Hazard and Vulnerability Analysis Hazard and Vulnerability Analysis

This document is a sample Hazard Vulnerability Analysis tool. It is not a Issues to consider for preparedness include, but are not limited to:
substitute for a comprehensive emergency preparedness program. Individuals or 1 Status of current plans
organizations using this tool are solely responsible for any hazard assessment and 2 Frequency of drills
compliance with applicable laws and regulations. 3 Training status
4 Insurance
INSTRUCTIONS: 5 Availability of alternate sources for critical supplies/services
Evaluate potential for event and response among the following categories using
the hazard specific scale. Assume each event incident occurs at the worst Issues to consider for internal resources include, but are not limited to:
possible time (e.g. during peak patient loads). 1 Types of supplies on hand/will they meet need?
2 Volume of supplies on hand/will they meet need?
Please note specific score criteria on each work sheet to ensure accurate recording. 3 Staff availability & training
4 Coordination with MOB's
Issues to consider for probability include, but are not limited to: 5 Availability of back-up systems
1 Known risk 6 Internal resources ability to withstand disasters/survivability
2 Historical data
3 Manufacturer/vendor statistics Issues to consider for external resources include, but are not limited to:
4 Subjective evaluation/best estimate 1 Types of agreements with community agencies/drills?
5 Local Emergency Planning Committee input 2 Coordination with local and state agencies
3 Coordination with proximal health care facilities
Issues to consider for response include, but are not limited to: 4 Coordination with treatment specific facilities
1 Time to marshal an on-scene response 5 City/County EMS services capabilities
2 Scope of response capability/staff training 6 Community volunteers/training
3 On site support resources/supplies 7 Vendor Pre-incident response plans/contracts
4 Estimated severity & duration of the incident 8 Other community resources
5 Historical evaluation of response success
6 Local Emergency Planning Committee input

Issues to consider for human impact include, but are not limited to: Complete all worksheets including Natural, Technological, Human and Hazmat.
1 Potential for staff death or injury The summary section will automatically provide your specific and overall relative threat.
2 Potential for patient/visitor death or injury
3 Emotional/psychological impact
4 Local cultural norms

Issues to consider for property impact include, but are not limited to: Notes:
1 Cost to replace a. Plan not yet developed
2 Cost to set up temporary replacement b. Plan approved
3 Cost to repair c. Training program developed
4 Time to recover d. Support materials not on hand
e. Support materials on hand
Issues to consider for business impact include, but are not limited to: f. Staff trained
1 Business interruption g. Drill/Exercise conducted
2 Employees unable to report to work h. Goals Not Met
3 Customers unable to reach facility i. Goals Met
4 Company in violation of contractual agreements /P = Partial
5 Company in violation of regulatory standards
6 Imposition of fines and penalties or legal costs Note:
7 Interruption of critical supplies Coordinated with City of Santa Clarita, Emergency Preparedness Coordinator - 2/05/2004
8 Interruption of product distribution Coordinated with LA County Sheriff, Emergency Preparedness Coordinator
9 Reputation and public image Coordinated with LA Fire Department, HazMat Emergency Preparedness Coordinator
10 Financial impact/burden

HVAlDetailedHM.xls
 HAZARD AND VULNERABILITY ASSESSMENT TOOL
NATURALLY OCCURRING EVENTS

SEVERITY = (MAGNITUDE - MITIGATION)

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

Blizzard 0 2 2 3 2 2 3 0%
Drought 1 2 2 2 2 2 2 22%
Dust/Sand Storm 1 1 2 1 3 3 3 24%
Earthquake, >6
3 3 3 3 3 3 2 94%
Local
Epidemic/Natural 2 3 2 3 3 3 2 59%
Flood, Local 2 3 3 3 3 3 2 63%
Hurricane 0 0 0 0 0 0 0 0%
Ice Storm 1 3 2 3 3 3 3 31%
Infectious Disease
1 3 3 3 3 3 2 31%
(SARS, etc.)
Landslide 1 1 2 2 3 3 2 24%
Severe
1 1 1 1 2 2 2 17%
Thunderstorm
Snow/Ice/Hail Storm 2 2 2 2 3 3 3 56%

