zilongwang/ReadingBank huggingface dataset:
RISK ASSESSMENT MATRIX Table 3: LEVEL OF RISK RATING The risk assessment matrix determines a “risk rating”, based on the likelihood and consequence of risk. CONSEQUENCE LIKELIHOOD 1 2 3 4 5 A (Almost certain) Medium Medium High Extreme Extremem B ( Likely) Medium Medium High High Extremem C ( Possible) Low Medium Medium High High D (Unlikely) Low Low Medium High High E (Rare) Low Low Medium High High Risk assessment tables enable event organisers to allocate risk ratings to all hazards so they can prioritise and address them in a systematic way. Examples are shown Table 4: TOLERATION OF RISK Intolerable Extreme Risk should not be justified Generally Intolerable Region High Risk cannot be justified save in extraordinary circumstances Basic Safety Limit- As low as reasonably Practicable or tolerable region Medium Drive risks towards the broadly acceptable region Residual risk tolerable only if further risk reduction impracticable -Basic Safety Objective- Broadly Acceptable Region Low Risk reduction not likely to be required as resources are likely to be disproportionate to reduction achieved
Identify the Hazards – What can go For each activity/task, ask what can go wrong? List potential hazards in the appropriate column on the Risk Assessment Form 1. Each activity or task may have more than one hazard associated with it. Hazards are rarely a simple case of one singular cause resulting in one singular effect. Be specific as possible. Refer to Table A - Potential Hazard Examples. Identify the Current Controls Risk control is a method of managing the risk with the primary emphasis on controlling the hazards at the source. List the controls that are in place for each hazard. Refer to Table B for types and examples of Work Practice Controls. There may be several controls in place for each hazard. Likelihood of Hazard Occurring Consider the Likelihood – to Table C How often is the task done? Does this make the harm more or less likely? How often are people near the hazard? Has it ever happened before? How often? What is the likelihood of the hazard identified happening? Rare: May happen only in exceptional circumstances Unlikely: Might happen at some time Possible: occur occasionally Likely: Will probably occur in most circumstances Almost Certain: Expected to occur in most circumstances Consequence if the hazard did Minimal: Hazard or near miss requiring reporting and follow up action Minor: Potential First Aid Injury Moderate: Potential Medical Treatment Injury or Illness Major: Potential Lost Time Injury, non-permanent disability Severe: Potential fatality or injury or illness with permanent disability
References 1. CDC/National Institutes of Health. Biosafety in microbiological and biomedical laboratories. 5th ed. 2. CDC. Guidelines for Safe Work Practices in Human and Animal Medical Diagnostic Laboratories. MMWR January 6, 2012 supplement/Vol. 61. 3. Canadian Center for Occupational Health Job Hazard Analysis 4. Public Health Agency Canada, Pathogen Data Safety Sheets and Risk Assessment
RISK ASSESSMENT LOCATION: DATE: REVIEW DATE ASSESSOR: DATE OF EVENT: SIGNED: HAZARDS IDENTIFIED GROUPS OF PERSONS AT RISK EXISTING CONTROLS RISK INDEX L X S = R FURTHER RISK MANAGEMENT RISIDUAL RISK DATE & SIGNED L S R L S R SLIPS/TRIPS/ FALLS Staff Volunteers Public Visitors CRUSHING (Crowd) Staff Volunteers Public Visitors TEMPORARY STRUCTURES Volunteers Public Visitors Contractors
EXPOSURE TO VIOLENT SITUATIONS Staff Volunteers ADVERSE WEATHER CONDITIONS Staff Volunteers Visitors VEHICLE MOVEMENT Staff Volunteers Public Visitors Contractors CHILD PROTECTION Visitors Public WORK PRACTICES Staff Volunteers FOOD POISONING Staff Volunteers Public Visitors MANUAL HANDLING Staff Volunteers Contractors WASTE DISPOSAL Staff Volunteers Public Visitors FIRE FIRE AT PROPERTY Volunteers Public Visitors Contractors SHORTAGES Staff Volunteers NOISE Staff Volunteers Public Visitors Contractors DISABILITY DISCRIMINATION Public Visitors
Congregational name: Risk Assessment carried out by: Date: Review Date: What are the hazards? Who might be harmed and how? What are you already doing? Do you need to do anything else to manage this risk? Action by whom? Action by when? Done What are the hazards? Who might be harmed and how? What are you already doing? Do you need to do anything else to manage this risk? Action by whom? Action by when? Done 01/10/2010
IEP: Individual Education Plan. A plan, identifies targets and strategies, to support the child in achieving the targets. It can include both learning and behavioural targets. PSP: Pastoral Support Plan – a plan which should be in place for those children at high risk of exclusion who do not already have an IEP or for whom the targets and strategies need to be reviewed / monitored with greater frequency (fortnightly). Physical Intervention (PI): This is the preferred term for all types of physical contact used as a response to challenging behaviour. PI can range from guiding children away from a challenging situation intervening between two children fighting, restrictive physical interventions (physical restraint) Severity: The severity of an incident links to the ferocity of the assault and / or to the level of injury / damage sustained as a result of the assault. N.B. Assault can be directed at inanimate objects and property.
