INCIDENT EFFECT

PROBABILITY

PROPERTY
IMPACT

FACILITY
IMPACT

Likelihood this will

occur

Possibility of
death or injury

Amount of
property severly
damaged

Complete
interruption /
shutdown of
facility or services

4 = Highly Likely
(probable within
this year)

4 = Multiple
deaths

4 = >50%

4 = >30 days

4 = <6 hours

3 = 25-50%

3 = >2 weeks

INCIDENT

3 = Likely
3 = Injuries result
(probable within 3
in permanent
years)
disability

Bomb Threat
Workplace
Violence
Tornado
Severe
Thunderstorm
Winter Storm
(Ice, Snow, Low
temperatures)
Flood
Fire
Power Outage
Info Systems
Failure
HVAC Failure

PREPAREDNESS

HUMAN
IMPACT

WARNING
TIME

DURATION

TRAINING
EQUIPMENT

RISK

Emergency
Management /
Operations Plan

Staff trained and

equipped

Relative
Threat

4 = >1 week

4 = No EMP or
EOP

4 = staff not
trained on EOP

7.00 - 7.4 =
Very High

3 = 6-12 hours

3 = <1 week

3 = EMP/EOP
partially complete

3 = some staff
trained, no
equipment

5.27 - 7.00 =
High

2 = EMP/EOP
complete

2 = most staff
trained, some
equipment

3.56 - 5.27 =
Moderate

Incident
Time incident may
anticipation time
continue

PLANNING

2 = Possible
(probable within 5
years)

2 = Injuries do
not result in
permanent
disability

2 = 10-25%

2 = >1 week

2 = 12-24 hours

2 = <1 day

1 - Unlikely
(probable within
10 years)

1 = Injuries
treatable with first
aid

1 = <10%

1 = 24 hours or
less

1 = 24+ hours

1 = <6 hours

3.30

4.45

1 = EMP/EOP
1 = Anticipated
1.85 - 3.56 =
exercised and/or staff trained and
Low
evaluated
properly equipped

0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00

Water Service
Failure
Phone Service
Failure
Medical Gas
Failure
Medical Vacuum
Failure
Disease
Outbreak
Mass Casualty
Incident
Hazmat
Exposure

0.00
0.00
0.00
0.00
0.00
0.00
0.00

Supply Shortage

0.00

VIP Situation
Infant Abduction
Average Score

0.00
0.00
0.39

3.00

2.00

1.00

1.50

4.00

2.00

1.50

1.50

Kansas Hospital HVA Gap Analsis

Event
(From HVA tool)

Risk Score
Vulnerability
(From HVA tool) (For example: no plan, no exercise, no
equipment, no training)

Improvement Action
(For example: revise plan,
purchase equipment,
additional training,
exercise)

Responsible Individual

Example: Winter storm

Example: 6

Example: The facility does not have the

equipment or a plan to have the parking lots
cleared of snow.

Example: The facility is

Example: James Handsome
going to contract for parking
lot snow removal. The
procedure for contacting
the snow removal
contractor and contact
information for the
contractor will be written
into a standard operating
guide and referenced in the
plan for winter storms.

Example: Chemical
Event (gasoline)

Example: 3

Example: The chemical cartridges for the

PAPRs have expired.

Example: Additional
chemical cartridges with a
protection factor for
gasoline and fuels, should
be purchased. Twelve
additional replacement
cartridges should be
purchased for the BE-10.

Example: James Handsome