Natural hazard - Washington State Hospital Association

Report
Hazard Planning
for Hospitals
Large and Small
Darrell Ruby, CEM
Region 9 Coordinator
Today’s Discussion
• Emergency Planning.
• Hazard Vulnerability Analysis (HVA). What is
it, who does it, why?
• Why plan?
• Planning references.
– Federal, State, Local
• Getting started.
• HVA Tool.
Emergency Planning for Hospitals
• 5 W’s plus….
– Who should be involved?
– What are the requirements?
– When should you do it?
– Where do you begin?
– Why and How often?
– What resources do you use?
Whole Community – Unity of Effort
• Preparedness is a shared responsibility. Everyone
plays a role:
 Individuals and families, including those with disabilities or
others with access and functional needs
 Businesses and nonprofits
 Faith-based and community organizations
 Schools and academia
 Media outlets
 All levels of government
Risk-Driven, Capabilities-Based
• Natural hazards
• Pandemic influenza
• Technological and accidental
hazards
• Terrorist attacks
• Cyber attacks
Hazard Vulnerability Analysis (HVA)
Hospitals are required to conduct and annually review their Hazard Vulnerability
Analysis (HVA). The HVA provides a systematic approach to recognizing hazards
that may affect demand for the hospitals services or its ability to provide those
services. The risks associated with each hazard are analyzed to prioritize planning,
mitigation, response and recovery activities. The HVA serves as a needs
assessment for the Emergency Management program. This process should involve
community partners and be communicated to community emergency response
agencies.
It is important to note that cities and counties are also required to prepare HVAs;
the hospital HVA should consider hazards identified in the community plans that
may impact the hospital. In some communities the hospital and community HVAs
are developed together.
Also referred to as Hazard Identification and Vulnerability Analysis (HIVA)
or Threat and Hazard Identification and Risk Analysis (THIRA) ~ New
PPD - 8
Presidential Policy Directive (PPD) 8: National
Preparedness was released in March 2011 with the
goal of strengthening the security and resilience of
the United States through systematic preparation
for the threats that pose the greatest risk to the
security of the Nation. PPD-8 defines five mission
areas—Prevention, Protection, Mitigation,
Response, and Recovery—and mandates the
development of a series of policy and planning
documents to explain and guide the Nation’s
approach to ensuring and enhancing national
preparedness.
National Planning Frameworks
http://www.fema.gov/medialibrary/mediarec
ords/11954
National Preparedness Goal
• Prevention. Prevent, avoid or stop an imminent, threatened or
actual act of terrorism.
• Protection. Protect our citizens, residents, visitors, and assets
against the greatest threats and hazards in a manner that allows
our interests, aspirations, and way of life to thrive.
• Mitigation. Reduce the loss of life and property by lessening the
impact of future disasters.
• Response. Respond quickly to save lives, protect property and the
environment, and meet basic human needs in the aftermath of a
catastrophic incident.
• Recovery. Recover through a focus on the timely restoration,
strengthening and revitalization of infrastructure, housing and a
sustainable economy, as well as the health, social, cultural, historic
and environmental fabric of communities affected by a catastrophic
incident.
Mitigation Core Capabilities
The National Preparedness Goal
identified 31 core capabilities these are the distinct critical
elements needed to achieve
the goal.
Mitigation ~ Sustained actions taken to reduce or eliminate long-term risk to
life and property from hazards.* 44 CFR §201.2 Mitigation Planning - Definitions
CPG – 101: Developing and Maintaining
Emergency Operations Plans (EOP’s)
• This Guide provides
information and
instruction on the
fundamentals of planning
and their application
CPG – Comprehensive Preparedness Guide
CPG – 201: Developing and Maintaining
Emergency Operations Plans (EOP’s)
• Threat and Hazard Identification and Risk
Assessment (THIRA) guide provides a
comprehensive approach for identifying
and assessing risks and associated
impacts. It expands on existing local,
tribal, territorial, and state Hazard
Identification and Risk Assessments
(HIRAs) and other risk methodologies by
broadening the factors considered in the
process, incorporating the whole
community throughout the entire
process, and by accounting for important
community-specific factors
CPG – Comprehensive Preparedness Guide
CPG – 201: Threat and Hazard
Identification and Risk Assessment (THIRA)
Five Step Process
1. Identify the threats and hazards of concern - What could happen in
my community?
