Medical/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:
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Current approved uses:
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Location: ____________________________________________________________
Hours: ____________________________________________________________
Current licensing/accreditation
(if any):
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Estimated interior square footage: ____________________________________________________________
Original patient capacity: ____________________________________________________________
Number of Rooms
| Patient: | |
| Emergency: | |
| Operating rooms: | |
| Intensive care units: |
Estimated surge capacity:
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Potential areas for ward use:
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