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 It was current when produced and may now be outdated. Archive material is no longer maintained, and some links may not work.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

Supplies/Ancillary Services

Availability of supplies and equipment for ancillary services and possibility of operation when surge facility opens.

Date: ____________  Location: _______________________  Team member: __________________________



Lock-up/Control of Equipment/Valuables

Prevention of vandalism of equipment:  


Administrative Space

Electronic equipment:  
Office Furniture:  
Office Supplies:  



Existing shelving:  



Existing equipment:  



Existing equipment:  





Food Service

Existing kitchen equipment:  



Dining furniture:  


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


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