Post Injury Risk Assessment Tool (PIRAT) copyright Zingiberi Limited

1. What is the age of the injured person?

Under 20 years of age

21 - 30 years of age

31 - 40 years

41 - 50 years

50 - 60 + years

2. How has the accident impacted on,or is likely to impact upon the injured person's enjoyment of e.g. a sport, social activity, hobby or other meansof relaxtion?

No impact; the claimant is enjoying their pre-accident activities to the full

There is some impact but it is likely that this is temporary

Permanent impact on a sport, hobby or social activity seems highly likely

3.
Based on the evidence available, does it seem likely that the injured person will have a permanent disability or scarring that is visible to others?

No

Cannot tell at this stage

Seems likely

4. What was the injured person's usual work pattern before the incident? Check the accident report form to see if the accident occurred "out of hours" which would suggest shift-work or make suitable enquries.

Regular "9-5" hours

Full time work plus over-time and weekend work

Shift work, night work or part-time work

5.
From the information available or from making suitable enquiries, what part or parts of the injured person's body were affected?

Serious multiple injuries

One or more of the following: head, neck, spine, shoulder, upper limb (arm, wrist, hand, fingers)

None of the above

7.
From the information available on file, from the Customer or the injured person in conversation, has the injured person previously experienced a psychological illness such as anxiety or depression?

Definitely Not

Not known

Yes

8.
Is there evidence on file, or from suitably discreet enquiries, as to whether the injured person has any medical problem unrelated to the accident such as, but not restricted to the following: diabetes, asthma, back problems, HIV, morbid obesity or a heart complaint?

No

Not known

Yes

9.
Apart from stitches or a plaster cast, did the injured person have, or will they need an operation as a result of this accident?

No

Not known for sure but can't rule it out

Yes

10. From the evidence on file, or from talking to the injured person or their employer, how often was he or she off sick in the 12 months prior to the accident?

Not at all

Three times or less

More than three times

11. From the information available or from making suitable enquiries, did the injured person lose consciousness at all?

No or not known

Not known but they received a blow to the head

Yes

Post Injury Risk Assessment Tool (Pirat) Copyright Zingiberi Limited