Medical Center Hazard and Vulnerability Analysis

Dokumen ini adalah contoh alat Analisis Kerentanan Bahaya. Ini bukan pengganti program
kesiapsiagaan darurat yang komprehensif. Individu atau organisasi yang menggunakan
alat ini bertanggung jawab penuh atas penilaian bahaya dan kepatuhan terhadap hukum
dan peraturan yang berlaku.

INSTRUCTIONS:
Evaluasi potensi acara dan respons di antara kategori berikut menggunakan
skala bahaya tertentu. Asumsikan setiap peristiwa kejadian terjadi paling buruk
waktu yang memungkinkan (misalnya selama beban puncak pasien).

Harap perhatikan kriteria skor khusus pada setiap lembar kerja untuk memastikan

Issues to consider for probability include, but are not limited to:
1 Known risk
2 Historical data
3 Manufacturer/vendor statistics

Issues to consider for response include, but are not limited to:
1 Saatnya untuk menyusun respons di tempat
2 Lingkup kemampuan respons
3 Historical evaluation of response success

Issues to consider for human impact include, but are not limited to:
1 Potensi kematian atau cedera staf
2 Potensi kematian atau cedera pasien

Issues to consider for property impact include, but are not limited to:
1 Biaya penggantian
2 Biaya untuk menyiapkan penggantian sementara
3 Biaya perbaikan
4 Waktu Pemulihan

Issues to consider for business impact include, but are not limited to:
1 Gangguan bisnis
2 Karyawan tidak dapat melapor untuk bekerja
3 Pelanggan tidak dapat menjangkau fasilitas
4 Perusahaan yang melanggar perjanjian kontrak
5 Pengenaan denda dan denda atau biaya hukum
6 Gangguan pasokan kritis
7 Gangguan distribusi produk
8 Reputasi dan padangan publik
9 Dampak / beban finansial

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 Medical Center Hazard and Vulnerability Analysis

Masalah yang perlu dipertimbangkan untuk kesiapan termasuk, tetapi tidak terbatas pada:

1 Status rencana saat ini

2 Frekuensi latihan

3 Training status

4 Insurance
5 Ketersediaan sumber alternatif untuk suplai / layanan penting

Issues to consider for internal resources include, but are not limited to:
1 Types of supplies on hand/will they meet need?
2 Volume of supplies on hand/will they meet need?
3 Staff availability
4 Coordination with MOB's
5 Availability of back-up systems
6 Internal resources ability to withstand disasters/survivability

Issues to consider for external resources include, but are not limited to:
1 Types of agreements with community agencies/drills?
2 Coordination with local and state agencies
3 Coordination with proximal health care facilities
4 Coordination with treatment specific facilities
5 Community resources

Lengkapi semua lembar kerja termasuk Alam, Teknologi, Manusia dan Hazmat.
Bagian ringkasan secara otomatis akan memberikan ancaman relatif spesifik dan keseluruhan Anda.

Hazard Vulnerability Analysis Scoring:

Total % Analysis
1 100-75% Serious Consequences with little capability

2 74-50% Medium consequences with some capability

3 49-25% Minor Consequences with good capability

4 24-0% Little to no consequences with very good capability

1e30b6a5e60eecea5af3bbc38104d14a2092a8ba7c60b0c44fe4d0ac1ba65781
idak terbatas pada:

pesifik dan keseluruhan Anda.

