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

Supplies/General Interior

Search of entire facility for available equipment and furniture. In this section, focus on identification of necessary equipment and supplies for a reception and intake operation.

Date: ____________  Location: _______________________  Team member: __________________________

Reception

 

Observations:  

Freight Elevator

Capacity:  

 

Stair access:  

 

Available office equipment:
potential
 

 

Available furniture for
waiting area:
 

 

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AHRQ Advancing Excellence in Health Care