RSDS Hazard and Vulnerability Analysis

Dokumen ini adalah contoh tool Hazard Vulnerability Analysis. Bukan utk
sebagai pengganti program emergency preparedness yg komprehensif. Individu atau
RS yang menggunakan tool ini bertanggungjawab melakukan asesmen hazard yg
mengancam dan mematuhi regulasi dan hukum yg ada

INSTRUKSI:
Evaluasi potensi kejadian dan respon untuk beberapa kategori dgn
menggunakan nilai yg sdh ditetapkan. Asumsikan setiap insiden terjadi
pada saat waktu terburuk (cth. saat pasien banyak).

Perhatikan kriteria nilai pada setiap lembar kerja agar tercatat akurat

Untuk probabilitas pertimbangkan:

1 Risiko yg diketahui
2 Data historikal
3 Data vendor

Untuk respons pertimbangkan:

1 Waktu untuk merespon ke TKP
2 Kemampuan untuk merespon
3 Evaluasi historikal keberhasilan merespon
Untuk dampak manusia pertimbangkan
1 Potensi staf cedera atau meninggal
2 Potensi pasien cedera atau meninggal
Untuk dampak properti pertimbangkan:
1 Biaya utk mengganti
2 Biaya untuk membuat tempat sementara
3 Biaya utk memperbaiki
4 Biaya utk memulihkan
Untuk dampak bisnis pertimbangkan:
1 Bisnis terganggu
2 Staf tdk bisa bekerja
3 Pasien tidak bisa mencapai lokasi
4 RS terancam kesepakatan kontrak
5 Kena denda dan pinalti atau biaya legal
6 Terganggunya supply kritikal
7 Terganggunya distribusi produk
8 Reputasi dan citra publik
9 Beban finansial

692491932.xlsx
 RSDS Hazard and Vulnerability Analysis

Untuk kesiapan pertimbangkan:

1 Status PLAN yg dimiliki saat ini
2 Frekuensi pelatihan
3 Status pelatihan
4 Asuransi
5 Ketersediaan sumberdaya alternatif untuk pelayanan/supply kritikal

Untuk respon internal pertimbangkan:

1 Jenis supply yg disiapkan/akankan supply bermafaat?
2 Jumlah supply yg disiapkan/akankah supply bermanfaat?
3 Ketersediaan staf
4 Koordinasi dgn Komite K3
5 Ketersediaan sistem cadangan/back-up
6 Kemampuan sumberdaya internal untuk menghadapi bencana/survivability

Untuk respon eksternal pertimbangkan:

1 Jenis kesepakatan dengan lembaga masyarakat/pelatihan?
2 Koordinasi dengan lembaga lokal dan nasional
3 Koordinasi dengan RS terdekat
4 Koordinasi dengan fasilitas penanganan khusus
5 Sumberdaya masyarakat
Lengkapi semua lembar kerja termasuk Alam, Teknologi, Human, Hazmat.
Pada lembar ringkasan secara otomatis akan muncul ancaman risiko yg dihadapi RS.

692491932.xlsx
 HAZARD AND VULNERABILITY ASSESSMENT TOOL
NATURALLY OCCURRING EVENTS
SEVERITY = (MAGNITUDE - MITIGATION)
PROBABILITY RISK
DAMPAK PD DAMPAK PD DAMPAK PREPARED- RESPON RESPON
MANUSIA BANGUNAN PADA BISNIS NESS INTERNAL EKSTERNAL
KEJADIAN
Time, Community/
Likelihood this will Possibility of Physical losses and Interuption of
Preplanning effectivness, Mutual Aid staff and Relative threat*
occur death or injury damages services
resouces supplies

0 = N/A 0 = N/A 0 = N/A 1= 0 = N/A 0 = N/A 0 = N/A 0 = N/A

SCORE 1 = Low 1 = Low Low 2= 1 = Low 1 = High 1 = High 1 = High 2
2 = Moderate 2 = Moderate Moderate 3= 2 = Moderate 2 = Moderate 3 2 = Moderate = Moderate 3= 0 - 100%
3 = High 3 = High High 3 = High = Low or none 3 = Low or none Low or none

