Hospital Structured Facility Assessment Checklist

The checklist is built around the areas that decide whether a facility can deliver safe care: infrastructure and basic conditions, essential medical equipment, human resources and supplies, clinical competency, and health service provision with infection control and waste management. The opening section confirms the facility's name and classification level and records the assessment date and the person preparing it. The infrastructure items then check seismic safety and retrofitting of the building, reliable electricity, piped water, the perimeter boundary wall, signage, recent maintenance, seating in waiting areas, the condition of the female outpatient department, general cleanliness, and dedicated restrooms for female patients. Clinical areas are examined specifically, including the labor and delivery room, patient beds with clean mattresses and linens, the neonatal nursery, the operating theater sterilization room, temperature control in the labor room, and a designated room or bed for eclampsia management. A communication device in the emergency department is also checked, and the section closes by recording the number of functional inpatient beds and noting deficiencies and observations.

The equipment section is a count of what is actually available and functional in each department, not a list of what should exist in theory. In the emergency department it checks blood pressure apparatus, a tabletop sterilizer, and a communication device. Across outpatient departments it checks stethoscopes and clinical thermometers, with a pediatric weighing scale in the pediatric OPD. For obstetric and surgical care it checks the delivery table, fetoscope, measuring tape, autoclave, sterilized delivery forceps, electronic fetal monitor, anesthesia machine, operating theater lighting, suction machines in both the operating theater and the labor room, an infant radiant warmer, and baby cots in the nursery. Laboratory capacity is assessed through a functional biochemistry analyzer. Respiratory and resuscitation equipment is covered too, including a nebulizer, oxygen cylinders, nitrous oxide supply, a laryngoscope with appropriate blades, anesthesia face masks in suitable sizes, and adult- and infant-sized manual resuscitators. The section ends with an overall equipment readiness score.

Yes. The section on human resources, supplies, pharmaceuticals, and clinical competency asks whether a medical officer is present and available, whether a Lady Health Visitor is assigned to the facility, whether a qualified dispenser or Medical Health Technician is on staff, and whether at least one support staff member is present. It also asks whether a gynecologist is available for consultation and surgical procedures. The same part of the checklist covers essential medical supplies and materials, essential pharmaceuticals and medications, and a clinical knowledge and competency assessment, so staffing is reviewed alongside the supplies and skills those staff need to do their work.

The final section looks at clinical service delivery and diagnostics together with infection prevention and medical waste management. In practice this means you verify not only that services are being provided and diagnostics are available, but also that the infection-control and medical waste practices around them meet the required standard. This section is where the facility's day-to-day hygiene and waste handling are judged, complementing the physical cleanliness items checked earlier in the infrastructure section.

Many items take a simple Yes, No, or N/A answer, which makes them quick to record and easy to aggregate. Facility classification is recorded against defined categories: Primary Care Hospital, Secondary Care Hospital, Tertiary Care Hospital, Specialized Medical Center, and District Headquarter Hospital. Some fields capture descriptive or numerical information instead, such as the facility name, the number of functional inpatient beds, and the overall equipment readiness score. Infrastructure deficiencies and noted observations are recorded in a free-text field so that context accompanies the answers. This mix lets you move quickly through the yes/no checks while still capturing the detail that explains any gaps you find.

Work through the checklist in order so that each answer is grounded in what you actually see and verify. Confirm facility identity and classification first, then walk the physical infrastructure and note conditions such as electricity, water, the boundary wall, signage, and recent maintenance. When you reach equipment, test or confirm each device rather than assuming it is functional, and record quantities where the item asks for them. Check staffing against the roles listed, review supplies and pharmaceuticals, and assess clinical competency in the areas the checklist names. Finish with service delivery, infection prevention, and waste management, then record any deficiencies and observations in the space provided.