INCIDENT EFFECT
PROBABILITY
PROPERTY
IMPACT
FACILITY
IMPACT
Likelihood this will
occur
Possibility of
death or injury
Amount of
property severly
damaged
Complete
interruption /
shutdown of
facility or services
4 = Highly Likely
(probable within
this year)
4 = Multiple
deaths
4 = >50%
4 = >30 days
4 = <6 hours
3 = 25-50%
3 = >2 weeks
INCIDENT
3 = Likely
3 = Injuries result
(probable within 3
in permanent
years)
disability
Bomb Threat
Workplace
Violence
Tornado
Severe
Thunderstorm
Winter Storm
(Ice, Snow, Low
temperatures)
Flood
Fire
Power Outage
Info Systems
Failure
HVAC Failure
PREPAREDNESS
HUMAN
IMPACT
WARNING
TIME
DURATION
TRAINING
EQUIPMENT
RISK
Emergency
Management /
Operations Plan
Staff trained and
equipped
Relative
Threat
4 = >1 week
4 = No EMP or
EOP
4 = staff not
trained on EOP
7.00 - 7.4 =
Very High
3 = 6-12 hours
3 = <1 week
3 = EMP/EOP
partially complete
3 = some staff
trained, no
equipment
5.27 - 7.00 =
High
2 = EMP/EOP
complete
2 = most staff
trained, some
equipment
3.56 - 5.27 =
Moderate
Incident
Time incident may
anticipation time
continue
PLANNING
2 = Possible
(probable within 5
years)
2 = Injuries do
not result in
permanent
disability
2 = 10-25%
2 = >1 week
2 = 12-24 hours
2 = <1 day
1 - Unlikely
(probable within
10 years)
1 = Injuries
treatable with first
aid
1 = <10%
1 = 24 hours or
less
1 = 24+ hours
1 = <6 hours
3.30
4.45
1 = EMP/EOP
1 = Anticipated
1.85 - 3.56 =
exercised and/or staff trained and
Low
evaluated
properly equipped
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
0.00
0.00
0.00
0.00
0.00
0.00
0.00
Supply Shortage
0.00
VIP Situation
Infant Abduction
Average Score
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
(For example: revise plan,
purchase equipment,
additional training,
exercise)
Responsible Individual
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: 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: Chemical
Event (gasoline)
Example: 3
Example: The chemical cartridges for the
PAPRs have expired.
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
