Instructions for using the Risk Assessment form

Column 1b Describe the work activity to be carried out. Not

not fill in names of machines/equipment to be used. Therefore, a compute
activity, but working on a computer is

Column 1c Identify hazard(s) and its risks associated with the activity to be carried out.
Examples of hazards include chemical, biological, electrical, mechanical, physical, ergonomics, psychosocial, sl
Identify possible accidents/ill health associated with each identified hazard. Ex
possible accidents/ill health include fires, explosions, cuts, burns, frost bites, fractures etc.

Column 1d Group exposed

List who might be harmed such as patients, staff, visitors.
Note: Vulnerable such as pregnant lady, disabled, children etc.to be considered.

Column 1e Risk Area:

Hospital Premises ( both interior and exterior) where the risk is present.

Column 2b Inherent risk

L=Likelihood of occurrence of an accident, incident or ill health is defined as the probability that the s
incident or ill health will happen. Choose the likelihood from a value between 1 and 5. Consider the re
such events happening in the past when deciding on the likelihood. Refer to the Ri
tab for the likelihood table.

Column 2c S=Severity is the degree or extent of injury or harm caused by the hazards, or as a result of an acciden
the most likely severity from a value between 1 and 5, rather than the most extreme. Refer t
Matrix tab for the severity table

Column 2d Risk Rating

Risk Rating = Combination of Likelihood X Severity.

Column 3a Existing 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
- Administrati

Protective Equipment
Column 3b Residual Risk Rating
The residual risk is the amount of risk or danger associated with an action or event remaining after inherent ri
reduced by risk controls
L=Likelihood
L may reduce upon introduction of existing control measures

Column 3c S=Severity Sm
upon introduction of existing control measures

Column 3d Risk Rating =Severity X Likelihood

Will reduce upon introduction of existing control measures

Column 3e Additional risk control measures are required when the Risk Rating indicated in column 2d exceeds 6.
6 or less, enter "NA" in the column

Column 3f Enter the name of the person appointed to oversee the implementation of the control measures.
Enter the frequency of implementation.
 Note: Please do
Therefore, a computer is not an

al, ergonomics, psychosocial, slip & fall etc.

Examples of
actures etc.

d.

d as the probability that the said accident,

ween 1 and 5. Consider the records of
Refer to the Risk Matrix

s, or as a result of an accident. Choose

ost extreme. Refer to the Risk

e risks.
line of defense.

- Substitution

- Administrative Controls
- Personal
ent remaining after inherent risks have been

S may reduce

ated in column 2d exceeds 6. If the RPN is

control measures.
 Risk Assessment Matrix
Overall Risk = Likelihood x Severity

Likelihood Table Severity Table

Score 5 4 3 2 1 Score 5 4 3 2 1
Severity level Frequent Moderate Occasional Remote Unlikely Likelihood level Critical Very Serious Serious Marginal Negligible
Multiple Fatalities Single Fatality Serious injuries Injuries Minor injuries,
requiring off-site requiring on-site which may
treatment by treatment by require self-
medical or medical administered
immediate practitioner. first aid. Injured
evacuation to Personnel personnel can
hospital. Potential unable to continue to
Occurs several times a Has occurred in Never occurred in long term or continue to perform normal
Occurs several times a Has occurred at
year in healthcare Healthcare facility healthcare facility permanently perform duties. duties
year in India least once in India
facilities in India (Worldwide) (Worldwide) disabling effects.

Risk level Determination - 5 x 5 Matrix Risk Category and Action

SEVERITY Colour code Score Risk catogory Action

Critical Very Serious Serious Marginal Negligible Operation not Permissible

(5) (4) (3) (2) (1) 15 - 25 Extreme Stop operation & review controls.

25 20 15 5 High priority remedial action

Frequent 10 Proceed with extreme caution. Implement
(5) Operation not Operation not Operation not
High priority
Review at 8 - 14 High additional controls immediately. Emergency control
permissible permissible permissible appropriate time measures shall be in place.

20 16 4
Moderate 12 8 Take remedial action at appropriate time
(4) Operation not Operation not
High priority High priority
Review at 4 -6 Medium Proceed with care. Additional control is advised.
permissible permissible appropriate time
LIKELIHOOD

6
15
Occasional 12 9 Review at 3
Operation not
(3) High priority High priority appropriate Risk acceptable Risk acceptable: Residual risk
permissible If possible, risk reduction should be further
time
considered, particularly severity.
1-3 Low Risk There are no imminent dangers. Frequent review
4 shall be in place especially changes in procedures,
6
Remote 10 8 Review at 2 materials or environment.
Review at
(2) High priority High priority appropriate Risk acceptable
appropriate time
time

