Medical Center Hazard and Vulnerability Analysis

Dokumen ini adalah contoh tool Hazard Vulnerability Analysis. Bukan utk Untuk kesiapan pertimb
sebagai pengganti program emergency preparedness yg komprehensif. Individu atau 1
FASKES yang menggunakan tool ini bertanggungjawab melakukan asesmen hazard yg 2
mengancam dan mematuhi regulasi dan peraturan perundangan yg ada 3
4
INSTRUKSI: 5

Evaluasi potensi kejadian dan respon untuk beberapa kategori dgn

menggunakan nilai yg sdh ditetapkan. Asumsikan setiap insiden terjadi Untuk respon internal p
pada saat waktu terburuk (cth. saat pasien banyak). 1
2
Perhatikan kriteria nilai pada setiap lembar kerja agar tercatat akurat 3
4
Untuk probabilitas pertimbangkan: 5
1 Risiko yg diketahui 6
2 Data historikal
3 Data vendor Untuk respon eksterna
1
Untuk respons pertimbangkan: 2
1 Waktu untuk merespon ke TKP 3
2 Kemampuan untuk merespon 4
3 Evaluasi historikal keberhasilan merespon 5

Untuk dampak manusia pertimbangkan Lengkapi semua lembar

1 Potensi staf cedera atau meninggal Pada lembar ringkasan
2 Potensi pasien cedera atau meninggal

Untuk dampak properti pertimbangkan:

1 Biaya utk mengganti
2 Biaya untuk membuat tempat sementara
3 Biaya utk memperbaiki
4 Biaya utk memulihkan
Untuk dampak bisnis pertimbangkan:
1 Bisnis terganggu
2 Staf tdk bisa bekerja
3 Pasien tidak bisa mencapai lokasi
4 Faskes terancam kesepakatan kontrak
5 Kena denda dan pinalti atau biaya legal
6 Terganggunya supply kritikal
7 Terganggunya distribusi produk
8 Reputasi dan citra publik
9 Beban finansial

698005328.xlsx
section will automatically provide your specific and overall relative threat.

698005328.xlsx
Untuk kesiapan pertimbangkan:
Status PLAN yg dimiliki saat ini
Frekuensi pelatihan
Status pelatihan
Asuransi
Ketersediaan sumberdaya alternatif untuk pelayanan/supply kritikal

Untuk respon internal pertimbangkan:

Jenis supply yg disiapkan/akankan supply bermafaat?
Jumlah supply yg disiapkan/akankah supply bermanfaat?
Ketersediaan staf
Koordinasi dgn Komite K3
Ketersediaan sistem cadangan/back-up
Kemampuan sumberdaya internal untuk menghadapi bencana/survivability

Untuk respon eksternal pertimbangkan:

Jenis kesepakatan dengan lembaga masyarakat/pelatihan?
Koordinasi dengan lembaga lokal dan nasional
Koordinasi dengan faskes terdekat
Koordinasi dengan fasilitas penanganan khusus
Sumberdaya masyarakat

Lengkapi semua lembar kerja termasuk Alam, Teknologi, Human, Hazmat.

Pada lembar ringkasan secara otomatis akan muncul ancaman risiko yg dihadapi faskes.

698005328.xlsx
 HAZARD AND VULNERABILITY ASSESSMENT TOOL
NATURALLY OCCURRING EVENTS

SEVERITY = (MAGNITUDE - MITIGATION)

PROBABILITY HUMAN PROPERTY BUSINESS PREPARED- INTERNAL
EVENT IMPACT IMPACT IMPACT NESS RESPONSE
Time,
Likelihood this will Possibility of Physical losses Interuption of
Preplanning effectivness,
occur death or injury and damages services
resouces

0 = N/A 0 = N/A 0 = N/A 0 = N/A 0 = N/A 0 = N/A

1 = Low 1 = Low 1 = Low 1 = Low 1 = High 1 = High
SCORE 2 = Moderate 2 = Moderate 2 = Moderate 2 = Moderate 2 = Moderate 3 2 = Moderate
3 = High 3 = High 3 = High 3 = High = Low or none 3 = Low or none

BADAI 1 2 1 1 2 3
ANGIN TOPAN 1 1 1 1 3 3
GUNTUR / PETIR 1 3 2 2 3 3
BANJIR EKSTERNAL 1 1 1 1 1 1
TANAH LONGSOR 1 1 1 2 1 1
GEMPA BUMI 1 1 3 1 1 1
AWAN PANAS 0 0 0 0 0 2
MUSIM HUJAN
0 0 0 0 0
BERKEPANJANGAN 1

KEBAKARAN INTERNAL
1 1 3 3 1 1
SUNGAI MELUAP 0 0 0 0 0 0
CUACA EKSTREM 0 0 0 0 0 0
WABAH 1 2 1 1 2 2
AVERAGE SCORE 0.50 0.75 0.81 0.75 0.88 1.13

*Threat increases with percentage.

