| Hospital Name | Date | ||
|---|---|---|---|
| Address | |||
| Evaluator | Contact | ||
| Description/Type | |
|---|---|
| Continuous and Unbroken? | |
| Gates Condition | |
| Vulnerabilities Noted |
| Coverage (all areas well-lit?) | |
|---|---|
| Operational at Night? | |
| Dark Spots / Issues |
| Cameras Covering Entire Perimeter? | |
|---|---|
| Blind Spots Noted? | |
| Monitoring Method |
| Number of Entry/Exit Points | |
|---|---|
| Guards Present? | |
| Screening Procedures |
| Overgrown Vegetation? | |
|---|---|
| Obstruction to Visibility? | |
| Other Concerns |