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FORMAL HAZARD ASSESSMENT Page 1 of 22
Location: Assessment Date: □ New □ RevisedDepartment: Hazard
Assessment Team:
Name: Title:Job Title: Physical/Occupation Therapist Aide (PTA/OTA) Name: Title:
Shift: Name: Title:Task Hazard Detail Frequency Severity Probability Total Priority Control Measures
Perform patient/resident/ client assessments
Potential for exposure to verbal aggression, harassment, and bullying
Engineering:Administrative:PPE:
Potential for exposure to physical aggression or violence (which may include unwanted behaviours, hitting, kicking, etc.)
Engineering:Administrative:
PPE:
Biohazard exposure: bodily fluid, blood, bacteria, virus, etc.
Engineering:Administrative:PPE:
Awkward Postures/movementsEngineering:Administrative:PPE:
Sudden movementsEngineering:Administrative:
PPE:
Restricted space/area: i.e. clutterEngineering:Administrative:PPE:
Psychological stress may include exposure to challenging behaviours, workload, mental fatigue, interpersonal conflict etc.
Engineering:Administrative:
PPE:
Repetitive MovementsEngineering:Administrative:PPE:
Sharp edges: i.e. paperEngineering:Administrative:PPE:
Frequency Severity Probability Frequency + Severity + Probability = Total Risk Hazard Control Examples:4 One or more times/day Serious injury/death Will very likely occur (expected to happen) 4 Score Range Priority Engineering (E) Environment/Equipment Changes that prevent the hazard
3 One or more times/week Medical aid Could probably occur (has better than 50/50 chance of happening) 3 3 – 6 Low (L) Administrative (A) Policies, task procedures, training, signage
2 One or more times/month Minor injury Possibility of occurring (known to have happened) 2 7 – 9 Medium (M) Personal Protective Equipment (PPE)
Gloves, gowns, goggles, face shields, masks, etc.1 Less than once/month No injury/damage Practically impossible to occur (1:1,000,000) 1 10 – 12 High (H)
FORMAL HAZARD ASSESSMENT Page 2 of 22
Task Hazard Detail Frequency Severity Probability Total Priority Control MeasuresPerform patient/resident/ client assessments (cont.)
Slipping hazards such as wet and/or soiled floor
Engineering:Administrative:PPE:
Tripping hazards such as uneven pavement/floor surfaces, cords, resident equipment, etc.
Engineering:Administrative:PPE:
Frequency Severity Probability Frequency + Severity + Probability = Total Risk Hazard Control Examples:4 One or more times/day Serious injury/death Will very likely occur (expected to happen) 4 Score Range Priority Engineering (E) Environment/Equipment Changes that prevent the hazard
3 One or more times/week Medical aid Could probably occur (has better than 50/50 chance of happening) 3 3 – 6 Low (L) Administrative (A) Policies, task procedures, training, signage
2 One or more times/month Minor injury Possibility of occurring (known to have happened) 2 7 – 9 Medium (M) Personal Protective Equipment (PPE)
Gloves, gowns, goggles, face shields, masks, etc.1 Less than once/month No injury/damage Practically impossible to occur (1:1,000,000) 1 10 – 12 High (H)
FORMAL HAZARD ASSESSMENT Page 3 of 22
Task Hazard Detail Frequency Severity Probability Total Priority Control MeasuresCommunicate and collaborate with health care professionals, as required
Biohazard Exposure: i.e. bodily fluid, blood, virus, bacteria, etc.
Engineering:Administrative:PPE:
Psychological stress: may include interpersonal conflict, time pressure, job conflict, work conditions, work design, etc.
Engineering:Administrative:
PPE:
Potential for exposure to verbal aggression, harassment, and bullying
Engineering:Administrative:PPE:
Potential for exposure to physical aggression or violence (which may include weapons i.e. fists, guns, or knives etc.)
Engineering:Administrative:
PPE:
Engineering:Administrative:PPE:Engineering:Administrative:PPE:Engineering:Administrative:PPE:Engineering:Administrative:PPE:Engineering:Administrative:PPE:
Frequency Severity Probability Frequency + Severity + Probability = Total Risk Hazard Control Examples:4 One or more times/day Serious injury/death Will very likely occur (expected to happen) 4 Score Range Priority Engineering (E) Environment/Equipment Changes that prevent the hazard
3 One or more times/week Medical aid Could probably occur (has better than 50/50 chance of happening) 3 3 – 6 Low (L) Administrative (A) Policies, task procedures, training, signage
2 One or more times/month Minor injury Possibility of occurring (known to have happened) 2 7 – 9 Medium (M) Personal Protective Equipment (PPE)
Gloves, gowns, goggles, face shields, masks, etc.1 Less than once/month No injury/damage Practically impossible to occur (1:1,000,000) 1 10 – 12 High (H)
FORMAL HAZARD ASSESSMENT Page 4 of 22
Task Hazard Detail Frequency Severity Probability Total Priority Control MeasuresAssist therapist with wound care
Potential for exposure to verbal aggression, harassment, and bullying
Engineering:Administrative:PPE:
Biohazard Exposure: blood, bodily fluids, bacteria, virus, etc.
