At a glance
Use this environmental health assessment form to rapidly assess shelter conditions during emergencies and disasters and document needs in shelters. The form can be easily modified to meet local needs.
About the shelter assessment form
The environmental health assessment for disaster shelters form covers 10 general areas of environmental health. These areas range from basic food safety and water quality to pet (companion animal) wellness.
Contact cdcshelterform@cdc.gov for an Epi Info or Survey123 version of the form.
Content Source:
National Center for Environmental Health