‘1’ No Fatalities
No Injuries
INSIGNIFICANT Low Financial loss
Little disruption to community
No measurable impact on environment.
3 It is based on various
guidelines including (i)
BMW Handling Rules
(ii) CDC Guidelines (iii)
AP Pollution Board
4 The major components of
such a waste
management system
include:-
5 Waste segregation at the
source - sharp
containers, biohazard
bins, general waste
bins, and cytotoxic bins
- all standardized and
color-coded and
appropriately labeled
6 Waste streams - general,
contaminated, cytotoxic
/ pharmaceutical, body
parts.
7 Storage and transport -
cold storage for
contaminated waste
and body parts;
transport in safe, leak
proof containers.
8 Visit Report of Waste
treatment plan to
ensure proper
procedures are followed
for - sterilization of
contaminated waste
(steam autoclave);
incineration of
cytotoxics,
pharmaceuticals and
body parts in an
incinerator meeting all
relevant standards and
statutes.
9 Ensure Waste treatment
plant is Local Council
approved, engineered,
VISAKHAPATNAM HAZARD IDENTIFICATION AND RISK MANAGEMENT WORKSHEET
sanitary landfill.
Mechanical hazards
1 Hydraulic/pneumatic
systems comply with
standards
3 Ensure all moving parts
are guarded according
to the standard for the
safe guarding of
machinery
4 Safe working procedures
written and displayed
5 No loose clothing or
jewellery to be worn –
6 Machines fitted with
emergency stop buttons
7 Machines tested and
tagged
8 ·nstruction and training
given
Electrical hazards
1 Electrical & electronic
systems comply with
Standards.
2 Use of Electrical
Defibrillators is
restricted to those staff
who have undergone
competency based
training and
certification.
3 Portable Electrical
Appliance Inspection,
Testing and Tagging
Program; RCDs on
power outlets
Thermal hazards
1 Lasers used in Operating
Theatres and
appropriate protective
equipment must be
used, especially eye
protection to prevent
retinal burns.
2 The use of this equipment
is covered by set
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protocols.
3 Central Sterilizing
Departments utilizing
appropriately trained,
dedicated staff, that are
familiar with policy and
procedure
peripheral steam
sterilizers are still
required in some
departments such as
the Operating Theatres.
This type of set up
minimizes risk of
physical injury from hot
equipment.
Noise hazard
1 Noise levels do not exceed
85 dBA at operator
station, or daily noise
dose as prescribed.
2 As per AP Pollution
Board
Radiation hazards
1 Prescence of radiation
hazards related to
medical imaging (x
rays, nuclear scans
utilizing radioactive
isotopes)emitting short
wave length gamma
waves.
2 and radiation oncology
which utilizes ionizing
radiation from a variety
of sources to treat a
range of malignant
tumors. These sources
include (i) sealed
sources containing
radioactive material
such as isotopes of
radium, cobalt and
strontium, and (ii)
linear accelerators
VISAKHAPATNAM HAZARD IDENTIFICATION AND RISK MANAGEMENT WORKSHEET
3 appropriate training,
certification and
credentialing of users
4 demonstrated
implementation of
safety precautions
related to storage, use
and shielding of non
target personnel
5 regular inspection,
maintenance and
certification of
equipment by the RSO
6 ongoing monitoring of
radiation exposure of
staff using the
equipment.
Traveling hazards
Vehicle meets relevant
Australian Design
Rules
Population (Community)
Protection
Injury and Illness
Prevention
1 In Australia, injury is the
leading cause of death
for those less than 45
years of age. The
economic cost of
treating survivors as
well as the cost of lost
productivity is
enormous. Injury
prevention is therefore
a very worthwhile
strategy.
2 Emergency Department
Information Systems
that allow collection of
injury data that
complies with the
minimum data set of
the National Injury
Surveillance Unit. This
data gives a good cross
section of the
epidemiology of injury
VISAKHAPATNAM HAZARD IDENTIFICATION AND RISK MANAGEMENT WORKSHEET
within the community.
