close this bookDisaster Mitigation for Health Facilities: Guidelines for Vulnerability Appraisal and Reduction in the Caribbean (Pan American Health Organization (PAHO) / Organización Panamericana de la Salud (OPS), 2000, 66 p.)
Open this folder and view contentsAnnexes
View the documentI. Checklist for Vulnerability Surveys (Wind)
View the documentII. Illustrations (Wind)
View the documentIII. Checklist for Vulnerability Surveys (Earthquakes)
View the documentIV. Illustrations (Earthquakes)
View the documentV. Checklists for Maintenance Operations

Disaster Mitigation for Health Facilities: Guidelines for Vulnerability Appraisal and Reduction in the Caribbean (Pan American Health Organization (PAHO) / Organización Panamericana de la Salud (OPS), 2000, 66 p.)

Annexes

I. Checklist for Vulnerability Surveys (Wind)

The sketch reference numbers refer to the illustrations in Annex II.

ITEM

YES

NO

SKETCH
REF#

Walls




Precast concrete interconnected and fixed to floors and roofs




Coral stone block masonry




a

12 inches (or greater) in thickness and with a maximum height-to-thickness ratio of 12, or




b

6 inches (or greater) in thickness and reinforced and fixed to floors and roofs




Concrete block masonry reinforced and fixed to floors and roofs




Timber construction complying with all of the following:




a

3/4-inch marine plywood or 5/8-inch tongue-and-groove lumber




b

2-inch by 4-inch vertical studs at (maximum) 2-foot spacing to which the plywood or lumber is nailed or screwed




c

two 2-inch by 4-inch horizontal base plates and two 2-inch by 4-inch horizontal eaves beams to which the studs are fastened with galvanised metal plates in accordance with manufacturers’ specifications



#W1

d

all openings framed with 2-inch by 4-inch vertical and horizontal studs, cills and lintols all fastened with galvanised metal plates in accordance with manufacturers’ specifications



#W2

e

the entire perimeter secured to reinforced concrete foundations with galvanised metal straps at (maximum) 4-foot spacing



f

minimum depth of foundation to be 3 feet below adjacent ground level unless some other means is used to achieve adequate anchorage



#W2

Roofs



Concrete



Light-weight coverings



a

26-gauge steel sheeting with valley fasteners or with ridge fasteners supplemented by spacer blocks under the ridges. Fastener spacings must be not greater than 6 inches along the purlins and purlins must not be further apart than 4 feet for 15% of the roof dimension along eaves, gables and ridges.



#W3,
#W4

b

22-gauge aluminium sheeting with valley fasteners or with ridge fasteners supplemented by spacer blocks under the ridges. Fastener spacings must be not greater than 6 inches along the purlins and purlins must not be further apart than 4 feet for 15% of the roof dimension along eaves, gables and ridges.

#W3,
#W4

c

Asphalt shingles fixed in accordance with manufacturer’s recommendations for hurricane areas and laid on waterproofing felt on top of 3/4-inch (or greater) plywood sheets which in turn are fastened by screws or annular nails to supporting timber rafters

#W5

d

shingles individually fixed to close boarding which in turn is fastened by screws or annular nails to supporting timber rafters

#W5

NB

i

In all cases the methods of fixing must, at least, comply with the manufacturers’ recommendations for severe hurricane locations





ii

If battens are used, the fastening of the battens to the close boarding must be at least as strong as the fastening of the covering to the battens




Other coverings

a

slates individually fixed to close boarding

#W5

b

concrete or clay tiles individually fixed to close boarding

#W5

NB

i

In all cases the methods of fixing must, at least, comply with the manufacturers’ recommendations for severe hurricane locations





ii

If battens are used, the fastening of the battens to the close boarding must be at least as strong as the fastening of the covering to the battens


Frame supports for light-weight roof coverings

a

Steel rafters fixed to walls

#W6

b

Bolted steel trusses fixed to walls

#W6

c

Timber rafters fixed at the ridges and to the walls with bolts or proprietary fasteners