Engineering:Administrative:PPE:
Potential for exposure to physical aggression or violence (which may include challenging behaviours, hitting, kicking, etc.)
Engineering:Administrative:
PPE:
Awkward posture/movementsEngineering:Administrative:PPE:
Repetitive movementsEngineering:Administrative:PPE:
Restricted space/area: i.e. clutterEngineering:Administrative:PPE:
Slipping hazards such as wet and/or soiled floor
Engineering:Administrative:PPE:
Tripping hazards such as uneven pavement/floor surfaces, cords, resident equipment, etc.
Engineering:Administrative:PPE:Engineering:Administrative:PPE:
Frequency Severity Probability Frequency + Severity + Probability = Total Risk Hazard Control Examples:4 One or more times/day Serious injury/death Will very likely occur (expected to happen) 4 Score Range Priority Engineering (E) Environment/Equipment Changes that prevent the hazard
3 One or more times/week Medical aid Could probably occur (has better than 50/50 chance of happening) 3 3 – 6 Low (L) Administrative (A) Policies, task procedures, training, signage
2 One or more times/month Minor injury Possibility of occurring (known to have happened) 2 7 – 9 Medium (M) Personal Protective Equipment (PPE)
Gloves, gowns, goggles, face shields, masks, etc.1 Less than once/month No injury/damage Practically impossible to occur (1:1,000,000) 1 10 – 12 High (H)
FORMAL HAZARD ASSESSMENT Page 5 of 22
Task Hazard Detail Frequency Severity Probability Total Priority Control MeasuresAssist and instruct exercises, message and stimulations
Awkward posture/movementsEngineering:Administrative:PPE:
Repetitive MovementsEngineering:Administrative:PPE:
Static posturesEngineering:Administrative:PPE:
Potential for exposure to verbal aggression, harassment, and bullying
Engineering:Administrative:PPE:
Slipping hazards such as wet and/or soiled floor
Engineering:Administrative:PPE:
Tripping hazards such as uneven pavement/floor surfaces, cords, resident equipment, etc.
Engineering:Administrative:PPE:
Heavy loadsEngineering:Administrative:PPE:
Potential for exposure to physical aggression or violence (which may include unwanted behaviours, hitting, kicking, etc.)
Engineering:Administrative:
PPE:
Sudden movementsEngineering:Administrative:PPE:
Psychological Stress: workload, mental fatigue, inadequate workspaces, etc.
Engineering:Administrative:PPE:
Frequency Severity Probability Frequency + Severity + Probability = Total Risk Hazard Control Examples:4 One or more times/day Serious injury/death Will very likely occur (expected to happen) 4 Score Range Priority Engineering (E) Environment/Equipment Changes that prevent the hazard
3 One or more times/week Medical aid Could probably occur (has better than 50/50 chance of happening) 3 3 – 6 Low (L) Administrative (A) Policies, task procedures, training, signage
2 One or more times/month Minor injury Possibility of occurring (known to have happened) 2 7 – 9 Medium (M) Personal Protective Equipment (PPE)
Gloves, gowns, goggles, face shields, masks, etc.1 Less than once/month No injury/damage Practically impossible to occur (1:1,000,000) 1 10 – 12 High (H)
FORMAL HAZARD ASSESSMENT Page 6 of 22
Task Hazard Detail Frequency Severity Probability Total Priority Control MeasuresAssist and instruct the use of mobility aides
Psychological Stress: workload, mental fatigue, inadequate workspaces, etc.
Engineering:Administrative:PPE:
Awkward posture/movementsEngineering:Administrative:PPE:
Repetitive MovementsEngineering:Administrative:PPE:
Static postureEngineering:Administrative:PPE:
Potential for exposure to verbal aggression, harassment, and bullying
Engineering:Administrative:PPE:
Slipping hazards such as wet and/or soiled floor
Engineering:Administrative:PPE:
Tripping hazards such as uneven pavement/floor surfaces, cords, resident equipment, etc.
