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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.

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 It was current when produced and may now be outdated. Archive material is no longer maintained, and some links may not work.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: Let us know the nature of the problem, the Web address of what you want, and your contact information.

Please go to for current information.

Facility Checklist

Facilities/Ancillary Services

Availability of other space for ancillary services. Examine general condition of facilities. Other experts will look at these areas from a different perspective.

Date: ____________  Location: _______________________  Team member: __________________________

Administrative Areas




General condition:  


Description of Structural Components

Missing or damaged structural components (note location):  



Description and location:  


Communication Services

Telephone ports:  
Data ports:  




Y N Fire suppression?


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