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Agency for Healthcare Research Quality www.ahrq.gov
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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

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

 

Pests/Mold

Description and location:  

 

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