Biological Agents
Risk of:
- Infection.
 - Allergic effects.
 
Possible causes:
- Exposure to contaminated water aerosols e.g. Legionnaire's disease due to failure to maintain water systems and associated equipment such as thermostatic valves.
 - Exposure to pathogenic microorganisms during patient care activities.
 - Failure to use standard precautions.
 - Mould growth on continually wet surfaces.
 
Chemical Agents
Risk of:
- Adverse health effects such as dermatitis or allergy
 - Resident/visitor being able to access chemicals.
 
Possible causes:
- Exposure to cleaning chemicals through inhalation or skin absorption.
 - Use of soaps, detergents and disinfectants.
 - Lack of personal protective equipment.
 - Mixing of incompatible chemicals.
 - Chemicals left unattended or not securely stored.
 
Ergonomic Hazards
Risk of:
- Musculoskeletal disorders.
 
Possible causes:
- Adopting awkward or static postures whilst assisting with bathing of resident.
 - High contact stress e.g. on knees from kneeling or upper chest when leaning against the bath.
 
Manual/Patient Handling
Risk of:
- Musculoskeletal disorders.
 
Possible causes:
- Lifting too heavy items.
 - Over reaching or stretching whilst assisting residents who are unable to move by themselves.
 - Lack of or unsuitable manual handling devices for transferring resident.
 - Failure to maintain manual handling devices.
 - Inadequate space to shower / bathe the resident or use manual handling devices.
 - Unexpected movement of the resident.
 
Slips, Trips and Falls
Risk of:
- Minor injuries such as cuts to major injuries such as broken bones, concussion and even death.
 
Possible causes:
- Worn or torn flooring.
 - Wet and slippery floors.
 - Unsuitable footwear.
 - Assisting incapacitated residents.
 
Water
Risk of:
- Burns or scalds.
 - Infection e.g. exposure to aerosols contaminated with Legionella bacteria.
 
Possible causes:
- Failure to treat water appropriately.
 - Failure to maintain thermostatic mixing valves.
 - Inappropriate method of checking water temperature e.g. using the hand rather than a thermometer.
 
Note: This is not an exhaustive list of hazards and risks.