Hazard Vulnerability Assessment Version 2.

Instructions
1. Enter the potential hazard in the left column: Natural hazards (Geological, Meteorological, Biological), human-created hazards
(accidental and intentional) and technological events.

2. Select the type of hazard and its probability and impacts, then select the mitigations put in place: If using Excel, select from the
drop-down list.

3. Once scored, prioritize the items: Click on the cell labled "Sort" and select sort "A to Z" and uncheck "Blanks".

Items you are most prepared for will be shown in shades of green, the events that need the most attention will
be shown with a higher score and shown in shades of red.

Vulnerability Ranges Key

B. Probability
Likelihood to occur within 1 C. Human Impact: D. Property Impact:
year Life Threat Loss or Damage
High 3 Large Loss of Life 3 Loss of Hospital Function 3
Moderate 2 Large number of injury 2 Likely Damage to Hospital 2
Low -12 Low Human Impact 1 Superficial Damage to Hospital 1
N/A 0 No Human Impact -12 No Damage to Hospital 0

G. Mitigations
E. Operational Impact: F. Written Response Exercised
Business Interruption Plan within the past 5 years
High Impact 3 Not Included 3 No 3
Moderate Impact 2 Included -3 Yes - Table Top Exercise -4
Low Impact 1 Yes - Drill -8
No Impact 0 Yes - Actual Event -12

K. Community
J. Supply Mutual Aid
H. Mobilization Ability Chain Involvement
5+ Hours 5 Depend on commerce 5 Not involved in preparation activities 5
2-5 Hours -1 Supplied Regionally 2 Aware of our preparation activities 3
1-2 Hours -5 Stored within our facilities 1 Somewhat involved and supported 1
Immediate -10 Available on site 0 Participates in Drills and Preparation -3
Activities

L. Surge M. & N. Custom Criteria

Ability
0% - 10% 3 To add custom criteria or to alter the values of the scoring, unhide all of the
10% - 20% 2 tabs to show the 'Data' tab and adjust the values as desired.
20%-30% -2
40% + -4

ASHE authorizes the copy, use and customization of this template, by health care facilities for non-commercial use only. In
consideration of this authorization, the user agrees that any copy of this document which the user makes shall retain all copyright
and other proprietary notices that may be contained therein. ASHE accepts no responsibility or liability for the accuracy or the
completeness of the information in this document.

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 B. Probability E. Operational G. Mitigations
Likelihood to C. Human D. Property Impact: Impact: F. Written Exercised H. J. Supply K. Community L. Surge M. Custom N. Custom
Potential Hazard Category/Type occur within 1 Impact: Loss or Damage Business Response within the past 5 Mobilization Chain Mutual Aid Ability Criteria 1 Criteria 2 Score Notes
year Life Threat Interruption Plan years Ability Involvement

Written Mobilization
Potential Hazard Category/Type Probability Human Impact: Property Impact: Loss or Operational Mitigations Exercised
Response Plan within the past 5 years Ability
Supply Chain Community Mutual Aid Involvement Surge Ability Custom Criteria Custom Criteria 2 Sort Notes
Likelihood to occur Life Threat Damage Impact: Business
within 1 year Interruption
Low Human -4
Cyber attack [Example] Technological High Impact No Damage to Hospital Low Impact Not Included Yes - Drill 1-2 Hours N/A Somewhat Involved and Supported N/A

Low Human Not involved in Preparation -2

Transportation Failure [Example] Human Moderate Impact No Damage to Hospital Moderate Impact Included Yes - Table Top Exercis1-2 Hours N/A Activities N/A
Low Human 1
Snow storm [Example] Natural High Impact No Damage to Hospital Low Impact Included No 1-2 Hours N/A Somewhat Involved and Supported N/A

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