FOR KIM WOODS ONLY
Introduction
| Facility Hazard and Vulnerability Analysis | Facility Hazard and Vulnerability Analysis | ||||||||
| This document is a sample Hazard Vulnerability Analysis tool. It is not a | Mitigation: Assuming event has occurred, assess preparedness and response | ||||||||
| substitute for a comprehensive emergency preparedness program. Individuals or | resources | ||||||||
| organizations using this tool are solely responsible for any hazard assessment and | |||||||||
| Issues to consider for response (Preparedness, Internal & External | |||||||||
| INSTRUCTIONS: | Response) include, but are not limited to: | ||||||||
| 1 | Time to marshal an on-scene response | ||||||||
| Evaluate potential for event and response among the following categories using | 2 | Scope of response capability | |||||||
| the hazard specific scale. Assume each event incident occurs at the worst | 3 | Historical evaluation of response success | |||||||
| possible time (e.g. during peak patient loads). | |||||||||
| Issues to consider for Preparedness include, but are not limited to: | |||||||||
| Please note specific score criteria on each work sheet to ensure accurate recording. | 1 | Status of current plans | |||||||
| 2 | Frequency of drills | ||||||||
| Probability: Likelihood of event occuring | 3 | Training status | |||||||
| 4 | Insurance | ||||||||
| Issues to consider for probability include, but are not limited to: | 5 | Availability of alternate sources for critical supplies/services | |||||||
| 1 | Known risk | ||||||||
| 2 | Historical data | ||||||||
| 3 | Facility/Regional/Manufacturer/vendor statistics | Issues to consider for Internal Response include, but are not limited to: | |||||||
| 1 | Types of supplies on hand/will they meet need? | ||||||||
| Impact: Assuming event has occurred, assess impact | 2 | Volume of supplies on hand/will they meet need? | |||||||
| 3 | Staff availability | ||||||||
| Issues to consider for human impact include, but are not limited to: | 4 | Coordination with Medical Office Building's | |||||||
| 1 | Potential for staff death or injury | 5 | Availability of back-up systems | ||||||
| 2 | Potential for patient death or injury | 6 | Internal resources ability to withstand disasters/survivability | ||||||
| Issues to consider for property impact include, but are not limited to: | Issues to consider for External Response include, but are not limited to: | ||||||||
| 1 | Cost to replace | 1 | Types of agreements with community agencies/drills? | ||||||
| 2 | Cost to set up temporary replacement | 2 | Coordination with local and state agencies | ||||||
| 3 | Cost to repair | 3 | Coordination with proximal health care facilities | ||||||
| 4 | Time to recover | 4 | Coordination with treatment specific facilities | ||||||
| 5 | Community resources | ||||||||
| Issues to consider for business impact include, but are not limited to: | |||||||||
| 1 | Business interruption | Complete all worksheets incl Natural, Technological, Human and Hazmat | |||||||