2. Give the threats and hazards context - Describe how a threat or
hazard could happen in my community, and when and where it could
happen.
3. Examine the core capabilities using the threats and hazards - How
would each threat or hazard affect the core capabilities identified in
the National Preparedness Goal?
4. Set capability targets - Using the information above, set the level of
capability a community needs to prevent, protect against, mitigate,
respond to, and recover from its risks.
5. Apply the results - Use the capability targets to decide how to use
resources from the Whole Community.
CPG – Comprehensive Preparedness Guide
Local Mitigation Planning Handbook
• Handbook highlights case
studies and tools for
community officials
providing practical guidance
on how to incorporate risk
reduction strategies into
existing local plans, policies,
codes, and programs that
guide community
development or
redevelopment patterns.
Task 5 – Conduct a Risk Assessment
Defining Risk Assessment
Illustrates the concept of risk as the relationship, or overlap, between hazards
and community assets. The smaller the overlap, the lower the risk.
Risk Assessment Terminology
• Natural hazard – source of harm or difficulty created
by a meteorological, environmental, or geological
event.
• Community assets – the people, structures, facilities,
and systems that have value to the community.
• Vulnerability – characteristics of community assets
that make them susceptible to damage from a given
hazard.
• Impact – the consequences or effects of a hazard on
the community and its assets
Risk Assessment Terminology
(Continued)
• Risk – the potential for damage, loss, or other
impacts created by the interaction of natural hazards
with community assets.
• Risk assessment – product or process that collects
information and assigns values to risks for the
purpose of informing priorities, developing or
comparing courses of action, and informing decision
making.
• Threat or human-caused incident – intentional
actions of an adversary, such as a threatened or
actual chemical or biological attack or cyber event.
References/Statutes **
• Revised Code of Washington, Chapters 38.10, 38.52, 43.21,
43.70
• Public Health Service Act
• Public Law 93-288, as amended, "The Robert T. Stafford
Disaster Relief and Emergency Assistance Act"
• National Response Framework (NRF)
• Public Law 107-188, Public Health Security Bioterrorism
Preparedness and
• Response Act 2002
• Public Law 107-296, Homeland Security Act 2002
• Federal Food, Drug and Cosmetic Act
** As identifed in the WA State CEMP, ESF 8 – Public Health and Medical Services
Joint Commission (aka JCAHCO)
• Mission: To continuously improve health care
for the public, in collaboration with other
stakeholders, by evaluating health care
organizations and inspiring them to excel in
providing safe and effective care of the
highest quality and value.
So now that we are all on the
same page……
Let’s look at a specific tool created
for hospitals.
Where do you start?
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 Time to marshal an on-scene response
2 Scope of response capability
3 Historical evaluation of response success
Issues to consider for human impact include, but are not limited to:
1 Potential for staff death or injury
2 Potential for patient death or injury
Issues to consider for property impact include, but are not limited to:
1 Cost to replace
2 Cost to set up temporary replacement
3 Cost to repair
Issues to consider for business impact include, but are not limited to:
