HAZARD AND VULNERABILITY ASSESSMENT TOOL

RSUP FATMAWATI NATURALLY OCCURRING EVENTS

SEVERITY = (MAGNITUDE + MITIGATION)
PROBABILITY PROPERTY BUSINESS PREPARED-
HUMAN IMPACT
EVENT IMPACT IMPACT NESS
Likelihood this will Possibility of death Physical losses and Interuption of
Preplanning
occur or injury damages services
0 = Cannot Occure 0 = Cannot Cause 0 = Cannot Cause 0 = Cannot Cause 0 = N/A
1= Never / Potential 1 = Unlikely 1 = Unlikely 1 = Unlikely 1 = Extensive
SCORE 2 = Seldom 2 = Potential 2 = Potential 2 = Potential 2 = Moderate
3 = Regularly 3 = Has / Does 3 = Has / Does 3 = Has / Does 3 = Minimal
4 = Great Frequency 4 = Extensive 4 = Extensive 4 = Extensive 4 = None
Blizzar. 0 0 0 0 0
Dam Innundation 2 3 0 0 2
Drought 2 2 2 2 2
Earthquake 3 2 3 2 2
Epidemic /Outbreak 3 3 1 2 1
Extreme Cold 0 0 0 0 0
Extreme Heat 0 0 0 0 0
Flood (exernal) 4 3 2 2 1
Hurricane 0 0 0 0 0
Ice Storm 0 0 0 0 0
Landslide 0 0 0 0 0
Snow Fall, Excessive 0 0 0 0 0
Thunderstrorm Severe 0 0 0 0 0
Tornado 2 2 3 3 2
Tsunami 0 0 0 0 0
Volcano 1 1 1 0 2
Wild fire 0 0 0 0 0
AVERAGE SCORE 0.94 0.89 0.67 0.61 0.67

RISK = (((PROBABILITY * SEVERITY)/ 96 (Maximum Probablity * Severity Value)) * 100)

Y ASSESSMENT TOOL F/054/055/R/00
RING EVENTS
Y = (MAGNITUDE + MITIGATION)
INTERNAL EXTERNAL RISK
RESPONSE RESPONSE
Time, effectivness, Community/ Mutual Aid Relative
resouces staff and supplies threat*
0 = N/A 0 = N/A
1 = Extensive 1 = Extensive
2 = Moderate 2 = Moderate 0 - 100%
3 = Minimal 3 = Minimal
4 = None 4 = None
0 0 0%
2 3 21%
2 1 23% Kekeringan
2 2 41% Gempa bumi
1 1 28% Epidemi / Wabah
0 0 0% Ekstrim Dingin
0 0 0% Ekstrim Panas
1 1 42% Banjir (exernal)
0 0 0% Badai
0 0 0% Badai Es
0 0 0% Tanah longsor
0 0 0% Salju Fall, berlebihan
0 0 0% Thunderstrorm
1 1 25% Angin topan
0 0 0% Tsunami
2 2 8% Gunung berapi
0 0 0% Api liar
0.61 0.61 4%

ty * Severity Value)) * 100)

 HAZARD AND VULNERABILITY ASSESSMENT TOOL
RSUP FATMAWATI TECHNOLOGICAL EVENTS
SEVERITY = (MAGNITUDE + MITIGATION)
PROBABILITY HUMAN PROPERTY BUSINESS
PREPARED-NESS
EVENT IMPACT IMPACT IMPACT
Likelihood this will Possibility of Physical losses and Interuption of
Preplanning
occur death or injury damages services
0 = Cannot Occure 0 = Cannot Cause 0 = Cannot Cause 0 = Cannot Cause 0 = N/A
1= Never / Potential 1 = Unlikely 1 = Unlikely 1 = Unlikely 1 = Extensive
SCORE 2 = Seldom 2 = Potential 2 = Potential 2 = Potential 2 = Moderate
3 = Regularly 3 = Has / Does 3 = Has / Does 3 = Has / Does 3 = Minimal
4 = Great Frequency 4 = Extensive 4 = Extensive 4 = Extensive 4 = None

