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

Facility Checklist

Administration/Exterior

Date: ____________  Location: _______________________  Team member: __________________________

Site and Surroundings (Overall site, including surrounding buildings, and neighborhood.)

 

Observations:  

Address:


 

Site diagram (including building footprints):  

 

Estimated area:


General condition of grounds (i.e., abandoned waste, surface cover):


Potentially useful surrounding/auxiliary buildings:


Sensitive neighbors/abutters:


Abutters:


Potential resources in the neighborhood:


 

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AHRQ Advancing Excellence in Health Care