Infection Control Monitoring and Provision Checklist Template

Templates

Related categories

Preview of the template

Audit

General Items

Has an ICRA been performed prior to the start of work in all areas?

Have all ICRAs been filed, and made accessible to everyone necessary?

Have all ICRAs been reviewed by the Owner's Representatives (IC Officer), and S. M. Wilson Staff?

Have requirements of all active ICRAs been communicated to all Subcontractors performing work in the associated areas?

Have all Employees reviewed the Infection Control Video prior to starting work?

Airflow & Monitoring

Has a negative airflow been established in all areas of work?

Is a negative pressure indicator (ie manometer, etc) in place at each area of work?

Is airflow & air quality being monitored on a regular basis?

Are airflow & air quality reports being received & filed on a regular basis?

Are all Negative Air Machines functioning properly?

Have the appropriate Filters been installed and maintained in each Negative Air Machine?

Is the leading edge of all Duct sealed?

Are all Duct returns capped, terminated, or filtered?

Has all stored Duct been sealed appropriately?

Housekeeping

Are areas of work being kept clean/swept in order to minimize track-out?

Are all corridors and surrounding areas swept and clean (no track-out)?

Are all Trash Bins, Gondolas, Carts, etc covered when exiting areas of work?

Are the wheels of all Bins, Gondolas, Carts, etc cleaned prior to exiting areas of work?

Have walk-off Mats (sticky, damp, or other) been installed at the exit to each area of work?

PPE

Is appropriate PPE being worn when necessary (gowns, booties, masks, etc)?

Area Isolation & Access Control

Have sealed Partitions been installed around each area of work?

Do all Temp Doors into areas of work latch appropriately?

Have Closures been installed on all Temp Doors?

This template was downloaded 8 times

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.