Medical Center Hazard Hazar d and Vulnerability Analysis INSTRUCTIONS: Evaluate potential for event and response among the following categories using the hazard specific scale. +ssues to consider for probability include4 #ut are not limited to5 1 Know Known n ris risk k 2 Histo Histori rical cal data data 3 Manufactur Manufacturer/ve er/vendor ndor statistics statistics +ssues to consider for response include4 response include4 #ut are not limited to5 1 ime ime to marshal marshal an on!scene on!scene response response 2 "cope of response response capa#il capa#ilit$ it$ 3 Historic Historical al evaluation evaluation of response success success +ssues to consider for huan ipact include4 ipact include4 #ut are not limited to5 1 %otential %otential for for staff staff death or in&ur$ in&ur$ 2 %otential %otential for patient patient death death or in&ur$ in&ur$ +ssues to consider for property ipact include4 ipact include4 #ut are not limited to5 1 'ost 'ost to replac replace e 2 'ost to set set up temporar$ temporar$ replace replacement ment 3 'ost 'ost to to repa repair ir +ssues to consider for business ipact include4 ipact include4 #ut are not limited to5 1 (usiness (usiness interrupti interruption on 2 Emplo$ees Emplo$ees una#le una#le to report report to work work 3 'ustomers 'ustomers una#le una#le to reach reach facilit$ facilit$ ) 'ompan$ 'ompan$ in violation violation of contractual contractual agreements agreements * +mpositio +mposition n of fines and penalties penalties or legal legal costs , +nterrupti +nterruption on of critical critical supplies supplies - +nterrupti +nterruption on of product distri#ut distri#ution ion +ssues to consider for preparedness include4 preparedness include4 #ut are not limited to5 1 "tatus "tatus of current current plans plans 2 rainin raining g status status 3 +nsu +nsura ranc nce e ) vaila#il vaila#ilit$ it$ of #ack!up #ack!up s$stems s$stems * 'ommunit$ 'ommunit$ resources resources +ssues to consider for internal resources include4 resources include4 #ut are not limited to5 1 $pes of supplies supplies on hand hand 2 olume of supplies supplies on hand 3 "taff "taff availa#ili availa#ilit$ t$ ) 'oordinati 'oordination on with with M0(s M0(s +ssues to consider for e!ternal resources include4 resources include4 #ut are not limited to5 1 $pes of agreements agreements with communit$ communit$ agencies agencies 2 'oordinati 'oordination on with local local and state agencies agencies 3 'oordination with proimal proimal health health care facilities ) 'oordination with treatment specific facilities
'omplete all worksheets including atural4 echnological4 echnological4 Human and Hazmat. he summar$ section will automaticall$ provide $our specific and overall relative threat.
367588869.xls