Angin putting beliung 1 2 2 2 2 2 2 22%

Halilintar 1 1 1 1 1 1 1 11%
Gempa Bumi 1 2 2 2 3 2 2 24%

Abu letusan gunung 1 2 2 2 2 2 2 22%

Suhu Ektrim 1 1 1 1 2 1 1 13%

Banjir 3 3 3 3 2 2 2 83%
Epidemik 1 2 2 2 2 2 2 22%
Longsor 1 1 1 1 1 1 1 11%
Hujan angin 2 2 2 2 2 2 2 44%

AVERAGE SCORE 1.33 1.78 1.78 1.78 1.89 1.67 1.67 26%

*Threat increases with percentage.

12 RISK = PROBABILITY * SEVERITY
95 0.26 0.44 0.59

Natural Hazards : 692491932.xlsx

 HAZARD AND VULNERABILITY ASSESSMENT TOOL
TECHNOLOGIC EVENTS

SEVERITY = (MAGNITUDE - MITIGATION)

PROBABILITY RISK
DAMPAK PD DAMPAK PD DAMPAK PREPARED- RESPON RESPON
MANUSIA BANGUNAN PADA BISNIS NESS INTERNAL EKSTERNAL
KEJADIAN
Time, Community/
Likelihood this will Possibility of Physical losses Interuption of
Preplanning effectivness, Mutual Aid staff and Relative threat*
occur death or injury and damages services
resouces supplies
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 2
SCORE 2 = Moderate
2=
2 = Moderate 2 = Moderate 2 = Moderate 3 2 = Moderate = Moderate 3 0 - 100%
Moderate
3 = High 3 = High 3 = High = Low or none 3 = Low or none = Low or none
3 = High
Kegagalan/masalah
3 3 2 3 2 2 2 78%
listrik
Kegagalan Genset 2 2 2 3 2 2 2 48%
Kegagalan transportasi 1 1 1 3 2 2 2 20%
Bahan bakar 2 1 1 3 2 2 2 41%
Kegagalan penyediaan
2 3 2 3 2 2 2 52%
air

Kerusakan saluran
2 2 3 3 2 2 1 48%
pembuangan limbah

Kerusakan boiler 2 2 1 1 2 1 1 30%

Fire Alarm belum
1 2 3 2 2 2 3 26%
berfungsi

Kegagalan komunikasi 1 1 1 1 2 2 1 15%

Kegagalan fungsi gas

2 3 1 3 2 2 2 48%
medis
Kegagalan vakum
2 3 1 3 2 1 1 41%
medis
Kerusakan HVAC 1 2 1 2 2 1 3 20%
Kegagalan sistem
2 1 1 3 2 2 0 33%
informasi
Kebakaran internal 3 3 3 3 3 2 2 89%
Banjir internal 1 3 3 3 2 2 3 30%
Terpapar Bahan B3 2 2 2 2 2 2 2 44%
Kerusakan struktur
2 2 2 2 2 2 2 44%
bangunan

AVERAGE SCORE 1.72 2.00 1.67 2.39 1.94 1.72 1.72 36%

*Threat increases with percentage.