Engineering:Administrative:PPE:
Heavy loadEngineering:Administrative:PPE:
Moving partsEngineering:Administrative:PPE:
Potential for exposure to physical aggression or violence (which may include unwanted behaviours, hitting, kicking, etc.)
Engineering:Administrative:
PPE:
Frequency Severity Probability Frequency + Severity + Probability = Total Risk Hazard Control Examples:4 One or more times/day Serious injury/death Will very likely occur (expected to happen) 4 Score Range Priority Engineering (E) Environment/Equipment Changes that prevent the hazard
3 One or more times/week Medical aid Could probably occur (has better than 50/50 chance of happening) 3 3 – 6 Low (L) Administrative (A) Policies, task procedures, training, signage
2 One or more times/month Minor injury Possibility of occurring (known to have happened) 2 7 – 9 Medium (M) Personal Protective Equipment (PPE)
Gloves, gowns, goggles, face shields, masks, etc.1 Less than once/month No injury/damage Practically impossible to occur (1:1,000,000) 1 10 – 12 High (H)
FORMAL HAZARD ASSESSMENT Page 7 of 22
Task Hazard Detail Frequency Severity Probability Total Priority Control MeasuresTransport and transfer [patient/client/resident]
Psychological Stress: workload, mental fatigue, inadequate workspaces, etc.
Engineering:Administrative:PPE:
Potential for exposure to physical aggression or violence (which may include unwanted behaviours, hitting, kicking, etc.)
Engineering:Administrative:
PPE:
Potential for exposure to verbal aggression, harassment, and bullying
Engineering:Administrative:PPE:
Restricted space/areaEngineering:Administrative:PPE:
Awkward posture/movementsEngineering:Administrative:PPE:
Repetitive movementsEngineering:Administrative:PPE:
Heavy LoadsEngineering:Administrative:PPE:
Sudden movementsEngineering:Administrative:PPE:
Pushing/pulling forcesEngineering:Administrative:PPE:
Slipping hazards such as wet and/or soiled floor
Engineering:Administrative:PPE:
Tripping hazards such as uneven pavement/floor surfaces, cords, resident equipment, etc.
Engineering:Administrative:PPE:
Frequency Severity Probability Frequency + Severity + Probability = Total Risk Hazard Control Examples:4 One or more times/day Serious injury/death Will very likely occur (expected to happen) 4 Score Range Priority Engineering (E) Environment/Equipment Changes that prevent the hazard
3 One or more times/week Medical aid Could probably occur (has better than 50/50 chance of happening) 3 3 – 6 Low (L) Administrative (A) Policies, task procedures, training, signage
2 One or more times/month Minor injury Possibility of occurring (known to have happened) 2 7 – 9 Medium (M) Personal Protective Equipment (PPE)
Gloves, gowns, goggles, face shields, masks, etc.1 Less than once/month No injury/damage Practically impossible to occur (1:1,000,000) 1 10 – 12 High (H)
FORMAL HAZARD ASSESSMENT Page 8 of 22
Task Hazard Detail Frequency Severity Probability Total Priority Control Measures
Apply heat and cold packs to [patient/client/resident].
Awkward posture/movements
Engineering:Administrative:PPE:
Repetitive movements
Engineering:Administrative:
PPE:
Potential for exposure to verbal aggression, harassment, and bullying
Engineering:Administrative:
PPE:
Potential for exposure to physical aggression or violence (which may include unwanted behaviours, hitting, kicking, etc.)
Engineering:Administrative:PPE:
Psychological Stress: workload, mental fatigue, inadequate workspaces, etc.
Engineering:Administrative:
PPE:
Tripping hazards such as uneven pavement/floor surfaces, cords, resident equipment, etc.
Engineering:Administrative:PPE:
Slipping hazards such as wet and/or soiled floor
Engineering:Administrative:PPE:Engineering:Administrative:PPE:Engineering:Administrative:PPE:
Frequency Severity Probability Frequency + Severity + Probability = Total Risk Hazard Control Examples:4 One or more times/day Serious injury/death Will very likely occur (expected to happen) 4 Score Range Priority Engineering (E) Environment/Equipment Changes that prevent the hazard
3 One or more times/week Medical aid Could probably occur (has better than 50/50 chance of happening) 3 3 – 6 Low (L) Administrative (A) Policies, task procedures, training, signage
2 One or more times/month Minor injury Possibility of occurring (known to have happened) 2 7 – 9 Medium (M) Personal Protective Equipment (PPE)
Gloves, gowns, goggles, face shields, masks, etc.1 Less than once/month No injury/damage Practically impossible to occur (1:1,000,000) 1 10 – 12 High (H)
FORMAL HAZARD ASSESSMENT Page 9 of 22
Task Hazard Detail Frequency Severity Probability Total Priority Control MeasuresHelp [patient/client/resident] onto equipment.