#W6,
#W7

d

Bolted timber trusses fixed to the walls with bolts or proprietary fasteners

d

Timber trusses fabricated using proprietary fasteners and fixed to the walls with bolts or proprietary fasteners

NB

In all cases the methods of connecting and fixing must, at least, comply with the manufacturers’ recommendations for severe hurricane locations

Windows

Made of laminated glass fixed to frames with structural silicon and able to resist, without breaching, the impact of flying objects such a 2-inch by 4-inch piece of timber weighing 9 pounds moving at 35 miles per hour (similar to the requirements of Dade, Broward and Palm Beach Counties of Florida), or

Protected by pre-installed or pre-fabricated shutters which are made of at least 3/4-inch timber or otherwise able to resist without breaching the impact of flying objects such as a 2-inch by 4-inch piece of timber weighing 9 pounds moving at 35 miles per hour.

#W8,
#W9,
#W10

Made of timber or aluminium louvres with provisions for excluding the rain during storm conditions

The windows or shutters must be secured to the walls, slabs, beams or columns near all comers of each panel or in accordance with the manufacturers’ recommendations for severe hurricane locations

Doors

Glass Sliding Doors

a

Made of laminated glass fixed to frames with structural silicon and able to resist without breaching the impact of flying objects such as an 8-foot long 2-inch by 4-inch piece of timber moving at 35 miles per hour, or

b

Protected by pre-installed or pre-fabricated shutters which are made of at least 3/4-inch timber or otherwise able to resist without breaching the impact of flying objects such as an 8-foot long 2-inch by 4-inch piece of timber moving at 35 miles per hour.

c

The moving frames must have a certificate from the supplier indicating compliance with the requirements for Category 3 hurricanes, including both strength and deflexions.

d

The fixed perimeter frames must be secured to the walls, slabs, beams or columns by bolting or in accordance with the manufacturers’ recommendations for severe hurricane locations.

e

The tracks of the top and bottom rails must be deep enough to prevent the moving doors from being dislodged in severe hurricanes. (The manufacturer’s advice should be sought.)

Roller Shutter (or Overhead) Doors

a

These must have certificates from the suppliers indicating compliance with the requirements for Category 3 hurricanes, including both strength and deflexions

b

The fixed perimeter frames must be secured to the walls, slabs, beams or columns by bolting or in accordance with the manufacturers’ recommendations for severe hurricane locations

c

The side tracks must be deep enough to prevent the moving doors from being dislodged in severe hurricanes unless some other mechanism is employed to prevent such an occurrence
(The manufacturer’s advice should be sought.)

Other Doors

a

Timber doors must be solid core or made up from solid timber members

b

Each door leaf must be fixed by hinges or bolts in at least four locations adjacent to all comers

Other Apertures

a

Protection from wind and rain must be provided by pre-installed or pre-fabricated shutters which are made of at least 3/4-inch timber or otherwise able to resist without breaching the impact of flying objects such as an 8-foot long 2-inch by 4-inch piece of timber moving at 35 miles per hour.

#W8,
#W9

b

The shutters must be secured to the walls, slabs, beams or columns near all comers of each panel or in accordance with the manufacturers’ recommendations for severe hurricane locations.

#W10

Solar Water Heaters and Air-conditioners

These must have certificates from the suppliers indicating compliance with the requirements for Category 3 hurricanes for both manufacture and installation

Roof Shapes

a

hip-roofs without parapets but with no overhangs and with minimum slope of 20°, or gable roofs without parapets but with no overhangs and with minimum slope of 25°

#W11

b

hip-roofs with parapets and with minimum slope of 15°, or gable roofs with parapets and with minimum slope of 20°

#W12

II. Illustrations (Wind)

These illustrations were taken from
“Guide to Making Your Home Hurricane Resistant”
prepared by Tony Gibbs and Philip Jordan of Consulting Engineers Partnership Ltd
for United Insurance Company Ltd
1997


