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ACE Adult Survey
This is a survey that can support and assess chemical exposures for adults in relation to disaster response and contains: Survey to develop map of disaster affected areas. Recommended for environmental public health professionals collecting c...
ACE Consent Forms
This is a survey consent form to perform an assessment of chemical exposure among the adolescent population and find information on: Exposure levels communities may have experienced Recommended for environmental public health professionals col...
ACE General Survey
This is a general survey form to assess chemical exposures and collects information to: Location of exposure. Guidance to build exposure map and timeline Recommended for environmental public health professionals collecting community data pos...
ACE Hospital Survey
This is a survey for hospitals to access and evaluate any chemical exposures and measures:Hospital SurgeHospital ResponseHospital DecontaminationRecommended for environmental public health professionals working within a community or hospital set...
ACE Household Survey
This resource assesses any chemical exposures within a household setting and measures: Contact demographics Location/Exposure and Communication Health Status Recommended for environmental public health professionals who may be responsible ...
ACE Pet Survey
This resource records characteristics of a pet within a household and any exposure that they may have had to chemicals and determines: The location and exposure level of a household pet The geographic area of exposure area Recommended for en...
Disaster Assessment, Response and Recovery Checklist
This checklist is used to assess the impact of a disaster on retail food establishments, items to review for food product evaluation response, and other recovery activities. Disaster Response and Recovery for: General disasters Fire Power...
EPA Suggested Questions for Water and Wastewater Utilities - Damage Assessment Form
This form template can be used to assess damage to a water and wastewater system.Damage Assessment FormRecommended for environmental public health professionals who are performing assessments on water and wastewater facilities.Download Form...
Retail Food Establishment Checklist for Floods
This checklist can be used by environmental health professionals to assess if a retail food facility can reopen safely after a flood in the facility. Recommended for emergency environmental public health practitioners working at the s...
Dual Disaster Checklist: Flooding and COVID-19
This resource is a dual disaster checklist that can be utilized to support the preparedness of local leaders and contains: Action steps to prepare Checklist for local leaders Recommended for environmental public health professionals, publi...
Inspector Checklist Boil Water Order
This checklist is for inspectors to use when evaluating if a food establishment may operate during a boil water order. Recommended for environmental public health and public health professionals working with food establishments to determine th...
Inspector Checklist Sewage Backup
This checklist supports sewage backup response in a food establishment. Reopening procedures Recommended for environmental public health professionals working within disaster response and recovery. Download...
EPA Natural Disaster Incident Report Form
This resource can be used to record water incidents occurring in public water supply sources and includes a: Checklist Damage Assessment Information Recommended for environmental public health professionals who are assessing the operational...
Post-Fire Inspection Checklist for Retail Food Establishments
This checklist can be used by environmental health professionals to assess if a retail food facility can reopen safely after a fire in the facility. Disaster Report checklist for: Building structure Water Service Power Outage Equipment ...