Medical Center Hazard and Vulnerability Analysis

INSTRUCTIONS:

Evaluate potential for event and response among the following categories using
the hazard specific scale.

Issues to consider for probability include, but are not limited to:
1 Known risk
2 Historical data
3 Manufacturer/vendor statistics
Issues to consider for response include, but are not limited to:
1 Time to marshal an on-scene response
2 Scope of response capability
3 Historical evaluation of response success
Issues to consider for human impact include, but are not limited to:
1 Potential for staff death or injury
2 Potential for patient death or injury
Issues to consider for property impact include, but are not limited to:
1 Cost to replace
2 Cost to set up temporary replacement
3 Cost to repair
Issues to consider for business impact include, but are not limited to:
1 Business interruption
2 Employees unable to report to work
3 Customers unable to reach facility
4 Company in violation of contractual agreements
5 Imposition of fines and penalties or legal costs
6 Interruption of critical supplies
7 Interruption of product distribution
Issues to consider for preparedness include, but are not limited to:
1 Status of current plans
2 Training status
3 Insurance
4 Availability of back-up systems
5 Community resources

701255414.xlsx
Issues to consider for internal resources include, but are not limited to:
1 Types of supplies on hand
2 Volume of supplies on hand
3 Staff availability
4 Coordination with MOB's

Issues to consider for external resources include, but are not limited to:
1 Types of agreements with community agencies
2 Coordination with local and state agencies
3 Coordination with proximal health care facilities
4 Coordination with treatment specific facilities

Complete all worksheets including Natural, Technological, Human and Hazmat. The summary
section will automatically provide your specific and overall relative threat.

701255414.xlsx
 HAZARD AND VULNERABILITY ASSESSMENT TOOL
NATURALLY OCCURRING 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 1 0 = N/A 1 0 = N/A 1 0 = N/A 0 = N/A 0 = N/A 0 = N/A

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

Hurricane/Badai 3 3 3 3 3 3 1
Tornado 1 1 1 1 1 1 1

Severe Thunderstorm/petir 1 1 1 1 1 1 1

Snow Fall/Salju 1 1 1 1 1 1 1
Blizzard/Badai salju 1 1 1 1 1 1 1
Ice Storm/Badai Es 1 1 1 1 1 1 1
Earthquake/gempa bumi 3 3 3 3 3 3 1

Tidal Wave/gelombang pasang 1 1 1 1 1 1 1

Temperature Extremes 1 1 1 1 1 1 1

Drought//kekeringan 1 1 1 1 1 1 1

Flood, External/Banjir 3 3 3 3 3 3 1
Wild Fire/Kebakaran 1 1 1 1 1 1 1
Landslide/Tanah longsor 1 1 1 1 1 1 1
Dam Inundation/ 1 1 1 1 1 1 1
Volcano 1 1 1 1 1 1 1
Epidemic 1 1 1 1 1 1 1

AVERAGE SCORE 1.38 1.38 1.38 1.38 1.38 1.38 1.00

Natural Hazards : 701255414.xlsx

*Threat increases with percentage.
22 RISK = PROBABILITY * SEVERITY
126 0.20 0.46 0.44

Natural Hazards : 701255414.xlsx

 RISK

Relative threat*

0 - 100%

89%
11%

11%

11%
11%
11%
89%

11%

11%

11%

89%
11%
11%

11%
11%

20%

Natural Hazards : 701255414.xlsx

 HAZARD AND VULNERABILITY ASSESSMENT TOOL
TECHNOLOGIC EVENTS
SEVERITY = (MAGNITUDE - MITIGATION)
PROBABILITY HUMAN PROPERTY BUSINESS PREPARED- INTERNAL EXTERNAL RISK
EVENT IMPACT IMPACT IMPACT NESS RESPONSE RESPONSE
Time, Community/
Likelihood this Possibility of Physical losses Interuption of
Preplanning effectivness, Mutual Aid staff Relative threat*
will occur death or injury and damages services
resouces and supplies

0 = N/A 1 0 = N/A 0 = N/A 0 = N/A 0 = N/A 0 = N/A 0 = N/A

= Low 2 = 1 = Low 1 = Low 1 = Low 2 1 = High 1 = High 1 = High
SCORE Moderate 3 = 2 = Moderate 2 = Moderate = Moderate 3 2 = Moderate 2 = Moderate 2 = Moderate 0 - 100%
High 3 = High 3 = High = High 3 = Low or none 3 = Low or none 3 = Low or none

Electrical Failure 3 3 3 3 1 1 1 67%

Generator Failure 1 1 1 1 1 1 1 11%
Transportation Failure 1 1 1 1 1 1 1 11%
Fuel Shortage 1 1 1 1 1 1 1 11%
Natural Gas Failure 1 1 1 1 1 1 1 11%
Water Failure 1 1 1 1 1 1 1 11%
Sewer Failure 1 1 1 1 1 1 1 11%
Steam Failure 1 1 1 1 1 1 1 11%
Fire Alarm Failure 1 1 1 1 1 1 1 11%

