Hazard Identification and Risk Analysis for hospital teams
HIRA, or Hazard Identification and Risk Analysis, helps hospitals identify hazards, score risk, document controls, assign corrective action and verify residual risk after action.
Template Fields
- Risk category
- Hazard
- Affected area
- Probability
- Severity
- Initial score
- Existing control
- Corrective action
- Owner
- Deadline
- Residual score
How to Use This Tool
- List the hazard and affected area in plain language.
- Score probability and severity using the hospital-approved scale.
- Record current controls and decide whether additional action is needed.
- Assign owner, deadline and evidence requirement.
- Re-score residual risk after action and review overdue items in committee.
NABH Implementation Relationship
HIRA supports multiple NABH chapters because hazards may arise from patient care, infection control, facility safety, staffing, equipment, utilities and information processes.
HIRA Risk-register Template
CSV template for Hazard Identification and Risk Analysis used by hospital teams.
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| Risk Category | Hazard | Affected Area | Probability | Severity | Initial Score | Existing Control | Corrective Action | Owner | Deadline | Residual Score |
|---|---|---|---|---|---|---|---|---|---|---|
| Clinical safety | Delay in emergency response | Emergency department | 3 | 5 | 15 | Triage desk and emergency bell | Review escalation pathway and conduct drill | Emergency Incharge | 2026-08-15 | 6 |
| Facility safety | Wet floor near patient corridor | IPD corridor | 4 | 3 | 12 | Housekeeping rounds | Add signage and increase high-traffic cleaning frequency | Housekeeping Supervisor | 2026-08-05 | 4 |
Link to NABH Consultancy Services
These resources support implementation planning, but hospitals remain responsible for actual adoption, evidence and decisions. Humble Aim Enterprises provides independent readiness support and does not guarantee accreditation.
Official Sources
This HIRA resource is an implementation tool for hospital risk management and NABH readiness. The official NABH standard remains the controlling reference.
- NABH Hospital Accreditation Standards 6th Edition (opens in a new tab) - Official standards document. This site does not reproduce objective elements verbatim.
- NABH 6th Edition Implementation Notification (opens in a new tab) - Official implementation notification for effective-date context.
- NABH Hospitals Accreditation Programme (opens in a new tab) - Official hospital accreditation programme reference.
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