Hazard Existing Control Measures Harm (1-5) (1-5) Risk (1-5) Further controls to reduce risk Over enthusiastic Participants. Adult Supervision at all time. 1 1 1 Supply hirer with the safety instructions. Jumping off unit. Adult supervision at all time. 1 1 1 Additional safety mats in front of unit exit. Larger participants colliding with smaller participants. Adult supervision at all time. 1 1 1 Participants put into groups of similar size. Falls from height. Adult supervision at all time. Safety mats in front of unit. 5 2 1 Do not allow children to climb walls or beams. Supply hirer with the safety instructions. Tripping over anchorage points/spare equipment/electrical cable. All anchor points used as per manufacturer’s instructions and spare equipment leads etc either stored/erected safely out of children’s reach. 3 1 1 Where possible electrical cable does not cross any public pathway. If unavoidable cable erected overhead or stuck to the ground with strong tape. Going behind unit near blower and the plug sockets. Block off blower area to ensure children do not have access to the electrical blower/plug socket. 3 1 2 Adult supervision at all time to ensure no one has access to this area. Injury from poor supervision. Ensure a trained operator or the hirer is supervising the equipment at all time. 1 5 5 Hirer must read and sign terms and conditions and safety sheet to understand safety rules. Choking on the bouncy castle. Ensure children do NOT eat, drink or chew gum on the bouncy castle. 1 3 4 Supply with the safety instructions. Overloading bouncy castle. Ensure to follow the correct user height/age restrictions. 2 5 5 Show hirer where this information is stated on the bouncy castle. Poor weather conditions. Turn off inflatable immediately if sudden high winds or heavy rain. 3 2 5 Inflatables will NOT be put outside if wind gusts are over 24mph or heavy rain. Risk Assessment carried out by: Name: Signature: Date: I, the hirer confirm I have read and understood the risk assessment and the safety measures I must follow. Hirer’s Name: Signature:
Likelihood Almost Certain Insignificant - B - B Moderate - B Major - A Extreme – A Likely Insignificant - B Minor - B Moderate - B - B Extreme – A Possible Insignificant - C Minor - B Moderate - B Major - B Extreme – B Unlikely Insignificant - C Minor - C Moderate - B Major - B Extreme – B Rare Insignificant - C Minor - C Moderate - C Major - B Extreme – B Risk Matrix – Template Likelihood Almost Certain Insignificant -
Forward planning for future replacement of assets - Regular inventory inspection to monitor movement, condition and maintenance service records of assets - Contract management process in place - Out-of-hours access managed - Work-order process in place - Total points: % Score: Advanced Asset Management System in place - Preventative maintenance schedules in place to maintain assets - Facilities management - Monthly progress reporting against key preventative maintenance schedules - Asset life-cycle methodology is used to identify planning, acquisition, operations and maintenance and disposal for current and future capital assets - Regular inventory inspection to monitor movement, condition and maintenance service records of assets - Contract management and administration processes and systems in place - Out-of-hours access managed - Maintenance planning is linked to preventative maintenance system - Physical security process in place - system in place - Total points: % Score: Risks that threaten objectives and the Controls to minimise risks Loss of key supply or supplier (e.g. gas) Contract management process (service level agreements) Supply chain management Business continuity/emergency management plans List of approved suppliers Inventory policies and stock-piling Stakeholder relationship management Record deterioration or loss of information Information management system Inadequate information to inform decision making – damage to reputation Analysis and testing of decision processes Drought/water restrictions Environmental systems
services to put in place during the reunification process, or additional input that is required from providers working with the family to assess the safety of the child if they are placed back in the home. Targeted Quality Management Meetings PSF’s QOM team also conducts targeted quality management meetings between operations staff and case management staff wherein risks and problems experienced at each service site are discussed in a team-based approach to mitigate risk and provide direction for follow-up actions. Issues frequently addressed are separation of siblings placed in out-of-home care, placement disruptions, high risk cases, pregnant teenagers and length of stay in out-of-home care. These meetings occur on a monthly basis. VII. Administration and Quality Management PSF’s Administration and Quality Management department encompasses all contract negotiations for the agency, facilities management for all service sites maintained and quality assurance and accreditation. The top risks faced by this area of the organization include: Breach of contractual agreements with partner agencies exposing PSF to lawsuits Hazards related to workplace safety at PSF service sites that pose a threat of harm to clients and employees Loss of accreditation would jeopardize funding and harm the agency’s reputation Critical incidents or client grievances that did not receive necessary follow-up and exposed the organization to liability Lack of oversight and monitoring creating poor standards of practice and jeopardizing the agency’s ability to fulfill its mission PSF’s Administration and Quality Management department operates with a high degree of partnership and oversight with DCF’s contract and quality assurance departments. PSF has maintained its accreditation from the Council on Accreditation (COA) for the past 4 years and is in the process of re-accreditation at the time of this writing. Contracts and Facilities PSF employs a contract management unit that is responsible for negotiating all contracts with service providers and partner agencies that are contracted to provide case management services. Contracts are renegotiated on an annual basis and are tied to performance measures and cost analysis. Contracts maintained with case management agencies are closely monitored as there is significant risk-sharing with these agencies that interface directly with children and families. If an