1e30b6a5e60eecea5af3bbc38104d14a2092a8ba7c60b0c44fe4d0ac1ba65781
 PIKES PEAK MMRS REGIONAL HAZARD AND VULNERABILITY ASSESSMENT TOOL
NATURALLY OCCURRING EVENTS
SEVERITY = (MAGNITUDE - MITIGATION)
PROBABILITY
HUMAN PROPERTY BUSINESS PREPARED- INTERNAL EXTERNAL
IMPACT IMPACT IMPACT NESS RESPONSE RESPONSE
EVENT
Time, Community/
Likelihood this Possibility of Physical losses Interruption of Preplanning
effectiveness, MOAs and
will occur death or injury and damages services MEMP
resources resources
0 = N/A 0 = N/A
0 = N/A 0 = N/A 0 = N/A 0 = N/A 0 = N/A
1 = Low 1 = High
1 = Low 1 = Low 1 = Low 1 = High 2 1 = High
SCORE 2= 2 = Moderate
2 = Moderate 2 = Moderate 2 = Moderate = Moderate 3= 2 = Moderate
Moderate 3 = Low or
3 = High 3 = High 3 = High Low or none 3 = Low or none
3 = High none
Blizzard (reduced visability plus wind)
-
0 0 0 0 0 0 0
Badai salju (jarak pandang berkurang
ditambah angin)
Ice Storm ( 1/4" or more ice
accumulation on everything - ie.
powerlines, trees, structures.
Extremely rare in Colorado) --Badai Es
0 0 0 0 0 0 0
(1/4 "atau lebih akumulasi es pada
segala hal - misalnya kabel listrik, pohon,
bangunan. Sangat jarang terjadi di
Colorado)
Snow Fall (accumulation) ---Hujan
0 0 0 0 0 0 0
Salju (akumulasi)
Severe Thunderstorm ---
1 1 1 1 1 1 1
Badai Petir Parah
Temperature Extremes 0 0 0 0 0 0 0
Tornado 0 0 0 0 0 0 0
Earthquake 2 2 2 2 2 0 0
Flood, External -- Banjir external 0 0 0 0 0 0 0
Landslide -- Tanah longsor 0 0 0 0 0 0 0
Wild Fire ---Kebakaran 0 0 0 0 0 0 0

AVERAGE SCORE 0.30 0.30 0.30 0.30 0.30 0.10 0.10

*Threat increases with percentage --- Ancaman meningkat dengan persentase.

3 RISK = PROBABILITY * SEVERITY
14 0.01 0.10 0.08
Natural Hazards : 1e30b6a5e60eecea5af3bbc38104d14a2092a8ba7c60b0c44fe4d0ac1ba65781
 RISK

Relative threat*

0 - 100%

0%

0%

0%

11%

0%
0%
30%
0%
0%
0%

1%

Natural Hazards : 1e30b6a5e60eecea5af3bbc38104d14a2092a8ba7c60b0c44fe4d0ac1ba65781

 PIKES PEAK MMRS REGIONAL HAZARD AND VULNERABILITY ASSESSMENT TOOL
EVENT
SCORE
Electrical Failure
Generator Failure
Transportation Failure
Fuel Shortage
Natural Gas Failure
Water Failure
Sewer Failure / saluran
pembuangan
Steam Failure
Fire Alarm Failure
Communications Failure
Medical Gas Failure
Medical Vacuum Failure
HVAC Failure
Information/Security Systems
Failure
Fire, Internal
Flood, Internal
Supply Shortage
Structural Damage
Medical Equip Failure
AVERAGE SCORE
*Threat increases with
12
0 0.00
RSUD KRMT Wongsonegoro Kota Semarang
TECHNOLOGIC EVENTS
SEVERITY = (MAGNITUDE - MITIGATION)
HUMAN PROPERTY BUSINESS
PROBABILITY
IMPACT IMPACT IMPACT
Likelihood this Possibility of Physical losses Interruption of
will occur death or injury and damages services
0 = N/A 1 0 = N/A 0 = N/A 0 = N/A
= Low 2 1 = Low 1 = Low 1 = Low
= Moderate 2 = Moderate 2 = Moderate 2 = Moderate
3 = High 3 = High 3 = High 3 = High
3 0 0 0
3 0 0 0
2 0 0 0
1 0 0 0
0 0 0 0
3 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0.63 0.00 0.00 0.00
RISK = PROBABILITY * SEVERITY
0.21 0.00
PREPARED- INTERNAL
NESS RESPONSE
Time,
Preplanning
effectiveness,
MEMP
resources
0 = N/A
0 = N/A 0 = N/A
1 = High 1 = High
2 = Moderate 2 = Moderate
3 = Low or none 3 = Low or none
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0.00 0.00
EXTERNAL
RISK
RESPONSE
Community/
MOAs and Relative threat*
resources
1 = High
2 = Moderate 0 - 100%
3 = Low or
none
0 0%
0 0%
0 0%
0 0%
0 0%
0 0%
0 0%
0 0%
0 0%
0 0%
0 0%
0 0%
0 0%
0 0%
0 0%
0 0%
0 0%
0 0%
0 0%
0.00 0%
Tim MFK-RSWN
 PIKES PEAK MMRS REGIONAL HAZARD AND VULNERABILITY ASSESSMENT TOOL
HUMAN RELATED EVENTS

SEVERITY = (MAGNITUDE - MITIGATION)

