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Safety and infection control template

Safety and infection control template

You will learn how to use the safety and infection control checklist to maintain a safe and hygienic workplace ensuring compliance with health regulations.

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Safety and infection control template

You will learn how to use the safety and infection control checklist to maintain a safe and hygienic workplace ensuring compliance with health regulations.

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

Take control of infection prevention with this comprehensive safety and infection control template. We created this template to help healthcare facilities implement standardized protocols that reduce the risk of healthcare-associated infections (HAIs). With sections covering the ten essential elements of standard infection control precautions—from hand hygiene to safe waste disposal—you can ensure consistent practices across your entire organization.

Recent OSHA data shows significant progress in reducing HAIs, with hospitals seeing a 15% decline in central line-associated bloodstream infections and a 16% reduction in MRSA bacteremia in 2023 compared to the previous year. This template helps you contribute to this positive trend by providing structured documentation for training, auditing, and reporting on infection control measures that protect both patients and healthcare workers.

Related categories

  • Health and safety management templates
  • Health care templates
  • Safety templates
  • Workplace safety templates
Preview of the template
Page 1
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Name
Date
Time
General Safety
All staff wear appropriate personal protective equipment (PPE)
Hand hygiene facilities are available and accessible
Work areas are free from clutter and tripping hazards
Infection Control
All reusable equipment is effectively decontaminated
Waste is segregated and disposed of correctly
Clean and dirty areas are clearly defined
Sharps Management
Sharps containers are available and used correctly
Sharps are handled safely at all times
Sharps containers are disposed of appropriately
Sign Off
Name
Date
Time

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Access a complete set of resources aimed at maximizing safety, quality, and operational excellence, including detailed guides, related templates, and real-world use cases.

Topic guides

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Template collections

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10 reasons why workplace safety is importantHow to implement operational excellenceHow to perform safety inspections5 ways workflow automation streamlines healthcare administration

Frequently asked questions

How can this template help reduce healthcare-associated infections in my facility?

This template creates accountability by documenting compliance with best practices across all departments. By systematically tracking hand hygiene, environmental cleaning, and equipment disinfection, you can identify problem areas and implement targeted improvements. The structured format ensures consistent application of infection control measures, which research shows can significantly reduce infection rates when properly implemented.

Can I customize this safety and infection control template for different departments?

Absolutely! The template is fully customizable to address the specific needs of different departments while maintaining standardized core elements. You can adapt sections for specialized areas like operating rooms, dialysis units, or long-term care settings by adding department-specific protocols while keeping the fundamental infection prevention framework intact. This flexibility ensures relevance across your entire healthcare facility.

How often should we conduct audits using this safety and infection control template?

For optimal results, conduct comprehensive facility-wide audits quarterly, with targeted high-risk area assessments monthly. Regular monitoring helps identify trends and address issues before they become problems. The template includes tracking sections to compare results over time, allowing you to measure progress and adjust your infection prevention strategies based on collected data.


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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