W1 - Stud & top plate connection


W2 - Stud to concrete connection. Foundation anchorage


W3 - Metal sheet fixings and purlin-to-rafter connection


W4 - The more vulnerable areas of roofs


W5 - Fixing of close-boarding and battens for tile and shingle roofing


W6 - Steel truss and rafter connection to concrete & Timber rafter connection to concrete


W7 - Rafter & top plate connection. Stud, top plate & rafter connection


W8 - Permanently installed shutters


W9 - Roller shutter


W10 - Pre-fabricated removable shutter


W11 - Favourable roof shapes


W12 - Favourable roof shapes

III. Checklist for Vulnerability Surveys (Earthquakes)

The sketch reference numbers refer to the illustrations in Annex IV.
Examples of structural and non-structural components are provided in illustration E1.

ITEM

YES

NO

SKETCH
REF#

Electricity

Generator

a

Is the emergency generator adequately secured?

Batteries




a

Are the batteries securely attached to the battery rack?

b

Is the rack cross-braced in both directions?

c

Does the battery rack have bolts secured to a concrete pad?

Diesel Fuel Tank

a

Is the tank securely attached to the supports?

b

Are the tank supports cross-braced in both directions?

#E2

c

Is the bracing attached with anchor bolts secured to a concrete pad?

Fuel Lines and Other Pipes

#E2

a

Are these lines and pipes attached with flexible connections?




b

Are they able to accommodate relative movement across joints?

Transformers, Controls, Switchgear

a

Are these items properly attached to the floor or wall?




Bus Ducts and Cables

a

Are these able to distort at their connections to equipment without rupture?

b

Are they able to accommodate relative movement across joints?

c

Are they laterally braced?

Fire Fighting

Smoke Detectors and Alarms

a

Are they properly mounted?

b

Are the control system and fire doors securely anchored?

Fire Extinguishers and Hose-reel Cabinets

#E3

a

Are the cabinets securely mounted?




b

Are the extinguishers secured with quick-release straps?

Emergency Water Tank

a

Is it securely anchored to its supports?

b

Are the supports braced in both directions?

#E2

c

Are the supports or braces anchored to a concrete foundation?

Propane Tanks

The Tank

a

Is it securely anchored to its supports?

b

Are the supports braced in both directions?

#E2

c

Are the supports or braces anchored to a concrete foundation?

Shut-off Valve

a

Does the system have an automatic, earthquake-triggered shut-off valve?

b

If manual, is a wrench stored close by?

Supply Pipes

a

Are they able to accommodate relative movement across joints and at the tank?

#E2

c

Are they laterally braced?

Plumbing

Water Heaters and Boilers

a

Are they securely anchored to the floor or wall?

#E4

b

Does the gas line have a flexible connection to the heater or boiler to accommodate movement?

Pumps

a

Are they anchored or are they mounted on vibration isolation springs with seismic lateral restraints?

Hot and Cold-water Pipes and Wastewater Pipes

a

Are the pipes laterally braced at reasonable intervals?

b

Do they have flexible connections to boilers and tanks?

c

Can they accommodate movement across joints?

d

Are “free” pipe penetrations through walls large enough to for seismic movement?

e

Are they free of asbestos insulation (which can be broken in an earthquake)?

Solar Panels

a

Are they securely anchored to the roof?

Elevators

Cab

a

Is it properly attached to the guide rails?

Cables, Counterweights, Rails

a

Are cables protected against misalignment during an earthquake?

b

Are counterweights properly attached to guide rails?

c

Are guide rails properly attached to the building structure?

Motors and Control Cabinets

a

Are these anchored?

Air Conditioning

Chillers, Fans, Blowers, Filters, Air Compressors

a

Are they anchored or are they mounted on vibration isolation springs with seismic lateral restraints?

Wall-mounted Units

a

Are they securely mounted?

Ducts

a

Are they laterally braced?

b

Can they accommodate movement at locations where they cross separation joints?

Diffusers




a

Are the grills anchored to the ducts or to the ceiling grid or to the wall?




b

Are hanging diffusers adequately supported?

