Risk Assessment for Service Provision During COVID-19

Hazard: Working during COVID-19 outbreak

Who might be harmed and how?  Staff may be prone to contracting coronavirus when working at a clinic, or spreading it to others

Risk level: High

What EML is already doing:  Admin staff work from home; encouraging clinical staff to travel to work via car, bicycle or foot if possible; where use of public transport is unavoidable the use of PPE whilst travelling and hand washing upon arrival at the workplace is advised; signs and resources to promote good hygiene practices, handwashing / antibacterial gel; enhanced PPE while working, and provisions for safe disposal; social distancing where possible.

Further action required to manage the risk:  Risk assessment and antibody testing prior to furloughed staff returning to work in premises; inform building management if an employee develops COVID-19 related symptoms.

Action by whom: Management team

Residual risk level: Medium

Hazard: COVID-19 – risk to candidates

Who might be harmed and how?  Candidates may be prone to contracting coronavirus when visiting a clinic, or spreading it to others

Risk level: High

What EML is already doing: Promoting good hygiene practices, handwashing / use of antibacterial gel upon entry; social distancing where possible in waiting areas and consultation rooms; signage and floor markers; candidates provided with disposable gloves when required to handle equipment e.g. breathalyser; spacing out appointments to reduce number of candidates in building/waiting area at any one time

Further action required to manage the risk: If a symptomatic candidate arrives at the clinic they must be turned away; inform Customer Support team so that the client will be informed of the reason for not completing the appointment.  Inform building management also

Action by whom:  Clinical Team / Customer Support Team

Residual risk level: Medium

Hazard: Handling biological samples

Who might be harmed and how: Phlebotomy and vaccination procedures require close physical contact with the candidate; new services include finger prick antibody testing for COVID-19 and also COVID-19 throat/nasal swab

Risk level:  High

What EML is already doing:  Enhanced PPE and room cleaning regimes between each appointment; safe disposal of sharps/clinical waste and PPE; report any positive cases identified via antibody test to the candidate’s employer and advise the employee to return home immediately and self-isolate

Further action required to manage the risk: If a positive antibody test result indicates active COVID-19 infection in a candidate this must also be reported to the building management

Action by whom: Clinical Management

Residual risk level: Medium

Hazard: Safe disposal of clinical waste

Who might be harmed and how: Enhanced PPE for use when conducting essential customer-facing work during coronavirus outbreak must be treated as clinical waste.  Failure to dispose of masks, gloves and gowns properly may result in the infection of employees or others e.g. cleaners

Risk level:  High

What EML is already doing:  PPE Guidelines published, and enhanced PPE in use at Head Office.  Extra clinical waste pedal bins on order for disposal of PPE, to be collected monthly (initial 12 month contract) by a licensed waste contractor.  Building management at regional locations advised to inform cleaners not to empty these pedal bins

Further action required to manage the risk: PPE Guidelines and acknowledgement declaration to be rolled out to all staff as clinics reopen; more frequent collections of sharps bins, and introduction of clinical waste pedal bins will be required in all locations on a temporary (initial 12 month) basis.

Action by whom: Clinical Management

Residual risk level: Medium

Compiled by: Vivienne Feehily, Compliance Manager

Approved by: Dr Dan Hegarty, CEO; Dr Steve Malleson, CMO

Date: May 2020 | Review date: 4 August 2020