Facility Climate Vulnerability Assessment Checklist

16 items · Health · Medium difficulty · 30 min

Quick, practical checklist to assess climate vulnerabilities in health facilities.

• Identify local climate hazards

  List floods, storms, heatwaves, droughts and seasonal risks.

• Review building vulnerability points

  Check basements, roofs, windows and low-lying rooms for risk.

• Check emergency power systems

  Confirm presence of backup power and basic switch procedures.

• Locate backup generator and transfer switch

  Note access routes and who can operate it.

• Test backup generator operation

  Run briefly under load if safe and record results.

• Check fuel storage and replenishment plan

  Verify on-site fuel and supplier contacts for outages.

• Assess water supply and sanitation resilience

  Identify alternate water sources and safe sanitation in outages.

• Verify medical cold chain and refrigeration backup

  Confirm vaccine fridge backup power and temperature logs.

• Secure essential medical supplies and patient records

  Protect items and back up digital records off-site or cloud.

• Review staff emergency roles and contact lists

  Ensure updated phone lists and clear role assignments.

• Test communication systems and backup plans

  Check phones, radios and alternative contacts for outages.

• Check access routes and evacuation signage

  Confirm clear routes for ambulances, staff and patient movement.

• Assess waste management during extreme events

  Plan safe storage and disposal when services are disrupted.

• Plan patient relocation and continuity of care strategies

  Identify alternative care sites and transport options.

• Train staff on climate-related emergency actions

  Schedule short drills and briefings on key procedures.

• Establish partnerships with local emergency services

  Share plans and contact points with fire, EMS and utilities.

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