1.

0 Definition

A risk assessment is a careful examination of what hazards in the workplace could harm to people, so
that one can weigh up whether there has being enough precautions and control implemented to prevent
harm occurring. Control measures are listed as appropriate, to eliminate the hazard if possible.

Employers are required to be in the possession of an assessment in writing of the risks to health and
safety and to ensure that the risks to health and safety of employees are periodically evaluated.

2.0 Risk Assessment

 High if there is a possibility of serious injury to a number of people and if there is a possibility of
significant injury and material loss. Serious injuries includes and paralysis. Significant injury
includes moderate injury, damage or lacerations.
 Medium if there is a possibility of minor injury to a number of people and if there is a risk of
some material loss is unlikely, although conceivable. Minor injuries include possible slight
injuries such as cuts, abrasions and sprains.
 Low if there is a possibility of little injury to small number of people of if the risk of material loss
is low. The possibility of injury or material loss is unlikely although conceivable.

1
QUANTITATIVE APPROACH

This uses the ratings number system. The hazard rating number system takes into consideration
the probability of exposure, the frequency of exposure, the number of persons at risk and the maximum
possible loss.

The Risk Assessment depends on the following circumstances:

 Is anyone exposed to the hazard?

 Is the hazard likely to cause injury?
 How serious would the injury be?
 Is the hazard well controlled?
 Is the level of supervision adequate?
 How long were people exposed and what are the levels of exposed that should not be exceeded?
These levels apply to chemicals, temperature, noise, heavy loads, radiations, etc.

3.0 Control Measures

3.1 Precautions shall be established after identifying the risks
3.2 Personnel should deport themselves in a manner unlikely to be prejudicial to their own safety
and or safety of others
3.3 All hospitals staff shall be given adequate information, instructions and or necessary training
3.4 Remove the risk completely or substitute a less risky option
3.5 Organize work to reduce exposure to the hazard and ensuring a clean and tidy workplace
3.6 Provide an adequate surveillance program
3.7 Issue of personal protective equipment and appropriate training in the use of PPE
3.8 The replacement of dangerous articles, substances or system of work by safe or less
dangerous articles, substances or system of work
3.9 Development of an adequate prevention policy in relation of safety, health and welfare at
work (e.g. working condition, working environment)
3.10 On-going risk assessment shall be done by the person in charge of hospital safety
3.11 Assessment shall be recorded and which shall contain the reference point, the hazard, the
risk, control measures, date identified, person responsible, when the hazard is identified and
the date it is rectified.
3.12 Both qualitative and quantitative risk assessment approaches shall be carried out in order
to clarify the level of risk obtained.
1.0 Purpose

1.1 This policy aims to determinate the magnitude of hazard arising in and from the workplace
through quantitative and qualitative measurements

1.2 To address risk according to priority “worst first” principle. It provides a consistent guide for
corrective action, specifying which hazardous conditions warrant immediate action, which have
secondary priority and which can be addressed in the future

2.0 Policy Description

2.1 After identifying the potential risks in their respective department, an assessment of the
potential hazards analysis, should be done

2.2 After filling up the potential hazard analysis, this shall be submitted to the officer in charge
(e.g. Physical Plant Division) for proper action

3.0 Guidelines

3.1 Agree among all those involved as to what is being observed. A meeting shall be held on the
development involved.

3.2 Rank the hazard consequences by the following categories:

3.2.1 Consequence Category

3.2.2 Probability Category

3.2.3 Exposure Category

CONSEQUENCE CATEGORY

CONSEQUENCE TYPE RATIONALE

RATINGS
4 Catastrophic
3 Critical
2 Marginal
1 Negligible
May cause death or loss of facility
May cause severe injury, severe occupational illness or major
property damage
May cause minor injury or minor occupational illness resulting
in lost workday (s) or minor property damage
Probably would not affect personnel safety, thus less than a lost
workday, but nevertheless is in violation of specific criteria
PROBABILITY RATING

Probability Rationale
Ratings
4 Likely to occur immediately or within a short of time when exposed to hazard
3 Probably will occur in time
2 Possible to occur in time
1 Unlikely to occur

EXPOSURE RATINGS

Exposure Rationale
Ratings
4 Greater than 50 different regularly exposed to the hazard
3 From 10 to 49 different persons regularly exposed to the hazard
2 For 5 to 9 different persons regularly exposed to the hazard
1 Less than different persons regularly exposed to the hazard

RISK ASSESSMENT

RAC Risk Rating Title

1 11-12 Critical
2 8-10 Serious
3 6-7 Moderate
4 4-5 Minor
5 3 Negligible

Risk Ratings: consequence rating + probability ratings + exposure rating

RAC: Risk Assessment Code

Rating: minimum = 3 points; maximum = 12 points

RISK PRIORITY RATINGS

Risk Rating Title Correction Priority

11-12 Critical E- Emergency
8-10 Serious A-1 week
6-7 Moderate B-1 month
4-5 Minor C-3 months
3 Negligible D-6 months
 3.3Submit the completed report to immediate supervisor and a copy to the Officer in Charge for
occupational health and safety

4:0 Monitoring

4.1 The Officer in charge will document a database of Risk Assessment in all department of the
hospital

5.0 Statement of Policies to existing policies

Any existing hospital policy, rules and regulations inconsistent with this policy shall be deemed
repealed

6.0 Dissemination

6.1 Orientation shall be conducted to all employees

7.0 Reference

Basic Occupational Safety and Health Training, Association of Safety Practitioners in the
Philippines
 RISK ASSESSMENT RATINGS
AREA:
FINDINGS:
HAZARDS:
RISK RATING:
CORRECTIVE
ACTION
TIME FRAME
DEPARTMENT
RESPONSIBLE

Date and Time of inspection: ____________________________________________________

Name and Signature of Inspection: ____________________________________________________

 RISK IDENTIFICATION
Department __________________________________________ Date____________________

Area Inspected _______________________________________

Inspector ____________________________________________

Item No. Risk Identified Potential Hazard Comments

Date and Time of Inspection: ________________________________________

Name and Signature of Inspector: _____________________________________

1:0 Definition
 A Hazard is defined as anything that has the potential to cause harm.

A Risk is defined as the likelihood of the hazard occurring.

Hazard Surveillance it is a survey of hospital areas intended to identify environmental

deficiencies, hazards and unsafe practices. It doesn’t only include physical aspects of the building
and equipment but also staff knowledge of critical environment of care functions

2:0 Scope

The person in charge for safety inspection conducts hazard surveillance at least once every six (6)
months in patient care areas and at least once a year in non-patient care areas. Inspection reports
are maintained in a hospital safety database, and copy furnish for the hospitals managers. Written
responses from each area surveyed are required as evidence of correction of deficiencies noted.
Inspection reports and responses are kept as a hospital safety record.

3.0 Hazard Identifications and Surveillance

The identification is an essential first step in the control of health and safety risks. It involves a
critical appraisal of all activities, e.g. contractors, supplies, members of the public etc.

1.1 The hospital will after to relevant health and safety legislation (e.g. fire safety department)
and codes of practice which give practical guidance and basic minimum requirements and
safety guidance information, expect advice provided by competent health and safety