RISK ASSESSMENT FOR GENERAL MOBILITY

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RISK ASSESSMENT FOR GENERAL MOBILITY ABILITY TO
USE THE TOILET Patients Name DOB
.NHS No. . Assessors Name and
Job Title Signature
Any problems that cannot be resolved must be
referred back to senior members of your
department.
Date
Time
Yes No Independent .. .. .. .. ?
? Assistance .. .. .. .. ?
? Unable .. .. .. .. ? ? Number of
staff .. .. .. .. Equipment to be
used Any Special Instructions Taking
account of your findings, including the
individual capabilities of the handler, use the
Risk Analysis Matrix to assess the overall level
of risk of personal injury to members of
staff. Very Low ? Low ? Moderate ?
High ?

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