Non-structural Walls and Partitions

Concrete Block, Brick, Clay Block

a

Are they reinforced vertically and/or horizontally?

b

Are they detailed to allow sliding at the top and movement at the sides?

#E6

c

Are they restrained at the top and the sides against falling?

Stud-wall and Other Lightweight

a

Are partial-height partitions braced at their top edges?

#E5

b

If they support shelving or cabinets, are they securely attached to the structure of the building?

Ceilings and Lights

Ceilings

a

Do the suspended ceilings have diagonal bracing wires?

#E7

b

For plaster ceilings is the wire mesh or wood lath securely attached to the structure above?

Lighting

a

Do light fixtures (eg lay-in fluorescent fixtures) have supports independent of the ceiling grid?




b

Do pendant fixtures have safety restraints (eg cables) to limit sway?

c

Are emergency lights mounted to prevent them falling off shelf supports?

Doors and Windows

Doors

a

If exit doors are heavy metal fire doors that might jam in an earthquake, is there a crowbar or sledge hammer readily available to facilitate emergency opening?

b

Do automatic doors have manual overrides?

Windows

a

Is it known whether the glazing has been designed to accommodate lateral movement?

b

Do large windows, door transoms and skylights have safety glass?

Appendages and Sundries

Parapets, Veneer and Decoration

a

Are parapets reinforced and braced?

b

Do veneers and decorative elements have positive anchorage to the building?

Fences and Garden Walls

a

Is it known whether these were designed by the architect or engineer to resist lateral forces?

b

Are masonry walls reinforced vertically and rigidly fixed to their bases?

Signs and Sculptures

a

Are signs adequately anchored?




b

Are heavy and/or tall sculptures anchored to prevent overturning?

Clay and Concrete Roof Tiles

a

Are such tiles secured to the roof with individual fixings for each tile?

Movable Equipment

Communications

a

Is radio equipment restrained from sliding off shelves?

b

Are telephones placed away from edges of desks and counters?

c

Are elevated loud speakers and CCTV anchored to the structure?

Computers

a

Is vital computer information backed up regularly and stored off site?

b

Is heavy computer equipment with a height-to-width ratio greater than 2 anchored or braced?

#E8

c

Are desktop items prevented from sliding off tables?

#E9

d

Are access floors braced diagonally or do they have seismically-certified pedestals?

Storage of Records and Supplies

a

Are shelving units anchored to walls?

#E13

b

Are shelves fitted with edge restraints or cords to prevent items from falling?

#E13

c

Are heavier items located on the lower shelves?

#E13

d

Do filing cabinet drawers latch securely?

#E11

e

Are heavily-loaded racks braced in both directions?

#E10

f

Are fragile or valuable items restrained from tipping over?

#E13

g

Are chemical supplies secured or stored in “egg crate” containers?

#E13

Hazardous Items

a

Are gas cylinders tightly secured with chains at top and bottom (or otherwise)?

#E12

b

Are the chains anchored to walls?

c

Are chemicals stored in accordance with manufacturers recommendations?

d

Are cabinets for hazardous materials given special attention with respect to anchoring?

#E13

Furniture

a

Are heavy potted plants restrained from falling or located away from beds?

b

Are beds and tables and equipment with wheels provided with locks or other restraints to prevent them rolling unintentionally?

#E8

IV. Illustrations (Earthquakes)

These illustrations are taken from
“Reducing the Risks of Nonstructural Earthquake Damage”
Issued by the Federal Emergency Management Agency (FEMA)
Third Edition FEMA 74/September 1994


E1


E2


E3


E4


E5


E6


E7


E8


E9


E10


E11


E12


E13

V. Checklists for Maintenance Operations

Four tables are presented covering:

Building Interior

Building Exterior

Compound

Guidelines for Maintenance Checklists

The following abbreviations are used in the tables:

Frequency

Operator

I

Immediately

C

General cleaners

D

Daily

MS

Maintenance staff

W

Weekly

HA

Hospital Administrator/Officer In Charge

Q

Quarterly

G

Gardener

A

Annually



Notes:

