Healthcare Surge: Facility On-Site Damage/Operability Form

Form Template

The Healthcare Surge: Facility On-Site Damage/Operability Form mobile app is a comprehensive assessment and will aid in the decision for keeping the facility open or evacuating staff.

5,000 Companies save time and money with GoCanvas

Lumen Logo Post Consumer Brands Logo Saluda Hill Landscapes Logo Te3co Logo Two Men and a Truck Logo VIP Lighting Logo

During a catastrophic emergency, the facility should be checked to ensure the following: Structural integrity, Availability of communications and elevators (if applicable), Availability of water: from utility, drinking and hot, Functionality of building systems such as electricity, emergency power, fuel reserve, heating and cooling, and sewage disposal, Availability of supplies including food, medications, linens and other items and Availability of resources such as administration, nursing, dietary and housekeeping. GoCanvas allows you to capture signatures, insert photos, capture GPS coordinates, dispatch technicians to jobs, conduct calculations and utilize common form fields like drop-downs, checkboxes, text boxes, and more.

Features
  • Submission Editing
  • Reference Data
  • Dispatch
Read More
Platforms
  • iPhone
  • iPad
  • Android
  • Windows
Read More
Integrations
  • Quickbooks
  • Salesforce
  • Google Docs
  • Dropbox
Read More
*The Capterra SoftwareAdvice ​and GetApp logos are a service mark of Gartner, Inc. and/or its affiliates and is used herein with permission.*

Don't take our word for it...

“I’m not a tech guy and I was able to pick this thing up in probably an hour, and actually start to build apps. I’ve done them over lunch when I’ve gotten frustrated with a process that didn’t exist in our company. So for non tech people who’ve got a problem, the support here is awesome and I’d recommend it to anybody, not just in our industry.”

Dave Kramer, PennLine Service

Connect with one of our experts today.

We’ll help you put together the right solution for your needs.

Contact Us