Assess & remediate · Worksite analysis
Healthcare Workplace Violence Risk Assessments & Worksite Analysis
A workplace violence risk assessment — what the Joint Commission calls a worksite analysis — is the foundation every surveyor expects you to have done before anything else. It is the documented evidence that you identified your facility’s specific risks, prioritized them, and acted. VIGILO conducts a structured, compliance-focused assessment of your environment of care and delivers findings written the way a surveyor reads them.
A defensible worksite analysis has three legs: a records review (incident logs, OSHA 300, prior assessments), a physical walkthrough of the environment of care, and frontline employee input. It then ranks risks and feeds a mitigation log that closes each finding — the structure the Joint Commission expects annually, OSHA Publication 3148 makes its second component, and Texas Chapter 331’s facility-specific plan rests on.
This is a compliance vulnerability assessment, not a security-staffing or guard-services engagement. We assess and document; we do not patrol, and we do not guarantee safety outcomes.
What you receive
What the engagement includes
Every deliverable is documented the way a surveyor reads it — and assembled to drop straight into your survey-readiness binder.
Dated, survey-defensible written report
With a risk inventory by area or unit.
Prioritized corrective-action log
Every finding tied to a named owner and target date.
Plan-integration language
Connects findings directly to your written WVP plan.
Committee-ready minutes
Documenting review and action for governance.
Employee-input record
Survey or interview log evidencing frontline participation.
Annual re-assessment option
Through the Annual Compliance Subscription, so it never goes stale.
Speaking the language of surveyors
The six questions a surveyor will ask — answered
Surveyors follow a tracer: they pull the thread from policy to plan to committee to training to record to corrective action. This module is organized around exactly what they ask, what they review, and what gets a facility cited.
What surveyors ask
- Have you conducted a workplace violence risk assessment, and how recently?
- Is your assessment facility-specific — does it reflect your actual units, entrances, behavioral-health and ED exposure, parking, and after-hours risk?
- Did the assessment feed your written WVP plan and your committee’s priorities?
- Is the worksite analysis repeated annually, as the Joint Commission expects?
- Who participated — did frontline staff, including those providing direct patient care, have input?
What surveyors review
- The written risk-assessment report, dated and signed.
- Evidence the assessment is current (within the annual cycle).
- The link between assessment findings and your WVP plan’s mitigation steps.
- Committee minutes showing the assessment was reviewed and acted on.
- Documentation of frontline input.
Required documentation
| Document | Why surveyors want it |
|---|---|
| Dated worksite analysis / risk-assessment report | Proves the analysis happened and when |
| Risk inventory by area / unit | Shows facility-specificity, not a generic checklist |
| Mitigation / corrective-action log | Demonstrates findings led to action |
| Committee review minutes | Connects assessment to governance |
| Annual re-assessment record | Satisfies the recurring TJC worksite-analysis expectation |
Common deficiencies
- A generic, off-the-shelf assessment that does not reflect the facility’s real layout or patient population.
- A stale assessment — completed once, never repeated annually.
- No documented link between findings and the WVP plan, so the assessment looks like paperwork rather than a driver of action.
- No frontline input, which both weakens the analysis and fails the participation expectation.
- No corrective-action tracking, leaving surveyors unable to see that risks were addressed.
How to prepare
- Schedule the assessment on an annual cadence and put the date in your committee calendar.
- Walk the facility with frontline staff, not just administrators.
- Tie every finding to a named owner and a target date.
- Feed findings directly into your written WVP plan and document the connection.
- Keep the dated report, the corrective-action log, and the committee minutes together in your survey binder.
How VIGILO helps
VIGILO conducts a structured, facility-specific worksite analysis across your environment of care — entrances and access control, ED and behavioral-health exposure, high-risk units, parking and after-hours flow, alarm and communication readiness, and signage. We deliver:
- A dated, survey-defensible written report with a risk inventory by area.
- A prioritized corrective-action log with owners and target dates.
- Plan-integration language that connects findings to your WVP plan.
- Committee-ready minutes documenting review and action.
- An annual re-assessment option through the Annual Compliance Subscription, so the worksite analysis never goes stale.
Primary sources
Sources: Texas Health & Safety Code Chapter 331 (SB 240, 88th Leg., 2023); 26 TAC §133.55; HHSC Provider Letter PL 2024-10; The Joint Commission Workplace Violence Prevention requirements (effective Jan. 1, 2022 for hospitals); OSHA General Duty Clause §5(a)(1), OSHA Publication 3148 and CPL 02-01-058.
Where this fits
Related services
Every VIGILO engagement maps to the same surveyor-fluent framework, so the pieces fit into one connected program of record.
Workplace Violence Prevention Programs
The complete, facility-specific program of record — committee, plan, training, and binder.
Flat fee · $2,500–$6,000
Details →Mock Surveys
A rehearsed tracer survey with a scored findings report on your timeline, not the surveyor’s.
Flat fee · scoped per engagement
Details →Annual Program Reviews
Your Chapter 331 program of record: annual evaluation, training refresh, and committee support.
Subscription · $1,500–$3,600 / yr per site
Details →Tuned for your facility: Hospitals, Emergency Departments & FSEDs, Behavioral Health Facilities. See all facilities →
Workplace Violence Risk Assessments FAQ
Frequently asked questions
What is a healthcare workplace violence risk assessment?
It is a documented worksite analysis — records review, a physical walkthrough of the environment of care, and frontline employee input — that identifies a facility’s specific workplace violence risks, ranks them, and feeds a mitigation log. The Joint Commission expects it annually (EC chapter, effective Jan. 1, 2022); OSHA Publication 3148 makes it the second of its five program components; and Texas HSC Chapter 331 / 26 TAC §133.55 require a facility-specific plan that an assessment supports.
How often must a workplace violence worksite analysis be repeated?
The Joint Commission requires an annual worksite analysis with follow-up on identified risks, and expects an off-cycle re-analysis after a serious incident or a material change to the environment. VIGILO offers annual re-assessment through the Annual Compliance Subscription so the analysis never goes stale between surveys.
Is VIGILO a security-guard or patrol service?
No. VIGILO performs a compliance vulnerability and environment-of-care security risk assessment — a documentation and program-gap analysis. We assess and document; we do not provide security guard, patrol, or investigative services, and we do not guarantee safety outcomes.
What documentation do surveyors review for a worksite analysis?
Surveyors review the dated worksite-analysis report, a risk register or inventory by area, the mitigation / corrective-action log with owners and dates, employee-input records, committee review minutes, and evidence the analysis is repeated annually and tied to incident-trend data.
Find out exactly where your facility stands
A Survey-Readiness Audit scores your committee, plan, training, and governing-body reporting against Chapter 331, the Joint Commission, and OSHA — in one document.