Psychological stress: may include clutter, work design etc, interpersonal conflict
Engineering:Administrative:PPE:
Awkward postureEngineering:Administrative:PPE:
Repetitive MovementsEngineering:Administrative:PPE:
Static postureEngineering:Administrative:PPE:
Potential for exposure to physical aggression or violence (which may include unwanted behaviours, hitting, kicking, etc.)
Engineering:Administrative:
PPE:
Potential for exposure to verbal aggression, harassment, and bullying
Engineering:Administrative:PPE:
Slipping hazards such as wet and/or soiled floor
Engineering:Administrative:PPE:
Tripping hazards such as uneven pavement/floor surfaces, cords, resident equipment, etc.
Engineering:Administrative:PPE:
Moving partsEngineering:Administrative:PPE:
Pinch pointsEngineering:Administrative:PPE:
Frequency Severity Probability Frequency + Severity + Probability = Total Risk Hazard Control Examples:4 One or more times/day Serious injury/death Will very likely occur (expected to happen) 4 Score Range Priority Engineering (E) Environment/Equipment Changes that prevent the hazard
3 One or more times/week Medical aid Could probably occur (has better than 50/50 chance of happening) 3 3 – 6 Low (L) Administrative (A) Policies, task procedures, training, signage
2 One or more times/month Minor injury Possibility of occurring (known to have happened) 2 7 – 9 Medium (M) Personal Protective Equipment (PPE)
Gloves, gowns, goggles, face shields, masks, etc.1 Less than once/month No injury/damage Practically impossible to occur (1:1,000,000) 1 10 – 12 High (H)
FORMAL HAZARD ASSESSMENT Page 10 of 22
Task Hazard Detail Frequency Severity Probability Total Priority Control MeasuresMaintain accurate and complete records of all [patient/resident/client] care delivered
Psychological Stress: may include clutter, inadequate workspace, workload, mental fatigue etc.
Engineering:Administrative:PPE:
Static postureEngineering:Administrative:PPE:
Prolonged screen useEngineering:Administrative:PPE:
Awkward postureEngineering:Administrative:PPE:
Repetitive MovementsEngineering:Administrative:PPE:Engineering:Administrative:PPE:Engineering:Administrative:PPE:Engineering:Administrative:PPE:Engineering:Administrative:PPE:
Frequency Severity Probability Frequency + Severity + Probability = Total Risk Hazard Control Examples:4 One or more times/day Serious injury/death Will very likely occur (expected to happen) 4 Score Range Priority Engineering (E) Environment/Equipment Changes that prevent the hazard
3 One or more times/week Medical aid Could probably occur (has better than 50/50 chance of happening) 3 3 – 6 Low (L) Administrative (A) Policies, task procedures, training, signage
2 One or more times/month Minor injury Possibility of occurring (known to have happened) 2 7 – 9 Medium (M) Personal Protective Equipment (PPE)
Gloves, gowns, goggles, face shields, masks, etc.1 Less than once/month No injury/damage Practically impossible to occur (1:1,000,000) 1 10 – 12 High (H)
FORMAL HAZARD ASSESSMENT Page 11 of 22
Task Hazard Detail Frequency Severity Probability Total Priority Control Measures
Responding to emergencies (Codes)
Potential for exposure to verbal aggression, harassment, and bullying
Engineering:Administrative:PPE:
Biohazard Exposure: blood, bodily fluids, bacteria, virus etc.
Engineering:Administrative:PPE:
Potential for exposure to physical aggression or violence (which may include weapons i.e. fists, guns, or knives etc.)
Engineering:Administrative:
PPE:
Tripping hazards such as uneven pavement/floor surfaces, cords, resident equipment, etc.
Engineering:Administrative:PPE:
Awkward PosturesEngineering:Administrative:PPE:
Heavy loads (equipment or residents)
Engineering:Administrative:PPE:
Chemical exposureEngineering:Administrative:PPE:
Slipping hazards such as wet and/or soiled floor
Engineering:Administrative:PPE:
Distractions from safe work practices by surrounding noise, workload or fatigue
Engineering:Administrative:PPE:
Psychological Stress: may include, increased workload, mental fatigue, grief etc.