Analysis allows direct
comparison with other
communities of injury
incidence, as well as
indicating injury trends
and “hot spots” within
the community.
3 This data allows an
opportunity for
hospitals, various
community
organizations and Local
Government
Authorities to
collaborate in a Safe
Community Project.
Specific injuries can be
targeted with
interventional
strategies to decrease
the incidence.
Outcomes can be
monitored and
strategies modified to
optimize impact.
4 . Referral can then be
made to the appropriate
community agencies for
advice on interventional
strategies.
5 Hospitals also play a role
in disease prophylaxis
through such things as
(i) detection of
incomplete vaccination
schedules in presenting
children (ii) tetanus
prophylaxis for trauma
(iii) antibiotic
prophylaxis in
meningococcal contacts.
6 Hospitals also play a role
in illness prevention
through the early
detection of risk factors
and identification of
risk behaviors related
VISAKHAPATNAM HAZARD IDENTIFICATION AND RISK MANAGEMENT WORKSHEET
to various lifestyle
factors
7 Health Surveillance
8 The hospital’s role in
health surveillance is
mainly limited to
notifiable disease.This
allows the early
mobilization of
resources for contact
tracing and other public
health measures to
contain outbreaks.
Patient safety
1 Medication Use,
2 Infection Control,
3 Surgery And Anesthesia,
4 Transfusions,
5 Restraint And Seclusion
6 Staffing And Staff
Competence,
7 Fire Safety,
8 Medical Equipment,
9 Emergency Management,
10 And Security.
11 Response To Adverse
Events;
12 System for Prevention Of
Accidental Harm
Through The Analysis
And Redesign Of
Vulnerable Patient
(E.G. The Ordering,
Preparation And
Dispensing Of
Medications)
13 Education of Patient
About The Outcomes Of
The Care Provided To
The Patient—Whether
Good Or Bad.
14 Nosocomial Infection
Control
15 quality indicator for
VISAKHAPATNAM HAZARD IDENTIFICATION AND RISK MANAGEMENT WORKSHEET
nosocomial infection
rate.
16 The hospital’s Infection
Control Nurse and
Infection Control
Committee are
concerned with the
prevention, surveillance
and control of
nosocomial infections.
17 The Infection Control
Program should be
documented in the
hospital’s Infection
Control Manual, which
outlines the principles,
strategies, policy and
procedures for infection
control in the hospital.
18 All staff need to be
familiar with its
contents.
19 Regular feedback on
surveillance of
nosocomial infection
rates will help motivate
staff to remain vigilant.
20 Injury prevention for
patients may require
some of the following
interventions when
appropriate:-
21 Diligence in keeping bed
rails up particularly for
those patients with an
altered conscious state
from medication or
illness.
22 Bathroom / toilet aids
particularly for the
elderly or disabled.
23 Nurse and physiotherapy
assisted mobilization
during recovery.
24 Walking aids for the
disabled, and during
recovery.
VISAKHAPATNAM HAZARD IDENTIFICATION AND RISK MANAGEMENT WORKSHEET
25 Occupational therapy
home assessment for
home instructions
VISAKHAPATNAM HAZARD IDENTIFICATION AND RISK MANAGEMENT WORKSHEET
VISAKHAPATNAM HAZARD IDENTIFICATION AND RISK MANAGEMENT WORKSHEET
VISAKHAPATNAM HAZARD IDENTIFICATION AND RISK MANAGEMENT WORKSHEET
VISAKHAPATNAM HAZARD IDENTIFICATION AND RISK MANAGEMENT WORKSHEET
VISAKHAPATNAM HAZARD IDENTIFICATION AND RISK MANAGEMENT WORKSHEET
VISAKHAPATNAM HAZARD IDENTIFICATION AND RISK MANAGEMENT WORKSHEET