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 It was current when produced and may now be outdated. Archive material is no longer maintained, and some links may not work.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

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Facility Checklist

Security/General Interior

Evaluate securing fixed assets and maintaining safety of patients and staff by inspecting access control and monitoring issues and equipment such as alarm systems, door locks, card readers, and security camera systems.

Date: ____________  Location: _______________________  Team member: __________________________





Intake and Reception

Space adequate to process incoming patients in a controlled manner?  



Maintenance inspection status:  
Certificate status:  


Control of movement in facility  


Building evacuation


of medication


Lock-up/control of
needed equipment/valuables


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


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