DIS-FRM-001: Hazard and vulnerability assessment record

Standards › Standard 46 › Forms

Form · DIS-FRM-001 · Version 1.0 · Approved by the ASF Expert Committee

Supports: 46.2

Purpose

Records each hazard, its score for likelihood and impact, the control set, and the date of the last review.

How to complete

• List each hazard and its source.
• Score the likelihood and the impact on patients and services.
• Record the control or plan and the review date.

Checks

Check	Entry
Hazard (natural, technical, violence, outbreak or climate)	Yes
Likelihood and impact scores	Yes
Control or plan	Yes
Review date	Yes

Evidence

Reference	Note
E-006	ASF Policy Framework v1.2. Adapted.
E-009	ASF Expert Committee consensus.

Change history

Version	Date	What changed	Approval
1.0	the date of approval	First version	set Expert Committee approval

E-learning for this document

• Emergency Preparedness and Fire Safety (T-10)

References

• Accréditation Sans Frontières (2026). ASF Policy Framework v1.2. (E-006)
• Accréditation Sans Frontières (2026). ASF Expert Committee consensus on Standard 1. (E-009)