Risk Assessment Survey
Welcome Message
Dear Participant,
Thank you for taking the time to participate in the Risk Assessment Survey. The
goal of this assessment is to identify threats and hazards to better improve our
response to risks that can impact the Royal Clinics.
*Your answers will be kept anonymous*
We kindly ask you to read the following definitions before completing the survey:
• Risk: the effect of uncertainty on the Royal Clinics’ ability to meet its
objectives
• Likelihood: the probability that something might happen
• Impact: the most probable results of the potential incident
Your detailed responses will help us identify and implement effective risk
mitigation actions.
We Thank you for your participation
Please select the appropriate impact and likelihood scores from the following
two tables:
Impact Scoring
Quantitative Qualitative
Significant impact Exercise of the vulnerability may result in clients dissatisfaction; or the
(3) highly loss of major tangible assets or resources; or may significantly
>30%
violate, harm, or impede the RC mission or reputation; or may result in
significant human harm or injury
Moderate impact 10% to Exercise of the vulnerability; may result in the loss of tangible assets or
(2) 29% resources; or may violate, harm or impeded the RC mission, or
reputation; or may result in minor human harm or injury.
Minor impact
<10% Exercise of the vulnerability may result in the loss of minor tangible
(1)
assets or resources.
Likelihood Scoring:
Low Likelihood Medium Likelihood High Likelihood
(1) (2) (3)
Quantitative 10 - 29% probability of 30 - 69% probability of 70 -89% probability of
occurrence occurrence occurrence
The event is not likely to occur The event may occur in the The event is more likely than
in the next 6 month next 6 month not to occur in the next 6
months
There are very few reliable Some background factors Several background factors
indicators that the event will increasing the likelihood of increasing the likelihood of
occur the event occurring the event occurring
No significant background There are some reliable There are reliable indicators
factors increasing the likelihood indicators increasing the (including expert opinion)
likelihood (including expert that the event will occur
Qualitative opinion)
Current measures Measures in place may Measures in place may
(preparedness) are likely to reduce the impact but are slightly reduce the impact but
prevent the event from unlikely to prevent the event are unlikely to prevent the
occurring from occurring event from occurring
Risk Assessment Survey
Risk Title
Risk Description
Date
Assessment of Risks
Risk Expected Impact? Impact Likelihood
Score Score
People at risk:
Patients RC Staff Palace workers Visitors
Other
Suggested risk treatment or risk control
Risk Control measures / Actions
(from identified above)