Temperature
1 1 1 1 2 2 2 17%
Extremes
Tsunami -
0 0 0 0 0 0 0 0%
Tidal Wave
Tornado 0 0 0 0 0 0 0 0%
Volcano 0 0 0 0 0 0 0 0%
Wild Fire 2 3 2 3 3 3 2 59%

AVERAGE SCORE 1.06 1.65 1.59 1.76 2.06 2.06 1.76 21%
*Threat increases with percentage.
* Events in Bold have occurred previously

18 RISK = PROBABILITY * SEVERITY

Natural Hazards : HVAlDetailedHM.xls
185 0.21 0.35 0.60
 HAZARD AND VULNERABILITY ASSESSMENT TOOL
TECHNOLOGIC EVENTS
SEVERITY = (MAGNITUDE - MITIGATION)
PROBABILITY HUMAN PROPERTY BUSINESS PREPARED- INTERNAL EXTERNAL RISK
EVENT Notes
IMPACT IMPACT IMPACT NESS RESPONSE RESPONSE
Time, Community/
Likelihood this Possibility of Physical losses Interruption of
Preplanning effectiveness, Mutual Aid staff Relative threat*
will occur death or injury and damages services
resources and 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
SCORE
2 = Moderate 2 = Moderate 2 = Moderate 2 = Moderate 2 = Moderate 2 = Moderate 2 = Moderate
0 - 100%
3 = High 3 = High 3 = High 3 = High 3 = Low or none 3 = Low or none 3 = Low or none

Community
Air Plane Crash,
3 2 3 2 2 1 24%
Commercial 1
Biological Incident 1 3 2 3 3 3 2 30%
Chemical Incident 2 2 2 3 3 3 3 59%
Dam/Levee Failure 1 3 3 3 3 3 2 31%
Dirty Bomb 1 3 3 3 3 3 2 31%
Electrical Service
2 1 2 1 1 1 44%
Failure - Commercial 3
Explosion 1 2 2 2 2 2 1 20%
Fire -Large 1 3 3 3 3 3 2 31%
Natural Gas Loss 1 3 2 3 3 2 2 28%
Phone/Data Service 2 1 1 2 1 1 1 26%
Radiological Incident 2 3 3 3 3 3 2 63%

Sewer System Loss 1 1 2 2 2 2 1 19%

Strike/Transportation 1 1 1 1 1 1 1 11%
Water Contamination 1 3 2 3 2 2 2 26%
Water Loss - City 2 3 3 3 2 2 1 52%
Train Derailment 2 2 2 2 2 2 2 44%
Internal
Biological/Infection
3 1 2 1 3 2 67%
Control 3
Communications
1 1 2 2 2 1 17%
Systems Failure 1
Chemical Spill or
2 2 2 3 3 1 48%
Release 2
Commerical Power
1 1 1 1 1 2 39%
Failure 3
Data System Failure 3 1 1 1 1 1 1 33%
Electrical Distribution
2 2 2 2 2 1 41%
Failure - Internal 2
Emergency Alarms -
Not Clearly Heard in 2 2 2 3 3 1 72%
all areas 3
Evacuation Route
1 1 2 2 3 2 61%
Hazards 3
Facility Design/
1 1 1 2 2 1 30%
Construction Hazards
2
Fire Alarm Failure 1 3 3 3 2 2 1 26%
Fire, Internal 1 3 3 3 2 2 1 26%
Fire Watch
Flood, Internal 2 3 3 3 3 3 1 59%
Fuel Shortage 1 3 3 3 3 3 1 30%
Generator Failure 1 3 3 3 3 3 1 30%
Hazmat Exposure,
2 1 3 3 3 1 48%
Internal 2
HVAC Failure 1 2 1 2 2 2 2 20%
Information Systems
1 1 2 2 2 1 50%
Failure 3
Medical Gas Failure 2 3 1 3 2 3 3 56%
Medical Vacuum
2 1 2 2 3 2 44%
Failure 2
Mold/Mildew Growth 3 2 2 2 2 2 3 72%
Natural Gas Failure 1 1 1 2 2 2 2 19%
Radiological Incident 1 1 1 1 3 3 1 19%
Sewer Failure 1 0 2 2 3 3 1 20%
Sick Building
2 2 2 2 2 1 20%
Syndrome 1
Steam Failure 1 1 1 1 2 2 1 15%
Storage of
1 2 2 2 2 1 37%
Combustibles 2
Structural Damage 1 1 1 2 2 1 1 15%
Supply Shortage 2 2 1 3 2 2 1 41%
Transportation Failure 1 1 1 2 2 1 15%
1
Water Delivery System
3 3 1 2 2 2 1 61%
Failure
AVERAGE SCORE 1.66 1.96 1.72 2.19 2.15 2.21 1.40 36%
*Threat increases with percentage.
* Events in Bold have occurred previously
* Identify nearby sites & hazards where an off site spill/release could put the hospital within the chemical/radiological plume

