Quality Risk Assessment Form
फ़ॉर्म - Version 2
Quality Risk Assessment Form · FORM-30135
Guidance Sheet for Quality Risk Assessment Form
Risk Matrix
CRITERIA | DESCRIPTION | Example of each level |
|---|---|---|
CONSEQUENCE | Level of effect |
|---|---|
| Consequence → | |||||
|---|---|---|---|---|---|
| Likelihood ↑ | InsignificantNo effect, or so minor that the effect is acceptable | MinorMinor first aid treatment, minimal business disruption, minimal environmental effect | ModerateSerious injuries, medium business interruption, medium environmental impact | MajorExtensive injuries or fatality, significant business interruption, environmental harm, prosecution | CatastrophicMultiple permanent disabilities or fatalities, business failure, substantial environmental harm, prosecution or imprisonment |
| Almost certainExpected in most circumstances | 2 M2 Moderate | 2 M2 Moderate | 3 H3 High | 4 A4 Acute | 4 A4 Acute |
| LikelyWill probably occur in most circumstances | 2 M2 Moderate | 2 M2 Moderate | 3 H3 High | 4 A4 Acute | 4 A4 Acute |
| PossibleCould possibly occur at some time | 1 L1 Low | 2 M2 Moderate | 2 M2 Moderate | 3 H3 High | 4 A4 Acute |
| UnlikelyUnlikely but possible | 1 L1 Low | 1 L1 Low | 2 M2 Moderate | 3 H3 High | 4 A4 Acute |
| RareHighly unlikely to occur | 1 L1 Low | 1 L1 Low | 2 M2 Moderate | 2 M2 Moderate | 3 H3 High |
- 1 L1 LowRecord and monitor. Proceed with work, and review the risks regularly.
- 2 M2 ModerateMaintain control measures. Be cautious when working, and monitor and review regularly.
- 3 H3 HighReview before commencing work. Introduce new controls or maintain high-level controls to lower the risk level, and monitor the controls frequently.
- 4 A4 AcuteDo not proceed until the risk level is reduced. Immediately introduce high-level controls, and re-assess before proceeding.
SCORE | ACTION |
|---|---|
Quality Risk Assessment
- Assessor Name / Signature
- —
- Job Title
- —
- Date
- —
Item/service | Potential risks | Risk level | Mitigation strategies | Responsible person |
|---|---|---|---|---|
इसका मार्गदर्शन और उदाहरण वाली एंट्री लॉक हैं
आप देख सकते हैं कि फ़ॉर्म कैसे बना है। इसे लें और किसी भी डिवाइस पर भरें, प्रिंट करें, या अपने हिसाब से बदलें।
Quality Risk Assessment Form · FORM-30135