Medication Name: Expiry Date: Supplied by & date: Comments/Notes Location Medication Kept: Checked by & Date: COMMUNICATION STRATEGIES CONSEQUENCE List how/when parents will update the child’s medical plans Insignificant Minor Moderate Major Extreme LIKELIHOOD RARE LOW LOW LOW MODERATE HIGH List how all staff, including relief staff, parent helpers, volunteers, etc will be able to recognise the child UNLIKELY LOW LOW MODERATE HIGH HIGH POSSIBLE LOW MODERATE HIGH HIGH EXTREME List how the child will be recognised by all staff including relief staff on excursions or group activities LIKELY MODERATE MODERATE HIGH EXTREME EXTREME ALMOST CERTAIN MODERATE HIGH HIGH EXTREME EXTREME Who will carry the child’s management plans and medication on excursions, etc? The following people undersigned have been involved in the preparation of and have read, understood and agree that this document is best practice for the risk minimisation of the ‘at risk’ child identified in this plan. The parents/guardians agree to notify the centre of any changes asap. Other: Name: Date: Signature
Educator/Staff Name I have read medical conditions policy I am informed about child’s medical condition and individual care plan I have read and know the location of the Medical Management Plan I have read and know the location of the Risk Minimisation Plan I know how to use the child’s medications & where they are stored Date/Signature of Educator/Staff
Likelihood Rating Consequence Rating Insignificant (1) Minor (3) Moderate (10) Major (30) Catastrophic (100) Almost Certain (3) Moderate 3 Moderate 9 High 30 High 90 High 300 Likely (1) Moderate 1 Moderate 3 Moderate 10 High 30 High 100 Moderate (0.3) Low 0.3 Moderate 0.9 Moderate 3 Moderate 9 High 30 Unlikely (0.1) Low 0.1 Low 0.3 Moderate 1 Moderate 3 Moderate 10 Rare (0.03) Low 0.03 Low 0.09 Low 0.3 Moderate 0.9 Moderate 3
Introduction: In managing risks in an organization, professionals in the information technology (IT) department conduct research to identify threats, vulnerabilities, and threat/vulnerability pairs. Then, the IT professionals determine the likelihood of each threat occurring. The IT professionals present this information to IT management, whose role in risk management is to determine and recommend approaches to manage these risks. IT management then presents these recommendations to senior management, whose role is to allocate resources, specifically money and employees, to prepare for and respond to identified threats and vulnerabilities appropriately. This activity allows a small group of students to fulfill the role of IT professionals in a small business tasked with identifying threats, vulnerabilities, and threat/vulnerability pairs, estimate the likelihood of these threats occurring, and present this information to IT management. Scenario: YieldMore is a small agricultural company, which produces and sells fertilizer products. The company headquarters is in a small town in Indiana. Outside its headquarters, there are two large production facilities—one in Nebraska and other in Oklahoma. Furthermore, YieldMore employs salespersons in every state in the United States to serve its customers locally. The company has three servers located at its headquarters—an Active Directory server, a Linux application server, and an Oracle database server. The application server hosts YieldMore’s primary software application, which is a proprietary program managing inventory, sales, supply chain, and customer information. The database server manages all data stored locally with direct-attached storage. All three sites use Ethernet-cabled local area networks (LANs) to connect the users’ Windows 7 workstations via industry-standard managed switches. The remote production facilities connect to headquarters via routers with T-1 LAN connections provided by an external Internet service provider (ISP), and share an Internet connection through a firewall at headquarters. Individual salespersons throughout the country connect to YieldMore’s network via virtual private network (VPN) software through individual Internet connections, typically in a home office. Tasks:
Risk Assessment Code of Practice Effective from 19 May 2014 Version Number: 3.2 Author: Safety/Fire Safety Officer Health, Safety & Wellbeing Document Control Information Status and reason for development Status: Revised Reason for development: Modification to existing risk assessment system and paperwork to incorporate amended risk rating.
Rispoli, M. P. I.: Sentence Production and Developmental Error. R15DC005374-01; Funding Agency: National Institute on Deafness and Communicative Disorders; August 16th 2002 – August 15th 2005;$143,692. McKee, C. P. I.; Rispoli, M., & McDaniel, D., Co-P. I. Workshop on the Development of the Language Production System. NSF 0439943; National Science Foundation; October 2005; $29,141. Rispoli, M. P. I., Hadley, P., Co-P. I; The Growth of Tense and Agreement NSF 0822513; National Science Foundation; September 1 2008 – August 31 2012; $500,000. Rispoli, M. P.I., Hadley, P. Co-P.I. Research Experience for Undergraduates (supplement to) The Growth of Tense and Agreement. NSF BCS 22573; National Science Foundation; September 1 2010 - August 31 2010; $9,013. Hadley, P. P. I. Rispoli, M. Co-P.I. Simple Strategies to Accelerate Children’s Early Grammatical Growth. R21HD071316 National Institute of Child Health & Human Development. March 1 2012 – February 28 2014; $416,899 Ionin, T. P.I., Rispoli, M. Co-P.I., Montrul, S. Co-P.I. Conference: Galana 2016 – Input Variation and Language Acquisition. NSF 1551968; National Science Foundation; February 15 2016 – January 31 2018; $24,910. Review Panels None Publications and Creative Works Doctoral thesis Rispoli, M. (1987). The Development of the Transitive / Intransitive Distinction: Conceptual and Semantic Origins. Unpublished doctoral dissertation, Teachers’ College Columbia University, New York, New York. Books Authored or Co-Authored None Edited or Co-Edited None Chapters in Books Rispoli, M. (1994). Structural dependency and the acquisition of grammatical relations. In Y. Levy (Ed.) Other children, other languages: Issues in the theory of language acquisition. (pp. 265-301). : Erlbaum.