1 Business interruption
2 Employees unable to report to work
3 Customers unable to reach facility
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
Issues to consider for preparedness include, but are not limited to:
1 Status of current plans
2 Training status
3 Insurance
4 Availability of back-up systems
5 Community resources
Issues to consider for internal resources include, but are not limited to:
1 Types of supplies on hand
2 Volume of supplies on hand
3 Staff availability
4 Coordination with MOB's
Issues to consider for external resources include, but are not limited to:
1 Types of agreements with community agencies
2 Coordination with local and state agencies
3 Coordination with proximal health care facilities
4 Coordination with treatment specific facilities
Threats/Hazards by Category
Natural Hazards
HAZARD AND VULNERABILITY ASSESSMENT TOOL
NATURALLY OCCURRING EVENTS
SEVERITY = (MAGNITUDE - MITIGATION)
PROBABILITY
HUMAN
IMPACT
PROPERTY
IMPACT
BUSINESS
IMPACT
PREPAREDNESS
INTERNAL
RESPONSE
EXTERNAL
RESPONSE
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= Lo w
2 = M o derate
3 = High
0 = N/A
1= Lo w
2 = M o derate
3 = High
0 = N/A
1= Lo w
2 = M o derate
3 = High
0 = N/A
1= Lo w
2 = M o derate
3 = High
0 = N/A
1= High
2 = M o derate
3 = Lo w o r no ne
0 = N/A
1= High
2 = M o derate
3 = Lo w o r no ne
0 = N/A
1= High
2 = M o derate
3 = Lo w o r no ne
0 - 100%
Hurricane
0
0
0
0
0
0
0
0%
Tornado
1
1
1
1
2
3
3
20%
Severe
Thunderstorm
1
1
1
1
1
2
2
15%
Snow Fall
3
2
1
2
1
2
2
56%
Blizzard
3
2
1
2
1
2
2
56%
EVENT
RISK
Ice Storm
2
2
1
2
2
2
2
41%
Earthquake
1
1
1
1
3
3
3
22%
Tidal Wave
0
0
0
0
0
0
0
0%
Temperature
Extremes
1
1
0
1
2
2
2
15%
Drought
1
1
0
0
3
3
3
19%
Flood, External
1
1
1
1
3
3
3
22%
Wild Fire
1
1
1
1
2
2
1
15%
Landslide
1
1
1
1
3
3
3
22%
Dam Inundation
0
0
0
0
0
0
0
0%
Volcano
1
1
1
1
3
3
3
22%
Epidemic
1
1
1
1
1
1
1
11%
AVERAGE SCORE
1.13
1.00
0.69
0.94
1.69
1.94
1.88
17%
*Threat increases with percentage.
RISK = PROBABILITY * SEVERITY
18
0.17
0.38
0.45
130
Technology Hazards
HAZARD AND VULNERABILITY ASSESSMENT TOOL
TECHNOLOGIC EVENTS
SEVERITY = (MAGNITUDE - MITIGATION)
PROBABILITY
EVENT
HUMAN
IMPACT
Likelihood this Possibility of
will occur
death or injury
SCORE
0 = N/A
1= Lo w
2 = M o derate
3 = High
0 = N/A
1= Lo w
2 = M o derate
3 = High
PROPERTY
IMPACT
BUSINESS
IMPACT
PREPAREDNESS
INTERNAL
RESPONSE
EXTERNAL
RESPONSE
RISK
Physical
losses and
damages
Interuption of
services
Preplanning
Time,
effectivness,
resouces
Community/
Mutual Aid staff
and supplies
Relative threat*
0 = N/A
1= Lo w
2 = M o derate
3 = High
0 = N/A
1= Lo w
2 = M o derate
3 = High
0 = N/A
1= High
2 = M o derate
3 = Lo w o r no ne
0 = N/A
1= High
2 = M o derate
3 = Lo w o r no ne
0 = N/A
1= High
2 = M o derate
3 = Lo w o r no ne
0 - 100%
Electrical Failure
Generator Failure
Transportation
Failure
Fuel Shortage
Natural Gas Failure
1
1
1
1
1
1
2
3
2
2
2
2
2
2
19%
20%
1
1
1
2
2
2
2
19%
1
1
1
1
1
1
3
3
2
2
2
2
2
2
20%
20%
Water Failure
Sewer Failure
1
1
1
1
1
1
3
2
2
2
2
2
2
2
20%
19%
Steam Failure
1
1
1
2
2
2
2
19%
Fire Alarm Failure
Communications
Failure
1
1
1
2
2
2
2
19%
2
1
1
2
2
2
2
37%
Medical Gas Failure
1
1
1
2
2
2
2
19%
1
1
1
2
2
2
2
19%
1
1
1
2
2
2
2
19%
1
1
1
3
2
2
2
20%
Medical Vacuum
Failure
HVAC Failure
Information Systems
Failure
Fire, Internal
1
1
1
3
2
2
2
20%
Flood, Internal
1
1
1
3
3
2
2
22%
Hazmat Exposure,
Internal
1
1
1
3
2
2
2
20%
Supply Shortage
1
1
1
2
1
2
2
17%
Structural Damage
1
1
2
2
3
2
2
22%
AVERAGE SCORE
1.05
1.00
1.05
2.42
2.05
2.00
2.00
21%
*Threat increases with percentage.
