Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Separation of clean and dirty

  • clean linen is covered

  • Room cleaned in between patients

  • Used/dirty instruments stored wet with no bioburden.

  • No supplies stored in staff pockets

  • No outdated supplies

  • Suction tubing and canisters changed between patients and packaging intact while storing

  • Specimens stored appropriately

  • No chipped or damage environmental surfaces or equipment

  • Single use patient care items not used on multiple patients

  • Commodes stored appropriately

  • Toys cleaned and reprocessed appropriately

  • Appropriate hand hygiene

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.