Engineering:Administrative:PPE:
Frequency Severity Probability Frequency + Severity + Probability = Total Risk Hazard Control Examples:4 One or more times/day Serious injury/death Will very likely occur (expected to happen) 4 Score Range Priority Engineering (E) Environment/Equipment Changes that prevent the hazard
3 One or more times/week Medical aid Could probably occur (has better than 50/50 chance of happening) 3 3 – 6 Low (L) Administrative (A) Policies, task procedures, training, signage
2 One or more times/month Minor injury Possibility of occurring (known to have happened) 2 7 – 9 Medium (M) Personal Protective Equipment (PPE)
Gloves, gowns, goggles, face shields, masks, etc.1 Less than once/month No injury/damage Practically impossible to occur (1:1,000,000) 1 10 – 12 High (H)
FORMAL HAZARD ASSESSMENT Page 12 of 22
Task Hazard Detail Frequency Severity Probability Total Priority Control MeasuresObserve and report patient/resident/client behaviour or changes
Static postureEngineering:Administrative:PPE:
Repetitive movementsEngineering:Administrative:PPE:
Sharp edgesEngineering:Administrative:PPE:
Psychological stress: may include work design, mental fatigue
Engineering:Administrative:PPE:Engineering:Administrative:PPE:Engineering:Administrative:PPE:Engineering:Administrative:PPE:Engineering:Administrative:PPE:Engineering:Administrative:PPE:
Frequency Severity Probability Frequency + Severity + Probability = Total Risk Hazard Control Examples:4 One or more times/day Serious injury/death Will very likely occur (expected to happen) 4 Score Range Priority Engineering (E) Environment/Equipment Changes that prevent the hazard
3 One or more times/week Medical aid Could probably occur (has better than 50/50 chance of happening) 3 3 – 6 Low (L) Administrative (A) Policies, task procedures, training, signage
2 One or more times/month Minor injury Possibility of occurring (known to have happened) 2 7 – 9 Medium (M) Personal Protective Equipment (PPE)
Gloves, gowns, goggles, face shields, masks, etc.1 Less than once/month No injury/damage Practically impossible to occur (1:1,000,000) 1 10 – 12 High (H)
FORMAL HAZARD ASSESSMENT Page 13 of 22
Task Hazard Detail Frequency Severity Probability Total Priority Control MeasuresAttend staff meeting and/training including safety meetings
Potential for exposure to verbal aggression, harassment, and bullying
Engineering:Administrative:PPE:
Potential exposure to viruses and/or bacteria
Engineering:Administrative:PPE:
Psychological Stress may include interpersonal conflict, workload, mental fatigue etc.
Engineering:Administrative:PPE:
Static posturesEngineering:Administrative:PPE:Engineering:Administrative:PPE:Engineering:Administrative:PPE:Engineering:Administrative:PPE:Engineering:Administrative:PPE:Engineering:Administrative:PPE:
Frequency Severity Probability Frequency + Severity + Probability = Total Risk Hazard Control Examples:4 One or more times/day Serious injury/death Will very likely occur (expected to happen) 4 Score Range Priority Engineering (E) Environment/Equipment Changes that prevent the hazard
3 One or more times/week Medical aid Could probably occur (has better than 50/50 chance of happening) 3 3 – 6 Low (L) Administrative (A) Policies, task procedures, training, signage
2 One or more times/month Minor injury Possibility of occurring (known to have happened) 2 7 – 9 Medium (M) Personal Protective Equipment (PPE)
Gloves, gowns, goggles, face shields, masks, etc.1 Less than once/month No injury/damage Practically impossible to occur (1:1,000,000) 1 10 – 12 High (H)
FORMAL HAZARD ASSESSMENT Page 14 of 22
Task Hazard Detail Frequency Severity Probability Total Priority Control MeasuresPreform basic equipment maintenance/repairs
Pinch pointsEngineering:Administrative:PPE:
Repetitive MovementEngineering:Administrative:PPE:
Awkward Posture/movementsEngineering:Administrative:PPE:
Chemical exposure: may include exposure to cleaning agents etc.
Engineering:Administrative:PPE:
Sharp points/edgesEngineering:Administrative:PPE:
Moving partsEngineering:Administrative:PPE:
Tripping hazards such as uneven pavement/floor surfaces, cords, resident equipment, etc.