20
RISK = PROBABILITY * SEVERITY
200
0.21
0.35
0.58
Human Hazards
HAZARD AND VULNERABILITY ASSESSMENT TOOL
HUMAN RELATED EVENTS
SEVERITY = (MAGNITUDE - MITIGATION)
PROBABILITY
EVENT
HUMAN
IMPACT
Likelihood this Possibility of
will occur
death or injury
SCORE
Mass Casualty
Incident (trauma)
Mass Casualty
Incident
(medical/infectious)
0 = N/A
1= Lo w
2 = M o derate
3 = High
0 = N/A
1= Lo w
2 = M o derate
3 = High
RISK
PROPERTY
IMPACT
BUSINESS
IMPACT
PREPAREDNESS
INTERNAL
RESPONSE
EXTERNAL
RESPONSE
Physical
losses and
damages
Interuption of
services
Preplanning
Time,
effectivness,
resouces
Community/
Mutual Aid staff
and supplies
Relative threat*
0 = N/A
1= Lo w
2 = M o derate
3 = High
0 = N/A
1= High
2 = M o derate
3 = Lo w o r no ne
0 = N/A
1= High
2 = M o derate
3 = Lo w o r no ne
0 = N/A
1= High
2 = M o derate
3 = Lo w o r no ne
0 - 100%
0 = N/A
1= Lo w
2 = M o derate
3 = High
2
3
2
2
2
2
2
48%
1
3
2
2
1
2
2
22%
Terrorism, Biological
1
2
2
2
3
2
2
24%
VIP Situation
1
2
2
2
3
2
2
24%
Infant Abduction
1
3
1
2
1
2
1
19%
Hostage Situation
1
3
2
2
2
2
1
22%
Civil Disturbance
1
2
2
3
2
2
2
24%
Labor Action
1
3
1
3
2
2
2
24%
Forensic Admission
1
1
1
2
2
2
2
19%
Bomb Threat
1
2
2
2
3
2
2
24%
1.10
2.40
1.70
2.20
2.10
2.00
1.80
28%
AVERAGE
*Threat increases with percentage.
11
RISK = PROBABILITY * SEVERITY
122
0.28
0.37
0.75
Hazardous Materials
HAZARD AND VULNERABILITY ASSESSMENT TOOL
EVENTS INVOLVING HAZARDOUS MATERIALS
SEVERITY = (MAGNITUDE - MITIGATION)
PROBABILITY
EVENT
HUMAN
IMPACT
PROPERTY
IMPACT
BUSINESS
IMPACT
PREPAREDNESS
INTERNAL
RESPONSE
EXTERNAL
RESPONSE
Interuption of
services
Preplanning
Time,
effectivness,
resouces
Community/
Mutual Aid staff
and supplies
Relative threat*
0 = N/A
1= Lo w
2 = M o derate
3 = High
0 = N/A
1= Lo w
2 = M o derate
3 = High
0 = N/A
1= High
2 = M o derate
3 = Lo w o r no ne
0 = N/A
1= High
2 = M o derate
3 = Lo w o r no ne
0 = N/A
1= High
2 = M o derate
3 = Lo w o r no ne
0 - 100%
Likelihood this Possibility of Physical losses
will occur
death or injury and damages
SCORE
0 = N/A
1= Lo w
2 = M o derate
3 = High
0 = N/A
1= Lo w
2 = M o derate
3 = High
RISK
Mass Casualty
Hazmat Incident
(From historic events
at your MC with >= 5
victims)
1
2
3
3
2
2
2
26%
2
2
3
3
2
2
2
52%
1
3
2
2
3
2
2
26%
1
2
2
2
2
2
2
22%
1
3
2
2
2
2
2
24%
1
3
3
3
2
2
2
28%
1
3
3
3
2
2
2
28%
1
3
3
3
2
2
2
28%
1
3
3
3
2
2
2
28%
1.11
2.67
2.67
2.67
2.11
2.00
2.00
29%
Small Casualty
Hazmat Incident
(From historic events
at your MC with < 5
victims)
Chemical Exposure,
External
Small-Medium Sized
Internal Spill
Large Internal Spill
Terrorism, Chemical
Radiologic
Exposure, Internal
Radiologic
Exposure, External
Terrorism,
Radiologic
AVERAGE
*Threat increases with percentage.
