(Based on - All Wales COVID-19 Risk Assessment Tool of the Welsh Government)
No personally identifiable data collected
Anyone with the following conditions will fall into the Very vulnerable group and must seek advice from the Occupational Health Department. They should not risk assess themselves on this tool
Solid Organ Transplant Recipients
Persons with any cancer (including any blood cancer) or bone marrow/stem cell transplant,
undergoing chemo, radio or immunotherapy and people on immunosuppressant medication.
Pregnant women (> 28 weeks) as per existing PHE guidance
Anyone with severe disease affecting any organ or body system
Sickle cell disease
Age more than 70
Please fill all your mandatory details
Age and Sex are mandatory!
Form No.
Developed by:
Prof. Keshav Singhal (MBE, FRCS, FLSW)
( Chair BAPIO Wales )
( Chair Risk Assessment Subgroup Wales Government )
Produced by : Pratham Software
Do you identify as one of the BAME(Black Asian Minority Ethnic) or Mixed race groups as set out in this link?
Covid-19 seems to have a bigger impact if you already have other pre-existing health conditions. You may want to speak to your GP or your union representative, if you are not sure about these questions.Diabetes Mellitus Type 1 or 2?
Cardiovascular disease. Are you on any treatment for Hypertension (high blood pressure), Atrial Fibrillation (Irregular heart rate), Heart Failure, Previous MI (had a heart attack), had a stroke, or Transient Ischemic Attack (mini stroke)?
Chronic lung disease (including asthma, COPD, interstitial lung disease)?
Chronic kidney disease (any stage 1-5)?
Sickle cell trait, Thalassaemia trait or other haemoglobinopathy?
Obesity – Covid-19 seems to have a bigger impact if you are overweight?This link will help you work out your BMI – if your BMI is more than 30 OR If your waist circumference is:
Covid-19 seems to have a family susceptibility for some people, especially twins.Has a member of your immediate family (parent under 70, sibling, child) been in ITU or died with Covid-19?
Select your workplace setting
Your risk score is :
Use forward button for your risk recommendation
You are at LOW RISK, and should consider following:
*PPE Review – This should consider the work setting, review all Transmission Based Precautions and ensure the selection and correct use of PPE including training and fit testing.
Now arrange a time to discuss with your line manager to agree a plan and ensure you are appropriately protected. This may include a discussion with Occupational Health.
This risk assessment tool