| 2 | Employees unable to report to work | The summary section will automatically provide your specific and overall | |||||||
| 3 | Customers unable to reach facility | relative threat. | |||||||
| 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 | ||||||||
| 8 | Reputation and public image | ||||||||
| 9 | Financial impact/burden | Instructions and cell formulates modified by M. Bernard 9/22/10 |
&LSample Hazards Vulnerability Analysis
Natural Hazards
| HAZARD AND VULNERABILITY ASSESSMENT TOOL | ||||||||
| NATURALLY OCCURRING EVENTS | ||||||||
| SEVERITY = (MAGNITUDE - MITIGATION) | ||||||||
| EVENT | PROBABILITY | HUMAN IMPACT | PROPERTY IMPACT | BUSINESS IMPACT | PREPAREDNESS | INTERNAL RESPONSE | EXTERNAL RESPONSE | RISK |
| Likelihood this will occur | Possibility of death or injury | Physical losses and damages | Interruption of services | Pre-Planning | Time, effectiveness, resources | Community/ Mutual Aid staff and supplies | Relative threat* | |
| SCORE | 0 = N/A 1 = Low 2 = Moderate 3 = High | 0 = N/A 1 = Low 2 = Moderate 3 = High | 0 = N/A 1 = Low 2 = Moderate 3 = High | 0 = N/A 1 = Low 2 = Moderate 3 = High | 0= N/A 1 = High 2=Moderate 3 = Low | 0 = N/A 1 = High 2 = Moderate 3 = Low or none | 0 = N/A 1 = High 2 = Moderate 3 = Low or none | 0 - 100% |
| Hurricane | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0% |
| Tornado | 3 | 3 | 3 | 3 | 1 | 1 | 1 | 67% |
| Severe Thunderstorm | 2 | 1 | 1 | 1 | 1 | 1 | 1 | 22% |
| Snow Fall | 3 | 2 | 2 | 2 | 1 | 1 | 1 | 50% |
| Blizzard | 1 | 1 | 1 | 2 | 1 | 1 | 2 | 15% |
| Ice Storm | 2 | 2 | 2 | 3 | 2 | 2 | 2 | 48% |
| Earthquake | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 11% |
| Tidal Wave | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0% |
| Temperature Extremes | 1 | 2 | 0 | 0 | 1 | 1 | 1 | 9% |
| Drought | 1 | 1 | 0 | 1 | 1 | 1 | 1 | 9% |
| Flood, External | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 11% |
| Wild Fire | 1 | 1 | 2 | 2 | 1 | 1 | 1 | 15% |
| Landslide | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0% |
| Dam Inundation | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0% |
| Volcano | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0% |
| Epidemic | 1 | 2 | 0 | 3 | 2 | 2 | 2 | 20% |
| AVERAGE SCORE | 1.06 | 1.06 | 0.81 | 1.19 | 0.81 | 0.81 | 0.88 | 17% |
| *Threat increases with percentage. | ||||||||
| 17 | RISK = PROBABILITY * SEVERITY | |||||||
| 89 | 0.17 | 0.35 | 0.31 |
Technological Hazards
| HAZARD AND VULNERABILITY ASSESSMENT TOOL | ||||||||
| TECHNOLOGIC EVENTS | ||||||||
| SEVERITY = (MAGNITUDE - MITIGATION) | ||||||||
| EVENT | PROBABILITY | HUMAN IMPACT | PROPERTY IMPACT | BUSINESS IMPACT | PREPARED-NESS | INTERNAL RESPONSE | EXTERNAL RESPONSE | RISK |
| Likelihood this will occur | Possibility of death or injury | Physical losses and damages | Interuption of services | Preplanning | Time, effectivness, resouces | Community/ Mutual Aid staff and supplies | Relative threat* | |
