Coordinate with partners and local agencies to fill any resource or staff needs.
Finance/Administration: identify all staff and volunteers.
Logistics: identify and acquire all equipment and supplies needed for the AC Facility.
Set up AC Facility.
Ensure information technology needs are met and tested
Law Enforcement: establish and implement tactical security plan for the facility.
Open the AC Facility and coordinate messaging with PIO: location, hours and services.
Prospective Site Assessment Worksheet
Note: If there is an existing building use agreement for sheltering or medical countermeasure dispensing it may be possible to add an addendum specific to assistance centers to the existing agreement instead of creating a new one.
General Site Information:
Year Built Total Square Footage
City State Zip Code
Non-Profit Faith-Based City State For Profit Other
What times of the year is the site available:
What supersedes availability for emergency use _____________________________________
Can this site be opened within: 2 hrs 4 hrs 6 hrs 12 hrs 24 hrs Other
Site appropriate for what size event (see the Staffing Determination Tool in the Forms section for guidance): Small Medium Large Catastrophic
Is this site familiar to the local population: Yes No
Current MOU Agreement with this site Yes No Details:
Available for Use Y/N:
Number of Rooms
Capacity of Rooms *
(See Room Assessment Worksheet for more details on each room)
Capacity of Room: Capacity of Room: Capacity of Room: Capacity of Room: Capacity of Room: Capacity of Room: Capacity of Room: Capacity of Room: Capacity of Room: Capacity of Room: Capacity of Room:
Equipment Supply Area
Dimensions: __________X___________=____________ ft2 Capacity of Room:
Ability to lock the site
# of Bays: ____________ Forklift on site Y/N: __________
Operator Available Y/N:_____________________________
Electrical Power Available Y/N: Explain: ________________
Material Handling Equipment Y/N: ____________________
Number of Toilets
# of Men’s_____________ # of Women’s: ______________
# of Family/Unisex: ________ # of ADA Accessible: ______
Baby Changing Areas
# of sites: ________________________________________
Where located: ____________________________________
Food preparation and consumption facilities
Capacity of food prep areas: __________________________
Capacity of Food Consumption area (for staff and families): _________________________________________________
Type of Food Preparation Areas
Full Commercial Warming Partial
# of spaces for staff: ________________________________
# of spaces for clients:_______________________________
Cost of Parking per car______________________________
Validation Available? Y/N _____________ Cost:__________
Valet Available? Y/N _______________________________
Is Parking Secured? Y/N ____________________________
Secondary Parking Lot
# of spaces:_______________________________________
Cost per car ______________________________________
Is Parking Secured Y/N _____________________________