Free Infection Control Audit Template – PDF | Lumiform

Infection control audit checklist

About the Infection control audit checklist

About the checklist

Ensure your facility meets the highest hygiene standards with our infection control audit template. This comprehensive tool helps your team inspect hygiene practices, PPE usage, and cleanliness of equipment and facilities, including patient rooms, kitchens, and nurses’ stations. It also covers trash segregation and disposal, ensuring compliance with infection control protocols. Use this template to identify areas for improvement and maintain a safe environment for everyone.

Breakdown of an effective infection control audit template

Our infection control audit template is designed to streamline your infection control processes. Here are the main elements included:

Hygiene Practices: Ensures your team follows proper hygiene protocols, covering handwashing techniques, sanitization procedures, and overall cleanliness.
PPE Usage: Verifies the correct use of personal protective equipment (PPE) by your staff, checking for proper donning, doffing, and disposal of PPE.
Equipment and Facility Cleanliness: Inspects the cleanliness of patient rooms, kitchens, nurses’ stations, and other critical areas to ensure a hygienic environment for both patients and staff.
Trash Segregation and Disposal: Ensures proper segregation and disposal of different types of waste, helping your organization comply with waste management regulations and reduce infection risks.
Sign-Off and Recommendations: Concludes the audit with a sign-off section for accountability, providing comments or recommendations to improve infection control practices and address any identified issues promptly.

When to use an infection control audit template

Use an infection control audit template whenever you need to ensure strict hygiene and safety standards. This template is ideal for routine inspections in healthcare facilities, such as hospitals, clinics, and nursing homes, where maintaining cleanliness is crucial. It's also beneficial during outbreaks or flu seasons to enhance infection control measures. Your team can use it to audit compliance with hygiene protocols, PPE usage, and waste management practices. This template is perfect for preparing for regulatory inspections or internal audits, ensuring that your facility meets all necessary standards and regulations. By using this template, your organization can proactively identify and address potential issues, maintaining a safe and healthy environment for everyone.

Why your need an infection control audit template

Using an infection control audit template offers numerous advantages for your organization. This template ensures consistent and thorough inspections, helping your team maintain high hygiene standards. By systematically checking hygiene practices, PPE usage, and facility cleanliness, you can identify and address potential issues before they escalate. The template also enhances compliance with regulatory standards, making it easier to pass inspections and audits. It provides a clear structure for documenting findings and recommendations, promoting accountability and continuous improvement. Additionally, this template saves time by providing a ready-to-use format, allowing your team to focus on the actual inspection rather than creating checklists from scratch. By using this template, your organization can ensure a safer environment for both staff and patients, ultimately improving overall health outcomes.

Enhance infection control with our audit template

Enhance your infection control processes by downloading the infection control audit template from Lumiform. Ensure your facility meets the highest hygiene standards, streamline inspections, and maintain compliance with ease. Get started now and provide a safer environment for everyone. Download the template and see the difference it makes in your organization.

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Preview of the template

Audit

Hand Hygiene

Are all staff are instructed good hand hygiene training upon induction?

Is liquid soap is available at all communal sinks?

Are paper towels are available at all communal sinks?

Are handwash areas are free from reusable towels?

Are sinks in clinical areas free from cups and drinking facilities?

Is the hand wash basin clear? E.g no equipment soaking in the sink?

Is there alcohol hand rub available throughout the home?

Are the mixer taps thermostatically controlled in clinical sinks? Is hot water available?

Are the sinks in clinical areas free from nail brushes, clothes etc.?

Are the hands of clinical staff free from jewellery? E.g watches, rings etc.

Any other comments?

Sharps handling and disposal

Is the sharps box available for use and conform to the British standard 7320 and UN 3291?

Is the sharps box the appropriate size for the amount of use?

Is the box is less than 3/4 full with no sharp objects protruding?

Is the sharps box correctly assembled? Ensure that the lid is secure.

Is the sharps box labelled with a point of source?

Are all sharps disposed of directly into a sharps box following use?

Is the sharps box locked when 3/4 full and not reused?

Have you ensured that sharp objects have not been decanted from one receptacle to another?