Engineering:Administrative:PPE:
Slipping hazards such as wet and/or soiled floor
Engineering:Administrative:PPE:Engineering:Administrative:PPE:
Frequency Severity Probability Frequency + Severity + Probability = Total Risk Hazard Control Examples:4 One or more times/day Serious injury/death Will very likely occur (expected to happen) 4 Score Range Priority Engineering (E) Environment/Equipment Changes that prevent the hazard
3 One or more times/week Medical aid Could probably occur (has better than 50/50 chance of happening) 3 3 – 6 Low (L) Administrative (A) Policies, task procedures, training, signage
2 One or more times/month Minor injury Possibility of occurring (known to have happened) 2 7 – 9 Medium (M) Personal Protective Equipment (PPE)
Gloves, gowns, goggles, face shields, masks, etc.1 Less than once/month No injury/damage Practically impossible to occur (1:1,000,000) 1 10 – 12 High (H)
FORMAL HAZARD ASSESSMENT Page 15 of 22
Task Hazard Detail Frequency Severity Probability Total Priority Control MeasuresComplete equipment and repairs inventories
Sharp edges: may include paperEngineering:Administrative:PPE:
Repetitive MovementEngineering:Administrative:PPE:
Awkward PostureEngineering:Administrative:PPE:
Psychological stress: may include interpersonal conflict, job conflict, work conditions, time pressure, work design, etc.
Engineering:Administrative:
PPE:
Prolonged screen useEngineering:Administrative:PPE:
Tripping hazards such as uneven pavement/floor surfaces, cords, resident equipment, etc.
Engineering:Administrative:PPE:
Slipping hazards such as wet and/or soiled floor
Engineering:Administrative:PPE:Engineering:Administrative:PPE:Engineering:Administrative:PPE:
Frequency Severity Probability Frequency + Severity + Probability = Total Risk Hazard Control Examples:4 One or more times/day Serious injury/death Will very likely occur (expected to happen) 4 Score Range Priority Engineering (E) Environment/Equipment Changes that prevent the hazard
3 One or more times/week Medical aid Could probably occur (has better than 50/50 chance of happening) 3 3 – 6 Low (L) Administrative (A) Policies, task procedures, training, signage
2 One or more times/month Minor injury Possibility of occurring (known to have happened) 2 7 – 9 Medium (M) Personal Protective Equipment (PPE)
Gloves, gowns, goggles, face shields, masks, etc.1 Less than once/month No injury/damage Practically impossible to occur (1:1,000,000) 1 10 – 12 High (H)
FORMAL HAZARD ASSESSMENT Page 16 of 22
Task Hazard Detail Frequency Severity Probability Total Priority Control MeasuresGeneral Tidying and sanitizing therapy area Biohazard Exposure: blood, bodily
fluids, bacteria, virus, etc.
Engineering:Administrative:PPE:
Dust ExposureEngineering:Administrative:PPE:
Awkward posture/movementsEngineering:Administrative:PPE:
Repetitive movementEngineering:Administrative:PPE:
Static postureEngineering:Administrative:PPE:
Chemical exposure: may include cleaning agents
Engineering:Administrative:PPE:
Psychological stress: may include work conditions, time pressure, work design, etc.
Engineering:Administrative:PPE:
Tripping hazards such as uneven pavement/floor surfaces, cords, resident equipment, etc.
Engineering:Administrative:PPE:
Slipping hazards such as wet and/or soiled floor
Engineering:Administrative:PPE:
Frequency Severity Probability Frequency + Severity + Probability = Total Risk Hazard Control Examples:4 One or more times/day Serious injury/death Will very likely occur (expected to happen) 4 Score Range Priority Engineering (E) Environment/Equipment Changes that prevent the hazard
3 One or more times/week Medical aid Could probably occur (has better than 50/50 chance of happening) 3 3 – 6 Low (L) Administrative (A) Policies, task procedures, training, signage
2 One or more times/month Minor injury Possibility of occurring (known to have happened) 2 7 – 9 Medium (M) Personal Protective Equipment (PPE)
Gloves, gowns, goggles, face shields, masks, etc.1 Less than once/month No injury/damage Practically impossible to occur (1:1,000,000) 1 10 – 12 High (H)
FORMAL HAZARD ASSESSMENT Page 17 of 22
Task Hazard Detail Frequency Severity Probability Total Priority Control MeasuresRemove waste material, garbage and recycling material from therapy area.
Sharp edges: may include exposure to broken glass or other sharp material.
Engineering:Administrative:PPE:
Awkward posture/movementsEngineering:Administrative:PPE:
Repetitive movementsEngineering:Administrative:PPE:
Chemical exposureEngineering:Administrative:PPE:
Heavy loadsEngineering:Administrative:PPE:
Biohazard Exposure: blood, bodily fluids, bacteria, virus, etc.
Engineering:Administrative:PPE:
Slipping hazards such as wet and/or soiled floor
Engineering:Administrative:PPE:
Tripping hazards such as uneven pavement/floor surfaces, cords, resident equipment, etc.
