Escolar Documentos
Profissional Documentos
Cultura Documentos
___ Yes
___ No
a. If yes, is it:
i. ____ Standby
ii. ____ Basic
iii. ____ Comprehensive
b. If yes, are you a designated trauma center?
___ Yes
___ No
5. If power to the hospital is curtailed, approximately what percent of the following services would
be available through the use of diesel backup generators?
a.
b.
c.
d.
_______%
_______%
_______%
_______%
Page 2
6. What percent of the following beds/services in your hospital are in OSHPD Structural
Performance Category 1 (SPC-1) buildings and SPC-2 buildings?
a.
b.
c.
d.
SPC-1
_______%
_______%
_______%
_______%
SPC-2
_______%
_______%
_______%
_______%
___ Yes
___ No
___ Yes
___ Yes
___ No
___ No
Page 3
______________________________________________________________________________
15. Did your facility have any system or equipment failures as a result of one or more running backup
generators starting, but turning off, before utility power returned?
___ Yes
___ No
a. If yes, please explain:
_______________________________________________________________________
_______________________________________________________________________
__
16. If you did experience a backup generator failure, what basic and critical services were affected?
______________________________________________________________________________
17. Did you have adequate fuel on-site for the generators?
___ Yes
___ No
___ Yes
___ No
Page 4
Page 5
___ Yes
___ No
___ Yes
___ No
___ Yes
___ No
___ Yes
___ Yes
___ No
___ No
___ Yes
___ No
___ Yes
___ No
___ Yes
___ No
Page 6
___ Yes
___ No
Page 7
Part 3: Other
1. Does your facility have a designated landing zone for helicopters?
___ Yes
___ No
a. If yes,
ii. What is the weight capacity?
___________________________________________
iii. What aircraft are rated for this landing zone?
______________________________
iv. Is the landing zone at ground level?
_____________________________________
b. If no,
v. Is there an alternate location nearby for helicopter landing?
vi. Describe:
_________________________________________________________________
_________________________________________________________________