The Health Risk Assessment Form is a crucial document used in Pakistani healthcare settings to evaluate and document individual health risks and status. It is designed to meet the requirements of various Pakistani healthcare regulations, including the Provincial Healthcare Commission Acts and relevant occupational health legislation. The form is typically used during pre-employment screenings, periodic health check-ups, occupational health assessments, and general health risk evaluations. It captures essential information including personal medical history, current health status, lifestyle factors, occupational hazards, and specific risk indicators. The document serves multiple purposes including legal compliance, preventive healthcare, occupational safety, and insurance requirements, while adhering to Pakistani data protection and medical privacy standards.
Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Your data doesn't train Genie's AI
You keep IP ownership of your docs
1. Personal Information: Basic identification details including name, age, gender, contact information, and national ID number
2. Emergency Contact Details: Information about whom to contact in case of emergency
3. Medical History: Previous medical conditions, surgeries, chronic illnesses, and family medical history
4. Current Health Status: Present health conditions, medications, allergies, and ongoing treatments
5. Vital Signs Assessment: Current vital signs including blood pressure, heart rate, respiratory rate, temperature
6. Physical Examination Results: Findings from basic physical examination
7. Lifestyle Factors: Information about diet, exercise, smoking, alcohol consumption, and other lifestyle factors
8. Occupational Health Factors: Work-related health risks and exposure to hazardous materials or conditions
9. Risk Assessment Summary: Overall evaluation of health risks identified
10. Recommendations: Proposed actions, follow-ups, and preventive measures
11. Declaration and Consent: Patient's acknowledgment and consent for the assessment and data usage
1. Mental Health Assessment: Evaluation of mental health status - to be included when psychological assessment is relevant or requested
2. Reproductive Health: Assessment of reproductive health factors - included when relevant to the patient's age/gender/condition
3. Dietary Assessment: Detailed evaluation of nutritional status and dietary habits - included for cases involving nutrition-related health risks
4. Environmental Risk Factors: Assessment of home/work environment risks - included when environmental factors are significant
5. Specialized System Review: Detailed assessment of specific body systems - included based on preliminary findings or specific concerns
6. Covid-19 Risk Assessment: Specific evaluation of COVID-19 risk factors and exposure - included during pandemic conditions
7. Vaccination History: Detailed immunization record - included when relevant to occupational requirements or health risks
1. Appendix A - Risk Scoring Matrix: Standardized scoring system for quantifying health risks
2. Appendix B - Laboratory Results: Attached laboratory test results and their interpretation
3. Appendix C - Medical Examination Checklist: Detailed checklist of all examination components completed
4. Schedule 1 - Follow-up Plan: Detailed schedule of recommended follow-up actions and appointments
5. Schedule 2 - Referral Forms: Standard forms for specialist referrals if required
6. Schedule 3 - Health Monitoring Plan: Structured plan for ongoing health monitoring if needed
Find the exact document you need
Risk Matrix Form
A comprehensive risk assessment and management document compliant with Pakistani law, used for systematic evaluation and management of organizational risks.
Download
Risk Assessment IT
A comprehensive IT Risk Assessment framework compliant with Pakistani regulations, designed to evaluate and mitigate technology-related risks in organizations.
Download
OHS Risk Assessment
A comprehensive OHS Risk Assessment document compliant with Pakistani workplace safety regulations, designed for systematic hazard identification and risk control.
Download
Health & Safety Risk Assessment
A comprehensive Health & Safety Risk Assessment document compliant with Pakistani safety regulations, evaluating workplace hazards and establishing control measures.
Download
Ehs Risk Assessment
A regulatory-compliant assessment of environmental, health, and safety risks for operations in Pakistan, including hazard identification and risk mitigation recommendations.
Download
AML CFT Risk Assessment
A regulatory-compliant assessment of money laundering and terrorist financing risks for organizations operating in Pakistan, aligned with local AML/CFT laws and FATF standards.
Download
Residential Fire Risk Assessment
A detailed fire safety assessment document for residential properties in Pakistan, ensuring compliance with national fire safety regulations while identifying hazards and providing risk mitigation recommendations.
Download
Coshh Assessment
A mandatory health and safety assessment under Pakistani law for managing hazardous substances in the workplace, including risk evaluation and control measures.
Download
AML Risk Assessment Form
A structured risk assessment document for evaluating money laundering and terrorist financing risks in organizations operating under Pakistani AML regulations.
Download
Bribery And Corruption Risk Assessment
A comprehensive bribery and corruption risk assessment document aligned with Pakistani anti-corruption laws and international compliance standards, providing risk evaluation and mitigation strategies.
Download
Pharmacy Risk Assessment
A regulatory-compliant risk assessment document for pharmacy operations in Pakistan, addressing medication safety, operational hazards, and risk management procedures.
Download
Risk Assessment Childcare
A comprehensive risk assessment framework for childcare facilities in Pakistan, ensuring compliance with federal and provincial child protection regulations while maintaining international safety standards.