1. For Frequency the maximum period is given.




2. For Operator the person named is usually responsible for seeing that the operation is carried out.

Building Interior

SPACES

FREQUENCY

OPERATOR

Washrooms and Toilet

Inspect and report deficiencies

D

C/MS

Wash floors, toilet bowls, urinals, wash basins with disinfectant and deodorant

D

C

Order replacements

I

HA

Replace broken elements

Q

MS

Repair

I

MS

Paint

A

MS

Corridors and Classrooms

Inspect and report deficiencies

D

C

Wash walls

W

C

Ceilings, Interior Roofs, Canopies

Inspect and report deficiencies

A

MS

Repaint

every 4 years

MS

Laboratories and other Technical Areas

Clean all counters, floors and walls

D

MS

Plumbing

Inspect and report deficiencies

D

MS

Repair or replace defective pieces

I

MS

Internal Communication System

Inspect all internal communications to ensure that the system is functioning properly and report defects.

Q

MS

Electricity

Inspect electricity wiring on a room by room basis and report deficiencies.

Q

MS

Furniture

Repair or replace broken elements

A

MS

Building Exterior

SPACES/MATERIAL

FREQUENCY

OPERATOR

Wood

Inspect panels, louvres, railings and report deficiencies

A

MS

Replace all broken wood louvres

D

MS

Replace other damaged elements

Q

MS

Clean and paint marked surfaces

A

MS

Windows

Inspect and report deficiencies

D

MS

Remove broken glass louvres or panes (see above also)

I

MS

Order replacements for broken glass and other elements

I

MS

Replace broken elements

Q

MS

Grease and oil louvre operators or handles

A

MS

Replace broken wire-mesh grills

Q

MS

Wash windows

Q

C/MS

Doors and Frames and Partitions

Inspect and report deficiencies

Q

MS

Oil hinges etc.

A

MS

Replace defective and broken hardware

I

MS

Repair or replace defective doors and/or frames

I

MS

Stairs and Balconies

Sweep stairs and balconies

D

C

Wash stairs, walls and rails

Q

C

Clean metal work of rust and coat with primer and paint

A

MS

Sand and paint wood railings or posts

every 2 years

MS

Roofs and Gutters

Inspect and report deficiencies

A

MS

Repair and replace roof sheets and gutters as required

W

MS

Metal Panels

Inspect

A

MS

Wash and remove graffiti

A

MS

Clean rust and repaint

every 2 years

MS

Compound

SPACES/MATERIALS

FREQUENCY

OPERATOR

Gardening

Clean flower beds

W

G

Watering and fertilise plants

D

G

Remake plant beds

Q

G

Prune plants, trim hedges/trees

M

G

Grass playing fields

as required

G

Cut grass

W

G

Fence

Inspect and report deficiencies

Q

MS

Repair

Q

MS

Paint

every 2 years

MS

Walkways and Courtyards

Sweep

D

C

Clear litter and rubbish

D

C

Drainage Ditches

Clean routinely

W

C

Clear blockages caused by excessive rain

I

MS

Repair damaged drains

A (in August)

MS

Water Mains

Inspect and report deficiencies

Q

MS

Maintain earth cover

Q

MS

Repair breaches/leaks

I

SS

Septic Tank

Inspect and report deficiencies

A (in August)

MS

Clean and flush out

every 4 years

MS

Repair

I

MS

Erosion near Structures

Inspect and report deficiencies after heavy rainfall

Q and as required

MS

Return soil, grass area, re-direct water source

Q and as required

MS

Repair eroded area

I

MS

Rubbish bins

Empty drums and bum (or carry away) rubbish

D

C

Inspect and replace bins if necessary

A

MS

Guidelines for Maintenance Checklists

In reporting deficiencies, the maintenance staff or handyman should be guided by the following notes. However, the guidelines which are given here are not intended to be exhaustive. They will, however, focus inspection on the critical areas.

