Engineering Services
Checklists, Waivers, and Interpretations

Checklists

Fill out checklists by marking every item with ✓ or NA, and then email your completed checklist to the engineer that will do the inspection. The completed checklist must be returned to our office before the final inspection by MDH is made.

• Nursing Home Checklist - Physical Plant - New Construction (PDF)
• Construction Completion Checklist (PDF)
• Health Care Facility Life Safety Code Checklist (PDF)

Waivers

Instructions for Completing a Waiver Form (PDF)(updated 12/15/2017)

NOTE: For the best results use Microsoft Office 2013 or newer to complete the waiver forms.

• Notification for Ventilation of Surgical Suites (Word) (created 11/17/17)
• Drinking Fountain (Word) (created 12/15/17)
• Equivalency for 20% Relative Humidity in an Anesthetizing Location (Word) (created 12/15/17)
• Locked Unit Waiver Information, see Information Bulletin 91-1
• Neighborhood Kitchen(s) - Limited Food Preparation/Cooking (Word) (updated 12/15/17)
• Neighborhood Kitchen(s) - Range Hood with Extinguishing System (PDF) (updated 03/12/19)
• Neighborhood Kitchen(s) - Locked Under-Counter Dishwasher (Word) (created 12/15/17)
• Toilet Location to Provide Staff Assistance (Word) (created 12/15/17)

Interpretations

• Adoption of the 2022 Edition of the FGI Guidelines for Hospital Licensure (PDF)