Risk Assessment Record Risk Assessment of: Assessor(s): Date: Overview of activity / location / equipment / conditions being assessed: Generic or specific assessment? Generic risk assessment Context of assessment (delete as appropriate): planning stage / ‘desk-top’ exercise / site visit / in consultation with employees / in consultation with managers / other (please describe) # Hazard(s) identified Persons affected Existing controls & measures A B A x B Additional controls required 1 Rooms Bookings Room Bookings guide followed at all times. Room Bookings policy followed at all times. 2 Cash handling Students to pay for tickets/products online or in SU finance office. Any cash collected by committee members must be paid in to SU finance on same day as collection. Ticket/Receipt provided as proof of purchase. A list with names of all those who have paid (trip list) will be compiled. No external accounts used.
ANRP Updates ANRP Updates ANRP Updates Rule - Degraded Working Rules and Procedures Rule - Standing protection AS 7504 – Brake Blocks AS 7502 - RRV Standard (incl. safety equipment) National Rail Safety Database (SISAR) AS7706 Interfaces with Points (catchpoints and derailers) AS 7503 Train Operation Interface AS 7505 Signal Detection interface - Review AS 7708 – Earthing and Surge protection AS 7511 - Train Protection Systems AS 7507 Rolling Stock Outlines - Review AS 7521 Interior Crash Worthiness AS 7512 - Exterior Environment AS 7508 Track Forces & Stresses - Review AS 7722 Electromagnetic Compatibility - AS 7515 Rolling Stock Axles Review AS 7509 Dynamic Behaviour - Review AS 7646 Wayside (Track) Equipment AS 7516 Rolling Stock Axle Bearings - Review AS 7519 Bogie Structural requirements - Review AS 7650 Electrical Operation signage AS 7517 Review - Rolling Stock Wheelsets AS 7524 Couplers and Draw gear - Review AS 7659 – Derailers AS 7527 Recorders – Review AS 7631 - Sight distance COP – Railway Electrification FY14-15 FY15-16 FY16-17 AS 7531 Review - Rolling Lighting and Visibility AS 7632 - Infrastructure Signage Guideline - Rail human factors
AS 7532 - Rolling Audible Warning Devices AS 7660 Communications - Review Guideline – Human Performance - Update AS 7637 - Hydrology AS 7715 - detection RISSB ‘Product take up’ Survey AS 7644 - Corridor Access AS 7721 - Signals Safety Culture Tool kit (Non ACOP) AS 7645 - Corridor Management AS7718 –Testing and Commissioning Management National Rail Safety Week (Non ACOP) AS7702 - Type Approval COP - ECP Braking AS 7514 Wheels - Review AS7704 - TPC Data Standard (may be rolled into AS7666 – TPC Interoperability) COP – Volume 4 Review AS 7518 Suspension - Review AS 7680 -Design Process Management COP – Design Process Management AS7524 x 4 Draw gear COP - Type Approval of Signalling Equipment Guideline - Drainage construction maintenance AS7633 Clearances Guideline - Inline Refuelling Guideline - RLX Interface Managers COP - Locomotive Boilers Code of Practice Guideline - Making Safety Decisions Guideline - Test Procedure National Vehicle Register (Non ACOP) FY14-15 FY15-16 FY16-17 Guideline – Hazard Register Review Guideline on Establishing Safety KPIs AS7634 Railway Infrastructure Survey
Risk Assessment Training & Education Films available on YouTube – Chris Hart & Justin O’Brien 1. How to undertake a suicide risk assessment in an inpatient setting This educational film is in 2 parts showing poor practice and good practice as a nurse attempts to assess the potential risk in allowing a recently admitted patient to go out on leave. As you the first part, you can identify the problems in the approach of the nurse and psychiatrist. In the second part, focus on the different skills, verbal and non verbal, that the nurse uses as she tries to understand William and explore the potential risks of agreeing to his request to leave the ward. 2. Using De escalation Skills in a Healthcare Setting: This is a training film, in two parts, showing a range of de-escalation films being used by a nurse on a mental health inpatient unit. The part shows poor practice, clearly demonstrating what it is a clinician might do, and what there might be in his response that makes a situation worse when faced with a patient who is highly aroused and distressed. In the second part, simple skills are used which rapidly de-escalate the same situation. When watching the film, try and identify the factors that make things worse in part one and those that successfully de-escalate the situation in part two, breaking them down into environmental, non verbal and verbal factors. 3. How to assess and manage the risk of suicide in a mental health setting This educational film explores a lengthy assessment of the risk of a further attempt by Peter, who has already taken a serious overdose of Paracetamol. It is a difficult interview as the nurse has a range of issues to consider before discussing with Peter how he might agree a plan to remain safe. 4. Risk Assessment and violence in the context of a psychotic
RISK EXAMPLES - Definitions are from URMIA white paper Risk Examples: Strategic risks are those that involve planning for the university’s stability, future growth and advancement. Reputation Ethics Changing demands of students Academic programs Competition for students, faculty and Growth – rapid or slowing Infrastructure capacity and capital planning Centralized or decentralized management Strategic plans Contractual relationships Intellectual property Strategic plans Branding and licensing Operational are those that result in the institution’s dependency on system, policies, and procedures. Integrating functional processes Systems implementations Changing technology Regulatory compliance Information technology Contract process Accounting functions Emergency management Security management Environmental health and safety (Safety) HAZARD Risks – typically insured in the traditional insurance market: Property Auto Liability Up to date procedures Facilities, construction and management Purchasing and procurement Human subjects protection Animal care and protection Sponsored programs administration Workers Compensation Crime Professional liability Foreign liability Financial risks are most often the purview of the university’s comptroller, budgeting and financial planning processes. Tuition and fees F&A rate Conflicts of interest Interest rate volatility Endowment management General fund investments Cash flow Funding sources Internet and e-business