HA"AR# AN# VU$N%RA&I$IT' ASS%SSM%NT TOO$ (%)A#IAN A$AM *+,S%V%RIT' . /MA0NITU#% 1 MITI0ATION2 3RO&A&I$IT'
HUMAN IM3ACT
3RO3%RT' IM3ACT
&USIN%SS IM3ACT
3R%3AR%#1 N%SS
INT%RNA$ R%S3ONS%
%
&i'elih((d this %ill ($$ur
P(ssi)ilit (+ death (r in,ur
Phsi$al l(sses and da-ages
nterupti(n (+ servi$es
Preplanning
#i-e/ e++e$tivness/ res(u$es
(--unit1 2utual id sta++ and supplies
0 4 N1 ! 4 &(% 4 2(derate 3 4 High
0 4 N1 ! 4 &(% 4 2(derate 3 4 High
7
7
(%)A#IAN
SCOR%
(6+
0 4 N1 ! 4 &(% 4 2(derate 3 4 High
0 4 N1 0 4 N1 ! 4 &(% ! 4 High 4 2(derate 4 2(derate 3 4 High 3 4 &(% (r n(ne
7
7
7
0 4 N1 ! 4 High 4 2(derate 3 4 &(% (r n(ne
7
0 4 N1 ! 4 High 4 2(derate 3 4 &(% (r n(ne
RIS(
Relative threat*
0 !00"
7
+4
0860
7
7
7
7
7
7
7
+4
Hu&an (adai
7
7
7
7
7
7
7
+4
Hu&an Es
7
7
7
7
7
7
7
+4
%utting (eliung
1
1
1
1
1
1
1
,,4
9empa (umi
1
2
2
3
1
1
1
,54
'uaca Ekstrem
1
7
7
7
3
3
3
,64
(an&ir
1
1
2
2
3
3
3
*-4
Ka#ut sap
1
2
1
2
1
1
1
,74
:ongsor
7
7
7
7
7
7
7
+4
olcano
1
2
2
2
1
1
1
,64
AV%RA0% SCOR%
+89
+87+
+87+
+8-9
+8-9
+8-9
+8-9
*4
*#hreat in$reases %ith per$entage. -
RIS( . 3RO&A&I$IT' ; S%V%RIT'
7-
+8+*
+8,9
+8,5
HA"AR# AN# VU$N%RA&I$IT' ASS%SSM%NT TOO$ T%CHNO$O0IC %V%NTS *+,S%V%RIT' . /MA0NITU#% 1 MITI0ATION2 3RO&A&I$IT'
HUMAN IM3ACT
3RO3%RT' IM3ACT
&USIN%SS IM3ACT
3R%3AR%#1 N%SS
INT%RNA$ R%S3ONS%
%
&i'elih((d this %ill ($$ur
P(ssi)ilit (+ death (r in,ur
Phsi$al l(sses and da-ages
nterupti(n (+ servi$es
Preplanning
#i-e/ e++e$tivness/ res(u$es
(--unit1 2utual id sta++ and supplies
%V%NT
SCOR%
0 4 N1 ! 4 &(% 4 2(derate 3 4 High
0 4 N1 ! 4 &(% 4 2(derate 3 4 High
0 4 N1 ! 4 &(% 4 2(derate 3 4 High
0 4 N1 0 4 N1 ! 4 &(% ! 4 High 4 2(derate 4 2(derate 3 4 High 3 4 &(% (r n(ne
0 4 N1 ! 4 High 4 2(derate 3 4 &(% (r n(ne
0 4 N1 ! 4 High 4 2(derate 3 4 &(% (r n(ne
RIS(
Relative threat*
0 !00"
Kelistrikan 8umah "akit
2
1
1
2
1
1
1
*-4
9enset
2
1
1
2
1
1
1
*-4
Kegagalan ransportasi
1
2
7
2
1
1
1
,94
Kesulitan ((M
1
1
1
2
1
1
1
,94
Kesulitan ((9
1
1
7
2
1
1
1
,,4
Kesulitan ir
1
2
7
2
1
1
1
,94
Kegagalan "aluran %em#uangan
7
7
7
7
7
7
7
+4
Kegagalan Komunikasi
1
1
1
2
1
1
1
,94
;ire larm ;ailure Medical 9as ;ailure
1 1
2 2
3 7
3 2
1 1
1 1
1 1
*+4 ,94
Medical acuum ;ailure
7
7
7
7
7
7
7
+4
Kegagalan "istem +nformasi
2
7
7
2
1
1
1
,54
;ire +nternal
1
2
2
2
1
1
1
,64
;lood +nternal
7
7
7
7
7
7
7
+4
+86=
+865
+8=6
,8*,
+87
+87
+87
-4
AV%RA0% SCOR%
*#hreat in$reases %ith per$entage. ,=
RIS( . 3RO&A&I$IT' ; S%V%RIT'
+
+8+-
+8*7
+8*9
#e$hn(l( i$al Hazards : 367588869.xls
HA"AR# AN# VU$N%RA&I$IT' ASS%SSM%NT TOO$ HUMAN R%$AT%# %V%NTS *+,S%V%RIT' . /MA0NITU#% 1 MITI0ATION2 3RO&A&I$IT'
%V%NT &i'elih((d this %ill ($$ur
SCOR%
0 4 N1 ! 4 &(% 4 2(derate 3 4 High
HUMAN IM3ACT
3RO3%RT' IM3ACT
P(ssi)ilit (+ Phsi$al l(sses death (r in,ur and da-ages 0 4 N1 ! 4 &(% 4 2(derate 3 4 High
0 4 N1 ! 4 &(% 4 2(derate 3 4 High
