Fillable Care Home Risk Assessment Form (London Institute of Management and Technology)

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Care Home Risk Assessment Form (London Institute of Management and Technology)

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Country of origin: UK
File type: PDF

U.K. forms for London Institute of Management and Technology

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Care Home Risk Assessment Form
Company: Date of assessment:
Location: Signed:
Assessor: Date of next review:
How to assess the likelihood of harm:
SEVERITY
Trivial Minor Moderate Major Fatality
Rare
1 2 3 4 5
Unlikely
2 4 6 8 10
Possible
3 6 9 12 15
Likely
4 8 12 16 20
Certain
5 10 15 20 25
LIKELIHOOD
RISK OUTCOME
LOW
MODERATE
HIGH
Significant Hazards
List what could
cause harm.
Who Might Be Harmed
For example: staff, residents
(children and adults), vistors.
Likelihood of Harm
Rate the likelihood of the
hazard causing harm.
Control Measures
Explain how you will
minimise these risks.
Further Actions
To control any risks posed
by new control measures.
Risk Outcome:
Actioned by:
Date:
Actioned by:
Date:
Significant Hazards
List what could
cause harm.
Who Might Be Harmed
For example: staff, residents
(children and adults), vistors.
Likelihood of Harm
Rate the likelihood of the
hazard causing harm.
Control Measures
Explain how you will
minimise these risks.
Further Actions
To control any risks posed
by new control measures.
Risk Outcome:
Actioned by:
Date:
Actioned by:
Date:
Risk Outcome:
Actioned by:
Date:
Actioned by:
Date:
Risk Outcome:
Actioned by:
Date:
Actioned by:
Date:
Risk Outcome:
Actioned by:
Date:
Actioned by:
Date:
Risk Outcome:
Actioned by:
Date:
Actioned by:
Date:
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Care Home Risk Assessment Form (London Institute of Management and Technology)

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Completed 13 December 2021

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