Elimination Risk Assessment Plan for Operational Risks (ORP) Name of activity (policy, procedure, process): Date completed: Prepared by: Date reviewed: Reviewed by: . Step 1 Identify the hazards Step 2 Assess the current risk, use tables 1,2,3 Step 3 Control the risk Step 4 Assess the remaining Risk, use tables 1,2,3 again. Step 5 Action to be taken Step 6 Accountable person to implement action & date by Identify the hazards What is the harm associated with the hazard? Is the risk low, medium, high or extreme? What controls are already in place and what else needs to be done to reduce or remove the risk? Now that controls have been put in place reassess the risk. List the actions to be taken List the person who will implement the action Governance Guiding (Activities of Guiding) People
Risk Assessment for the Provision of a Temporary Water Supply for an Event Name of Campsite: Site Address: Date of Risk Assessment: Risk Assessment Completed by: Date: Signed: No Risk Actions to be taken to control/manage risk Action person Date completed Signed 1 Failure to supply water due to incoming mains failure, distribution pipe failure or contamination. Develop Emergency plan: Give details of plan e.g.: Contact details for water supplier in the event of a failure Arrangements with the supplier Access arrangements for emergency supplies A tankered supply and bottled water will be supplied by …… The Environmental Health Department will also be informed of any failures. An emergency plan has been written and is enclosed with the risk assessment Mr Smith 2 Contamination of water through cross connection between the incoming mains supply and a distribution network supply and from the water fittings e.g. through backflow Describe arrangements to be put in place to prevent the distribution network supply water from entering the mains supply and that the water fittings meet the requirements of the Water Supply (Water Fittings) Regulations 1999. Anglian have undertaken an inspection of the connection between the mains supply and the distribution network supply to ensure there is a check valve installed on the supply which meets the Water Supply (Water Fittings) Regulations 1999. Mr and Mr Anglian Water 3 Contamination of water supply from damaged or contaminated taps, standpipes and pipework. Undertake regular checks of taps and standpipes to ensure they are clean. An example of a disinfection procedure is enclosed in your information pack. Also check pipework remains undamaged and is replaced/repaired as required. The taps and pipework will be inspected every morning in line with the daily checks being undertaken at the site. The taps will be and cleaned with a chlorine solution during the inspection and any repairs necessary will be made immediately. A list of the daily checks which will be undertaken during the event is enclosed. Mr
Risk assessment for volunteer litter clearance Hazard (A source of potential danger) Precautions To remove hazard, reduce risk Measures to reduce effect in the event of an accident Management activity Please initial to indicate understanding Traffic Mapped risk assessment to ensure road fits into Medium or Low risk category. Use of reasonable safety measures. Be aware of oncoming traffic and other hazards. Where possible, walk towards oncoming traffic. Do not litter pick along roads over 30mph. Ensure use of Personal Protective Equipment. Do not use mobile phones whilst on a highway. One volunteer to act as ‘eyes and ears’ for traffic movements on behalf of the rest of the group. Lifting heavy objects Do not move or lift objects unless necessary Use mechanical aids, or handle with a number of people. up the load into smaller parcels. Use good lifting technique. Stop immediately if suffering any pain or discomfort. Seek medical attention if ill effects persist. If volunteers find large/heavy objects, make a note and report to the local council for removal after the event. Chemicals Do not approach or remove containers which contain/contained chemicals Seek medical attention if exposed to pesticides, insecticides or other chemicals record any label details. Contact the Environment Agency 0800 80 70 60. Cliffs, quarry faces, steep slopes Avoid picking on or close to the edge of cliffs, quarries, steep slopes etc and below unstable cliffs and slopes Take weather conditions and possible weather changes into account Take account of Seek medical treatment in the event of injury. Instruct volunteers to stay away from these areas. Electric fences Always assume electric fences are live Avoid contact Warn volunteers not to touch fences. Ground conditions Wear strong boots with ankle support Avoid dangerous areas and choose the safest possible route over difficult ground. Seek medical attention for any serious cuts, bruises or strains. Instruct volunteers to wear suitable footwear. Hedges, fences, walls, ditches Take care climbing stiles particularly in wet weather Avoid climbing walls, ditches and fences Stay within the registered location. Water, marshes and bogs Avoid banks, especially if they appear unstable. Always work in pairs if close to water. Shower and change to warm dry clothing if immersed. Never allow children to work in these areas. Adults should be warned. Vehicles, bicycles, plant and machinery Avoid close proximity if possible. Stay off the highway. Be alert to the potential presence of agricultural Seek medical attention in the event of injury. Be aware of the vehicles around you during the litter pick. Keep a look out.
