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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 It was current when produced and may now be outdated. Archive material is no longer maintained, and some links may not work.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: 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

Medical/Ancillary Services

Availability of space for ancillary services. Information on existence of ancillary service areas and, very generally, possibility of operation when surge facility opens. If the medical personnel determine that locations such as pharmacy or lab could be operational, additional specialized inspections may be necessary.

Date: __________  Location: ________________  Team Member: _______________________________





General condition:  


Existing fixed and removable equipment:  




General layout:  


Licensing issues:  


Applicability of use:  


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


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