8 RISK = PROBABILITY * SEVERITY
85 0.05 0.17 0.30

Natural Hazards : 698005328.xlsx

NERABILITY ASSESSMENT TOOL
Y OCCURRING EVENTS

ERITY = (MAGNITUDE - MITIGATION)

EXTERNAL RISK
RESPONSE
Community/
Mutual Aid staff Relative threat*
and supplies

0 = N/A 1 = High 2 =
Moderate 3 = Low or 0 - 100%
none

1 19%

3 22%
2 28%
1 11%

1 13%

1 15%

2 0%

0%
1

19%
1
0 0%
0 0%

3 20%

1.00 5%

Natural Hazards : 698005328.xlsx

 HAZARD AND VULNERABILITY ASSESSMENT TOOL
TECHNOLOGIC EVENTS
SEVERITY = (MAGNITUDE - MITIGATION)
PROBABILITY HUMAN PROPERTY BUSINESS PREPARED- INTERNAL EXTERNAL
EVENT IMPACT IMPACT IMPACT NESS RESPONSE RESPONSE
Time, Community/
Likelihood this will Possibility of Physical losses Interuption of
Preplanning effectivness, Mutual Aid staff
occur death or injury and damages services
resouces and supplies
0 = N/A
0 = N/A 1= 0 = N/A 0 = N/A 0 = N/A 0 = N/A 0 = N/A
1 = Low
Low 2= 1 = Low 1 = Low 1 = High 1 = High 1 = High
SCORE Moderate 3=
2=
2 = Moderate 2 = Moderate 2 = Moderate 3 2 = Moderate 2 = Moderate
Moderate
High 3 = High 3 = High = Low or none 3 = Low or none 3 = Low or none
3 = High
GAGAL LISTRIK 2 1 2 2 1 1 3
GAGAL
1 1 2 2 1 1 1
TANSPORATSI
KEHABISAN BBM 0 0 0 0 0 0 0
GAGAL AIR 1 1 1 2 2 1 3

GAGAL
PEMBUANGAN 1 1 1 1 1 1 1
LIMBAH PADAT

GAGAL
PEMBUANGAN 1 1 1 1 1 1 1
LIMBAH CAIR

GAGAL KOMUNIKASI 1 1 1 2 1 1 3

GAGALGAS MEDIS 1 2 1 1 1 1 1
GAGAL SISTEM
1 1 1 2 1 1 1
INFORMASI
KEBAKARAN
1 1 1 2 1 1 1
INTERNAL
BANJIR INTERNAL 1 0 1 2 1 1 3
PAPARAN HAZMAT
1 1 0 1 1 1 3
INTERNAL
KEKURANGAN
1 1 1 1 2 2 1
PASOKAN
KERUSAKAN
1 1 2 2 1 1 1
STRUKTUR

AVERAGE SCORE 0.74 0.68 0.79 1.11 0.79 0.74 1.21

*Threat increases with percentage.

14 RISK = PROBABILITY * SEVERITY
101 0.07 0.25 0.30

Technological Hazards : 698005328.xlsx

ABILITY ASSESSMENT TOOL
LOGIC EVENTS

RISK

Relative threat*

0 - 100%

37%

15%

0%
19%

11%

11%

17%

13%

13%

13%

15%

13%

15%

15%

7%

Technological Hazards : 698005328.xlsx

 HAZARD AND VULNERABILITY ASSESSMENT TOOL
HUMAN RELATED EVENTS

SEVERITY = (MAGNITUDE - MITIGATION)