Edinburgh RISK ASSESSMENT FORM SCHOOL/SERVICE: LOCATION: DATE: Description of event/activity: No. Hazards identified People at risk from hazards Existing control Risk Further action / recommendations Action by whom Action by when Completed H M L Review Date: Signature: Job Title:
11.5 Zip or Postal Code 8 Zip or Postal Code is into its two component parts and placed in the CRIS postcode fields 11.7 Address Type 1 Only an address type of H is used 12 County Code 9 County code 13 Phone number - home Patients home telephone number, email address and mobile number. Mobile telephone number is placed in the next repeating instance E.g. |0115874245^^^support@hssnet.com~07785342542 13.1 Phone number 25 repetition is Mapped to patients home telephone number, second repetition is mapped to patients mobile telephone number 13.4 Email Address 40 Mapped to patients email address 14 Phone number- business 25 If this field is repeated the first instance is used by CRIS 15 Primary Language 3 Primary language 16 Marital Status 1 Marital status 17 Religion 3 Religion 18 Patient Account Number 20 Patient account number 22 Ethnic Origin 2 This field may need to be mapped, Please refer to the ethnic origin table on CRIS for specific values. 26 Citizenship 3 Citizenship 29 Date Of Death 26 Mapped to date of on CRIS. DOD should be a valid date, values of 01-31 for day (depending on the month) and 01-12 for month are expected as well as a valid 4 digit year. 32 Identity Reliability Code 2 Optional, for NHS number use only. If required then you must request that NHSVerStatusInIDReliabilityCode is set TRUE, if set FALSE then we look for this value in PID:3.2 AL1 This segment may appear on ADT^A08 messages. Position Name Max Width Usage 3.2 Description 250 Allergy description 5 Allergy Code 15 Allergy reaction code IAM This segment will appear on ADT^A60 messages. Position Name Max Width Usage 3.2 Description 250 Allergy description
ACK The ACK segment should appear on the application level acknowledgement (ACK) message. Position Name Max Width Usage 1 Acknowledgement Code 2 Should contain one of the two values AA – Successful acknowledgement AE – Error 2 Message Control ID 30 Should contain the Message control ID passed in MSH:10 of the message acknowledged. 3 Text Message 15 In the case of a positive acknowledgement of an A04 message this field should contain the PAS primary key allocated to the new patient. 6 Error Condition 100 Sub field 2 (Text) may contain an error message. MRG The segment appears on the ADT^A40 message. Position Name Max Width Usage 1 Prior Patient ID Internal Patient identifiers for the source patient of the merge, refer to the notes on patient identifiers above. 1.1 ID 15 1.4 Assigning Authority 5 1.5 Identifier Type Code 2 NK1 The next of kin segment appears on the ADT^A04, ADT^A08, ADT^A28 and ADT^A31 messages. Position Name Max Width 2 Next of Kin name 250 If this field is repeated CRIS uses the first occurrence. 2.1 Surname 25 2.2 First name 25 3.2 Relationship 250 This may need to be mapped.
11.5 Zip or Postal Code 8 Zip or Postal Code is split into its two component parts and placed in the CRIS postcode fields 11.7 Address Type 1 Only an address type of H is used 12 County Code 9 County code 13 Phone number - home Patients home telephone number, address and mobile number. Mobile telephone number is placed in the next repeating instance E.g. |0115874245^^^support@hssnet.com~07785342542 13.1 Phone number 25 First repetition is Mapped to patients home telephone number, second repetition is mapped to patients mobile telephone number 13.4 Address 40 Mapped to patients email address 14 number- business 25 If this is repeated the first instance is used by CRIS 15 Primary Language 3 Primary language 16 Marital Status 1 Marital status 17 Religion 3 Religion 18 Patient Account Number 20 Patient account number 22 Ethnic Origin 2 This field may need to be mapped, Please refer to the ethnic origin table on CRIS for specific values. 26 Citizenship 3 Citizenship 29 Date Of Death 26 Mapped to date of death on CRIS. DOD should be a valid date, values of 01-31 for day (depending on the month) and 01-12 for month are expected as well as a valid 4 digit year. 32 Identity Reliability Code 2 Optional, for NHS number use only. If required then you must request that NHSVerStatusInIDReliabilityCode is set TRUE, if set FALSE then we look for this value in PID:3.2 AL1 This segment may appear on ADT^A08 messages. Position Name Max Width Usage 3.2 Description 250 Allergy description 5 Allergy Code 15 Allergy reaction code IAM This segment will appear on ADT^A60 messages. Position Name Max Width Usage 3.2 Description 250 Allergy description
18 Patient Type 1 Patient type, e.g. Inpatient or Outpatient etc, This field, if present, will override the default patient type which is normally determined by the ward code. If used this field may need to be mapped to match the lookup table on CRIS. 19 Visit Number 30 Episode identifier from OCS. New orders booked on CRIS as being additional to this order will be sent with the same value. PD1 PD1 is not referenced as part of an message. Position Name Max Width Usage 3.3 Patient Primary facility 9 Patients registered GP practice. <id number> should contain the national GP practice code. Note that <id number> is the third sub component. 4 Patient Primary care provider and name 10 <id number> should contain the national code for the patients registered GP ORC The ORC segment should appear on OMG^O19 and ORG^O20 messages. Position Name Max Width Usage 1 Control 2 Identifies the type of order message. Possible values are “NW” New (OMG^O19) “CA” Cancel Order (OMG^O19) “OC” Order Cancelled (ORG^O20) “UC” Unable to Cancel (ORG^O20) “XR” Changed (ORG^O20) “UX” Unable to Change (ORG^O20) 2 Placer Number 30 Unique order ID allocated by OCS, only <Entity Identifier> is used. 3 Filler Number 10 Unique ID allocated by CRIS. When generating Acknowledgement messages OCS should fill this with the value found in the message that is being acknowledged. Only <Entity Identifier> is used. 4 Placer Group Number 22 Optional, if required you need to request that GENERAL.CheckGroupWhenCombiningOrders is set to TRUE (default is FALSE). If set to TRUE then the text from the clinical history, event comment, reason for exam and safety questions are taken from the first order.
