Stanford University Medical Center Hazard and Vulnerability Analysis

INSTRUCTIONS: Issues to consider for

1
Evaluate potential for event and response among the following categories using 2
the hazard specific scale. Assume each event incident occurs at the worst 3
possible time (e.g. during peak patient loads). 4
5
Please note specific score criteria on each work sheet to ensure accurate recording.

Issues to consider for probability include, but are not limited to: Issues to consider for
1 Known risk 1
2 Historical data 2
3 Manufacturer/vendor statistics 3
4
Issues to consider for response include, but are not limited to: 5
1 Time to marshal an on-scene response 6
2 Scope of response capability
3 Historical evaluation of response success Issues to consider for
1
Issues to consider for human impact include, but are not limited to: 2
1 Potential for staff death or injury 3
2 Potential for patient death or injury 4
5
Issues to consider for property impact include, but are not limited to:
1 Cost to replace Complete all worksheets i
2 Cost to set up temporary replacement The summary section will
3 Cost to repair
4 Time to recover

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
8 Reputation and public image
9 Financial impact/burden

© 2001 Kaiser Foundation Health Plan, Inc. CONFIDENTIAL PROTECTED BY CAL. EVID. CODE SECTION 115 7 422766085.xlsx
Issues to consider for preparedness include, but are not limited to:
Status of current plans
Frequency of drills
Training status
Insurance
Availability of alternate sources for critical supplies/services

Issues to consider for internal resources include, but are not limited to:
Types of supplies on hand/will they meet need?
Volume of supplies on hand/will they meet need?
Staff availability
Coordination with MOB's
Availability of back-up systems
Internal resources ability to withstand disasters/survivability

Issues to consider for external resources include, but are not limited to:
Types of agreements with community agencies/drills?
Coordination with local and state agencies
Coordination with proximal health care facilities
Coordination with treatment specific facilities
Community resources

Complete all worksheets including Natural, Technological, Human and Hazmat.

The summary section will automatically provide your specific and overall relative threat.

© 2001 Kaiser Foundation Health Plan, Inc. CONFIDENTIAL PROTECTED BY CAL. EVID. CODE SECTION 115 7 422766085.xlsx
 SHC - LPCH UTILITIES HAZARD AND VULNERABILITY ASSESSMENT TOOL

SEVERITY = (MAGNITUDE - MITIGATION)

PROBABILITY AVAILABILITY OF RISK
PROPERTY CONTINGENCY IN CURTAILMENT ALTERNATE
HUMAN IMPACT BUSINESS IMPACT MEETS 96 HRS EMERGENCY
IMPACT PLACE PLAN IN PLACE CONECTION
EVENT SOURCE
Likelihood this will Possibility of death or Physical losses and
Interruption of services Mitigitaion elemnts ranks as either having them in place or not. Relative threat*
occur injury damages
0 = N/A 1= 0 = N/A 1= 0 = N/A 1 0 = N/A 1
Low 2= Low 2= = Low 2= = Low 2= 1 = Yes 2= 1 = Yes 2 = No 1 = Yes 2= 1 = Yes 2= 1 = Yes 2 = No
SCORE Moderate 3= Moderate 3= Moderate 3= Moderate 3= No No No 0 - 100%
High High High High

HVAC Failure 2 1 1 2 2 2 1 2 2 39%

Power 2 2 1 3 1 1 1 1 1 35%
Generator Failure 1 3 1 3 2 1 1 1 1 21%
Medical Gas Failure 1 3 1 3 2 1 1 1 1 21%
Steam 1 1 1 3 2 1 1 2 2 19%
Water Domestic 1 2 1 3 1 1 1 1 1 18%
Natural Gas Failure 1 1 1 1 2 1 1 2 2 16%
Water Sewer 1 1 1 1 2 1 1 2 2 16%
Water Chilled 1 1 1 1 2 1 1 1 1 14%
Vacuum 1 1 1 1 1 2 1 1 1 14%
AVERAGE 1.20 1.60 1.00 2.10 1.70 1.20 1.00 1.40 1.40 46%

RISK = PROBABILITY * SEVERITY

0.46 0.40 1.14

Utility HVA
0% 5% 10% 15% 20% 25% 30% 35% 40% 45%

HVAC Failure

Power

Generator Failure

Medical Gas Failure

Relative Risk = 100%
Steam

Water Domestic

Natural Gas Failure

Water Sewer

Water Chilled

Vacuum