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Fraser Health Inspection Priority Worksheet
Fraser Health Inspection Priority Worksheet
Fraser Health Inspection Priority Worksheet
Address
Date of Assessment Licensing Officer Previous Assessment Date Last Routine Inspection Date Hazard Rating at Last Insp Final Priority Rating
Initial
/ / Review / / / / _____ /65
DD MMM YYYY DD MMM YYYY DD MMM YYYY
CCFL GEN 200a (rev Aug 1, 2008) Fraser Health Authority – Community Care Facilities Licensing Program Page 1 of 2
Category Wt Weighted Summary Notes
(circle one number in each category) Rating
(score x wt )
(D) Facility Physical Plant Assessment x2 /10
5. Facility physical plant is extremely hazardous to client health
and safety
OR insufficient information is currently available
4. Facility physical plant is chronically a health and safety hazard
TOTAL: /65
CCFL GEN 200a (rev Aug 1, 2008) Fraser Health Authority – Community Care Facilities Licensing Program Page 2 of 2