PROBABILITY RISK
HUMAN PROPERTY BUSINESS PREPARED- INTERNAL EXTERNAL
IMPACT IMPACT IMPACT NESS RESPONSE RESPONSE
EVENT
Time, Community/
Likelihood this will Possibility of Physical losses Interuption of
Preplanning effectivness, Mutual Aid staff Relative threat*
occur death or injury and damages services
resouces and supplies
0 = N/A 0 = N/A
0 = N/A 0 = N/A 0 = N/A 0 = N/A 0 = N/A
1 = Low 1 = Low
1 = Low 1 = Low 1 = High 1 = High 1 = High
SCORE 2 = Moderate
2= 2=
2 = Moderate 2 = Moderate 3 2 = Moderate 2 = Moderate 0 - 100%
Moderate Moderate
3 = High 3 = High = Low or none 3 = Low or none 3 = Low or none
3 = High 3 = High

INSIDEN KORBAN PEMUKULAN

OLAH KELUAGA PASIEN 0 0 0 0 0 0 0 0%
TERHADAP PETUGAS KEAMANAN

PAPARAN LIMBAH PADAT MEDIS

DAN NON MEDIS TERHADAP
2 2 3 1 1 1 1 33%
PASIEN, PENGUNJUNG DAN
KARYAWAN

INSIDEN KECELAKAAN
PENGUNJUNG AKIBAT
2 1 2 1 1 2 1 30%
KERUSAKAN FASILITAS
PUSKESMAS

AKSI DEMONSTRASI 1 1 2 3 2 2 1 20%

AVERAGE 0.50 0.40 0.70 0.50 0.40 0.50 0.30 3%

*Threat increases with percentage.

5 RISK = PROBABILITY * SEVERITY
28 0.03 0.17 0.16

Human Hazards : 698005328.xlsx

 HAZARD AND VULNERABILITY ASSESSMENT TOOL
EVENTS INVOLVING HAZARDOUS MATERIALS
SEVERITY = (MAGNITUDE - MITIGATION)
PROBABILITY HUMAN PROPERTY BUSINESS PREPARED- INTERNAL EXTERNAL RISK
EVENT IMPACT IMPACT IMPACT NESS RESPONSE RESPONSE
Time, Community/
Likelihood this will Possibility of Physical losses Interuption of
Preplanning effectivness, Mutual Aid staff and Relative threat*
occur death or injury and damages services
resouces supplies
0 = N/A
0 = N/A 0 = N/A 0 = N/A 0 = N/A 0 = N/A 0 = N/A
1 = Low
1 = Low 1 = Low 1 = Low 1 = High 1 = High 1 = High
SCORE 2 = Moderate
2=
2 = Moderate 2 = Moderate 2 = Moderate 3 2 = Moderate 2 = Moderate 0 - 100%
Moderate
3 = High 3 = High 3 = High = Low or none 3 = Low or none 3 = Low or none
3 = High

INSIDEN HAZMAT
KORBAN MASSAL 0 0 0 0 0 0 0 0%
(>5)
INSIDEN HAZMAT
KORBAN MASSAL 0 0 0 0 0 0 0 0%
SEDIKIT (</= 5)
PAPARAN KIMIA 2 1 1 0 1 1 1 19%
INTERNAL

PAPARAN LIMBAH B3 1 1 1 1 1 1 1 11%

DARI FASKES KE
LINGKUNGAN

PAPARAN HAZMAT 1 0 1 1 1 1 1 9%
INTERNAL
EKSTERNAL

PENCEMARAN LIMBAH
INFEKSIUS FASKES KE 1 1 1 1 1 1 1 11%
LINGKUNGAN

AVERAGE 0.56 0.33 0.44 0.33 0.44 0.44 0.44 3%

*Threat increases with percentage.

RISK = PROBABILITY * SEVERITY
5
22 0.03 0.19 0.14

Hazardous Materials : 698005328.xlsx

 SUMMARY OF MEDICAL CENTER HAZARDS ANALYSIS

Total for Facility

Technological

Hazmat
Natural

Human
Probability 0.17 0.25 0.17 0.19 0.20
Severity 0.30 0.30 0.16 0.14 0.24
Hazard Specific Relative Risk:
0.05 0.07 0.03 0.03 0.05

Hazard Specific Relative Risk to Medical Center

1.00
0.90
Relative Threat to Facility

0.80
0.70
0.60
0.50
0.40
0.30
0.20
0.10
0.00
Natural Technological Human Hazmat

Probability and Severity of Hazards to Medical Center

1.00
0.90
Relative Impact on Facility

0.80
0.70
0.60
0.50
0.40
0.30
0.20
0.10
0.00
Probability Severity

698005328.xlsx Summary