Skip Navigation U.S. Department of Health and Human Services www.hhs.gov
Agency for Healthcare Research Quality www.ahrq.gov
Archive print banner
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 It was current when produced and may now be outdated. Archive material is no longer maintained, and some links may not work.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

Supplies/Exterior

Review of hospital accessibility to delivery vehicles and available loading dock space.

Date: __________________  Location: __________________________  Team Member: ____________________

Site and Surroundings

Access Roads and Parking

Observations:  
Transportation hindrances for any vehicle:  
Control for site entry:  
Vehicle access from:  
Possible traffic patterns:  
Other adjacent roadways:  

Building Exterior

Loading Dock

Number of berths:  
Largest vehicle type that can be accommodated:  

 

Return to Contents
Proceed to Next Section

 

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

 

AHRQ Advancing Excellence in Health Care