MIL-HDBK-1191
CHECKLIST FOR MEDICAL FACILITY UPGRADE SURVEYS
(Select one "Type of Survey" and any "Special Studies" required)
b. The building will be surveyed in relation to: MIL-
HDBK-1191, and Military Department Criteria. The following
systems will be addressed:
YES
NO Site and Parking issues.
YES
NO Utility services.
YES
NO Structure.
YES
NO Exterior Finishes, roofing, glazing, etc.
YES
NO Medical/Functional Requirements.
YES
NO Architectural finishes.
YES
NO Equipment and Furnishings
YES
NO Waste Management System.
YES
NO Transportation and material handling systems.
YES
NO Electrical systems.
YES
NO Communication and signal systems.
YES
NO Energy Usage/System Efficiency Survey.
YES
NO HVAC.
YES
NO Plumbing.
YES
NO Medical gas systems.
YES
NO Other. Provide list.
________________________
________________________
________________________
B.
SPECIAL STUDIES.
YES
NO
Economic Analysis. (Attach scope of analysis).
YES
NO
Seismic/structural evaluation.
YES
NO
Hazardous/Toxic substance survey.
____ Asbestos survey
____ PCB survey
____ Lead survey (in paint or in potable water)
____ Mercury contamination
____ Underground Fuel Tank Survey.
____ Other. Provide list, _____________________.
YES
NO
Maintenance and Repair Deficiency survey.
YES
NO
Uniform Federal Accessibility Standard and Americans with
Disabilities Act Guidelines Compliance.
YES
NO
Other. Provide list.______________________.
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