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 It was current when produced and may now be outdated. Archive material is no longer maintained, and some links may not work.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

Date: ____________  Location: _______________________ Team member: __________________________

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




General Structural Condition

Other structural issues:  
Signs of illegal entry/ use:  



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


Portables Feasibility

Adequate space, access for feeds, exhaust:  


Decontamination Set-up Potential

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


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