PROBABILITY HUMAN PROPERTY BUSINESS PREPARED- INTERNAL EXTERNAL RISK
EVENT IMPACT IMPACT IMPACT NESS RESPONSE RESPONSE
Physical Time, Community/
Likelihood this Possibility of Interruption of Preplanning
losses and effectiveness, MOAs and Relative threat*
will occur death or injury services MEMP
damages resources resources
0 = N/A 0 = N/A 0 = N/A 0 = N/A
0 = N/A 0 = N/A 0 = N/A
1 = Low 1 = Low 1 = Low 1 = High
1 = Low 1 = High 1 = High
SCORE
2 = Moderate
2= 2= 2=
2 = Moderate 2 = Moderate
2 = Moderate 0 - 100%
Moderate Moderate Moderate 3 = Low or
3 = High 3 = Low or none 3 = Low or none
3 = High 3 = High 3 = High none
Mass Casualty Incident
0 0 0 0 0 0 0 0%
(trauma)
Mass Casualty Incident
0 0 0 0 0 0 0 0%
(medical/infectious)
Terrorism, Biological 0 0 0 0 0 0 0 0%
VIP Situation 0 0 0 0 0 0 0 0%
Abduction 0 0 0 0 0 0 0 0%
Hostage Situation 0 0 0 0 0 0 0 0%
Internal Civil Disturbance 0 0 0 0 0 0 0 0%
Workplace Violence 0 0 0 0 0 0 0 0%
Forensic Admission (in
0 0 0 0 0 0 0 0%
custody)
Bomb Threat 0 0 0 0 0 0 0 0%
Patient Elopement 0 0 0 0 0 0 0 0%
Labor Action 0 0 0 0 0 0 0 0%
Aircraft crash @ building
0 0 0 0 0 0 0 0%
(including air ambulance)
Shooter 0 0 0 0 0 0 0 0%
AVERAGE 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0%
*Threat increases with percentage.
0 RISK = PROBABILITY * SEVERITY
0 0.00 0.00 0.00

RSUD KRMT Wongsonegoro Kota Semarang Tim MFK-RSWN

 PIKES PEAK MMRS REGIONAL HAZARD AND VULNERABILITY ASSESSMENT TOOL
EVENTS INVOLVING HAZARDOUS MATERIALS

SEVERITY = (MAGNITUDE - MITIGATION)

PROBABILITY HUMAN PROPERTY BUSINESS PREPARED- INTERNAL EXTERNAL RISK
EVENT IMPACT IMPACT IMPACT NESS RESPONSE RESPONSE
Time,
Likelihood this Possibility of Physical losses Interruption of Preplanning Community/ MOAs
effectiveness, Relative threat*
will occur death or injury and damages services MEMP and resources
resources
0 = N/A 0 = N/A
0 = N/A 0 = N/A 0 = N/A 0 = N/A 0 = N/A
1 = Low 1 = Low
1 = Low 1 = Low 1 = High 1 = High 1 = High
SCORE
2 = Moderate
2=
2 = Moderate
2=
2 = Moderate 2 = Moderate 2 = Moderate
0 - 100%
Moderate Moderate
3 = High 3 = High 3 = Low or none 3 = Low or none 3 = Low or none
3 = High 3 = High

Mass Casualty Hazmat Incident

(From historic events at your MC 0 0 0 0 0 0 0 0%
with >= 5 victims)

Small Casualty Hazmat Incident

(From historic events at your MC
with < 5 victims)
Large Internal Spill
Chemical Exposure, External
Radiologic Exposure, Internal
Radiologic Exposure, External
Terrorism, Chemical
Terrorism, Radiologic
AVERAGE
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0.00 0.00
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0.00 0.00
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0.00 0.00
0 0%
0 0%
0 0%
0 0%
0 0%
0 0%
0 0%
0.00 0%

*Threat increases with percentage.

RISK = PROBABILITY * SEVERITY
0
0 0.00 0.00 0.00

RSUD KRMT Wongsonegoro Kota Semarang Tim MFK -RSWN

 SUMMARY OF MEDICAL CENTER HAZARDS ANALYSIS

Total for Facility

Technological

Hazmat
Natural

Human
Probability 0.10 0.21 0.00 0.00 0.10
Severity 0.08 0.00 0.00 0.00 0.02

Hazard Specific Relative Risk: 0.01 0.00 0.00 0.00 0.00

Hazard Specific Relative Risk to Medical Center

1.00
0.90
Relative Threat to Facility

0.80
0.70
0.60
0.50
0.40
0.30
0.20
0.10
0.00
Natural Technological Human Hazmat

Probability and Severity of Hazards to Medical Center

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 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.

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