UTILITY MANAGEMENT

RISK ASSESSMENT
COMPUTER MEDICAL MEDICAL NATURAL NURSE CALL STEAM/ WATER
ELECTRICAL ELEVATOR HVAC
UNIT/AREA SYSTEMS
LOSS
LOSS LOSS LOSS
GAS
LOSS
VACUUM
LOSS
GAS
LOSS
SYSTEMS
LOSS
SANITATION BOILER
LOSS
TELECOM SUPPLY
LOSS LOSS LOSS

5 NORTH PR PRE PR
5 SOUTH PR PRE PR
6 NORTH PR PRE PR
6 SOUTH PR PRE PR
7 NORTH PR PRE PR
ADMINISTRATION P
ADMITTING PR P
ADULT HEALTH CENTER PR N/A N/A N/A
ANESTHESIA PR TPRE P P TPRE TPRE TP P PRE
BUSINESS/MARKET
DEVELOPMENT
BUSINESS OFFICE PR
CANCER CENTER PR PRE PR
CARDIOLOGY PR PRE TP TP TP TP TP TP PR
CCU PR TPRE P P TPRE TPRE PR PRE
CENTRAL SUPPLY PR TPRE P P PE
CLINICAL ENGINEERING PR TPR TP P
CTU PR TPRE P P TPRE TPRE PR PRE
DAY CARE CENTER P PE
DAY HOSPITAL PR TPRE P TPRE TPRE TP PR PRE
DEVELOPMENT
EMPLOYEE CLINIC PR
EMPLOYEE HEALTH PR
EMERGENCY ROOM PR TPRE P PRE TPRE TPRE PR PRE
ENVIRONMENTAL P
SERVICES PE
FACILITIES
PR TPRE PR TPRE TPRE TPRE TPRE P
MANAGEMENT TPRE TPRE
FINANCE PR
FISCAL ADMINISTRATION PR
FITNESS CENTER
FOOD SERVICES PR P P PRE
GENERAL STORES PR P PE
GI LAB PR PR
GIFT SHOP
HEARTSTRIDES
HOLDING AREA PRE PR
HUMAN RESOURCES PR TPRE TPRE
ICU PR TPRE P P TPRE TPRE PR PRE

Risk Assessment Page 1 Reviewed/Revised January 2009

 UTILITY MANAGEMENT
RISK ASSESSMENT
COMPUTER MEDICAL MEDICAL NATURAL NURSE CALL STEAM/ WATER
ELECTRICAL ELEVATOR HVAC
UNIT/AREA SYSTEMS
LOSS
LOSS LOSS LOSS
GAS
LOSS
VACUUM
LOSS
GAS
LOSS
SYSTEMS
LOSS
SANITATION BOILER
LOSS
TELECOM SUPPLY
LOSS LOSS LOSS

INFORMATION
TPRE TPRE
TECHNOLOGY
INPATIENT
ADMINISTRATION
IV THERAPY PPR TPRE P
L&D PR TPRE TP P TPRE TPRE TPRE T PR TPE
LAB PR TPRE PE TP PR TPE
LAUNDRY TPRE TP T P P
MEDICAL RECORDS PR
MEDICAL STAFF RELATIONS P
MTU PR TPRE TP P TPRE TPRE PR
NEURODIAGNOSTICS PR PRE T
NON-INVASIVE PR TPRE PE TPRE TPRE TPRE T
NUCLEAR MEDICINE PR P P P P T
NURSERY PR TPRE PT PRE PRE TPRE T PR
OR PR TPRE P P TPRE TPRE T PR PRE
PACU (RECOVERY) PR TPRE TP TP TPRE TPRE TPRE T PR
PAIN MANAGEMENT PR
PASTORAL CARE
PATHOLOGY PR P
PET/CT PR P P P P TPRE T
PHARMACY PR TPRE TP P PR
PHARMACY (RETAIL) PR TPRE TP P PR
PIEDMONT JOINT PR TPRE TP P TPR TPR TPR TPR T PR TP
REPLACEMENT CENTER
PLANNING P
PLANT OPERATIONS PR TPRE PR TPRE TPRE TPRE TPRE TPR P TPRE TPRE
PRE ADMISSION PR TP
PRINT SHOP
PSYCH UNIT (INPATIENT) PR TPRE TP P P TP PR
PSYCH UNIT(OUTPATIENT) PR P P P
PURCHASING PR
RADIATION THERAPY PR TPRE TP P P T PR
RADIOLOGY PR TPRE P P PR PE
RCU PR TPRE P P TPRE TPRE TPRE PR
RECEIVING PR
REHAB (INPATIENT) PR TPRE TP P P P P PR
REHAB (OUTPATIENT) PR TPRE P P P P
RESPIRATORY CARE PR TPRE P TPRE TPRE TPRE TPRE P P

Risk Assessment Page 2 Reviewed/Revised January 2009

 UTILITY MANAGEMENT
RISK ASSESSMENT
COMPUTER MEDICAL MEDICAL NATURAL NURSE CALL STEAM/ WATER
ELECTRICAL ELEVATOR HVAC
UNIT/AREA SYSTEMS
LOSS
LOSS LOSS LOSS
GAS
LOSS
VACUUM
LOSS
GAS
LOSS
SYSTEMS
LOSS
SANITATION BOILER
LOSS
TELECOM SUPPLY
LOSS LOSS LOSS

RISK MANAGEMENT
SAFETY/SECURITY PR TPRE TP R

Risk Assessment Page 3 Reviewed/Revised January 2009

 UTILITY MANAGEMENT
RISK ASSESSMENT
COMPUTER MEDICAL MEDICAL NATURAL NURSE CALL STEAM/ WATER
ELECTRICAL ELEVATOR HVAC
UNIT/AREA SYSTEMS
LOSS
LOSS LOSS LOSS
GAS
LOSS
VACUUM
LOSS
GAS
LOSS
SYSTEMS
LOSS
SANITATION BOILER
LOSS
TELECOM SUPPLY
LOSS LOSS LOSS

SICU PR TPRE PR TPRE TPRE TPRE TPRE TPR P PR TPRE

SOCIAL SERVICES PR P
SODA SHOP
STAFFING TP TP TP TP TP P TP
SURGERY CENTER PR PRE P P TPRE TPRE TPR PRE R P PE
SYSTEMS EXCELLENCE TPRE TPRE
TOTAL CARE UNIVERSITY
VOLUNTEER SERVICES N/A N/A N/A N/A N/A
WOUND CARE PR N/A N/A N/A N/A N/A

RISK FACTOR FOR HAZARDS

1 NO RISK

2 NUISANCE IF OCCURRENCE

3 MINOR CONSEQUENCE IF OCCURRENCE REQUIRED MEASURES

Special Special Redundant Emergency

4 CONDITION FOR SERIOUS CONSEQUENCES
Training Procedures Systems Supplies

5 OCCURRENCE WITH CONSEQUENCES T P R E

Source: High Point Regional Health System, High Point, North Carolina. Used with permission.

Risk Assessment Page 4 Reviewed/Revised January 2009