Emergency Shelter Inspection Checklist Form
Complete this checklist to assess the readiness and safety of the emergency shelter. Ensure all sections are reviewed and findings are recorded accurately.
Inspection Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Shelter Name and Location
*
Inspector Name
*
Inspector Role
*
Current Occupancy Status
*
Unoccupied
Partially Occupied
Fully Occupied
Overall Safety and Structural Condition
*
Poor
1
2
3
4
Excellent
5
1 is Poor, 5 is Excellent
Food, Water, and Utilities Availability
*
Rows
Available
Not Available
Needs Attention
Food Supplies
1
2
3
Potable Water
4
5
6
Electricity
7
8
9
Heating/Cooling
10
11
12
Sanitation and Hygiene Status
*
Adequate
Needs Improvement
Inadequate
Accessibility Compliance (ADA or local standards)
*
Compliant
Partially Compliant
Not Compliant
Urgent Issues Identified
Follow-up Actions or Recommendations
Submit Inspection
Should be Empty: