HAZARD AND VULNERABILITY ASSESSMENT TOOL

NATURALLY OCCURRING EVENTS 44 1$4 KAISER

PERMANENTE.
DAMPAK = (LUAS KEJADIAN - MITIGASI)
PROBABILITAS DAMPAK DAMPAK DAMPAK RESPON RESPON RISIKO
KESIAPAN
KEJAD1AN MANUSIA PROPERTI BISNIS INTERNAL EKSTERNAL
,
tiemungktnan
Probabilitas akan Kettilangan dan Gangguan Waktu, efektifttas Masyarakat/Bantu
meninggat afau Perenc,ansan Ancaman relahr
terjadi kerusakan hstk petayanan sumberdaya an umum dan stpil
cidera

0 = N/A 1 0 - AVA 0 = AllA 0 = ALA 0=NIA 0 = AllA 0 =, AYA

= Low 2 f = Low 1 = Low 1 = Low 1= High 1 = High 1 =. High
NILAI 2 = Moderate 2 = Moderate 2 = Moderate 2 = Moderate
0 - 100%
= Moderate 2 = Moderafa 2 = Moderate
3= High 3= Hrgh 3 = High 3 = High 3 = Low or none 3 = Low or none 3 = Low or none
;
Tanah Longsor 3 2 2 2 2 2 2 67°./0
Gempa Bumi 2 2 1 1 1 1 2 30%
Hujan badai 1 1 1 1 1 1 1 11°/0
,
Kemarau panjang 1 1 1 1 1 1 1 11%

Kebakaran 1 1 2 2 1 1 2 17%

Wabah 3 3 1 3 2 3 2 78%

NILAI RATA-FtATA 1,83 1,67 1 1,33 1,67 1,33 1,50 1,67 11%
nreat increases wirn ercentae.
RISIKO = PROBABILITAS * DAMPAK
0,11 0,37 0,31

©2001 Kaiser Foundation Health Plan, Inc. Natural Hazards . Kalser-HVA-Tool-and-Instructions


PROBABILITA
EVENT
Probabilitas akan
SCORE
Gangguan Listrik (PLN)
Gangguan Generator
Gangguan Air Sumur/PDAM
Gangguan Gas medik
GagaI Gas Non Medik
Gangguan Komunikasi
Kesalahan pembuangan limbah padat
Kesalahan pembuangan limbah cair
— —
Gangguan Sistem IT
..
Gangguan Alat Medis
— —
Kerusakan AC
Pencahayaan tidak memenuhi standar
Kebisingan
Kebakaran Internal
Tertusuk jarum
Kerusakan struktur bangunan
AVERAGE SCORE
"Threat increases with percentage.
C)2001 Kaiser Foundation Health Plan, Inc.
HAZARD AND VULNERABILITY ASSESSMENT TOOL
TECHNOLOGIC EVENTS
DAMPAK
S MANUSIA
,
Komunglonan
Kehilangan don
men" )ggal atau kerusoken fisrn
tegadi
cidera
OmNM 0.1NM
1=Low 1.Low
2 . Moderete 2.111odequto
3=H1gh 3 ..High
3 2
2 2
2 1
1 1
1 1
2 1
1 1
1 1
2 1
1 1
2 0
1 1
3 2
1 1
2 1
1 1
1,37 0,95
RISIKO = PROBABILITAS * DAMPAK
0,14
0 ,4 KAISER
PERMANENTE.
DAMPAK = (LUAS KEJADIAN - MIT(GA51)
DAMPAK DAMPAK RESPON RESPON RISK
KESIAPAN
PROPEFtTi , B1SNIS INTERNAL EKSTERNAL
Genaguen Waktu, efektifilas Masyerakat/Bantu
Perencenaan Relahve threer
PalaYanan sumberdaya an umum dan wprl
.1
0.NM 0.NM 0=NM 0=NM 0=NM
1=Lmv 1=Low 1. High
2=MOdoram
2.Modemte 2.A(cdemb 2.1~110 2.Modemte -
3 - rivh 3''tkrh 3 = Low or onric 3 .. Low or none 3. Low ornona
,
2 2 1 1 1 50%
—
2 2 2 1 1 37%
— •••
1 1 1 1 1 . 22%
1 2 1 1 2 15%
r• ...------.........—....--
1 1 1 1 1 11%
— — ____
1 1 1 1 1 22%
— —
1 1 1 1 1 11%
1 1 1 1 1 11%
—
1 2 1 2 2 33%
— — , —
1 1 1 1 1 11%
— ----- _.
1 1 1 1 1 19%
1 1 0 0 0 6%
2 2 1 1 1 50%
4 •-• 4-. -4 ...
1 1 1 1 1 11%
— — —
1 1 1 1 1 22%
1 1 1 1 1 li%
. ,
1,00 1,11 0,84 0,84 0,89 14%
11
0,46 0,31
Technological Hazards Kaiser-HVA-Tool-and-Instructions
 HAZARD AND VULNERABILITY ASSESSMENT TOOL
•,•• KAIsER
HUMAN RELATED EVENTS
P1 PERMANENTE»
DAMPAK = (LUAS KEJADIAN - MITIGASI)
PROBABILITY HUMAN PROPERTY BUSINESS PREPARED- INTERNAL EXTERNAL RISK
EVENT IMPACT IMPACT IMPACT NESS FtESPONSE FtESPONSE
Time, Community/
Likelihood this Possibllity of Physical losses Interuption of
Prepianning effectivness, Mutual Aid staff Relative threar
will occur death or iniury and demages seNices
resouces and supphes
, ,
0 = N/A 0 = tWA 0 = AMe 0 = IsliA 0 = ALIA 0 = NIA . 0 = tWA
1 = Low 1 = Low f = Low 1 = Low 1... High 1 = h'igh 1 = High
SCORE 0 - /00%
2 = Moderate 2 = Moderate 2 = ModeraCe 2 * Moderete 2 = Moderete 2 = Moderate 2 4 Moderete
3 = High 3 = ktkei 3 = High 3 = Hrgh 3 = Low or none 3 = Low or none 3 = Low or none
, ..

