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Wheelchair Risk Assessment Form
"I need a Wheelchair Risk Assessment Form for our care home facility that particularly focuses on outdoor mobility and garden access, as we're expanding our recreational areas in March 2025 and need to ensure compliance with safety regulations for 15 wheelchair users."
1. Assessment Information: Date, assessor details, location, wheelchair details
2. User Information: User details, medical conditions, physical capabilities
3. Environment Assessment: Assessment of usage environment, surfaces, obstacles
4. Equipment Condition: Current state of wheelchair, maintenance status
5. Risk Identification: Specific risks identified during assessment
6. Control Measures: Existing and recommended risk control measures
7. Action Plan: Required actions, responsibilities, timelines
1. Carer Assessment: Assessment section to be included when wheelchair user requires carer assistance
2. Training Requirements: Section detailing specific training needs for user/carer when training needs are identified
3. Equipment Modifications: Section covering required modifications to wheelchair when specific adaptations are needed
1. Wheelchair Specifications: Technical details and specifications of the wheelchair
2. Maintenance Schedule: Regular maintenance requirements and schedule
3. Training Records: Documentation of completed training
4. Incident Log: Record of any incidents or near-misses
Authors
Assessor
Authorized Person
Carer
Control Measures
Environment
Equipment
Hazard
Healthcare Provider
Incident
Manual Handling
Near Miss
PPE (Personal Protective Equipment)
Reasonable Adjustments
Review Date
Risk
Risk Level
Risk Rating
Safe Working Load
Service User
Substantial Risk
Transfer
User
Wheelchair
Wheelchair Accessories
Wheelchair Maintenance
Wheelchair Modifications
Workplace
Personal Information
Environmental Assessment
Equipment Safety
Risk Identification
Control Measures
Training Requirements
Manual Handling
Emergency Procedures
Maintenance Requirements
Review and Monitoring
Data Protection
Confidentiality
User Consent
Reporting Requirements
Documentation Requirements
Assessment Frequency
Responsibility Assignment
Implementation Timeline
Compliance Requirements
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