Communications Failure 4 3 1 4 2
Electrical Failure 3 2 4 4 1
Fire (internal) 4 3 4 4 2
Fire Alarm Failure 3 2 2 2 3
Flood (internal) 3 2 2 2 2
Generator Failure 2 2 3 3 1
HazMat (internal) 4 2 2 2 3
HVAC Failure 3 3 3 2 2
Information System Failure 2 2 2 2 2
Natural Gas Failure 0 0 0 0 0
Sewer Failure 3 2 2 3 3
Steam Failure 2 2 2 2 2
Structural Damage 3 2 2 2 2
Suply Shortage 2 2 2 3 2
Water Failure 3 3 3 3 2

AVERAGE SCORE 2.73 2.13 2.27 2.53 1.93

RISK = (((PROBABILITY * SEVERITY)/ 96 (Maximum Probablity * Severity Value)) * 100)

SSESSMENT TOOL F/054/055/R/00
VENTS
= (MAGNITUDE + MITIGATION)
INTERNAL EXTERNAL RISK
RESPONSE RESPONSE
Time, effectivness, Community/ Mutual Aid Relative
resouces staff and supplies threat*
0 = N/A 0 = N/A
1 = Extensive 1 = Extensive
2 = Moderate 2 = Moderate 0 - 100%
3 = Minimal 3 = Minimal
4 = None 4 = None

2 2 58% Kegagalan komunikasi

1 1 41% Kegagalan Listrik
2 2 71% Kebakaran (internal)
3 2 44% Kegagalan Alarm Kebakaran
2 4 44% Banjir (internal)
1 3 27% Kegagalan Generator
3 2 58% HAZMAT (internal)
2 3 47% HVAC Kegagalan
2 2 25% Kegagalan Sistem Informasi
0 0 0% Kegagalan Gas Alam
3 2 47% Kegagalan limbah
2 2 25% Kegagalan Uap
3 2 41% Kerusakan Struktural
3 3 31% Kekurangan suply
3 3 53% Kegagalan Air

2.13 2.20 38%

ty * Severity Value)) * 100)

 HAZARD AND VULNERABILITY ASSESSMENT TOOL
RSUP FATMAWATI HUMAN RELATED EVENTS
SEVERITY = (MAGNITUDE + MITIGATION)
PROBABILITY HUMAN PROPERTY BUSINESS PREPARED-
EVENT IMPACT IMPACT IMPACT NESS
Likelihood this will Possibility of Physical losses and Interuption of
Preplanning
occur death or injury damages services

0 = Cannot Occure 0 = Cannot Cause 0 = Cannot Cause 0 = Cannot Cause0 = N/A

1= Never / Potential 1 = Unlikely 1 = Unlikely 1 = Unlikely 1 = Extensive
SCORE 2 = Seldom 2 = Potential 2 = Potential 2 = Potential 2 = Moderate
3 = Regularly 3 = Has / Does 3 = Has / Does 3 = Has / Does 3 = Minimal
4 = Great Frequency 4 = Extensive 4 = Extensive 4 = Extensive 4 = None
BOM Treat (internal) 1 3 3 3 2
Patien (Abduction) 1 3 1 3 4
Patient (Missing) 3 1 1 3 2
Hostage Situation 0 0 0 0 0
Labor Shortage 3 3 1 3 3
Mass Casualty Incident 3 3 2 2 2
Chemical 1 2 2 2 2
Biological 3 3 1 2 2
Radiological 3 3 2 2 3
Nuclear 1 3 2 2 3
Explosive 1 3 3 3 2
AVERAGE 1.8 2.5 1.6 2.3 2.3

RISK = (((PROBABILITY * SEVERITY)/ 96 (Maximum Probablity * Severity Value)) * 100)

