nature of
Risk Involved
Due to sharp turns at the entrance ramp,
Movement of people this will lead to the risk of collision of
14 and vehicles in the ambulance and pedestrian and cause
workplace serious injuries bone fracture, head injury,
and fatality in severe cases.
Welding work at scrapyard. If Fire in the
scrapyard, Housekeeping staff, welder &
15 Fire helper could suffer from smoke inhalation
or burns which could potentially kill.
Bikes are overparked at basement leaving
almost no space for shifting or removing
16 Fire center bikes which can be a hurdle in
emergency situation such as fire. It poses a
immediate risk of smoke and fire spread in
the basement area if ignited
Risk=Probability X
Severity
Severity
Risk Mitigation, Management & Monitoring Plan Responsible Stake Holder Remarks
(RMMM PLAN)
Experienced drivers appointed for ambulance
services.
Avoiding over speeding and driving under speed
limit
3 4 12 Ensure ambulance are well maintained and are fit Security Officer
for purpose and comply with safety standards
Provide extra mirror to improve driver visibility
and proximity detector in place to be aware of
approaching object.
Scrapyard is cleaned quarterly.
Fire Extinguishers Installed in Scrapyard.
Exits/fire exits signage’s pasted.
Conducted a fire risk assessment at scrapyard.
Maintenance
Provided training in the proper use of fire
extinguishers.
Provided Sprinkler System at scrapyard
2 Security Guards are deployed for patrolling the
parking area continuously
2 Fire Hydrant Outlet is regularly Tested & ready
to use at Basement
1 4 4 Safety & Security
2 ABC 1 Co2 & 1 Foam Extinguisher are located
near by Basement Area
Alternate area for parking bikes is under process
which can help in clearing congestion.

Probability
Sr No Hazard Category Risk Summary/ Risk Statement (Nature of
Risk Involved
Due to shortcircuit in electrical equipment
at ICU fire can spread affecting patients
17 Fire and staff with Heat and smoke. Which can
cause burns and suffocation due to smoke
inhalation
Due to short-circuit in electrical equipment
at OT fire can spread affecting patients and
18 Fire staff with Heat and smoke. Which can
cause burns and suffocation due to smoke
inhalation
Hot work carried near Liquid Medical
Oxygen Bay can cause extreme fire if
19 Fire comes in contact with presurrized oygen.
Which can casue explosions and results
into sentinel event.
Risk=Probability X
Severity
Severity
Risk Mitigation, Management & Monitoring Plan Responsible Stake Holder Remarks
(RMMM PLAN)
Fire extinguisher installed inside ICU
Fire Rid Installed at Nursing Station
Staff Trained on Strategic Evacuation Planning
2 5 10 Fire & Safety
Staff Trained on How to use Fire Extinguishers
Code Red Evacuation Mock Drill Conducted For
ICU Staff
ERT team trained on ICU evacuation & Fire
Fighting
Fire extinguisher installed inside OT
Fire Rid Installed at Nursing Station
Staff Trained on Strategic Evacuation Planning
2 5 10 Fire & Safety
Staff Trained on How to use Fire Extinguishers
Code Red Evacuation Mock Drill Conducted For
OT Staff
ERT team trained on OT evacuation & Fire
Fighting
Hot work permit is not given anywhere near
Liquid Medical Oxygen Bay
Fence are installed to keep away unauthorised
movement
1 5 5 Bio Medical & Fire Safety
Danger and "No Hot work" signages are installed
at Bay
Security Guards are depoyed 24X7 at the area