78 RISK = PROBABILITY * SEVERITY

547 0.36 0.55 0.65

Technological Hazards : HVAlDetailedHM.xls

 HAZARD AND VULNERABILITY ASSESSMENT TOOL
HUMAN RELATED EVENTS

SEVERITY = (MAGNITUDE - MITIGATION)

PROBABILITY HUMAN PROPERTY BUSINESS PREPARED- INTERNAL EXTERNAL RISK
Notes
EVENT IMPACT IMPACT IMPACT NESS RESPONSE RESPONSE
Time, Community/
Likelihood this Possibility of Physical losses Interruption of
Preplanning effectiveness, Mutual Aid staff Relative threat*
will occur death or injury and damages services
resources and 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
SCORE
2 = Moderate 2 = Moderate 2 = Moderate 2 = Moderate 2 = Moderate 2 = Moderate 2 = Moderate
0 - 100%
3 = High 3 = High 3 = High 3 = High 3 = Low or none 3 = Low or none 3 = Low or none
Addolesent Kindnap 1 3 0 3 2 2 1 20%
Assultave Behavior 3 2 0 1 2 2 1 44%
Assultave Behavior
1 3 1 1 3 3 1 22%
w/Weapon
Bomb Threat 3 1 1 1 3 2 1 50%
Bomb Explosion,
1 3 3 3 3 3 2 31%
Internal
Civil Disturbance 1 1 1 1 2 2 2 17%
Dirty Bomb 1 3 3 3 3 3 3 33%
Employee Abduction 1 3 0 1 3 3 1 20%
Facility Lock Down 2 1 3 3 3 3 2 56%

Forensic Admission 3 1 0 0 2 2 1 33%

Hostage Situation 1 3 1 3 3 3 1 26%

Infant Abduction 1 1 1 3 2 2 2 20%

Labor Action, Internal 1 2 1 3 3 3 2 26%

Labor Action, External 1 0 0 1 1 1 1 7%

Mass Evacuation LA
1 3 1 2 3 3 3 28%
Area

Mass Casualty Incident

2 2 1 3 3 2 2 48%
(medical/infectious)

Mass Casualty Incident

1 2 1 3 3 3 2 26%
(trauma)

Search & Rescue 1 2 2 2 3 3 1 24%

VIP Situation 1 0 0 1 2 2 0 9%

Workplace Violence -
1 1 1 3 2 2 1 19%
Other

AVERAGE 1.40 1.85 1.05 2.05 2.55 2.45 1.50 30%

*Threat increases with percentage.

