Information
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
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Separation of clean and dirty
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clean linen is covered
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Room cleaned in between patients
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Used/dirty instruments stored wet with no bioburden.
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No supplies stored in staff pockets
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No outdated supplies
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Suction tubing and canisters changed between patients and packaging intact while storing
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Specimens stored appropriately
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No chipped or damage environmental surfaces or equipment
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Single use patient care items not used on multiple patients
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Commodes stored appropriately
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Toys cleaned and reprocessed appropriately
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Appropriate hand hygiene