Probability
Sr No Hazard Category Risk Summary/ Risk Statement (Nature of
Risk Involved
Due to Heavy rains in monsoon it has been
observed drainage spills out groundwater
20 Flooding due to clogging of sludge inside drainage.
Because of that basement gets flooded
with dirty water resulting in very poor
hygiene and even short circuit
Compressed cylinders are used daily for
transporting patients in OT and
Compressor room. While transporting or
Compressed Cylinders storing if accidentally the cylinders fell and 2
21 Valve Burst valve is broken it can act as a missile due to
propulsion from compressed gases
destroying property, equipement and
harming person.
Electrical Substation gives continuous
Short Circuit in supply of electricty via HT and LT panels, if
22 short circuit happens it can affect the
Electrical Panels power supply for critical equipments which
can cause chaos in wards.
Risk=Probability X
Severity
Severity
Risk Mitigation, Management & Monitoring Plan Responsible Stake Holder Remarks
(RMMM PLAN)
Every Week the sludge are removed from
drainage line to avoid any clog
Heavy Powered sump pums are used to avoid
4 4 16 back flow of ground and drain water Maintenance
Additional Pump are used to pump out water
directly from main chamber to outside drainage.
All compressed cylinders are transported in
proper trolley
All compressed cylinders are stored in proper
storage area with chain lock for support
5 10 Bio- Medical, HK & Safety
All cylinders are equipped with valve guard for
additional protection
Trainings are provided to all HK staff for safe
transportation of compressed cylinders
Timely PPM are done of all electrical panels
Energy audits are done yearly
Thermography is done yearly to prevent and
rectify hotspots
2 5 10 Regular inspection and maintenance of all Enginnering & Maintenance
electrical panels are done as per tracker
Fire Tube supression system are installed to
prevent major damage because of short circuit
 Risk=Probability X
Probability

Severity

Severity
Sr No Hazard Category Risk Summary/ Risk Statement (Nature of Risk Mitigation, Management & Monitoring Plan Responsible Stake Holder Remarks
Risk Involved (RMMM PLAN)

Code Violence is activated for Verbal or

Aggressive Patient and Patient Relatives
are part of the Day to Day operations,
23 Violence at Work Place Often Verbal Abuse and Physical Abuse are
seen mainly due to billing issue and during
visitor control.
Staff bikes are parked at parking, In past
24 Theft bike theft incident has occurred.
PhysicalAbuse
Bouncers are deployed in 3 Shifts
5 3 15 Security guards are deployed to be vigilante and Security Officer
identify aggressive behaviour
Trainings are provided to Security guard,
Bouncers and General Staff.
Vehicle Entry & exit register is maintained by
Security
Security guards are deployed at Parking area to
monitor vehicles
2 3 6 Security Officer
CCTV Cameras are installed at Entry, Exit &
Parking Bay
Boom Barrier has been installed torestrict
movements of vehicles

We have 2 service provides for security Guards

Absconding or leave without permission guards

Security Staff Abscond Staff deployement is essential on each and are penalised
25 From Duty every points, Such abscond cases can result 3 3 9 Security Officer
in shortage and vacant post on site. Head guard is deployed to ensure 100%
attendance at post.
Additional Security guards are hired to fill the
posiition at such instance.

Probability
Sr No Hazard Category Risk Summary/ Risk Statement (Nature of
Risk Involved
F&B team cooks food for patient as per
diet planned by dietician, Meals are
preapred in large quantity, if spoiled
26 Food Poison vegetables or cereals are accidentaly used
for cooking food it can cause serious
problems of food poisioning in patients at
large numbers.
Daily ambulance are used for transporting
Ambulance Mechanical patients, if there's a breakdown in
27 Breakdown ambulance whiletransporting patients, it
can be a life threatening scenario for the
patient.
Ceiling fan are installed at every ward,
28 Ceiling Fan fell down rooms and office space. If the ceiling fan
fell due to loose bolts it can seriously
injured the persons below the fan.
Risk=Probability X
Severity
Severity
Risk Mitigation, Management & Monitoring Plan Responsible Stake Holder Remarks
(RMMM PLAN)
Daily Fresh Vegetables are Procured and supplied
to F&B
Quality checks are done by Chef to ensure taste
of food is better
1 5 5 Food & Beverage
While chopping and cooking the quality test are
done of vegetables and cereals
Plates and Utensils are properly cleaned before
cooking and serving food to patients.
Periodically servicing of ambulance are done by
authorised service center.
Timely mechanical parts are replaced by the
service center as per the OEM guidelines
1 5 5 Ambulance drivers are competent and trained Ambulance HOD
and they do visual check on ambulance on daily
basis
Standby ambulance are always ready if any
breakdown happens.
Periodically check are done of ceiling fans and its
bolts
Visual Inspections are done by the user and
2 5 10 complaint are lodge if any abnormaly seen Enginnering & Maintenance
ISI approved ceiling fans are only installed in
hospital.