| SCORE | 0 = N/A 1 = Low 2 = Moderate 3 = High | 0 = N/A 1 = Low 2 = Moderate 3 = High | 0 = N/A 1 = Low 2 = Moderate 3 = High | 0 = N/A 1 = Low 2 = Moderate 3 = High | 0 = N/A 1 = High 2 = Moderate 3 = Low or none | 0 = N/A 1 = High 2 = Moderate 3 = Low or none | 0 = N/A 1 = High 2 = Moderate 3 = Low or none | 0 - 100% |
| Transportation Failure | 1 | 0 | 0 | 2 | 1 | 2 | 2 | 13% |
| Fuel Shortage | 1 | 0 | 0 | 2 | 1 | 2 | 1 | 11% |
| Natural Gas Failure | 1 | 1 | 1 | 3 | 2 | 2 | 2 | 20% |
| Water Failure | 1 | 0 | 1 | 3 | 1 | 2 | 2 | 17% |
| Sewer Failure | 1 | 0 | 1 | 1 | 1 | 1 | 1 | 9% |
| Steam Failure | 1 | 1 | 1 | 2 | 1 | 1 | 2 | 15% |
| Fire Alarm Failure | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 11% |
| Communications Failure | 1 | 0 | 0 | 1 | 1 | 1 | 1 | 7% |
| Medical Gas Failure | 1 | 2 | 2 | 2 | 1 | 2 | 2 | 20% |
| Medical Vacuum Failure | 1 | 1 | 1 | 2 | 2 | 1 | 1 | 15% |
| HVAC Failure | 1 | 0 | 0 | 2 | 1 | 1 | 2 | 11% |
| Information Systems Failure | 1 | 0 | 1 | 2 | 1 | 2 | 2 | 15% |
| Fire, Internal | 1 | 2 | 3 | 3 | 1 | 1 | 1 | 20% |
| Flood, Internal | 1 | 1 | 2 | 2 | 2 | 1 | 1 | 17% |
| Hazmat Exposure, Internal | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 11% |
| Supply Shortage | 1 | 1 | 2 | 2 | 1 | 2 | 1 | 17% |
| Structural Damage | 1 | 2 | 3 | 3 | 1 | 1 | 1 | 20% |
| AVERAGE SCORE | 1.00 | 0.76 | 1.18 | 2.00 | 1.18 | 1.41 | 1.41 | 15% |
| *Threat increases with percentage. | ||||||||
| 17 | RISK = PROBABILITY * SEVERITY | |||||||
| 135 | 0.15 | 0.33 | 0.44 |
<MC-LW Hazard Vulnerablity Analysis&Ras of 7-06
Human Hazards
| HAZARD AND VULNERABILITY ASSESSMENT TOOL | ||||||||
| HUMAN RELATED EVENTS | ||||||||
| SEVERITY = (MAGNITUDE - MITIGATION) | ||||||||
| EVENT | PROBABILITY | HUMAN IMPACT | PROPERTY IMPACT | BUSINESS IMPACT | PREPARED-NESS | INTERNAL RESPONSE | EXTERNAL RESPONSE | RISK |
| Likelihood this will occur | Possibility of death or injury | Physical losses and damages | Interuption of services | Preplanning | Time, effectivness, resouces | Community/ Mutual Aid staff and supplies | Relative threat* | |
| SCORE | 0 = N/A 1 = Low 2 = Moderate 3 = High | 0 = N/A 1 = Low 2 = Moderate 3 = High | 0 = N/A 1 = Low 2 = Moderate 3 = High | 0 = N/A 1 = Low 2 = Moderate 3 = High | 0 = N/A 1 = High 2 = Moderate 3 = Low or none | 0 = N/A 1 = High 2 = Moderate 3 = Low or none | 0 = N/A 1 = High 2 = Moderate 3 = Low or none | 0 - 100% |
| Terrorism, Biological | 1 | 2 | 2 | 2 | 2 | 2 | 2 | 22% |
| VIP Situation | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 11% |
| Infant Abduction | 2 | 3 | 0 | 2 | 2 | 2 | 1 | 37% |
| Hostage Situation | 1 | 2 | 1 | 3 | 1 | 1 | 1 | 17% |
| Civil Disturbance | 1 | 2 | 2 | 2 | 1 | 1 | 3 | 20% |
| Labor Action | 1 | 1 | 1 | 1 | 3 | 3 | 3 | 22% |
| Forensic Admission | 2 | 2 | 1 | 1 | 1 | 1 | 3 | 33% |
| Bomb Threat | 1 | 1 | 2 | 2 | 1 | 1 | 1 | 15% |
| AVERAGE | 1.25 | 1.75 | 1.25 | 1.75 | 1.50 | 1.50 | 1.88 | 22% |
| *Threat increases with percentage. | ||||||||
| 10 | RISK = PROBABILITY * SEVERITY | |||||||
