Disaster mitigation guidelines for hospitals and other health care facilities in the Caribbean: Annex 2: sample form for vulnerability analysis

Disaster mitigation guidelines for hospitals and other health care facilities in the Caribbean

		Table of contents
		Chapter 1: Scope and objectives
		Chapter 2: The nature of natural hazards in commonwealth Caribbean countries
		Chapter 3: The critical nature of health care facilities in disaster mitigation
		Chapter 4: Design considerations for natural hazards
		Chapter 5: Designing new health care facilities for multiple hazards
		Chapter 6: Retrofitting of health care facilities for multiple hazards
		Annex 1: modified Mercalli intensity scale
		Annex 2: sample form for vulnerability analysis
		Annex 3: checklist
		References
		Recommended reading

BUILDING___________________________________

GEOMETRY__________________________________

Stories ___________Height __________meters __________

Maximum Plan Dimensions - meters

DESCRIPTION OF BUILDING

Indicate condition in box G - good F - fair P - poor

FRAME

Reinforced Concrete	Structural Steel	Timber	Loadbearing Walls	Other (Specify)

FLOORS

ROOF

Indicate condition in box G - good F - fair P - poor

* or cladding thickness units millimeters

	Hip	Gable	Monipith	Flat	Other (specify)
Shape

	0 - 12	13 - 25	26 - 35	>35
Slope

	Eaves m	Gable end m
Roof overhang

WALLS

WINDOWS

Shutters required are to be

Inside hung	Outside hung	One leaf	Two Leaves	Number

DOORS

* Indicate Y - yes N - no for bolts and hinges of adequate strength and numbers in good condition

SITE DESCRIPTION

	High	Moderate	Low	Comments
Flood Risk
Risk of falling trees or utility poles