Methodology for Risk Assessment of SARS-CoV-2 Virus Transmission in Hospital Buildings

Considering the impact of COVID-19 on hospital facilities and the relevance of risk management and occupational health and safety within this context, this study introduces a method to assess the SARS-CoV-2 virus transmission risk in a toilet. The proposed method is based on a risk tripod involving environmental, human, and transmission factors. For this, risk assessment methodologies were applied, such as Failure Modes and Effects Analysis (FMEA), Ergonomic Work Analysis (EWA), which allowed the identification of risk indicators, and Fault Tree Analysis (FTA), which allowed the identification of transmission routes of COVID-19 in toilets. Subsequently, the Analytic Hierarchy Process (AHP) was used to find each transmission route weighting for calculating the Risk Score. The results indicated that the design of sanitary equipment, with an emphasis on washbasins and toilets, especially in health or large circulation establishments, is of paramount importance in the dissemination of pathogens. Safe habits and the use of protective gear must be continuously encouraged, but greater attention must be paid to technical and engineering issues. Furthermore, the developed method proved to be an applicable tool to identify the main sources of risk and prioritize the implementation of control measures.