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Surge Tool Kit and Facility Checklist

Public Health Emergency Preparedness

This resource was part of AHRQ's Public Health Emergency Preparedness program, which was discontinued on June 30, 2011, in a realignment of Federal efforts.

This information is for reference purposes only. It was current when produced and may now be outdated. Archive material is no longer maintained, and some links may not work. Persons with disabilities having difficulty accessing this information should contact us at: https://info.ahrq.gov. Let us know the nature of the problem, the Web address of what you want, and your contact information.

Please go to www.ahrq.gov for current information.

Facility Checklist

Administration/Exterior (continued)

Date: ____________  Location: _______________________ Team member: __________________________

Site and surroundings (Access roads, parking, and public works.)

 

Observations  

 

Access roads

Transportation hindrances for any vehicle:  
Vehicle access from:  
Possible traffic patterns:  
Other adjacent roadways:  

 

Parking lot/paved exterior area

Area:


Number of parking spaces:


Bus access:


Visible utility connections:


Ambulance access:


Helicopter access:


 

Public Works

Dumpsters:


Storm drains:


 

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The information on this page is archived and provided for reference purposes only.

 

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