Animal House Level Inspection

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Corridors

• No slip/trip hazards.

  Yes

  No

  N/A

• Main door mat is clean.

  Yes

  No

  N/A

• Back door mat is clean.

  Yes

  No

  N/A

• Clinical waste bins are no more than half full.

  Yes

  No

  N/A

• Clean side corridor has been swept and mopped adequately.

  Yes

  No

  N/A

• Dirty side corridor has been swept and mopped adequately.

  Yes

  No

  N/A

• Infectious bin is not over filled.

  Yes

  No

  N/A

• Mouse freezers are not over filled.

  Yes

  No

  N/A

• Trolleys are stored in allocated trolley bays.

  Yes

  No

  N/A

• Exits are clear of obstructions.

  Yes

  No

  N/A

• Current phone lists near phones.

  Yes

  No

  N/A

• Current emergency phone lists near phones.

  Yes

  No

  N/A

• Large autoclave log book accurately filled out.

  Yes

  No

  N/A

• Small autoclave log book accurately filled out.

  Yes

  No

  N/A

• Chipmunk autoclave log book accurately filled out.

  Yes

  No

  N/A

Cage Wash - Dirty Side

• No slip/trip hazards.

  Yes

  No

  N/A

• All dirty bases have been dumped.

  Yes

  No

  N/A

• Dirty equipment is stored appropriately - on trolleys, stacked to correct height, lids on bases.

  Yes

  No

  N/A

• Cage dump hood is turned off and clean, including a fresh bag in the hood bin.

  Yes

  No

  N/A

• Drains are clear of obstruction.

  Yes

  No

  N/A

• Consumables restocked - including hairnets, face masks, gloves, gowns etc.

  Yes

  No

  N/A

• Detergent stocked adequately (at least half a drum).

  Yes

  No

  N/A

• Descaler stocked adequately (at least two bottles).

  Yes

  No

  N/A

• Floor has been swept and mopped adequately.

  Yes

  No

  N/A

Cage Wash - Clean Side

• No slip/trip hazards.

  Yes

  No

  N/A

• There is an adequate amount of clean bases made up (usually three trolleys).

  Yes

  No

  N/A

• Bedding dispenser left clean with styrofoam slab over the opening.

  Yes

  No

  N/A

• Water prep log book filled in appropriately.

  Yes

  No

  N/A

• Cage wash cycle record up to date.

  Yes

  No

  N/A

• Shelves clean and tidy.

  Yes

  No

  N/A

• CO2 turned off.

  Yes

  No

  N/A

• Consumables restocked - including hairnets, face masks, gloves, gowns etc.

  Yes

  No

  N/A

• Floor has been swept and mopped adequately.

  Yes

  No

  N/A

Bottle Wash

• No slip/trip hazards.

  Yes

  No

  N/A

• No dirty crates left.

  Yes

  No

  N/A

• Clean crates are stored on covered trolleys or in the storeroom.

  Yes

  No

  N/A

• Detergent stocked adequately (at least two full bottles).

  Yes

  No

  N/A

• Bottle washer left clean with filters washed clean of obstructions.

  Yes

  No

  N/A

• Bottle washer log book filled in appropriately.

  Yes

  No

  N/A

• Debunger is functional.

  Yes

  No

  N/A

• Shelves clean and tidy.

  Yes

  No

  N/A

• Sink clean and tidy.

  Yes

  No

  N/A

• Consumables restocked - including gloves, autoclave tape etc.

  Yes

  No

  N/A

• Floor has been swept and mopped adequately.

  Yes

  No

  N/A

Staff Office

• No slip/trip hazards.

  Yes

  No

  N/A

• Consumables restocked - including gloves, autoclave tape, face masks, hairnets etc.

  Yes

  No

  N/A

• Desks clean and tidy.

  Yes

  No

  N/A

• Floor has been swept and mopped adequately.

  Yes

  No

  N/A

Storeroom

• No slip/trip hazards.

  Yes

  No

  N/A

• Equipment is stored correctly - on shelves, not stacked too high etc.

  Yes

  No

  N/A

• Floor has been swept and mopped adequately.

  Yes

  No

  N/A

Surgery Room

• No slip/trip hazards.

  Yes

  No

  N/A

• Hood is clean.

  Yes

  No

  N/A

• Benches are clean and tidy.

  Yes

  No

  N/A

• Clinical waste bin is no more than 3/4 full.

  Yes

  No

  N/A

• Sharps bins are not filled past fill line.

  Yes

  No

  N/A

• Consumables restocked - including sterile gloves, gowns, booties, face masks, hairnets etc.

  Yes

  No

  N/A

• Water bath is clean.

  Yes

  No

  N/A

• Ultrasonic cleaner is clean.

  Yes

  No

  N/A

• Anaesthetic machine is set up correctly.

  Yes

  No

  N/A

• Surgical instruments are packed, sterilised and stored properly.

  Yes

  No

  N/A

• Floor has been swept and mopped adequately.

  Yes

  No

  N/A

Glassware

• No slip/trip hazards.

  Yes

  No

  N/A

• Glassware stored correctly.

  Yes

  No

  N/A

• Pipettes stored correctly.

  Yes

  No

  N/A

• Benches are clean and tidy.

  Yes

  No

  N/A

• Floor has been swept and mopped adequately.

  Yes

  No

  N/A

Change Rooms/Bathrooms

• No slip/trip hazards.

  Yes

  No

  N/A

• Blues stored in the correct area.

  Yes

  No

  N/A

• Shelves are clean and tidy.

  Yes

  No

  N/A

• Soap is stocked.

  Yes

  No

  N/A

• Shampoo is stocked.

  Yes

  No

  N/A

• Conditioner is stocked.

  Yes

  No

  N/A

• Showers functional.

  Yes

  No

  N/A

• Floor has been swept and mopped adequately.

  Yes

  No

  N/A

Basement

• No slip/trip hazards.

  Yes

  No

  N/A

• Bins stored neatly in appropriate area.

  Yes

  No

  N/A

• Bedding stored neatly in appropriate area.

  Yes

  No

  N/A

• Rubbish disposed of properly.

  Yes

  No

  N/A