The instrument provides background on conducting a community risk assessment, while allowing users to progress through worksheets that consider the probability of hazards and the severity of consequences considering baseline health indicators and hazard-specific data. Also included are worksheets for scoring a hazards consequences on human life/health, healthcare service interruption, and community and agency infrastructure. The instrument provides hazard models and case studies for earthquakes, flooding, hurricanes, bombings, and tornadoes. The instrument was developed based on workgroup expertise and community data. This tool was identified through NACCHOs Resource Portfolio Project on the CDC Public Health Preparedness Capabilities. Through this project, NACCHO worked with the Center for Infectious Disease Research and Policy (CIDRAP) to identify, research, and validate tools, practices, and products that can assist LHDs to address challenges in meeting select PHEP capabilities.