Water safety plan as conceived by WHO can lead to prevention of pollution in each component of water supply chain which leads to ensuring safe drinking water. Risk assessment is one of the key components during the development of water safety plan, achieved by identifying hazardous events and estimating their risk towards implementing control measures. This study reports the risk assessment from catchment to consumers in Maiduguri water treatment plant in Northeast Nigeria. Tools such as the field visits, key informant interviews, questionnaire and water quality monitoring were used to identify the hazards and estimate their risk using semi-quantitative matrix. With the existing control measures, the study showed a total of 33 hazardous events; 5 in catchment, 16 in treatment plant, 6 in distribution system and 6 at consumers’ points. The risk score indicated 6 are of medium risk and 9 of high risk. Catchment activities, upgrade of treatment facilities and lack of routine maintenance in the treatment plant, pipeline damages in distribution lines, and consumers’ lack of hygiene knowledge and awareness were found to be the major contributory factors which affect the desired quality. Therefore participation and commitment by all relevant stakeholders are fundamental requisite to manage the identified health risks.
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