PV1 The PV1 segment is present for ADT^A05 messages, SIU^S12 messages and OMG^O19/ORM^O01* messages with order control “NW” (new orders booked on CRIS). * Message type sent depends upon which PACS provider the message is being sent to. Position Name Usage 3 Assigned patient location The ward/clinic code the patient is to be admitted to. This field is populated on ADT^A05 messages. 9 Consulting Doctor The Consultant the patient is to be admitted under. This field is populated on ADT^A05 messages. 18 Patient Type Patient Type (Inpatient, Outpatient etc). This field is populated on OMG^O19 / ORM^O01 messages dependent upon the PACS being communicated to. 19 Visit Number Episode identifier from OCMS. This is populated with the value taken from the first received order on the attendance. This field is populated on OMG^O19 / ORM^O01 messages dependent upon the PACS being communicated to. 44 Admit Date/Time The date (and possibly time) that the patient is to be admitted. This field is populated on ADT^A05 messages.
MSH MSH appears on all messages Position Name Notes 1 Field Separator Always Populated with “|” 2 Encoding Characters Always Populated with “^~\&” 3 Sending Application Defaults to “CRIS” may be configured to send any fixed value. 4 Sending Facility Defaults to “LIVE” may be configured to send any fixed value. 5 Receiving Application Default is empty, may be configured to send any fixed value. 6 Receiving Facility Default is empty, may be configured to send any fixed value. 7 Date Time of Message Populated with the date and time that the message was generated, century, year, month, day, hour, minute, second, millisecond and time zone offset are all present. 9 Message Type The type of the message. CRIS sends the messages OMG^O19 ORG^O20 ORU^R01 10 Message Control ID Populated with a unique id for the message 11 Processing ID Set to “P” 12 Version ID Set to “2.4”
ORC This is present on all messages Position Name Notes 1 Order Control Populated according to control and status summary table above. 2 Placer Order Number Contains the placer order number received from and Order communications system. If no order communications system is in use or this event was not received electronically this field will be blank. 3 Filler Number Contains with the CRIS allocated examination key. 5 Order status Populated according to control and status summary table above. 7 Quantity/Timing <start date/time> will, for orders that have status “SC”, contain the date and time that the examination is booked for, for orders with a status of “IP” and clinical results it will contain the date and time that the examination was done. <priority> will contain the priority of the order, this component may need translation. Optional, if you require all 2099 type to be removed then you must specify that BlankWaitingDate is set to TRUE (default is FALSE). This will remove the date from ORC:7, OBR:27, OBR:34.2 and OBR:34.3 9 Date Time of transaction Date and time of the user action on CRIS that resulted in this message. 10 Entered By <id number> is populated with the ID of the user on CRIS that entered this order/status/result. 12 Ordering Provider <id number> is populated with the code identifying the referrer on CRIS 13 Enterers location <point of care> is populated with the code identifying the ward/location on CRIS 16 Order control code reason This is only populated for ORG^O20 messages of type UA and UC. <identifier> is populated as follows. For messages of type “UC” NF – Unable to find order OS – order already scheduled OI – already in process IE – Internal error For messages of type “UA” OE – Order already exists US – Unknown universal service code UL – Unknown enterers location UR – Unknown referrer
Message Transport All Messages are transmitted over TCP/IP using MLLP. Connections One socket connection is used for messages originating from CRIS. The port numbers to be used will be decided by mutual agreement. CRIS will initiate the connection (acting as client). Transport level Acknowledgements Each message will be acknowledged by the receiving system prior to delivery of the next message. Messages that are NAK’d will by logged by CRIS and should also be logged by the receiving system. Framing Characters Standard HL7 MLLP framing characters will be used, are <0B> start of message <1C> end of message In addition MLLP requires that each message be followed by the segment delimiter which is carriage return <0D>
If(hospitalNumber equals patient ID Hospital’s site code Else number IssuerOfPatientID OtherPatientIDsSequence (0008,1120) (0010,1002) Other patient IDs OtherPatientID (0010,1000) Patient’s Ethnic group EthnicGroup (0010,2160) Patient’s consent comment PatientComments (0010,4000) “NO” PatientIdentifyRemoved (0012,0062) General Module Study Instance UID StudyInstanceUID (0020,000D) Exam date StudyDate (0008,0020) Exam start time StudyTime (0008,0030) Referrer name ReferringPhysicianName (0008,0090) Exam key StudyID (0020,0010) Exam accession number AccessionNumber (0008,0050) Examination code, examcode description ProcedureCodeSequence (0008,1032) Patient Study Module Patient’s age(in years) PatientAge (0010,1010) Patient’s weight PatientWeight (0010,1030) Patient’s height PatientSize (0010,1020) General Series Module “OT” Modality (0008,0060) SystemSettings.UID_PREFIX + siteUID + “18.3423234” SeriesInstanceUID (0020,000E) “1” SeriesNumber (0020,0011) General Equipment Module “Healthcare Software Solutions LTD” Manufacturer (0008,0070) “CRIS” ManufacturerModelName (0008,1090) Trust’s name InstitutionName (0008,0080) SC Equipment Module “SD” ConversionType (0008,0064) “OT” Modality (0008,0060) WorkStation ID SecondaryCaptureDeviceID (0018,1010) “Healthcare Software Solutions LTD” SecondaryCaptureDeviceManufacturer (0018,1016) “CRIS” (0018,1018) “CRIS printed report” DigitalImageFormatAcquired (0018,1023)
