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Surge Tool Kit and Facility Checklist (continued)

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.

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Facility Checklist

Facilities/Exterior (continued)

Date: ____________  Location: _______________________ Team member: __________________________

Building Exterior (Outside of facility, including condition of external structure.)

 

Observations  

 

General Structural Condition

Roof:  
Doorways:  
Windows:  
Other structural issues:  
Signs of illegal entry/ use:  

 

Accessibility

Walk-in entrances:  
Signage:  
Ambulance access:  
Loading dock:  
Fire escape and other means of egress:  

 

Portables Feasibility

Adequate space, access for feeds, exhaust:  
Generator:  
Chiller:  
Boiler:  

 

Decontamination Set-up Potential

Space:  
Ability to Create a Secure Zone:  
Water Source:  
Water Containment Ability:  

 

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

 

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