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25 <br /> AREA INFORMATION: <br /> Most facilities have multiple, separate spaces available that can be used. Record details about each area. <br /> Area Name: Length: Width: Sq Ft of Area: <br /> Intended Uses: ❑ Dormitory ❑ Feeding ❑ Safest Refuge ❑ Reception ❑ Client Meeting Areas ❑ Pet Shelter <br /> ❑ Administration/Storage ❑ Client Isolation Area <br /> Windows in the Area: ❑ Y ❑ N Long or Open Roof Spans in Dormitory: ❑ Y ❑ N <br /> If any of the items below are accessible to multiple areas, please split them up amongst the areas. <br /> Total Number of toilets: Number of Accessible toilets: <br /> Total Number of showers: Number of Accessible showers: <br /> Total Number of bathroom sinks: Number of Accessible bathroom sinks: <br /> AREA INFORMATION: <br /> Most facilities have multiple, separate spaces available that can be used. Record details about each area. <br /> Area Name: Length: Width: Sq Ft of Area: <br /> Intended Uses: ❑ Dormitory ❑ Feeding ❑ Safest Refuge ❑ Reception ❑ Client Meeting Areas ❑ Pet Shelter <br /> ❑ Administration/Storage ❑ Client Isolation Area <br /> Windows in the Area: ❑ Y ❑ N Long or Open Roof Spans in Dormitory: ❑ Y ❑ N <br /> If any of the items below are accessible to multiple areas, please split them up amongst the areas. <br /> Total Number of toilets: Number of Accessible toilets: <br /> Total Number of showers: Number of Accessible showers: <br /> Total Number of bathroom sinks: Number of Accessible bathroom sinks: <br /> Please print additional pages for each area being surveyed. <br /> To Be Used by Red Cross Surveyor <br /> MC Red Cross On-Site Shelter Survey Form V.1.0 2024-08-26 <br />