Preparing for the Certified Healthcare Facility Manager (CHFM) exam requires mastering a broad range of facility management disciplines specific to healthcare environments. This free printable PDF gives you real exam-style questions covering building systems, life safety compliance, regulatory standards, and emergency management — everything the American Hospital Association (AHA) tests you on. Download it, print it, and study on your schedule without needing an internet connection.
The CHFM credential is administered by the AHA and is one of the most respected certifications for healthcare facility professionals. Whether you manage a hospital, outpatient clinic, or long-term care facility, this PDF will help you identify weak areas and build confidence before test day. Pair it with our CHFM practice test for the most complete preparation experience.
The CHFM examination is organized into seven major domains. A thorough understanding of each is essential for passing on your first attempt.
Expect questions on HVAC systems designed for healthcare environments, including pressure relationships in isolation rooms and operating suites. You'll also need to understand medical gas systems (oxygen, nitrous oxide, medical air, vacuum), water systems (domestic hot water, cooling towers, legionella prevention), and emergency electrical systems with automatic transfer switches and generator testing protocols.
This domain tests your knowledge of The Joint Commission Life Safety chapter, NFPA 99 (Health Care Facilities Code), and NFPA 101 (Life Safety Code). You must understand fire protection systems including sprinklers, fire doors, smoke compartmentalization, and how to conduct fire drills and manage interim life safety measures (ILSMs) during construction.
CMS Conditions of Participation (CoP) govern hospital licensure, and facility managers must be ready for unannounced surveys. Questions cover environment of care (EC) standards, Authority Having Jurisdiction (AHJ) inspections, and documentation requirements for utilities and life safety equipment testing logs.
The CHFM tests your ability to manage a Computerized Maintenance Management System (CMMS), execute preventive maintenance (PM) schedules, respond to FDA medical device recalls, and maintain equipment inventories compliant with accreditation standards.
Healthcare construction in occupied facilities carries unique risks. Questions focus on Infection Control Risk Assessment (ICRA) procedures, phased construction strategies that protect patients from dust and airborne pathogens, interim containment barriers, and coordination with infection prevention staff.
You'll be tested on the Hospital Incident Command System (HICS), utility failure response procedures (water, power, gas), and disaster preparedness plans. Understanding how to prioritize life safety systems during emergencies is critical.
This domain covers benchmarking energy use intensity (EUI), sustainability initiatives, utility metering, retrocommissioning of building systems, and aligning with green building standards relevant to healthcare facilities.
Our printable PDF is just one part of your preparation toolkit. For interactive, timed practice with instant scoring and answer explanations, use our full CHFM practice test online. You can attempt as many questions as you like across all seven exam domains, track your performance by topic, and zero in on the areas where you need the most work before exam day.