| 77 | 0.22 | 0.42 | 0.53 |
<MC-LWHazard Vulnerablity Analysis&Ras of 7-06
Hazardous Materials
| HAZARD AND VULNERABILITY ASSESSMENT TOOL | ||||||||
| EVENTS INVOLVING HAZARDOUS MATERIALS | ||||||||
| SEVERITY = (MAGNITUDE - MITIGATION) | ||||||||
| EVENT | PROBABILITY | HUMAN IMPACT | PROPERTY IMPACT | BUSINESS IMPACT | PREPARED-NESS | INTERNAL RESPONSE | EXTERNAL RESPONSE | RISK |
| Likelihood this will occur | Possibility of death or injury | Physical losses and damages | Interuption of services | Preplanning | Time, effectivness, resouces | Community/ Mutual Aid staff and supplies | Relative threat* | |
| SCORE | 0 = N/A 1 = Low 2 = Moderate 3 = High | 0 = N/A 1 = Low 2 = Moderate 3 = High | 0 = N/A 1 = Low 2 = Moderate 3 = High | 0 = N/A 1 = Low 2 = Moderate 3 = High | 0 = N/A 1 = High 2 = Moderate 3 = Low or none | 0 = N/A 1 = High 2 = Moderate 3 = Low or none | 0 = N/A 1 = High 2 = Moderate 3 = Low or none | 0 - 100% |
| Mass Casualty Hazmat Incident (From historic events at your Hospital with >= 5 victims) | 1 | 1 | 0 | 3 | 2 | 2 | 1 | 17% |
| Small Casualty Hazmat Incident (From historic events at your Hospital with < 5 victims) | 1 | 2 | 1 | 2 | 2 | 2 | 1 | 19% |
| Chemical Exposure, External | 1 | 1 | 1 | 2 | 2 | 2 | 1 | 17% |
| Small-Medium Sized Internal Spill | 1 | 1 | 2 | 2 | 1 | 1 | 1 | 15% |
| Large Internal Spill | 1 | 1 | 2 | 2 | 1 | 1 | 1 | 15% |
| Terrorism, Chemical | 3 | 1 | 3 | 3 | 2 | 2 | 1 | 67% |
| Radiologic Exposure, Internal | 1 | 1 | 2 | 2 | 3 | 3 | 1 | 22% |
| Radiologic Exposure, External | 1 | 2 | 1 | 2 | 3 | 3 | 1 | 22% |
| Terrorism, Radiologic | 1 | 2 | 1 | 2 | 2 | 3 | 1 | 20% |
| AVERAGE | 1.22 | 1.33 | 1.44 | 2.22 | 2.00 | 2.11 | 1.00 | 24% |
| *Threat increases with percentage. | ||||||||
| 11 | RISK = PROBABILITY * SEVERITY | |||||||
| 91 | 0.23 | 0.41 | 0.56 |
<MC-LWHazard Vulnerablity Analysis&Ras of 7-06
Summary
| SUMMARY OF FACILITY HAZARDS ANALYSIS | |||||
| Natural | Technological | Human | Hazmat | Total for Facility | |
| Probability | 0.35 | 0.33 | 0.42 | 0.41 | 0.34 |
| Severity | 0.31 | 0.44 | 0.53 | 0.56 | 0.33 |
| Hazard Specific Relative Risk: | 0.17 | 0.15 | 0.22 | 0.23 | 0.11 |
| This document is a sample Hazard Vulnerability Analysis tool. It is not asubstitute for a comprehensive emergency preparedness program. | |||||
| Individuals or organizations using this tool are solely responsible for any hazard assessment and compliance with applicable laws and regulations. |
<MC - LW Hazard Vulnerablity Analysis&Ras of 7-06
Summary
| Natural | Natural |
| Technological | Technological |
| Human | Human |
| Hazmat | Hazmat |
Probability
Severity
Relative Threat to Facility
Hazard Specific Risk to Facility
0.3541666667
0.3090277778
0.3333333333
0.4411764706
0.4166666667
0.5347222222
0.4074074074
0.5617283951
| Total for Facility | Total for Facility | Total for Facility |
Probability
Severity
Relative Risk
Probability and Severity of Hazards to Facility
0.3395061728
0.329218107
0.1117715795