10
127
RISK = PROBABILITY * SEVERITY
0.29
0.37
0.78
Summary of Hazards
Natural
Technological
Human
Hazmat
Total for Facility
SUMMARY OF MEDICAL CENTER HAZARDS ANALYSIS
Probability
0.38
0.35
0.37
0.37
0.36
Severity
0.45
0.58
0.75
0.78
0.60
Hazard Specific Relative Risk:
0.17
0.21
0.28
0.29
0.22
Hazard Specific Relative Risk to Medical Center
Relative Threat to Facility
1.00
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 to Medical Center
1.00
Relative Im pact on Facility
0.90
0.80
0.70
0.60
0.50
0.40
0.30
0.20
0.10
0.00
Probability
Severity
Best practices
Open Discussion
Lesson’s Learned
Links and Articles
•
•
•
California Hospital Association Website
http://www.calhospitalprepare.org/hazardvulnerability-analysis
Planning Resources for Hospitals - CDC
http://www.cdc.gov/phpr/healthcare/hospitals.htm
Strengthening HVA: Results of Research in Maine
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3056047/
•
Cyber hazards and health care organizations,
http://www.hitrustalliance.net/news/index.php?a=128
Thanks, for your time and
participation.
Contact info:
Darrell Ruby
[email protected]
509-477-3006
Back-ups
Natural Hazards
HAZARD AND VULNERABILITY ASSESSMENT TOOL
NATURALLY OCCURRING EVENTS
SEVERITY = (MAGNITUDE - MITIGATION)
PROBABILITY
HUMAN
IMPACT
PROPERTY
IMPACT
BUSINESS
IMPACT
PREPAREDNESS
INTERNAL
RESPONSE
EXTERNAL
RESPONSE
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*
0 = N/A
1= Lo w
2 = M o derate
3 = High
0 = N/A
1= Lo w
2 = M o derate
3 = High
0 = N/A
1= Lo w
2 = M o derate
3 = High
0 = N/A
1= Lo w
2 = M o derate
3 = High
0 = N/A
1= High
2 = M o derate
3 = Lo w o r no ne
0 = N/A
1= High
2 = M o derate
3 = Lo w o r no ne
0 = N/A
1= High
2 = M o derate
3 = Lo w o r no ne
0 - 100%
EVENT
SCORE
RISK
Hurricane
0%
Tornado
0%
Severe
Thunderstorm
0%
Snow Fall
0%
Blizzard
0%
Ice Storm
0%
Earthquake
0%
Tidal Wave
0%
Temperature
Extremes
0%
Drought
0%
Flood, External
0%
Wild Fire
0%
Landslide
0%
Dam Inundation
Volcano
0%
Epidemic
0%
AVERAGE SCORE
0.00
0.00
0.00
0.00
*Threat increases with percentage.
RISK = PROBABILITY * SEVERITY
0
0.00
0.00
0.00
0
0.00
0.00
0.00
0%
Technology Hazards
HAZARD AND VULNERABILITY ASSESSMENT TOOL
TECHNOLOGIC EVENTS
SEVERITY = (MAGNITUDE - MITIGATION)
PROBABILITY
EVENT
HUMAN
IMPACT
Likelihood this Possibility of
will occur
death or injury
SCORE
0 = N/A
1= Lo w
2 = M o derate
3 = High
0 = N/A
1= Lo w
2 = M o derate
3 = High
PROPERTY
IMPACT
BUSINESS
IMPACT
PREPAREDNESS
INTERNAL
RESPONSE
EXTERNAL
RESPONSE
RISK
Physical
losses and
damages
Interuption of
services
Preplanning
Time,
effectivness,
resouces
Community/
Mutual Aid staff
and supplies
Relative threat*
0 = N/A
1= Lo w
2 = M o derate
3 = High
0 = N/A
1= Lo w
2 = M o derate
3 = High
0 = N/A
1= High
2 = M o derate
3 = Lo w o r no ne
0 = N/A
1= High
2 = M o derate
3 = Lo w o r no ne
0 = N/A
1= High
2 = M o derate
3 = Lo w o r no ne
0 - 100%
Electrical Failure
Generator Failure
Transportation
Failure
Fuel Shortage
Natural Gas Failure
0%
0%
Water Failure
Sewer Failure
0%
0%
Steam Failure
0%
Fire Alarm Failure
Communications
Failure
0%
Medical Gas Failure
0%
0%
0%
0%
0%
Medical Vacuum
Failure
HVAC Failure
Information Systems
Failure
Fire, Internal
0%
0%
0%
0%
Flood, Internal
0%
Hazmat Exposure,
Internal
0%
Supply Shortage
0%
Structural Damage
0%
AVERAGE SCORE
0.00
0.00
0.00
0.00
*Threat increases with percentage.
