Example Risk Assessment Date: Risk Likelihood Impact Total Risk Date Risk Nature of Management Strategy Comments Responsibility Date (1-5, with 1 (1-5) (Likelihood Identified Risk Actioned least likely X Impact) (Clinical/ and 5 most likely) 6 Equipment is 2 3 Non-clinical Ensure equipment is calibrated. incorrectly calibrated Equipment failure 2 2 4 Non-clinical Ensure patients are re-booked. Ensure support for equipment is in place for remediation. Patient contracts 2 3 6 Clinical Keep cross infection control infection in procedures up to date. the consulting room Referral letters not 2 3 6 Clinical Utilise secure fax to ensure received by GP delivery and receipt of patient details. IT System failure 1 2 2 Non-clinical Alternative manual recording of patient records and all data collection. This Health and Safety Policy will be reviewed annually with commencement date [insert date].
Example Risk Assessment Date: Risk Likelihood (1-5, with 1 least likely and 5 most likely) Impact (1-5) Total Risk (Likelihood X Impact) Date Risk Identified Nature of Risk (Clinical/ Management Strategy Comments Responsibility Date Actioned Equipment is incorrectly calibrated 2 3 6 Non-clinical Ensure equipment is calibrated. Equipment failure 2 2 4 Non-clinical Ensure patients are re-booked. Ensure support for equipment is in place for remediation. Patient contracts infection in the consulting room 2 3 6 Clinical Keep cross infection control procedures up to date. Referral letters not received by GP 2 3 6 Clinical Utilise secure fax to ensure delivery and receipt of patient details. IT System failure 1 2 2 Non-clinical Alternative manual recording of patient records and all data collection. This Health and Safety Policy will be reviewed annually with commencement date [insert date].