Are staff aware of procedures following a sharps injury/significant exposure?

A sharps/significant exposure policy is available? (see needle stick)

Full sharps boxes are stored in a designated locked area awaiting collection/disposal?

Any other comments?

Waste disposal

Is a clinical waste policy available?

Is the clinical waste policy known to all staff?

Do all clinical areas have foot operated waste bins?

Are the foot operated waste bins in good working order?

Are yellow waste bags used for the disposal of clinical waste?

Are waste bags less than 3/4 full and securely tied when they are 3/4 full?

Is all household waste stored in black bags and securely tied?

Are clinical waste and domestic water correctly segregated?

Is clinical waste stored in the designated area prior to disposal?

Is the storage area of clinical waste locked and inaccessible to unauthorised persons?

Is the storage area cleaned at lest weekly and immediately after a spill?

Are bags labelled with source - in accordance with duty of care?

Is appropriate protective clothing available for staff handling clinical waste bags?

Is the collection of clinical waste undertaken by a registered company and disposed of by incineration?

Any other comments?

Kitchen area

Is the kitchen subject to regular inspection from the environmental health agency?

Is the floor clean and dry?

Is there evidence that the kitchen is free from infestation or animals?

Are cleaning materials used in the kitchen identifiable and stored separately away from food?

Does the separate dedicated hand wash sink have liquid soap and paper towels available?

Are all fixtures and fittings in a good state of repair?

Are all fixtures, surfaces and appliances clean and dry?

Are all shelves, cupboards and drawers clean and free from dust and in a good state of repair?

Are all cooking appliances visibly clean?

Is the oven, and other cooking appliances, in good working order?

Are refrigerators and freezers clean and free from ice build up?

Is a thermometer present in all refrigerators and freezers?

Is there evidence of daily temperatures being recorded?

Is all of the milk stored in the refrigerator?

Is the bread stored in a clean, dry container?

Is the waste bin emptied as necessary with the bin liner tied? Is the bin liner disposed of properly?

Any other comments?

Laundry facilities

Is the laundry room clean and free from dust?

Is the laundry room free from cleaning materials? *The laundry room should be free from all cleaning materials

Are the mop buckets clean and free from embedded dirt or grime?

Are there dedicated hand hygiene facilities available with liquid soap and paper towels?

Is all equipment in the laundry room clean?

Are the machines free from rust and in a good state of repair?

Is there a bin in situ with a yellow bag for clinical waste?

Is the door kept locked at all times?

Any other comments?

Communal areas

Is all furniture clean and in a good state of repair?

Are all floor coverings clean and in a good state of repair?

Are all high horizontal surfaces free from dust?

Are all low level surfaces free from dust?

Where extractor fans are in operation, are they clean and free from dust?

Are all curtains and blinds in a good state of repair?

Are the toilets free of extraneous items

Are all fixtures and fittings in good repair throughout?

Is liquid soap available at all hand washing sinks?

Are disposable paper towels available at all wall mounted dispensers?

Are waste disposal facilities appropriate? (see section 3 "waste disposal")

Are toilet seats dry and are all toilet aids clean and dry?

Any other comments?

Cleaning and disinfectant

Is general purpose neutral detergent available?

Are disinfectants used in accordance with manufacturers instructions?

Is Impervious flooring such as vinyl is used whenever bodily fluid spillage is frequent and predictable?

Are carpets impervious?

Is all furniture and equipment capable of being cleaned and decontaminated?

Are cleaning and disinfectant agents stored appropriately and immediately after use?

Are spillages of blood and other bodily fluids appropriately cleaned and disinfected?

Are all single patient use devices used only for an individual patient and destroyed on completion of treatment as appropriate?

Any other comments?

Date and signature of person conducting audit

Select date

Add signature

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This template, developed by Lumiform employees, serves as a starting point for businesses using the Lumiform platform and is intended as a hypothetical example only. It does not replace professional advice. Companies should consult qualified professionals to assess the suitability and legality of using this template in their specific workplace or jurisdiction. Lumiform is not liable for any errors or omissions in this template or for any actions taken based on its content.