Engineering:Administrative:PPE:Engineering:Administrative:PPE:
Frequency Severity Probability Frequency + Severity + Probability = Total Risk Hazard Control Examples:4 One or more times/day Serious injury/death Will very likely occur (expected to happen) 4 Score Range Priority Engineering (E) Environment/Equipment Changes that prevent the hazard
3 One or more times/week Medical aid Could probably occur (has better than 50/50 chance of happening) 3 3 – 6 Low (L) Administrative (A) Policies, task procedures, training, signage
2 One or more times/month Minor injury Possibility of occurring (known to have happened) 2 7 – 9 Medium (M) Personal Protective Equipment (PPE)
Gloves, gowns, goggles, face shields, masks, etc.1 Less than once/month No injury/damage Practically impossible to occur (1:1,000,000) 1 10 – 12 High (H)
FORMAL HAZARD ASSESSMENT Page 18 of 22
Task Hazard Detail Frequency Severity Probability Total Priority Control MeasuresSet up therapy area including preparation of equipment
Psychological stress: may include work conditions, time pressure, work design, etc.
Engineering:Administrative:PPE:
Sharp edgesEngineering:Administrative:PPE:
Awkward posture/movementsEngineering:Administrative:PPE:
Repetitive movementEngineering:Administrative:PPE:
Static postureEngineering:Administrative:PPE:
Moving partsEngineering:Administrative:PPE:
Pinch pointsEngineering:Administrative:PPE:
Heavy LoadsEngineering:Administrative:PPE:
Tripping hazards such as uneven pavement/floor surfaces, cords, resident equipment, etc.
Engineering:Administrative:PPE:
Slipping hazards such as wet and/or soiled floor
Engineering:Administrative:PPE:
Frequency Severity Probability Frequency + Severity + Probability = Total Risk Hazard Control Examples:4 One or more times/day Serious injury/death Will very likely occur (expected to happen) 4 Score Range Priority Engineering (E) Environment/Equipment Changes that prevent the hazard
3 One or more times/week Medical aid Could probably occur (has better than 50/50 chance of happening) 3 3 – 6 Low (L) Administrative (A) Policies, task procedures, training, signage
2 One or more times/month Minor injury Possibility of occurring (known to have happened) 2 7 – 9 Medium (M) Personal Protective Equipment (PPE)
Gloves, gowns, goggles, face shields, masks, etc.1 Less than once/month No injury/damage Practically impossible to occur (1:1,000,000) 1 10 – 12 High (H)
FORMAL HAZARD ASSESSMENT Page 19 of 22
Task Hazard Detail Frequency Severity Probability Total Priority Control MeasuresRespond to and report patient/resident/ client, family and co-worker concerns
Potential for exposure to verbal aggression, harassment, and bullying
Engineering:Administrative:PPE:
Potential for exposure to viruses and/or bacteria
Engineering:Administrative:PPE:
Potential for exposure to physical aggression or violence (which may include weapons i.e. fists, guns, or knives etc.)
Engineering:Administrative:
PPE:
Distractions from safe work practices by surrounding noise, workload or fatigue
Engineering:Administrative:PPE:
Static posturesEngineering:Administrative:PPE:
Psychological stress: may include interpersonal conflict, objections, role design etc.
Engineering:Administrative:PPE:Engineering:Administrative:PPE:Engineering:Administrative:PPE:Engineering:Administrative:PPE:
Frequency Severity Probability Frequency + Severity + Probability = Total Risk Hazard Control Examples:4 One or more times/day Serious injury/death Will very likely occur (expected to happen) 4 Score Range Priority Engineering (E) Environment/Equipment Changes that prevent the hazard
3 One or more times/week Medical aid Could probably occur (has better than 50/50 chance of happening) 3 3 – 6 Low (L) Administrative (A) Policies, task procedures, training, signage
2 One or more times/month Minor injury Possibility of occurring (known to have happened) 2 7 – 9 Medium (M) Personal Protective Equipment (PPE)
Gloves, gowns, goggles, face shields, masks, etc.1 Less than once/month No injury/damage Practically impossible to occur (1:1,000,000) 1 10 – 12 High (H)
FORMAL HAZARD ASSESSMENT Page 20 of 22
Task Hazard Detail Frequency Severity Probability Total Priority Control MeasuresOutbreak Management
Exposure to infectious diseases (influenza, norovirus, MRSA, Covid-19)
Engineering:Administrative:PPE:
Chemical exposureEngineering:Administrative:PPE:
Psychological Stress: may include, increased workload, mental fatigue, grief etc.