Communications Failure 1 1 1 1 1 1 1 11%

Medical Gas Failure 1 1 1 1 1 1 1 11%

Medical Vacuum Failure 1 1 1 1 1 1 1 11%

HVAC Failure 1 1 1 1 1 1 1 11%

Information Systems
3 3 2 2 1 1 1 56%
Failure
Fire, Internal 1 1 1 1 1 1 1 11%
Flood, Internal 1 1 1 1 1 1 1 11%
Hazmat Exposure,
1 1 1 1 1 1 1 11%
Internal
Supply Shortage 1 1 1 1 1 1 1 11%
Structural Damage 1 1 1 1 1 1 1 11%

AVERAGE SCORE 1.21 1.21 1.16 1.16 1.00 1.00 1.00 15%

Technological Hazards : 701255414.xlsx

*Threat increases with percentage.
23 RISK = PROBABILITY * SEVERITY
124 0.15 0.40 0.36

Technological Hazards : 701255414.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 Possibility of Physical losses Interuption of
Preplanning effectivness, Mutual Aid staff Relative threat*
will occur death or injury and damages services
resouces and supplies

0 = N/A 1 0 = N/A 0 = N/A 0 = N/A 0 = N/A 0 = N/A 0 = N/A

= Low 2 = 1 = Low 1 = Low 1 = Low 2 1 = High 1 = High 1 = High
SCORE Moderate 3 = 2 = Moderate 2 = Moderate = Moderate 3 2 = Moderate 2 = Moderate 2 = Moderate 0 - 100%
High 3 = High 3 = High = High 3 = Low or none 3 = Low or none 3 = Low or none

Mass Casualty Incident

3 3 2 3 1 1 1 61%
(trauma)

Mass Casualty Incident

2 2 2 2 2 1 2 41%
(medical/infectious)

Terrorism, Biological 1 1 1 1 1 1 1 11%

VIP Situation 3 3 2 2 2 1 1 61%

Infant Abduction 1 1 1 1 1 1 1 11%

Hostage Situation 1 1 1 1 1 1 1 11%

Civil Disturbance 1 1 1 1 1 1 1 11%

Labor Action 1 1 1 1 1 1 1 11%

Forensic Admission 1 1 1 1 1 1 1 11%

Bomb Threat 1 1 1 1 1 1 1 11%

AVERAGE 1.50 1.50 1.30 1.40 1.20 1.00 1.10 21%

*Threat increases with percentage.

15 RISK = PROBABILITY * SEVERITY

Human Hazards : 701255414.xlsx

75 0.21 0.50 0.42

Human Hazards : 701255414.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 Possibility of Physical losses Interuption of
Preplanning effectivness, Mutual Aid staff and Relative threat*
will occur death or injury and damages services
resouces supplies

0 = N/A 1 0 = N/A 0 = N/A 1 0 = N/A 0 = N/A 0 = N/A 0 = N/A

= Low 2 = 1 = Low = Low 2 = 1 = Low 2 1 = High 1 = High 1 = High
SCORE Moderate 3 = 2 = Moderate Moderate 3 = = Moderate 3 2 = Moderate 2 = Moderate 2 = Moderate 0 - 100%
High 3 = High High = High 3 = Low or none 3 = Low or none 3 = Low or none

Mass Casualty Hazmat 3 3 2 3 1 1 1 61%

Incident (From historic
events at your MC with >= 5
victims)

Small Casualty Hazmat 3 3 2 3 1 1 1 61%

Incident (From historic
events at your MC with < 5
victims)
Chemical Exposure, 3 3 3 3 1 1 1 67%
External
Small-Medium Sized 2 2 2 2 1 1 1 33%
Internal Spill
Large Internal Spill 2 2 2 2 1 1 1 33%

1 1 1 1 1 1 1 11%
Terrorism, Chemical
Radiologic Exposure, 1 1 1 1 1 1 1 11%
Internal
Radiologic Exposure, 1 1 1 1 1 1 1 11%
External

1 1 1 1 1 1 1 11%
Terrorism, Radiologic
AVERAGE 1.89 1.89 1.67 1.89 1.00 1.00 1.00 30%

*Threat increases with percentage.

RISK = PROBABILITY * SEVERITY
17

Hazardous Materials : 701255414.xlsx

76 0.30 0.63 0.47

Hazardous Materials : 701255414.xlsx

 SUMMARY OF MEDICAL CENTER HAZARDS ANALYSIS

Total for Facility

Technological

Hazmat
Natural

Human
Probability 0.46 0.40 0.50 0.63 0.48
Severity 0.44 0.36 0.42 0.47 0.41

Hazard Specific Relative Risk: 0.20 0.15 0.21 0.30 0.20

0.9

0.8

0.7

Relative Threat to Facility

0.6

0.5

0.4

0.3

0.2

0.1

0
Natural Technological Human
1

0.9

0.8

0.7
pact on Facility

0.6

0.5
701255414.xlsx Summary
 1

0.9

0.8

0.7
Relative Impact on Facility
0.6

0.5

0.4

0.3

0.2

0.1

0
Probability Severity

701255414.xlsx Summary
Human Hazmat

701255414.xlsx Summary