SPACES/MATERIALS

GOOD

BAD

(a) Washrooms and Toilets


Check to see if the walls are cracked

...........

...........


Where the walls are made of rubble stone see if the mortar is in good condition

...........

...........


Check to see if items such as soap holders and toilet paper holders are in place and are in working order

...........

...........

(b) Corridors and Classrooms


Examine the floors to see if the concrete has been damaged in any way so that persons walking in the corridors or classrooms may trip

...........

...........


Check to see if the walls are damaged and need repairing

...........

...........

(c) Ceilings, Interior Roofs, and Canopies


See if the ceilings and the undersides of the roofs and canopies have any watermarks which indicate leaks in the roof

...........

...........


See if any timber supports are rotten

...........

...........


Where the roof supports are of steel, check to see if there is any rust

...........

...........


See if any ceiling tiles need replacing

...........

...........

(d) Plumbing


Check to see if there is any water on the floor

...........

...........


If there is, examine the wash basin to see if it is plugged

...........

...........


Examine the WC to see if the bowl is cracked

...........

...........


See if the flush tank is cracked

...........

...........


Check to see if the toilet seat cover is broken

...........

...........


See if the flush handle or pull chain is broken

...........

...........


See if the toilet bowl is fixed properly to the floor so that it does not rock when being used

...........

...........


See if the sewer pipe is properly fixed to the toilet and that there is no leaking at the joint

...........

...........

(e) Electricity


See if all light bulbs are working and that all are in place

...........

...........


See if the wall plates are in good condition

...........

...........


See if the wall switches or pull switches are working

...........

...........


See if wall outlets are working

...........

...........

(f) Windows


See if the windows can close securely

...........

...........


See if the window operators are in good condition and are working

...........

...........


See if the bolts and locks are in working condition

...........

...........


See if the timber surrounding the windows is rotten and should be replaced

...........

...........


See if the windows leak even when closed

...........

...........

(g) Doors and Frames and Partitions


See if the doors can close properly

...........

...........


See if the bolts and locks are in place and are working

...........

...........


See if the door frame is in good condition and that the timber is not rotten

...........

...........


Where the door is a wood door (brace and batten) see that the door has not warped

...........

...........


Check the partitions to see if the walls are in good condition

...........

...........


Report any loose mortar in a rubble wall

...........

...........


Report any cracked wall

...........

...........

(h) Roof and Gutters


Check roofs for leaks

...........

...........


Check gutters for holes

...........

...........


Check gutter brackets to see if they are broken or rusted

...........

...........

(i) Fence


With a chain link fence, check to see if the fence is broken

...........

...........


See if the fence posts are firmly in the ground

...........

...........


With a timber fence, check for rotten timber

...........

...........

(j) Water mains


Check ground to see if there are any wet spots which would indicate a leaking water main

...........

...........


See if the water main is properly buried beneath the ground, or is welt protected by concrete

...........

...........

(k) Septic tank


Check to see if the tank has been cleaned in the last three years

...........

...........


See if the access covers fit properly, are in good condition and can be removed for cleaning

...........

...........


If the access covers can be opened too easily, children may remove the covers wilfully

...........

...........


See if the holders for the covers will cause people to trip. The holder should be recessed with just enough room for a pickaxe blade to get under the holder.

...........

...........


See if the inlet pipe is firmly fixed to the tank and that there is no leak

...........

...........


Where there is a soakaway check to see if the pipe to the soakaway is firmly bedded

...........

...........


See if there is any odour around the tank. If there is, the tank needs cleaning or another soakaway should be dug

...........

...........


Where there are tile fields, check to see if the pipes (tiles) are exposed. They should be well below ground level

...........

...........


See if the tiles are working and that there is no water on the ground around the pipes

...........

...........

(l) Erosion near Structures


Examine the ground around the buildings to see if the rain water has removed any material - soil or stones

...........

...........


Check around the pipes to see if the pipes that were buried are still properly buried

...........

...........


Check around telephone or electricity poles on the property to see whether the rain water has removed soils around the bottom of the poles

...........

...........

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