4
5
Unlikely Review at 3 2 1
Review at
(1) appropriate Risk acceptable Risk acceptable Risk acceptable
appropriate time
time
 HAZARD IDENTIFICATION RISK ASSESSMENT- LIFTS & ESCALATORS OPERATIONS

RISK SCORE RISK CATEGORY ACTION Risk Assessment Reference No:

1-3 Low There are no imminent dangers. Frequent review shall be in place especially changes in procedures, materials or environment. Facility Name: Yashoda Hospitals, Hitec City
Take remedial action at appropriate time
4-6 Medium Proceed with care. Additional control is advised. Review at appropriate time. FMS Program: Lifts and Escalators
High priority remedial action Proceed with extreme caution. Implement additional controls immediately. Emergency control measures shall be in
8-12 High place. Date of Assessment:

15-25 Extreme Operation not Permissible. Stop operation & review controls. Next Review Date:

HAZARD IDENTIFICATION RISK EVALUATION RISK CONTROL

Inherent risk Rating Residual

Risk Rating
Sl No. Process / Activity Hazard and its risk Groups Exposed Risk Area Existing Control Measures Additional Control measures Responsible person
(Action/Monitored by)
L S RR L S RR

ELEVATORS AND ESCALATORS

Patients,Pa
Within Manual resque operation
1 Non Availability of tient Elevator works on battery , reach to nearest floor and elevator door will
ELEVATOR Hospital 2 3 6 1 2 2 Monthly PM of Elevator as per QRT & ENGG
main power supply attenders,S be opened
Premises Schedule
taff

Non Availability of Few lights are works on the battery power ,while power fail
Patients,Pa
lighting in CAR of Within Monthly PPM time service
2 tient
ELEVATOR elevator during Hospital 2 3 6 1 2 2 provider will check the battery O&M,ENGG
attenders,S
power supply Premises healthy condition
taff
failure

Passenger can communicate

Patients,Pa
Within with Telecomm team through
3 If passenger struck tient Press Bell button to communicate with consern persons for Resque
ELEVATOR Hospital 2 5 10 1 3 3 emergency landline provided QRT & ENGG
in Elevator attenders,S operation
Premises inside the elevator by dialing 9
taff
for Resque operation

Safety hydrolic buffers are

Available. A buffer is a Device
designed to stop a desending
car of counter weight beyond
its normal limit and to soften
Patients,Pa When over speed is detected, The Governor grips the cable which
Incase of over Within the force with which Elevator
4 tient applys safeties that wedge againest the guide rails and stop the car.
ELEVATOR speed in Elevators Hospital 2 5 10 1 3 3 runs in to the pit during an O&M,ENGG
attenders,S Over speed governor function is to activate the safety gear if the car
Passenger may fall Premises Emergency. As per Monthly
taff speed Exceed 115% of its rated value.
PPM service module O&M will
check the Governor condition,
and there will provide the
fitness certificate of the
Elevator
 HAZARD IDENTIFICATION RISK ASSESSMENT- LIFTS & ESCALATORS OPERATIONS

RISK SCORE RISK CATEGORY ACTION Risk Assessment Reference No:

1-3 Low There are no imminent dangers. Frequent review shall be in place especially changes in procedures, materials or environment. Facility Name: Yashoda Hospitals, Hitec City
Take remedial action at appropriate time
4-6 Medium Proceed with care. Additional control is advised. Review at appropriate time. FMS Program: Lifts and Escalators
High priority remedial action Proceed with extreme caution. Implement additional controls immediately. Emergency control measures shall be in
8-12 High place. Date of Assessment:

15-25 Extreme Operation not Permissible. Stop operation & review controls. Next Review Date:

HAZARD IDENTIFICATION RISK EVALUATION RISK CONTROL

Inherent risk Rating Residual

Risk Rating
Sl No. Process / Activity Hazard and its risk Groups Exposed Risk Area Existing Control Measures Additional Control measures Responsible person
(Action/Monitored by)
L S RR L S RR

Patients,Pa
Within Anybody will operate the fireman switch based on fire in lift
5 tient We will call through landline
ELEVATOR Incase of fire Hospital 3 5 15 surrounding area, running lift will stop and come back to resignated 1 4 4
attenders,S and alert the passangers.
Premises floor and opened the lift door
taff

Security Guards are available

Patients,Pa Security Guards are available near the escalator to assist Elder/Panic
Passenger falls Within near the escalator to assist
tient passengers.
6 ESCALATOR down from Hospital 3 4 12 1 3 3 Elder/Panic passengers. QRT & ENGG
attenders,S Escalator usage Signagesare displayed near the escalator.
escalator Premises Reducing speed of the
taff Foot prints are painted for stepping into escalator.
eascalator

Prepared by: S srinivas, N.veerababu, A Praneeth