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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.

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Facility Checklist

Facilities/General Interior

A thorough inspection of the internal facility to determine structural and operational readiness or to suggest maintenance and repairs to achieve readiness.

Date: ____________ Location: _______________________ Team member: __________________________

General (including condition of interior, space, number of rooms, licenses, current uses, and age)

Observations:

General condition of interior:

Description of structural components:

Elevators

Locations:
Maintenance inspection Status:
Certificate status:

Alarm System:

Fire Suppression

Pump testing? Y N
System type/description:
Fire Suppression Comments:

Pests/Mold

Description and location:

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