* Events in Bold have occurred previously

18 RISK = PROBABILITY * SEVERITY

163 0.30 0.47 0.64
Human Hazards : HVAlDetailedHM.xls
 HAZARD AND VULNERABILITY ASSESSMENT TOOL
HAZARDOUS MATERIALS EVENTS
SEVERITY = (MAGNITUDE - MITIGATION)
PROBABILITY HUMAN PROPERTY BUSINESS PREPARED- INTERNAL EXTERNAL RISK
EVENT Notes
IMPACT IMPACT IMPACT NESS RESPONSE RESPONSE
Time, Community/
Likelihood this Possibility of Physical losses Interruption of
Preplanning effectiveness, Mutual Aid staff Relative threat*
will occur death or injury and damages services
resources and 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
SCORE
2 = Moderate 2 = Moderate 2 = Moderate 2 = Moderate 2 = Moderate 2 = Moderate 2 = Moderate
0 - 100%
3 = High 3 = High 3 = High 3 = High 3 = Low or none 3 = Low or none 3 = Low or none

Chemical Exposure,
/Cloud From External 2 3 2 3 3 3 2 59%
Source (Fwy, Rail,
Plant, etc)
Hazmat Incident Mass
Casualty (From historic
1 3 1 3 3 3 1 26%
events at your MC with
>= 5 victims)
Hazmat Incident Small
Size (From historic
events at your MC with <
1 1 1 1 2 3 2 19%
5 victims)
Large Internal Spill or
Release 1 2 2 1 3 3 1 22%
Radiologic Exposure,
External 1 1 1 1 2 2 2 17%
Radiologic Exposure,
Internal 1 0 1 1 2 2 2 15%
Shelter in Place 1 1 2 3 3 3 2 26%
Small-Medium Sized
Internal Spill 2 1 2 2 3 3 1 44%

Terrorism, Biological 1 3 1 3 3 3 1 26%

Terrorism, Blast 1 2 0 3 3 3 2 24%
Terrorism, Chemical 1 3 2 3 3 3 2 30%

Terrorism, Radiologic 1 1 1 2 3 3 2 22%

AVERAGE 1.17 1.75 1.33 2.17 2.75 2.83 1.67 27%

*Threat increases with percentage.

* Events in Bold have occurred previously

RISK = PROBABILITY * SEVERITY

12
134 0.27 0.39 0.69
Hazardous Materials : HVAlDetailedHM.xls
 SUMMARY OF MEDICAL CENTER HAZARDS ANALYSIS

Total for Facility

Technological

Hazmat
Natural

Human
Probability 0.35 0.55 0.47 0.39 0.44

Severity 0.60 0.65 0.64 0.69 0.60

Hazard Specific Relative Risk: 0.21 0.36 0.30 0.27 0.26

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
Probability
0.50
Severity
0.40
0.30
0.20
0.10
0.00
Probability Severity

This document is a sample Hazard Vulnerability Analysis tool. It is not a substitute 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.

Key to Notes:
a. Plan not yet developed
b. Plan approved
c. Training program developed
d. Support materials not on hand
e. Support materials on hand
f. Staff trained
g. Drill/Exercise conducted
h. Goals Not Met
i. Goals Met
/P = Partial
x. No hazard specific response will be developed at this time

Based upon a review of the above assessment by the Emergency Preparedness Committee, Safety Committee and
Administration the following vulnerabilities have been identified for improvement during this year.

Vulnerability Improvement goal measured by: Projected Date:

1. Disaster Response Plan difficult to use effectively - poor design
Publish a HEICS Disaster Plan

2. Disaster specific response plans need to be expanded and easier to follow in an emergency
Publish effective disaster specific plans

3. Staff are not trained to effectively respond to a significant disaster

Conduct a multiagency table top exercise using the new HEICS plan using blast scenarios

Conduct quarterly mini disaster drills based on high risk scenarios

Quarterly
Conduct facility wide disaster exercise based on a high risk scenarios & HEICS

Note: Scenarios to be developed using hazards identified in this Hazard Vulnerability Analysis