Download
Ppe Risk Assessment
A mandatory workplace safety document under Pakistani law that assesses risks and specifies required Personal Protective Equipment (PPE) for specific workplace hazards.
Download
Occupational Health And Safety Risk Assessment
A mandatory workplace safety evaluation document under Pakistani law that identifies, assesses, and provides control measures for occupational hazards and risks.
Download
Risk Management Assessment
A regulatory-compliant risk management assessment document for Pakistani organizations that evaluates and addresses various organizational risks while ensuring alignment with local legislation.
Download
Workplace Risk Assessment
A legally-required assessment document under Pakistani labor laws that identifies and evaluates workplace hazards, risks, and necessary control measures.
Download
Occupational Therapy Risk Assessment
A Pakistani jurisdiction-compliant risk assessment document for occupational therapy practices, evaluating therapeutic intervention risks and recommending control measures.
Download
Psychology Risk Assessment
A legally-compliant psychological risk evaluation document used in Pakistan to assess, document, and manage psychological risks while adhering to national mental health regulations.
Download
Workplace Violence Risk Assessment
A comprehensive workplace violence risk evaluation and prevention document compliant with Pakistani labor laws and safety regulations.
Download
Warehouse Risk Assessment
A comprehensive warehouse facility risk assessment document compliant with Pakistani legislation, evaluating safety, operations, and providing risk mitigation recommendations.
Download
Risk Benefit Assessment
A structured evaluation document under Pakistani law that assesses and balances potential risks against benefits for projects or initiatives, including mitigation strategies and regulatory compliance measures.
Download
Pregnancy Risk Assessment
A legally compliant workplace risk assessment tool for pregnant employees under Pakistani labor law, ensuring workplace safety and regulatory compliance.
Download
Pest Risk Assessment
A technical assessment document under Pakistani law that evaluates plant pest risks, their potential impacts, and recommended control measures in accordance with national and international phytosanitary standards.
Download
Infection Control Risk Assessment
A comprehensive Infection Control Risk Assessment framework for healthcare facilities in Pakistan, aligned with national healthcare regulations and international best practices.
Download
Hot Work Risk Assessment
A risk assessment template for hot work operations in Pakistan, ensuring compliance with national safety regulations while providing comprehensive hazard control measures.
Download
Legal Risk Assessment
A comprehensive legal risk assessment document under Pakistani law that evaluates potential legal risks, compliance requirements, and provides risk mitigation strategies.
Download
Functional Risk Assessment
A systematic evaluation of operational and safety risks compliant with Pakistani regulatory requirements, providing comprehensive risk analysis and mitigation strategies.
Download
Food Safety Risk Assessment
A detailed evaluation of food safety hazards and control measures compliant with Pakistani food safety regulations and international standards.
Download
Food Defense Threat Assessment
A regulatory-compliant threat assessment document for food processing facilities in Pakistan, analyzing vulnerabilities and establishing preventive measures for food defense.
Download
Finance Risk Assessment
A comprehensive Finance Risk Assessment framework aligned with Pakistani financial regulations and State Bank of Pakistan guidelines for risk management and compliance.
Download
Chemistry Risk Assessment
A mandatory risk assessment document under Pakistani law that evaluates and controls chemical hazards in the workplace, ensuring compliance with national safety and environmental regulations.
Download
Client Risk Assessment Form
A regulatory compliance document for assessing client risk factors and due diligence requirements under Pakistani banking and AML regulations.
Download
Risk Assessment Summary Form
A standardized risk assessment documentation tool compliant with Pakistani workplace safety and environmental regulations.
Download
Composite Risk Assessment Worksheet
A structured risk assessment tool for identifying and managing workplace hazards in compliance with Pakistani safety regulations and labor laws.
Download
Risk Management Form
A Pakistani regulation-compliant Risk Management Form for systematic identification, assessment, and management of organizational risks.
Download
Plant Risk Assessment Form
A regulatory-compliant form used in Pakistan for assessing and documenting risks associated with industrial plant and machinery operations.
Download
Filming Risk Assessment Form
A legally compliant risk assessment document for film productions in Pakistan, addressing safety requirements under federal and provincial film and workplace safety regulations.
Download
Environmental Risk Assessment Form
A mandatory environmental assessment document under Pakistani law that evaluates and addresses potential environmental risks of projects, ensuring compliance with national environmental standards.
Download
Cyber Security Assessment Form
A standardized cybersecurity assessment form for organizations in Pakistan, ensuring compliance with local cybersecurity laws while evaluating security controls and risks.
Download
Job Safety Assessment Form
A structured workplace safety assessment document compliant with Pakistani regulations, used to identify and mitigate job-specific hazards and risks.
Download
Genie’s Security Promise
Genie is the safest place to draft. Here’s how we prioritise your privacy and security.
Your documents are private:
We do not train on your data; Genie’s AI improves independently
All data stored on Genie is private to your organisation
Your documents are protected:
Your documents are protected by ultra-secure 256-bit encryption
We are ISO27001 certified, so your data is secure
Organizational security:
You retain IP ownership of your documents and their information
You have full control over your data and who gets to see it