RISK ASSESSMENT FORM Title of activity: Animal Tissue Dissection Date /Time of activity: Biology Practical – various dates Number of students taking part: Occasionally, >20 students may be present for a practical Risks factors should be re-assessed before starting. taking part in activity: Biology staff Risk assessment completed by: Samples For Schools Date assessment completed: September 2017 First aid staff: First aid trained School/ College staff on site and School/ College nurse Hazard/Risks What are the hazards and associated risks? Who Could be Affected? Who might be harmed by hazards? Control Measures in Place What are you already doing? Additional Control Measures Required What further action is necessary? Person/s responsible for Actions Required Date/s Actions Required Actions Completed Initial and date when actions are completed Refer to risk assessment for generic lab risks Students, teaching staff, technicians Dissection equipment is sharp and could cause cuts; equipment may be unclean or rusty Students, teaching staff, technicians Students are advised of risks of sharp equipment. Demonstrate safe use of scalpel blades and other equipment. Staff must check number of blades before and after the practical. Remind students of risks of sharp equipment. Students and staff Ongoing Material to be dissected could be infected Students, teaching staff, technicians Avoid using bovine or ovine material (BSE). Provide protective gloves. Advise students to be careful and wash hands after dissection. Use spray disinfectant to clean work areas. Students and staff Ongoing Students may feel unwell or may faint Students, teaching staff, technicians Give students warning, advise them to be seated if feeling unwell. Provide ventilation (open or windows) if necessary. Advise students to stay within what they feel comfortable with. Staff and students Ongoing Assessor Samples For Schools Date of Assessment: Sept 2017
Data Mappings – Inbound events OMG^O19 Order This message is sent by the remote system to add an attendance directly to CRIS. It should contain the following segments: MSH PID ORC OBR OBX (Optional, Multiple) MSH Position Name Notes 1 Separator Should be Populated with “|”. CRIS does not support the use of non-standard field separators. 2 Encoding Characters Should Populated with “^~\&”. CRIS does not support the use of non-standard field separators 9 Message Type Should be set to “OMG^O19” 10 Message Control ID This value will be returned in the acknowledgement message. 12 Version ID Should be set to “2.4” PID Position Name Notes 3 Patient ID (Internal ID) Should identify the patient that the event is to be attached to. If a CRIS ID is this field should contain the CRIS patient ID with an assigning authority of “CRIS” and an identifier type code of “PI”. If a PAS unique ID is known this field should contain the PAS id with an appropriate assigning authority and identifier type code. This functionality requires CRIS to be configured in advance with the assigning authority to be used. ORC Position Name Max 1 Order Control 2 Identifies the type of message. Possible values are “NW” New “CA” Cancel Order “XC” Change Order “SC” Status Change
Data Mappings – Inbound IEP OMG^O19 Order This message is sent by the remote system via IEP. It should contain the following segments: MSH PID ORC OBR OBX (Optional, Multiple) These segments with be the same as those described for the OMG^O19 messages in Subsection 8.1. The following observation identifiers are recognized by CRIS in addition to those described in Subsection 8.1. ID Value Type Observation SND_REASON_CD CE <identifier>, <text> are reason code, reason respectively and will be one of the following: SRMDT, Sent: MDT Sent: Reporting SRRFY, Sent: Reference only SRRFN, Sent: Ref only, no images SRARFY, Sent: Reference only (auto) SRARFN, Sent: Ref only,no images(auto) SRRES, Sent: Reported <name of coding system> will be “CRIS3”. SND_REASON_NTE TX Free text note, optionally when selecting a send reason. STUDY UID TX UID, if it exists. EVENT_SUMMARY TX Summary of the event and status history. REASON TX Reason for exam text from the information field on the Event Info tab. HISTORY TX Clinical history text field from the information field on the Event Info tab. COMMENT TX comment text field from the information field on the Event Info tab. SAFETYQ TX Clinical safety questions text field from the information field on the Event Info tab. SUMMARY TX Text of summary report. EXAM CODE TX Text of report for this exam. SITE TX Site the event was sent from. Will be the site code with ‘EXT’ appended to the start.
3 Query Response Status Has one of the following values. OK – Query success, patient found. DSP contains CRIS Identifier. NF – Success, patient not found. AE – Application Error, CRIS failed to process the query for some internal technical reason. AR – Application Reject, CRIS rejected the because it could not find required information in the message. DSP DSP appears on DSR^Q01 messages generated in response to a successful query. Position Name 3 Data Line Contains the CRIS identifier of the patient.
QBP^Z02 Patient Query Conformance Statement Overview Query Statement ID Z02 Type Query Query Name Patient Query Trigger (MSH:9) QBP^Z02^QBP_Q11 Response Trigger RSP^Z02^RSP_K11 Query Priority Deferred – Queries are queued for processing, however in normal circumstances should execute immediately Query Characteristics Returns basic demographic details and patient identifiers for patients matching the supplied criteria. Search criteria may be: 1) CRIS patient id 2) NHS Number 3) Hospital Number 4) Combination of name, DOB and sex. Purpose To allow an external system to obtain demographic data and patient identifiers for a patient. Response Characteristics For each patient found returns a PID segment populated with the patients details. Grammar MSH Message header segment QPD Query parameter definition MSH Position Name Notes 1 Separator Should be Populated with “|”. CRIS does not support the use of non-standard field separators. 2 Encoding Characters Should Populated with “^~\&”. CRIS does not support the use of non-standard field separators 9 Message Type Should be set to “QBP^Z02^QBP_Q11” 10 Message Control ID This will be returned in the acknowledgement message. 12 Version ID Should be set to “2.4” QPD Position Name Notes 1 Message Query Name Should be valued “Z02^Patient Query” 2 Query Tag Should be unique to each query message instance, this value is not important to CRIS but will be returned in the response message.