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Agency for Healthcare Research Quality www.ahrq.gov
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Facility Checklist

Security/Exterior

Inspect outside of proposed surge facility, including condition of external structure. Also inspect surge facility site, including external buildings, parking, and neighborhood. Special considerations include vehicle access and issues presented by the neighborhood.

Date: __________________  Location: __________________________ Team Member:______________________

Building Exterior

 

Observations  

 

General structural condition  

 

Control of building access  

 

Doors and Windows

Keyless access:  
Security guards?  
Locks:  
Keys available:  
Currently monitored?  

 

Signs of illegal entry/use:  

 

Accessibility and Security

Walk-in entrances:  
Signage:  
Ambulance access:  
Loading Dock:  
Fire escape and other means of egress:  

 

Electronic Access

Card Readers:  
Cameras/Monitoring Devices (note locations):  

 

Decontamination set-up potential

Ability to create secure zone:  

 

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