Participate in City/County wide exercise. Scenarios to be developed by local government

HVAlDetailedHM.xls HVA Summary

Disaster Preparedness Overview - Assessment Questionnaire
Does the facility have an effective Disaster Manual utilizing ICS/HEICS?
Does the facility have a variety of disaster specific plans in the disaster manual?
Has every department identified potential serious department hazards? (fire, chemicals, workplace violence, equipment/process related, infection control, etc.)
Do departments have supporting department specific plans for each likely hazard?
Does every department have quick access to a cache of appropriate disaster supplies?
Are all staff effectively trained to correctly implement response plans 24/7?
Are Travelers & Temps trained sufficiently to identify hazards and report them correctly? Assigned a buddy to help them to respond correctly?

Incident Commander/Emergency Operations Center preparedness.

Have House Supervisors and Administrators who will likely serve as Incident Commanders been trained to implement and utilize ICS/HEICS effectively?
Is the Emergency Operations Center (and alternate EOC) designed to work effectively with short/no notice incident?
Does the IC and EOC staff have an effective emergency operations manual to help identify critical incident specific responses?
High level response plans, checklists, report forms, wall charts, key vendor & government 24 hour contact numbers?
PIO prepared a series of incident specific media releases preformatted to speed fast and effective releases?
PIO prepared a series of incident specific internal employee releases to speed fast and effective communications?
Alternate communications systems available (ham radio, pay phones, cell phones, fax, data services, etc.)?
Key utility drawings immediately available to House Supervisor, local Fire Department, contractors 24/7?

Have potential in-house disaster locations been identified?

Chemical spill/release areas? Areas to handle large patient overflow/surge?
Radiological? Staff Shelter Management?
Hostage? Alternate EOC location?
Explosion/Blast? Temporary patient service areas - in case of facility damage
Confined space?
Other?

Has the facility identified likely local industries capable of producing large number of causalities been identified?
Identified by location/industry chemical specific, crush, explosion, release, biological, etc.?
Have extremely hazardous materials in the community been identified by location?
Identified hazards in close proximity that could require Facility Lock Down or Shelter in Place?

Are there staff trained to safely and effectively handle hazardous materials incidents?
Appropriate PPE immediately available?
Decon facilities easily set up 24/7?
MSDS & Decon/Patient care protocols available 24/7?
Staff OSHA HazWoper standard, paragraph (q) trained to protect the facility, themselves and other patients/visitors?
Staff trained in selection/use of respirators?
Staff trained to handle acts of terrorism (biological, chemical, radiological, blast injuries)?
Incident Commanders HazWoper Trained?

House Supervisor, Plant Ops., Security and others trained to implement Facility Lock Down and Shelter in Place 24/7?

Vendors included in disaster response program (critical supplies & services) 24/7?
Facilities repair, off site data centers, commercial hazmat clean up, medical supply vendors, etc.?

Facility cache of critical response materials established outside the facility?

Separate building, 40 ft shipping container, etc.?

Hundred and five hundred year flood plain maps from local flood district have been reviewed?

Local flood inundation (dam failure) flood areas in local community identified (Flood Control District & Corps of Engineers)

Facility Disaster Recovery Plan ready to implement?

Staff trained in evacuation procedures?

When to evacuate vs. when to shelter in place?
How to move patients safely in an emergency evacuation horizontally and vertically?
Establish priorities and techniques for patient evacuation?
Understand Shelter In Place techniques and when to implement?
Understand Fire/Smoke Compartments and how to utilize them effectively?
Understand area bomb search techniques and reporting responsibilities for a bomb threat?
Know how to sign doors/compartments that have been searched?
Understand limits on implementing Search & Rescue without proper training and life support materials?

Other:

Table Math
Average score of each column is sum of the column divided by the total number of events
Probability divisor is 3 times the number of events (each event can be scored up to a 3)
Severity divisor is the number of events times 3 (highest possible score) times 6 (the number of severity ratings per event)