Probability
Sr No Hazard Category Risk Summary/ Risk Statement (Nature of
Risk Involved
Housekeeping teams used chemical for
Substance Abuse at cleaning purpose, accidental spill or wrong
29
Work mix of chemicals can result in a disaster
and release of toxic fumes.
Housekeeping teams does a lot of manual
30 Manual Handling handling of heavy boxes daily, Over a long
period it may cause sever pain and inury.
Risk=Probability X
Severity
Severity
Risk Mitigation, Management & Monitoring Plan Responsible Stake Holder Remarks
(RMMM PLAN)
Chemicals are appropriately stored in Hazmat
Cabinets
All chemicals are labelled properly as per GHS
requirements
2 4 8 Housekeeping
Housekeeping staff are trained in handling
chemicals
Hazmat spill kit are procured to tackle major spills
Trainings are provided to staff for corrrect
method of lifting heavy materials.
Staffs are encoraged to lift heavy materials with
proper technique and 2 or more people if
required
2 3 6 Housekeeping
Trolleys are provided for transporting heavy
materials
Hydraulic hand pallet trolley are recommended to
procure for lifting and shifting heavy materials
 Risk=Probability
Probability

X Severity
Severity
Risk Summary/ Risk Statement (Nature
Sr No Risk/Hazard Category
of Risk Involved

If water spills are unnoticed, it may

1 Slips & Trips cause trip and staff may fall and injure 1 3 3
themself.

2 Fire Due to Short Circuit, or Soldering gun 2 2 4

Injury from moving or falling heavy

3 Work Tool 2 3 6
materials
Risk Mitigation, Management & Monitoring Plan (RMMM PLAN) Responsible Stake Holder

1.Wet Floor signage’s are used.

2.Floors are immediately dried after water spills or cleaning

3.Staff are trained on Slips and trips
4.Floor cleaning are done early morning and late night.
1. Soldering Gun are used at Workstation only

2. Soldering Gun are used only by Experienced technincian.

3. Solder Gun Cables are frequently inspected for any

damage.
4. Workstation must be fitted with RCCB for better
prevention of short circuit.
1.Heavy Materials should not be stacked above cupboard
top.
2.proper ladder to use while stacking or removing
materials
3. Boxes to be labelled to identify materials inside
4. while removing or stacking no one should sit or stand
beside cupboard
Remarks
 Risk=Prob
Probabilit

Severity

Severity
ability X
Risk Summary/ Risk Statement (Nature
Sr No Risk Category

y
of Risk Involved

If water spills are unnoticed, it may

1 Slips & Trips cause trip and staff may fall and injure 2 4 8
themself.

In Kitchen LPG gas leak due to hose

2 Fire damage or leakage due to negligence of 2 5 10
staff

Cut from Knife While chopping

3 Work Tool 3 2 6
vegetables or Fruits
Risk Mitigation, Management & Monitoring Plan (RMMM PLAN) Responsible Stake Holder

1.Wet Floor signage’s are used.

2.Floors are immediately dried after water spills or cleaning

Kitchen Manager
3.Staff are trained on Slips and trips

4.Floor cleaning are done early morning and late night.

1.LPG gas leak detector is installed.
2.Staff Trained in Immediate action to take if found LPG
leakage
Kitchen Manager
3.LPG Hoses are replaced as per OEM guidelines.
4.LPG gas bank is secured by padlock
5.Rodent Stick Pad is installed inside kitchen
1.Sharpened knives are used for chopping to avoid
accidental slips.
2.Staff are trained on Proper Handling of Knifes
Kitchen Manager
3.Staff are trained not to put knifes soaking in basin
4.Grips are checked before using knifes to avoid accidental
slips.
Remarks
 Risk=Prob
Probabilit

Severity

Severity
ability X
Risk Summary/ Risk Statement (Nature
Sr No Risk Category

y
of Risk Involved

Welding work near scrapyard If Fire in

the scrapyard, Housekeeping staff,
1 Fire welder & helper could suffer from smoke 2 5 10
inhalation or burns which could
potentially kill.

The step ladder with damaged rungs is

used daily in the hospital. The daily
activity involves cleaning the false ceiling
AHU grills and repair work .The staff
2 Working at Height 3 4 12
carries out the task numerous times a
day. This can lead to a risk of falling from
a height and can cause serious neck
injury, spinal cord injury, bone fracture,
and even fatal.
Risk Mitigation, Management & Monitoring Plan (RMMM PLAN) Responsible Stake Holder

1.Scrapyard is cleaned quarterly.

2.Fire Extinguishers Installed in Scrapyard.
3.Exits/fire exits signage’s pasted.
4.Conducted a fire risk assessment at scrapyard. Scrap Co-Ordinator

5.Provided training in the proper use of fire extinguishers.

