Malaysia depends heavily on rivers as a source for water supply, irrigation, and sustaining the livelihood of local communities. The evolution of land use in urban areas due to rapid development and the continuous problem of illegal discharge have had a serious adverse impact on the health of the country's waterways. Klang River requires extensive rehabilitation and remediation before its water could be utilised for a variety of purposes. A reliable and rigorous remediation work plan is needed to identify the sources and locations of streams that are constantly polluted. This study attempts to investigate the feasibility of utilising a temporal and spatial risk quotient (RQ) based analysis to make an accurate assessment of the current condition of the tributaries in the Klang River catchment area. The study relies on existing data sets on Biochemical Oxygen Demand (BOD), Chemical Oxygen Demand (COD), Total Suspended Solids (TSS), and Ammonia (NH3) to evaluate the water quality at thirty strategic locations. Analysis of ammonia pollution is not only based on the limit established for river health but was expanded to include the feasibility of using the water for water intake, recreational activities, and sustaining fish population. The temporal health of Klang River was evaluated using the Risk Matrix Approach (RMA) based on the frequency of RQ > 1 and associated colour-coded hazard impacts. By using the developed RMA, the hazard level for each parameter at each location was assessed and individually mapped using Geographic Information System (GIS). The developed risk hazard mapping has high potential as one of the essential tools in making decisions for a cost-effective river restoration and rehabilitation.