Guideline: Infection Prevention and Control Guidelines for TB, MDR-TB and XDR-TB » How to Conduct TB Risk Assessment?

14. How to Conduct TB Risk Assessment?


The TB risk assessment is conducted as a first step in the process of developing the TB infection control plan for a facility. The seven principles of the risk assessment using the Hazard Analysis Critical Control Point (HACCP) risk analysis are:

  • Planning based on the HACCP process and determine what sections of the risk assessment tool will be used.
  • Assemble a multi-disciplinary risk assessment team
  • Establish procedures for documentation of all activities and the results of the assessment.
  • Establish procedures for validation and verification of the interventions currently being implemented and that they are periodically reassessed.
  • Conduct a hazard analysis by investigating all patient pathways to identify critical control points
  • Determine the appropriate IC intervention implemented for each critical control point by using the risk assessment questionnaire
    • Evaluate the management of the infection control plan in the facility in order to reduce risk against infection
    • Evaluate compliance with the use of personal protection
    • Evaluate  facility  environmental  controls  and  maintenance  practices,  and  determine  their effectiveness
    • Establish what monitoring plan for the applied IC intervention has been implemented at each of the critical control points
  • Identify and recommend corrective action.