Engineering:Administrative:PPE:
Physical fatigue from increased workload
Engineering:Administrative:PPE:
Potential for exposure to verbal aggression, harassment, and bullying
Engineering:Administrative:PPE:Engineering:Administrative:PPE:Engineering:Administrative:PPE:Engineering:Administrative:PPE:Engineering:Administrative:PPE:
Frequency Severity Probability Frequency + Severity + Probability = Total Risk Hazard Control Examples:4 One or more times/day Serious injury/death Will very likely occur (expected to happen) 4 Score Range Priority Engineering (E) Environment/Equipment Changes that prevent the hazard
3 One or more times/week Medical aid Could probably occur (has better than 50/50 chance of happening) 3 3 – 6 Low (L) Administrative (A) Policies, task procedures, training, signage
2 One or more times/month Minor injury Possibility of occurring (known to have happened) 2 7 – 9 Medium (M) Personal Protective Equipment (PPE)
Gloves, gowns, goggles, face shields, masks, etc.1 Less than once/month No injury/damage Practically impossible to occur (1:1,000,000) 1 10 – 12 High (H)
FORMAL HAZARD ASSESSMENT Page 21 of 22
Task Hazard Detail Frequency Severity Probability Total Priority Control Measures
Responding to emergencies (Codes)
Potential for exposure to verbal aggression, harassment, and bullying
Engineering:Administrative:PPE:
Biohazard Exposure: blood, bodily fluids, bacteria, virus etc.
Engineering:Administrative:PPE:
Potential for exposure to physical aggression or violence (which may include weapons i.e. fists, guns, or knives etc.)
Engineering:Administrative:
PPE:
Tripping hazards such as uneven pavement/floor surfaces, cords, resident equipment, etc.
Engineering:Administrative:PPE:
Awkward PosturesEngineering:Administrative:PPE:
Heavy loads (equipment or residents)
Engineering:Administrative:PPE:
Chemical exposureEngineering:Administrative:PPE:
Slipping hazards such as wet and/or soiled floor
Engineering:Administrative:PPE:
Distractions from safe work practices by surrounding noise, workload or fatigue
Engineering:Administrative:PPE:
Psychological Stress: may include, increased workload, mental fatigue, grief etc.
Engineering:Administrative:PPE:
Frequency Severity Probability Frequency + Severity + Probability = Total Risk Hazard Control Examples:4 One or more times/day Serious injury/death Will very likely occur (expected to happen) 4 Score Range Priority Engineering (E) Environment/Equipment Changes that prevent the hazard
3 One or more times/week Medical aid Could probably occur (has better than 50/50 chance of happening) 3 3 – 6 Low (L) Administrative (A) Policies, task procedures, training, signage
2 One or more times/month Minor injury Possibility of occurring (known to have happened) 2 7 – 9 Medium (M) Personal Protective Equipment (PPE)
Gloves, gowns, goggles, face shields, masks, etc.1 Less than once/month No injury/damage Practically impossible to occur (1:1,000,000) 1 10 – 12 High (H)
FORMAL HAZARD ASSESSMENT Page 22 of 22
Task Hazard Detail Frequency Severity Probability Total Priority Control MeasuresInteracting with peopleIncluding: co-workers, visitors, contractors, volunteers and strangers
Potential for exposure to verbal aggression, harassment, and bullying
Engineering:Administrative:PPE:
Potential for exposure to viruses and/or bacteria
Engineering:Administrative:PPE:
Potential for exposure to physical aggression or violence (which may include weapons i.e. fists, guns, or knives etc.)
Engineering:Administrative:
PPE:
Distractions from safe work practices by surrounding noise, workload or fatigue
Engineering:Administrative:PPE:Engineering:Administrative:PPE:Engineering:Administrative:PPE:Engineering:Administrative:PPE:Engineering:Administrative:PPE:Engineering:Administrative:PPE:
Frequency Severity Probability Frequency + Severity + Probability = Total Risk Hazard Control Examples:4 One or more times/day Serious injury/death Will very likely occur (expected to happen) 4 Score Range Priority Engineering (E) Environment/Equipment Changes that prevent the hazard
3 One or more times/week Medical aid Could probably occur (has better than 50/50 chance of happening) 3 3 – 6 Low (L) Administrative (A) Policies, task procedures, training, signage
2 One or more times/month Minor injury Possibility of occurring (known to have happened) 2 7 – 9 Medium (M) Personal Protective Equipment (PPE)
Gloves, gowns, goggles, face shields, masks, etc.1 Less than once/month No injury/damage Practically impossible to occur (1:1,000,000) 1 10 – 12 High (H)