Infection Control Audit Download as PDF Digitalize this paper form now
Register for free on lumiformapp.com and conduct inspections via our mobile app
Cut inspection time by 50% Uncover more issues and solve them 4x faster Select from over 4000 expert-proofed templates Infection Control Audit Audit Hand Hygiene Are all staff are instructed good hand hygiene training upon induction? Yes No N/A Is liquid soap is available at all communal sinks? Yes No N/A Are paper towels are available at all communal sinks? Yes No N/A Are handwash areas are free from reusable towels? Yes No N/A Are sinks in clinical areas free from cups and drinking facilities? Yes No N/A Is the hand wash basin clear? E.g no equipment soaking in the sink? Yes No N/A Is there alcohol hand rub available throughout the home? Yes No N/A Are the mixer taps thermostatically controlled in clinical sinks? Is hot water available? Yes No N/A Are the sinks in clinical areas free from nail brushes, clothes etc.? Yes No N/A Are the hands of clinical staff free from jewellery? E.g watches, rings etc. Yes No N/A Sharps handling and disposal Is the sharps box available for use and conform to the British standard 7320 and UN 3291? Yes No N/A Is the sharps box the appropriate size for the amount of use? Yes No N/A Is the box is less than 3/4 full with no sharp objects protruding? Yes No N/A Is the sharps box correctly assembled? Ensure that the lid is secure. Yes No N/A Is the sharps box labelled with a point of source? Yes No N/A Are all sharps disposed of directly into a sharps box following use? Yes No N/A Is the sharps box locked when 3/4 full and not reused? Yes No N/A Have you ensured that sharp objects have not been decanted from one receptacle to another? Yes No N/A Are staff aware of procedures following a sharps injury/significant exposure? Yes No N/A A sharps/significant exposure policy is available? (see needle stick) Yes No N/A Full sharps boxes are stored in a designated locked area awaiting collection/disposal? Yes No N/A Waste disposal Is a clinical waste policy available? Yes No N/A Is the clinical waste policy known to all staff? Yes No N/A Do all clinical areas have foot operated waste bins? Yes No N/A Are the foot operated waste bins in good working order? Yes No N/A Are yellow waste bags used for the disposal of clinical waste? Yes No N/A Are waste bags less than 3/4 full and securely tied when they are 3/4 full? Yes No N/A Is all household waste stored in black bags and securely tied? Yes No N/A Are clinical waste and domestic water correctly segregated? Yes No N/A Is clinical waste stored in the designated area prior to disposal? Yes No N/A Is the storage area of clinical waste locked and inaccessible to unauthorised persons? Yes No N/A Is the storage area cleaned at lest weekly and immediately after a spill? Yes No N/A Are bags labelled with source - in accordance with duty of care? Yes No N/A Is appropriate protective clothing available for staff handling clinical waste bags? Yes No N/A Is the collection of clinical waste undertaken by a registered company and disposed of by incineration? Yes No N/A Kitchen area Is the kitchen subject to regular inspection from the environmental health agency? Yes No N/A Is the floor clean and dry? Yes No N/A Is there evidence that the kitchen is free from infestation or animals? Yes No N/A Are cleaning materials used in the kitchen identifiable and stored separately away from food? Yes No N/A Does the separate dedicated hand wash sink have liquid soap and paper towels available? Yes No N/A Are all fixtures and fittings in a good state of repair? Yes No N/A Are all fixtures, surfaces and appliances clean and dry? Yes No N/A Are all shelves, cupboards and drawers clean and free from dust and in a good state of repair? Yes No N/A Are all cooking appliances visibly clean? Yes No N/A Is the oven, and other cooking appliances, in good working order? Yes No N/A Are refrigerators and freezers clean and free from ice build up? Yes No N/A Is a thermometer present in all refrigerators and freezers? Yes No N/A Is there evidence of daily temperatures being recorded? Yes No N/A Is all of the milk stored in the refrigerator? Yes No N/A Is the bread stored in a clean, dry container? Yes No N/A Is the waste bin emptied as necessary with the bin liner tied? Is the bin liner disposed of properly? Yes No N/A Laundry facilities Is the laundry room clean and free from dust? Yes No N/A Is the laundry room free from cleaning materials? *The laundry room should be free from all cleaning materials Yes No N/A Are the mop buckets clean and free from embedded dirt or grime? Yes No N/A Are there dedicated hand hygiene facilities available with liquid soap and paper towels? Yes No N/A Is all equipment in the laundry room clean? Yes No N/A Are the machines free from rust and in a good state of repair? Yes No N/A Is there a bin in situ with a yellow bag for clinical waste? Yes No N/A Is the door kept locked at all times? Yes No N/A Communal areas Is all furniture clean and in a good state of repair? Yes No N/A Are all floor coverings clean and in a good state of repair? Yes No N/A Are all high horizontal surfaces free from dust? Yes No N/A Are all low level surfaces free from dust? Yes No N/A Where extractor fans are in operation, are they clean and free from dust? Yes No N/A Are all curtains and blinds in a good state of repair? Yes No N/A Are the toilets free of extraneous items Yes No N/A Are all fixtures and fittings in good repair throughout? Yes No N/A Is liquid soap available at all hand washing sinks? Yes No N/A Are disposable paper towels available at all wall mounted dispensers? Yes No N/A Are waste disposal facilities appropriate? (see section 3 "waste disposal") Yes No N/A Are toilet seats dry and are all toilet aids clean and dry? Yes No N/A Cleaning and disinfectant Is general purpose neutral detergent available? Yes No N/A Are disinfectants used in accordance with manufacturers instructions? Yes No N/A Is Impervious flooring such as vinyl is used whenever bodily fluid spillage is frequent and predictable? Yes No N/A Are carpets impervious? Yes No N/A Is all furniture and equipment capable of being cleaned and decontaminated? Yes No N/A Are cleaning and disinfectant agents stored appropriately and immediately after use? Yes No N/A Are spillages of blood and other bodily fluids appropriately cleaned and disinfected? Yes No N/A Are all single patient use devices used only for an individual patient and destroyed on completion of treatment as appropriate? Yes No N/A Date and signature of person conducting audit
Please note that this checklist template is a hypothetical appuses-hero example and provides only standard information. The template does not aim to replace, among other things, workplace, health and safety advice, medical advice, diagnosis or treatment, or any other applicable law. You should seek your professional advice to determine whether the use of such a checklist is appropriate in your workplace or jurisdiction.