&USIN%SS IM3ACT
3R%3AR%#1 N%SS
INT%RNA$ R%S3ONS%
%
nterupti(n (+ servi$es
Preplanning
#i-e/ e++e$tivness/ res(u$es
(--unit1 2utual id sta++ and supplies
0 4 N1 0 4 N1 ! 4 &(% ! 4 High 4 2(derate 4 2(derate 3 4 High 3 4 &(% (r n(ne
0 4 N1 ! 4 High 4 2(derate 3 4 &(% (r n(ne
0 4 N1 ! 4 High 4 2(derate 3 4 &(% (r n(ne
RIS(
Relative threat*
0 !00"
Mass 'asualt$ +ncident
7
7
7
7
7
7
7
+4
Mass 'asualt$ +ncident
1
2
7
3
1
1
1
,74
errorism4 (iological
7
7
7
7
7
7
7
+4
+% "ituation
7
7
7
7
7
7
7
+4
+nfant #duction
1
2
7
3
1
1
1
,74
Hostage "ituation
7
7
7
7
7
7
7
+4
'ivil 6istur#ance
7
7
7
7
7
7
7
+4
:a#or ction
7
7
7
7
7
7
7
+4
;orensic dmission
7
7
7
7
7
7
7
+4
(om# hreat
7
7
7
7
7
7
7
+4
+8*+
+8=+
+8++
+8-+
+8*+
+8*+
+8*+
,4
AV%RA0%
*#hreat in$reases %ith per$entage. *
RIS( . 3RO&A&I$IT' ; S%V%RIT'
,-
+8+,
+8+6
+8+5
HA"AR# AN# VU$N%RA&I$IT' ASS%SSM%NT TOO$ %V%NTS INVO$VIN0 HA"AR#OUS MAT%RIA$S *+,S%V%RIT' . /MA0NITU#% 1 MITI0ATION2 3RO&A&I$IT'
HUMAN IM3ACT
3RO3%RT' IM3ACT
&USIN%SS IM3ACT
3R%3AR%#1 N%SS
INT%RNA$ R%S3ONS%
%
&i'elih((d this %ill ($$ur
P(ssi)ilit (+ death (r in,ur
Phsi$al l(sses and da-ages
nterupti(n (+ servi$es
Preplanning
#i-e/ e++e$tivness/ res(u$es
(--unit1 2utual id sta++ and supplies
%V%NT
0 4 N1 ! 4 &(% 4 2(derate 3 4 High
7
7
7
7
7
7
7
+4
7
7
7
7
7
7
7
+4
7
7
7
7
7
7
7
+4
1
2
7
3
1
1
1
,74
7
7
7
7
7
7
7
+4
7
7
7
7
7
7
7
+4
8adiologic Eposure4 +nternal
7
7
7
7
7
7
7
+4
8adiologic Eposure4 Eternal
7
7
7
7
7
7
7
+4
7
7
7
7
7
7
7
+4
+8,,
+8**
+8++
+899
+8,,
+8,,
+8,,
+4
Mass 'asualt$ Hazmat +ncident r(-
0 4 N1 0 4 N1 ! 4 &(% ! 4 High 4 2(derate 4 2(derate 3 4 High 3 4 &(% (r n(ne
Relative threat*
0 4 N1 ! 4 &(% 4 2(derate 3 4 High
SCOR%
0 4 N1 ! 4 &(% 4 2(derate 3 4 High
RIS(
0 4 N1 ! 4 High 4 2(derate 3 4 &(% (r n(ne
0 4 N1 ! 4 High 4 2(derate 3 4 &(% (r n(ne
0 !00"
hist(ri$ events at (ur 2 %ith 4 5 vi$ti-s
"mall 'asualt$ Hazmat +ncident r(hist(ri$ events at (ur 2 %ith 5 vi$ti-s
'hemical Eposure4 Eternal "mall!Medium "ized +nternal "pill :arge +nternal "pill errorism4 'hemical
errorism4 8adiologic AV%RA0%
*#hreat in$reases %ith per$entage. ,
RIS( . 3RO&A&I$IT' ; S%V%RIT' +8++
+8+=
+8+7
SUMMAR' O> M%#ICA$ C%NT%R HA"AR#S ANA$'SIS
t a z a H
y t i l i c a > r o @ l a t o T
+8+6
+8+=
+8,=
+8*9
+8+5
+8+7
+8,-
+8+-
+8+,
+8++
+8+*
l a r u t a N
l a c i ? o l o n h c e T
3robability
+8,9
+8*7
Seerity
+8,5 +8+*
Hazard Speci@ic Relatie RisB: y t i l i c a > o t t a e r h T e A i t a l e R
n a u H
Hazard S peci@ic RelatiAe RisB to Medical Center 1.77 7.?7 7.>7 7.-7 7.,7 7.*7 7.)7 7.37 7.27 7.17 7.77 atural
y t i l i c a > n o t c a p I e A i t a l e R
echnological
Human
Hazmat
3robability and SeAerity o@ Hazards to Medical Center 1.77 7.?7 7.>7 7.-7 7.,7 7.*7 7.)7 7.37 7.27 7.17 7.77 %ro#a#ilit$
"everit$
367588869.xls ;u--ar