0
RISK = PROBABILITY * SEVERITY
0
0.00
0.00
0.00
0.00
0.00
0.00
0%
Human Hazards
HAZARD AND VULNERABILITY ASSESSMENT TOOL
HUMAN RELATED EVENTS
SEVERITY = (MAGNITUDE - MITIGATION)
PROBABILITY
EVENT
HUMAN
IMPACT
Likelihood this Possibility of
will occur
death or injury
SCORE
0 = N/A
1= Lo w
2 = M o derate
3 = High
0 = N/A
1= Lo w
2 = M o derate
3 = High
RISK
PROPERTY
IMPACT
BUSINESS
IMPACT
PREPAREDNESS
INTERNAL
RESPONSE
EXTERNAL
RESPONSE
Physical
losses and
damages
Interuption of
services
Preplanning
Time,
effectivness,
resouces
Community/
Mutual Aid staff
and supplies
Relative threat*
0 = N/A
1= Lo w
2 = M o derate
3 = High
0 = N/A
1= High
2 = M o derate
3 = Lo w o r no ne
0 = N/A
1= High
2 = M o derate
3 = Lo w o r no ne
0 = N/A
1= High
2 = M o derate
3 = Lo w o r no ne
0 - 100%
0 = N/A
1= Lo w
2 = M o derate
3 = High
Mass Casualty
Incident (trauma)
Mass Casualty
Incident
(medical/infectious)
0%
0%
Terrorism, Biological
0%
VIP Situation
0%
Infant Abduction
0%
Hostage Situation
0%
Civil Disturbance
0%
Labor Action
0%
Forensic Admission
0%
Bomb Threat
0%
AVERAGE
0.00
0.00
0.00
0.00
*Threat increases with percentage.
0
RISK = PROBABILITY * SEVERITY
0
0.00
0.00
0.00
0.00
0.00
0.00
0%
Hazardous Materials
HAZARD AND VULNERABILITY ASSESSMENT TOOL
EVENTS INVOLVING HAZARDOUS MATERIALS
SEVERITY = (MAGNITUDE - MITIGATION)
PROBABILITY
EVENT
HUMAN
IMPACT
PROPERTY
IMPACT
Likelihood this Possibility of Physical losses
will occur
death or injury and damages
SCORE
0 = N/A
1= Lo w
2 = M o derate
3 = High
0 = N/A
1= Lo w
2 = M o derate
3 = High
0 = N/A
1= Lo w
2 = M o derate
3 = High
BUSINESS
IMPACT
PREPAREDNESS
INTERNAL
RESPONSE
EXTERNAL
RESPONSE
RISK
Interuption of
services
Preplanning
Time,
effectivness,
resouces
Community/
Mutual Aid staff
and supplies
Relative threat*
0 = N/A
1= Lo w
2 = M o derate
3 = High
0 = N/A
1= High
2 = M o derate
3 = Lo w o r no ne
0 = N/A
1= High
2 = M o derate
3 = Lo w o r no ne
0 = N/A
1= High
2 = M o derate
3 = Lo w o r no ne
0 - 100%
Mass Casualty
Hazmat Incident
0%
(From historic events
at your MC with >= 5
victims)
Small Casualty
Hazmat Incident
0%
(From historic events
at your MC with < 5
victims)
Chemical Exposure,
External
Small-Medium Sized
Internal Spill
Large Internal Spill
0%
0%
0%
0%
Terrorism, Chemical
Radiologic
Exposure, Internal
Radiologic
Exposure, External
Terrorism,
Radiologic
AVERAGE
0%
0%
0%
0.00
0.00
0.00
0.00
*Threat increases with percentage.
0
0
RISK = PROBABILITY * SEVERITY
0.00
0.00
0.00
0.00
0.00
0.00
0%
Summary of Hazards
Natural
Technological
Human
Hazmat
Total for Facility
SUMMARY OF MEDICAL CENTER HAZARDS ANALYSIS
Probability
0.00
0.00
0.00
0.00
0.00
Severity
0.00
0.00
0.00
0.00
0.00
Hazard Specific Relative Risk:
0.00
0.00
0.00
0.00
0.00
Hazard Specific Relative Risk to Medical Center
Relative Threat to Facility
1.00
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 to Medical Center
1.00
Relative Im pact on Facility
0.90
0.80
0.70
0.60
0.50
0.40
0.30
0.20
0.10
0.00
Probability
Severity

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