INCIDENT EFFECT

PROBABILITY INCIDENT
Likelihood this will occur Possibility of death or injury Amount of property severly damaged

PREPAREDNESS
DURATION PLANNING TRAINING EQUIPMENT
Staff trained and equipped

HUMAN IMPACT

PROPERTY IMPACT

FACILITY IMPACT

WARNING TIME

RISK
Relative Threat

Complete Emergency interruption / Incident Time incident may Management / shutdown of anticipation time continue Operations Plan facility or services 4 = No EMP or EOP

4 = Highly Likely (probable within this year)

4 = Multiple deaths

4 = >50%

4 = >30 days

4 = <6 hours

4 = >1 week

4 = staff not trained on EOP 3 = some staff trained, no equipment 2 = most staff trained, some equipment

7.00 - 7.4 = Very High

3 = Likely 3 = Injuries result (probable within 3 in permanent years) disability 2 = Possible (probable within 5 years) 1 - Unlikely (probable within 10 years) 2 = Injuries do not result in permanent disability 1 = Injuries treatable with first aid

3 = 25-50%

3 = >2 weeks

3 = 6-12 hours

3 = <1 week

3 = EMP/EOP partially complete

5.27 - 7.00 = High

2 = 10-25%

2 = >1 week

2 = 12-24 hours

2 = <1 day

2 = EMP/EOP complete

3.56 - 5.27 = Moderate

1 = <10%

1 = 24 hours or less

1 = 24+ hours

1 = <6 hours

1 = EMP/EOP 1 = Anticipated 1.85 - 3.56 = exercised and/or staff trained and Low evaluated properly equipped

Bomb Threat Workplace Violence Tornado Severe Thunderstorm Winter Storm (Ice, Snow, Low temperatures) Flood Fire Power Outage Info Systems Failure HVAC Failure

3 3

1 3

1 1

1 2

4 4

2 2

1 2

1 2

3.30 4.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

Water Service Failure Phone Service Failure Medical Gas Failure Medical Vacuum Failure Disease Outbreak Mass Casualty Incident Hazmat Exposure Supply Shortage VIP Situation Infant Abduction Average Score

0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.39

3.00

2.00

1.00

1.50

4.00

2.00

1.50

1.50

Kansas Hospital HVA Gap Analsis Event (From HVA tool) Risk Score Vulnerability (From HVA tool) (For example: no plan, no exercise, no equipment, no training) Improvement Action Responsible Individual (For example: revise plan, purchase equipment, additional training, exercise) Example: The facility is Example: James Handsome going to contract for parking lot snow removal. The procedure for contacting the snow removal contractor and contact information for the contractor will be written into a standard operating guide and referenced in the plan for winter storms. Example: Additional chemical cartridges with a protection factor for gasoline and fuels, should be purchased. Twelve additional replacement cartridges should be purchased for the BE-10. Example: James Handsome

Example: Winter storm Example: 6

Example: The facility does not have the equipment or a plan to have the parking lots cleared of snow.

Example: Chemical Event (gasoline)

Example: 3

Example: The chemical cartridges for the PAPRs have expired.