HVA Plan
HVA Plan
HVA Plan
Hazard Vulnerability Analysis is a way to focus attention on those hazards that are most
likely to have an impact on your facility and the surrounding community. It is intended
that a HVA be seen as a evolving document and be reviewed at least annually. There
are four categories that are used to help place each hazard into perspective. These
categories are Probability, Response, Human Impact, and Property Impact on a facility.
Each of these categories is based on a point system, ranging from 0 to 3. For each
hazard, a point estimate of 0 (NA) to 3 (high) is given for each of the four categories.
Hazard and Vulnerability Analysis
This document is a sample Hazard Vulnerability Analysis tool. It is not a substitute for a comprehensive
emergency preparedness program. Individuals or organizations using this tool are solely responsible
for any hazard assessment and compliance with applicable laws and regulations.
INSTRUCTIONS:
Evaluate potential for event and response among the following four categories (Natural,
Technological, Human Hazards and Hazardous Materials Incidents) using the hazard
specific scale. Assume each event/incident occurs at the worst possible time
(e.g. during peak patient loads).
Please note specific score criteria on each work sheet to ensure accurate recording.
Issues to consider for probability include, but are not limited to:
1. Known risk
2. Historical data
3. Manufacturer/vendor statistics
Issues to consider for response include, but are not limited to:
1. Time1. to organize an on-scene response
2. Scope of response capability
3. Historical evaluation of response success
Issues to consider for human impact include, but are not limited to:
1. Potential for staff death or injury
2. Potential for patient death or injury
Issues to consider for property impact include, but are not limited to:
1. Cost to replace
2. Cost to set up temporary replacement (rental, purchase)
3. Cost to repair
4. Time to recover (stay in business, resume normal operations)
Issues to consider for business impact include, but are not limited to:
1. Business interruption (how long?)
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
Hazard and Vulnerability Analysis
Issues to consider for preparedness include, but are not limited to:
1. Status of current plans
2. Frequency of drills
3. Training status
4. Insurance
5. Availability of alternate sources for critical supplies/services
Issues to consider for internal resources include, but are not limited to:
1. Types of supplies on hand/will they meet need?
2. Volume of supplies on hand/will they meet need?
3. Distribution of supplies
4. Staff availability
5. Coordination with MOB's
6. Availability of back-up systems
7. Internal resources ability to withstand disasters/survivability
Issues to consider for external resources include, but are not limited to:
1. Types of agreements with community agencies/drills?
2. Coordination with local and state agencies
3. Coordination with proximal health care facilities
4. Coordination with treatment specific facilities
5. Community resources
Type of Emergency Probability Human Impact Property Business Internal External Total
Impact Impact Resources Resources
High Low High Impact Low Impact Weak Strong
Resources Resources
5 1 5 1 5 1
Date of Survey: