Formula Level
|
Level |
Description |
Formula |
|---|---|---|
|
UTILITYSYS |
SAMPLE - Utility System Risk / Inclusion Assessment |
:COMIMPACT + :INCIDHISTORY + :MAINTREQMNT + :PHYSICALRISK + :UTILITYFNCTN + :OVERRIDE |
Question Level
|
Level |
Description |
Question Level |
Question |
|---|---|---|---|
|
UTILITYFNCTN |
Utility Function |
YES |
What is the Utility Function of the Asset? |
Answer Level
|
Answer |
Description |
Value |
|---|---|---|
|
1LIFESUPPORT |
Life Support |
10 |
|
2INFECTCNTRL |
Infection Control |
9 |
|
3ENVSUPPORT |
Environmental Support |
7 |
|
4EQSUPPORT |
Equipment Support |
5 |
|
5COM |
Communication |
4 |
|
6NONE |
No or Minimal Utility Function |
0 |
Question Level
|
Level |
Description |
Question Level |
Question |
|---|---|---|---|
|
COMIMPACT |
Communication Impact |
YES |
What is the Communication Impact of the Asset? |
Answer Level
|
Answer |
Description |
Value |
|---|---|---|
|
1MAJOR |
Major Impact |
3 |
|
2MINOR |
Minor Impact |
1 |
|
3NONE |
No Impact |
0 |
Question Level
|
Level |
Description |
Question Level |
Question |
|---|---|---|---|
|
INCIDHISTORY |
Incident History |
YES |
What is the Incident History of the Asset? |
Answer Level
|
Answer |
Description |
Value |
|---|---|---|
|
1EXTENSIVE |
Extensive or Recent Problems |
3 |
|
2SOME |
Some Problems or Problems in the Past |
2 |
|
3MINIMAL |
Minimal Problems |
1 |
|
4NONE |
No Problems |
0 |
Question Level
|
Level |
Description |
Question Level |
Question |
|---|---|---|---|
|
MAINTREQMNT |
Maintenance Requirements |
YES |
What are the Maintenance Requirements for the Asset? |
Answer Level
|
Answer |
Description |
Value |
|---|---|---|
|
1DAILY |
Daily to less than Monthly |
3 |
|
2MONTHLY |
Monthly to less than Annually |
2 |
|
3ANNUALLY |
Annually or Longer |
1 |
|
4NONE |
No Maintenance Needed |
0 |
Question Level
|
Level |
Description |
Question Level |
Question |
|---|---|---|---|
|
OVERRIDE |
Management Override |
YES |
Does Management want to Include Asset in Program even if score is below threshold? |
Answer Level
|
Answer |
Description |
Value |
|---|---|---|
|
1YES |
Yes, override score to Include Asset in Program |
50 |
|
2NO |
No, do not Override score |
0 |
Question Level
|
Level |
Description |
Question Level |
Question |
|---|---|---|---|
|
PHYSICALRISK |
Physical Risk |
YES |
What is the Physical Risk if the Asset were to fail? |
Answer Level
|
Answer |
Description |
Value |
|---|---|---|
|
1DEATHINJURY |
Patient or Staff Death or Serious Injury |
4 |
|
2INJURY |
Patient or Staff Injury |
3 |
|
3MINOR |
Minor Injury |
2 |
|
4SLIGHT |
Slight Inconvenience |
1 |
|
5NORISK |
No Risk or Inconvenience |
0 |
Score/Ranking Index
|
Minimum Value |
Maximum Value |
Risk Ranking Index |
RRI Description |
|---|---|---|---|
|
0 |
11 |
EXCLUDE |
Asset is Excluded from Program, but add ID tag as needed |
|
12 |
29 |
INCLUDE |
Asset is Included in Program |
|
30 |
100 |
OVERRIDE |
Asset is Included in Program by Management Override |