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Infection control checklist

Infection control checklist

Ensure your organization maintains the highest hygiene standards with our infection control checklist. Learn how to implement, customize, and maximize its benefits for a safer workplace.

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Infection control checklist

Ensure your organization maintains the highest hygiene standards with our infection control checklist. Learn how to implement, customize, and maximize its benefits for a safer workplace.

Use this template with Lumiform

  • Customize this template or build your own
  • Fill out templates via mobile app
  • Get reports and analyse your data
Prices start from ░░░ per month
Book a demo
Learn more
or Download template as PDF

Maintain rigorous infection prevention standards with this comprehensive infection control checklist designed for healthcare facilities. Unlike generic assessment tools, this checklist specifically addresses high-risk areas like isolation rooms, medication preparation zones, and patient care environments—providing targeted evaluation of your infection control practices. During routine audits or following infection clusters, you’ll have a ready-to-use tool that quickly identifies compliance gaps and documents your ongoing commitment to infection prevention.

Related categories

  • Health and safety management templates
  • Health care templates
  • Workplace safety templates
Preview of the template
Page 1
Hygiene Practices
Proper hand washing technique observed
Adequate hand sanitizers available
Staff comply with cough/sneeze etiquette
Staff wear clean uniforms/scrubs
Personal Protective Equipment (PPE)
Sufficient supply of gloves, masks, gowns, etc.
PPE worn appropriately by staff
PPE removed and disposed of correctly
Facility Cleanliness
Patient rooms cleaned and disinfected
Kitchens/pantries maintained clean
Nurses' stations uncluttered and sanitized
Equipment/devices cleaned between uses
Waste Management
Proper color-coded bins for waste segregation
Biohazardous waste disposed of safely
Non-infectious waste disposed of appropriately
Audit Completion
Auditor Name
Auditor Signature
Date
Comments/Recommendations

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Topic guides

Read in-depth guides covering key topics related to this article.

Infection control guide: Best practices and strategiesHazard communication program: A guide for workplace safetyWorkplace hazards: Effective management techniquesHospital management: All you need to know about patient care
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Template collections

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Health and safety management system softwareOccupational health and safety softwareRisk control softwareHealthcare risk management software
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Other resources

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10 reasons why workplace safety is importantHow to perform safety inspectionsHow to measure operational excellence5 ways workflow automation streamlines healthcare administration

Frequently asked questions

What should I do with the results from completed infection control checklists?

Use completed checklist results to identify patterns of non-compliance, prioritize resource allocation, and develop targeted staff education. Share anonymized findings with department leaders and the infection control committee. Most importantly, create an action plan with clear responsibilities and timelines for addressing identified gaps.

How can infection control checklists help during regulatory inspections?

Infection control checklists provide documented evidence of your ongoing commitment to infection prevention. During inspections, they demonstrate systematic monitoring, show historical compliance trends, and prove you’ve identified and addressed issues proactively. Regulators view consistent checklist completion as a sign of a mature infection prevention program.

How should I train staff to properly use the infection control checklist?

Train staff by first explaining the checklist’s purpose and importance to patient safety. Provide hands-on practice with experienced mentors to ensure consistent assessment standards. Review common findings and interpretation challenges, and establish a clear process for reporting urgent concerns discovered during checklist completion.


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.
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