6.Provided Sprinkler System at scrapyard

1.Caution Signage Board is placed during the cleaning
work.
2.Gloves &apron are provided for cleaning.
3.Daily tool box talk is conducted prior to the start of each Housekeeping Executives
shift.
4.Providing effective supervision.
5.Provided PPE’s such as hard helmet.
Remarks
 Risk=Prob
Probabilit

Severity

Severity
ability X
Risk Summary/ Risk Statement (Nature
Sr No Risk Category

y
of Risk Involved

Due to sharp turns at the entrance

ramp, this will lead to the risk of
Movement of people collision of ambulance and pedestrian
6 and vehicles in the 3 4 12
workplace and cause serious injuries bone
fracture, head injury, and fatality in
severe cases.
Risk Mitigation, Management & Monitoring Plan (RMMM PLAN) Responsible Stake Holder

Experienced drivers appointed for ambulance services.

Avoiding over speeding and driving under speed limit
Ensure ambulance are well maintained and are fit for
purpose and comply with safety standards Security Officer
Provide extra mirror to improve driver visibility and
proximity detector in place to be aware of approaching
object.
Remarks
 Risk=Probability
Probability

X Severity
Severity
Risk Summary/ Risk Statement (Nature
Sr No Hazard Category of Risk Involved

Due to shortcircuit in electrical

equipment at ICU fire can spread
1 Fire affecting patients and staff with Heat 2 5 10
and smoke. Which can cause burns and
suffocation due to smoke inhalation
Risk Mitigation, Management & Monitoring Plan (RMMM PLAN) Responsible Stake Holder

Fire extinguisher installed inside ICU

Fire Rid Installed at Nursing Station
Staff Trained on Strategic Evacuation Planning
Fire & Safety
Staff Trained on How to use Fire Extinguishers
Code Red Evacuation Mock Drill Conducted For ICU Staff
ERT team trained on ICU evacuation & Fire Fighting
Remarks
 Risk=Prob
Probabilit

Severity

Severity
ability X
Risk Summary/ Risk Statement (Nature
Sr No Risk Category

y
of Risk Involved

Due to shortcircuit in electrical

equipment at OT fire can spread
1 Fire affecting patients and staff with Heat 2 5 10
and smoke. Which can cause burns and
suffocation due to smoke inhalation
Risk Mitigation, Management & Monitoring Plan (RMMM PLAN) Responsible Stake Holder

Fire extinguisher installed inside OT

Fire Rid Installed at Nursing Station
Staff Trained on Strategic Evacuation Planning
Fire & Safety
Staff Trained on How to use Fire Extinguishers
Code Red Evacuation Mock Drill Conducted For OT Staff
ERT team trained on OT evacuation & Fire Fighting
Remarks
 Risk=Probability X
Probability

Severity

Severity
Risk Summary/ Risk Statement (Nature
Sr No Risk/Hazard Category
of Risk Involved

Welding work at scrapyard. If Fire in the

scrapyard, Housekeeping staff, welder &
1 Fire helper could suffer from smoke
inhalation or burns which could
potentially kill.
Risk Mitigation, Management & Monitoring Plan (RMMM PLAN) Responsible Stake Holder

1.Scrapyard is cleaned quarterly.

2.Fire Extinguishers Installed in Scrapyard.
3.Exits/fire exits signage’s pasted.
4.Conducted a fire risk assessment at scrapyard.

5.Provided training in the proper use of fire extinguishers.

6.Provided Sprinkler System at scrapyard

Remarks
 Risk=Probability
Probability

X Severity
Severity
Risk Summary/ Risk Statement (Nature
Sr No Hazard Category
of Risk Involved

Bikes are overparked at basement

leaving almost no space for shifting or
removing center bikes which can be a
1 Fire hurdle in emergency situation such as 1 4 4
fire. It poses a immediate risk of
smoke and fire spread in the
basement area if ignited
Risk Mitigation, Management & Monitoring Plan (RMMM PLAN) Responsible Stake Holder

2 Security Guards are deployed for patrolling the parking

area continuously
2 Fire Hydrant Outlet is regularly Tested & ready to use at
Basement
Safety & Security
2 ABC 1 Co2 & 1 Foam Extinguisher are located near by
Basement Area
Alternate area for parking bikes is under process which can
help in clearing congestion.
Remarks