Komplain pasien 2 1 1 3 1 1 1 30%

--
Tawuran 1 1 1 1 1 1 1 11%

Aksi tenaga kerja 1 1 1 1 1 1 1 11%

Pencurian 2 1 2 2 1 1 1 30%

Insiden Lalu lintas 2 2 2 2 1 1 1 33%

_
AVERAGE 0,80 0,60 0,70 0,90 0,50 0,50 0,50 5%
- _
*Threat increases with percentage
RISK = PROBABILITY* SEVERITY
0,05 0,27 0,21

0 2001 Kaiser Foundation Health Plan, Inc. Human Hazards Kaiser-HVA-Tool-and-Instructions

 HAZARD AND VULNERABILITY ASSESSMENT TOOL ga i KAISER
EVENTS INVOLVING HAZARDOUS MATERIALS ""4 PERMANENTE.
DAMPAK = (LUAS KEJADIAN - MITIGASI)
PROBABILITY HUMAN PROPERTY BUSINESS PREPARED- INTERNAL EXTERNAL RISK
EVENT IMPACT IMPACT IMPACT NESS RESPONSE RESPONSE
, ,
Time, Community/
Likellhood this Possibtlity of PhysJcaf losses Interupbon of
Preplanning effectivness, Mutual Ard staff and Relative threar
will occur death or tniury and cfamages servrces
resouces supphes
...,
0= N/A 0 = AYA 0 = N/A 0 = NIA 0 = NIA 0=NIA 0 = NIA
1 = Low 1 = Low 1 = Low / = Low / = High 1 = High 1 = hidgh
SCORE 0 - 100%
2 = Moderate 2 = Moderate 2 = Moderate 2 = Moderete 2 = Moderate 2 = Moderate 2 = Moderate
3 = High 3 = High 3 = High 3 = Hiati 3 = Low or none 3 = Low or none 3 -= Low or none
Terhirup B3 1 1 1 1 1 1 1 11°A)
Tertelan B3 .... 1 1 1 1 1 1 1 11%
Terabsorbsinerserap B3 1 1 1 1 1 1 1 11%
Terpercik B3 2 1 1 1 1 1 1 22%
Tumpahan B3 2 1 1 1 1 1 1 22%
-. .-
AVERAGE 0,78 0,56 0,56 0,56 0,56 0,56 0,56 5%.

*Threat increases with percentage.

RISK = PROBABILITY* SEVERITY

0,05 0,26 0,19

05» 2001 Kaiser Foundation Health Plan, Inc. Hazardous Matenals Kaiser-HVA-Tool-and-Instruchons
 KAISER SUMMARY OF MEDICAL CENTER HAZARDS ANALYSIS
PERMANENTE.

715
o)
o
c c
.c g
ieo u g
3 N
w (13
Z 1..• i z
Probability 0,37 0,46 0,27 0,26 0,32

Severity 0,31 0,31 0,21 0,19 0,24

Hazard Specific Relative Risk to Medical Center

14 4
KAISER
PERPAANENTE.
1,00
0,90 1
Relative Threat to Facility

0,80
0,70
0,60
0,50
0,40
0,30
0,20
0,10
0,00 1
Natural Technological Human Hazmat

Probability and Severity of Hazards to Medical Center

04 1 KAISER
PERMANENTE.
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

This document is a sample Hazerd Vulnerability Analysis tool. lt is not asubstitute for a comprehensive emergency preparedness program.
Indwiduals or organizations using this tool are solely responsible for any hazard assessment and comptiance with applicable laws and regulations,

02001 Kaiser Foundation Heatth Plan, Inc. Kaiser-HVA-Tool-and-Instructions Summary