31 RISK = PROBABILITY * SEVERITY
206 0.36 0.57 0.64

Technological Hazards : 692491932.xlsx

 HAZARD AND VULNERABILITY ASSESSMENT TOOL
HUMAN RELATED EVENTS

SEVERITY = (MAGNITUDE - MITIGATION)

PROBABILITY RISK
DAMPAK PD DAMPAK PD DAMPAK PREPARED- RESPON RESPON
MANUSIA BANGUNAN PADA BISNIS NESS INTERNAL EKSTERNAL
KEJADIAN
Time, Community/
Likelihood this will Possibility of Physical losses Interuption of
Preplanning effectivness, Mutual Aid staff and Relative threat*
occur death or injury and damages services
resouces supplies
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 2
SCORE 2 = Moderate
2= 2=
2 = Moderate 2 = Moderate 3 2 = Moderate = Moderate 3 0 - 100%
Moderate Moderate
3 = High 3 = High = Low or none 3 = Low or none = Low or none
3 = High 3 = High
Insiden massal
1 2 2 2 2 2 3 24%
(trauma)

Insiden Massal
2 2 1 2 2 1 2 37%
(medical/infectious)

Teroris 1 2 2 2 3 3 2 26%

Penculikan bayi 2 3 1 3 2 2 2 48%

Huru Hara 1 2 2 3 3 2 2 26%

Unjuk Rasa 1 2 2 3 2 2 2 24%

Pencurian harta benda 2 2 2 2 2 2 2 44%

Perkelahian 1 2 2 2 2 2 2 22%

Ancaman bom 1 2 2 2 2 2 2 22%

AVERAGE 1.33 2.11 1.78 2.33 2.22 2.00 2.11 28%

*Threat increases with percentage.

12 RISK = PROBABILITY * SEVERITY
113 0.28 0.40 0.70

Human Hazards : 692491932.xlsx

 HAZARD AND VULNERABILITY ASSESSMENT TOOL
EVENTS INVOLVING HAZARDOUS MATERIALS

SEVERITY = (MAGNITUDE - MITIGATION)

PROBABILITY RISK
DAMPAK PD DAMPAK PD DAMPAK PADA PREPARED- RESPON RESPON
MANUSIA BANGUNAN BISNIS NESS INTERNAL EKSTERNAL
KEJADIAN
Time,
Likelihood this will Possibility of Physical losses Interuption of Community/ Mutual
Preplanning effectivness, Relative threat*
occur death or injury and damages services Aid staff and supplies
resouces
0 = N/A
0 = N/A 0 = N/A 0 = N/A 1 0 = N/A 0 = N/A 0 = N/A
1 = Low
1 = Low 1 = Low = Low 2 = 1 = High 1 = High 1 = High
SCORE 2 = Moderate
2=
2 = Moderate Moderate 3 = 2 = Moderate 3 2 = Moderate 2 = Moderate 0 - 100%
Moderate
3 = High 3 = High High = Low or none 3 = Low or none 3 = Low or none
3 = High
Insiden besar yang
menyangkut Hazmat
1 2 2 2 2 2 2 22%

Insiden kecil yang 2 2 2 2 2 2 2 44%

menyangkut Hazmat
Terpapar bahan kimia, 2 1 2 2 1 1 2 33%
External
Tumpahan Skala Kecil- 1 3 2 3 3 2 2 28%
Sedang

1 2 2 2 2 2 2 22%
Tumpahan Skala besar
Teror yang terkait 1 2 1 2 2 2 2 20%
bahan kimia
Paparan Radiologi, 2 3 2 3 3 1 1 48%
Internal
Paparan Radiologi, 1 1 1 1 1 1 1 11%
External
Teror terkait dng 1 2 2 1 1 1 1 15%
Radiologi
AVERAGE 1.33 2.00 1.78 2.00 1.89 1.56 1.67 27%

*Threat increases with percentage.

RISK = PROBABILITY * SEVERITY
12
98 0.27 0.44 0.60

Hazardous Mat : 692491932.xlsx

 SUMMARY OF HAZARDS ANALYSIS

Total for Facility

Technological

Hazmat
Natural

Human
Probability 0.44 0.57 0.40 0.44 0.41

Severity 0.59 0.64 0.70 0.60 0.53

Hazard Specific Relative Risk:
0.26 0.36 0.28 0.27 0.22

Hazard Specific Relative Risk

1.00
Relative Threat to Facility

0.90
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

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

692491932.xlsx Summary
692491932.xlsx Summary