KOMISI AKREDITASI RUMAH SAKIT

Gedung Epicentrum Walk Unit 716 B

Jl. Boulevard Epicentrum Selatan, Kawasan Rasuna Epicentrum Kuningan
Jakarta Selatan, DKI Jakarta 12960 - Indonesia
Email: info@kars.or.id; Telepon : (021) 299 41552 / 299 41553Fax: (021) 299 41317
Bank BNI 46 Cabang Tebet, Jakarta No. Rekening : 0011-802-402

ANALISIS BAHAYA DAN KERENTANAN RS

NAMA INSTANSI/ KODE INSTANSI : RS Umum Daerah Dr. R. Soeprapto Cepu / 3316025
PERIODE PENGKAJIAN : 2022

BAHAYA ALAM (NATURAL HAZARD)

HUMAN PROPERTY BUSSINES PREPARED INTERNAL EXTERNAL RISK (0 - 100)
NO. EVENT PROBABILITY
IMPACT IMPACT IMPACT NESS RESPONSE RESPONSE %
1 Badai 0 0 0 0 0 0 0 0%
2 Angin topan 0 0 0 0 0 0 0 0%
3 Hujan badai lebat 0 0 0 0 0 0 0 0%
4 Gempa bumi 1 3 3 3 3 2 2 30%
5 Gelombang pasang 0 0 0 0 0 0 0 0%
6 Cuaca Ekstrem 0 0 0 0 0 0 0 0%
7 Kekeringan 1 0 0 0 0 0 0 0%
8 Banjir, Eksternal 1 2 3 2 2 2 2 24%
9 Kebakaran 1 3 3 3 1 1 2 24%
10 Tanah longsor 0 0 0 0 0 0 0 0%
11 Genangan Bendungan 0 0 0 0 0 0 0 0%
12 Gunung berapi 0 0 0 0 0 0 0 0%
13 Wabah 2 3 2 3 2 2 2 52%
14 Likuifaksi/Tanah bergerak 0 0 0 0 0 0 0 0%
0.43 0.79 0.79 0.79 0.57 0.5 0.57 3%

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BAHAYA TEKNOLOGI (TECHNOLOGY HAZARD)
HUMAN PROPERTY BUSSINES PREPARED INTERNAL EXTERNAL RISK (0 - 100)
NO. EVENT PROBABILITY
IMPACT IMPACT IMPACT NESS RESPONSE RESPONSE %
15 Kerusakan Listrik 2 1 1 2 2 2 2 37%
16 Kerusakan Generator 2 2 2 3 1 2 2 44%
17 Kerusakan Transportasi 1 1 2 1 2 2 3 20%
18 Kekurangan Bahan Bakar 1 1 2 1 2 2 3 20%
19 Kerusakan Gas Alam 0 0 0 0 0 0 0 0%
20 Kerusakan Air 2 2 1 2 1 1 3 37%
21 Kerusakan Saluran Pembuangan 1 2 2 2 1 1 3 20%
22 Kerusakan Uap 0 0 0 0 0 0 0 0%
23 Kerusakan Alarm Kebakaran 0 0 0 0 0 0 0 0%
24 Kesalahan Komunikasi 3 0 0 3 1 2 1 39%
25 Kerusakan Gas Medis 2 3 2 2 2 1 3 48%
26 Kerusakan Vakum Medis 1 0 0 0 0 0 0 0%
27 Kerusakan HVAC 2 1 1 1 1 2 1 26%
Kegagalan Sistem Informasi (Jaringan, Virus,
28 3 1 1 2 2 1 2 50%
Sistem Aolikasi
29 Kebakaran, Internal 3 3 3 3 2 2 3 89%
30 Banjir, Internal 1 1 1 1 2 2 3 19%
31 Paparan B3, Internal 2 3 2 1 1 1 3 41%
32 Kekurangan Pasokan 0 0 0 0 0 0 0 0%
33 Kerusakan Struktural 1 1 1 1 2 2 0 13%
1.42 1.16 1.11 1.32 1.16 1.21 1.68 20%

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BAHAYA ULAH MANUSIA (HUMAN HAZARD)
HUMAN PROPERTY BUSSINES PREPARED INTERNAL EXTERNAL RISK (0 - 100)
NO. EVENT PROBABILITY
IMPACT IMPACT IMPACT NESS RESPONSE RESPONSE %
34 Insiden Korban Massal (trauma) 2 2 3 3 3 2 3 59%
35 Insiden Korban Massal (medis / infeksius) 0 0 0 0 0 0 0 0%
36 Terorisme, Biologis 0 0 0 0 0 0 0 0%
37 Situasi VIP 0 0 0 0 0 0 0 0%
38 Penculikan Bayi 3 3 0 2 2 2 2 61%
39 Situasi Penyanderaan 0 0 0 0 0 0 0 0%
40 Gangguan Sipil (huru-hara,anarki,tawuran 0 0 0 0 0 0 0 0%
41 Aksi Demo 0 0 0 0 0 0 0 0%
Penerimaan Forensik (pasien terkait masalah
42 1 1 1 1 2 2 3 19%
hukum)
43 Ancaman Bom 0 0 0 0 0 0 0 0%
0.6 0.6 0.4 0.6 0.7 0.6 0.8 4%

Halaman: 3/4
BAHAYA LIMBAH /B3 (HAZARDOUS MATERIAL)
HUMAN PROPERTY BUSSINES PREPARED INTERNAL EXTERNAL RISK (0 - 100)
NO. EVENT PROBABILITY
IMPACT IMPACT IMPACT NESS RESPONSE RESPONSE %
44 Insiden B3/Korban Hazard Material 1 3 1 1 2 2 2 20%
Insiden Hazmat Korban Sedikit (Dari kejadian
45 yang pernah terjadi di RS Anda dengan> = 5 0 0 0 0 0 0 0 0%
korban)
46 Paparan kimiawi, eksternal 0 0 0 0 0 0 0 0%
47 Tumpahan Internal Berukuran Kecil-Menengah 2 2 1 1 2 2 3 41%
48 Tumpahan Internal Besar 0 0 0 0 0 0 0 0%
49 Terorisme, Kimia 0 0 0 0 0 0 0 0%
50 Paparan Radiologis, Internal 0 0 0 0 0 0 0 0%
51 Paparan Radiologis, Eksternal 0 0 0 0 0 0 0 0%
52 Terorisme, Radiologis 0 0 0 0 0 0 0 0%
0.33 0.56 0.22 0.22 0.44 0.44 0.56 2%

KETERANGAN
Skoring Kolom Probability & Dampak : [0] - n/a [1] - low/rendah [2] - moderate/sedang [3] - high/tinggi
Skoring Kolom Mitigasi (preparedness, internal & external response) : [0] - n/a/TDD [1] - high/tinggi [2] - moderate/sedang [3] - low/rendah
Skoring Kolom Risk : [0-24]% - rendah [25-49]% - sedang [50-74]% - tinggi [75-100]% - tertinggi

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