 ILITY ASSESSMENT TOOL F/054/055/R/00
ATED EVENTS
RITY = (MAGNITUDE + MITIGATION)
INTERNAL EXTERNAL RISK
RESPONSE RESPONSE
Time, effectivness, Community/ Mutual Aid Relative
resouces staff and supplies threat*

0 = N/A 0 = N/A
1 = Extensive 1 = Extensive
2 = Moderate 2 = Moderate 0 - 100%
3 = Minimal 3 = Minimal
4 = None 4 = None
2 1 15% BOM Treat (internal)
4 3 19% Patien (Penculikan)
2 3 38% Pasien (Missing)
0 0 0% Penyanderaan Situasi
3 2 47% Kekurangan tenaga kerja
2 2 41% Mass Casualty Incident
2 3 14% Kimia
2 2 38% Biologis
3 2 47% Radiologi
3 3 17% Nuklir
2 2 16% Eksplosif
2.3 2.1 25%

m Probablity * Severity Value)) * 100)

 HAZARD AND VULNERABILITY ASSESSMENT TOOL
RSUP FATMAWATI DISEASE SPECIFIC
SEVERITY = (MAGNITUDE + MITIG
PROBABILITY PROPERTY BUSINESS
HUMAN IMPACT
EVENT IMPACT IMPACT
Likelihood this will Possibility of death or Physical losses and Interuption of
occur injury damages services
0 = Cannot Occure 0 = Cannot Cause 0 = Cannot Cause 0 = Cannot Cause
1= Never / Potential 1 = Unlikely 1 = Unlikely 1 = Unlikely
SCORE 2 = Seldom 2 = Potential 2 = Potential 2 = Potential
3 = Regularly 3 = Has / Does 3 = Has / Does 3 = Has / Does
4 = Great Frequency 4 = Extensive 4 = Extensive 4 = Extensive
Anthrax, Inhalational 0 0 0 0
Anthrax, Cutaneous 0 0 0 0
Botulism 0 0 0 0
Plague, Bubonic 0 0 0 0
Plague, Pneumonic 0 0 0 0
Smallpox 0 0 0 0
Tularemia 0 0 0 0
Viral Hemorrhagic Fevers 1 3 1 1
Avian Flu 2 4 1 3
Influenza 3 2 1 2
Mumps 2 3 1 1
Pertussis 3 3 1 2
SARS 3 3 2 3
West Nile Virus 0 0 0 0
Dengue Hemorhagic Fevers 4 3 2 3
AVERAGE 1.20 1.40 0.60 1.00

RISK = (((PROBABILITY * SEVERITY)/ 96 (Maximum Probablity * Severity Value)) * 100

LITY ASSESSMENT TOOL F/054/055/R/00
SPECIFIC
EVERITY = (MAGNITUDE + MITIGATION)
INTERNAL EXTERNAL RISK
PREPARED-NESS
RESPONSE RESPONSE
Time, effectivness, Community/ Mutual Aid Relative
Preplanning
resouces staff and supplies threat*
0 = N/A 0 = N/A 0 = N/A
1 = Extensive 1 = Extensive 1 = Extensive
2 = Moderate 2 = Moderate 2 = Moderate 0 - 100%
3 = Minimal 3 = Minimal 3 = Minimal
4 = None 4 = None 4 = None
0 0 0 0%
0 0 0 0%
0 0 0 0% Botulisme
0 0 0 0% Wabah, pes
0 0 0 0% Wabah, pneumonia
0 0 0 0% Cacar
0 0 0 0% Tularemia
1 1 2 9% Demam Dengue Viral
2 2 1 27% Flu Burung
1 1 2 28% Influensa
2 2 2 23% Penyakit gondok
2 2 2 38% Pertusis
2 1 2 41% SARS
0 0 0 0% West Nile Virus
1 1 2 50% DHF
0.73 0.67 0.87 7%

robablity * Severity Value)) * 100)