Animal House Room Inspection

• Audit Title

• What date and time was the inspection performed?

  Date

• What room was inspected?

  Select 4.40 4.41 4.31 4.32 4.55 4.20 4.48 4.10 PC3 Q2

  • 4.40
  • 4.41
  • 4.31
  • 4.32
  • 4.55
  • 4.20
  • 4.48
  • 4.10
  • PC3
  • Q2

• Which staff member is being assessed?

• Who is performing the inspection?

  Select Natalie Littlejohn Rona Barugahare Marisa Henry

  • Natalie Littlejohn
  • Rona Barugahare
  • Marisa Henry

General Room Check

• What is the temperature in the room?

  21

  22 - 24

  >25

• What is the humidity in the room?

  <30

  30 - 70

  >70

• All lights are functional.

  Yes

  No

  N/A

• Is the radio turned on?

  Yes

  No

  N/A

• If yes, is it at an acceptable volume? (Normal speaking volume)

  Yes

  No

  N/A

• If no, is it able to be turned on?

  Yes

  No

  N/A

• Is the CO2 turned off?

  Yes

  No

  N/A

• Is there a current phone list near the phone?

  Yes

  No

  N/A

• Is there a current emergency phone list near the phone?

  Yes

  No

  N/A

• Is the computer functional?

  Yes

  No

  N/A

Cage Checks

• All cages have food.

  Yes

  No

  N/A

• All cages have water.

  Yes

  No

  N/A

• All cages have enrichment.

  Yes

  No

  N/A

• All cages have cage cards.

  Yes

  No

  N/A

• Mice are pooled appropriately.

  Yes

  No

  N/A

• If no, how many cages could be pooled?

  1

  2 - 5

  >5

• Any cages with sick mouse green flagging cards?

  Yes

  No

  N/A

• If yes, does the flagging card have all the correct information, including reason for being flagged, date flagged and name/initials of person who flagged the cage?

  Yes

  No

  N/A

• Is the proposed treatment/monitoring adequate?

  Yes

  No

  N/A

• Is the treatment/monitoring being performed correctly and is up to date?

  Yes

  No

  N/A

Record Keeping

• Is the room/usage folder up to date?

  Yes

  No

  N/A

• Is the room/usage folder neat and in order? (No loose paper, weaning sheets in the correct section, old sheets filed)

  Yes

  No

  N/A

• Room check sheets are filled in correctly.

  Yes

  No

  N/A

• Filters check and change sheets are filled in correctly.

  Yes

  No

  N/A

• Are the filters been checked and changed adequately?

  Yes

  No

  N/A

• Is the stock sheet being filled in accurately and on time?

  Yes

  No

  N/A

Cleanliness

• Hoods are clean.

  Yes

  No

  N/A

• Floor has been swept and mopped adequately.

  Yes

  No

  N/A

• AHU is clean, including filters being free of dust.

  Yes

  No

  N/A

• Windowsills are clean.

  Yes

  No

  N/A

• Clean equipment is stored correctly - on a trolley, lids on top bases, water trolleys stacked properly.

  Yes

  No

  N/A

• Dirty equipment has been cleared out or stored correctly - in the airlock, lids on top bases, water bottles debunged and emptied.

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Sharps bin are not filled past the fill line.

  Yes

  No

  N/A

• F10 bottles are filled and dated.

  Yes

  No

  N/A

• Ethanol bottles are filled and dated.

  Yes

  No

  N/A

• Consumables are restocked adequately - includes gloves, face masks, booties, syringes, needles, teriwipes, clean bases and water bottles, tissues, clinical waste bags etc.

  Yes

  No

  N/A

• Are cockroach baits clear of bugs?

  Yes

  No

  N/A

• Are cockroach baits less than 3 months old?

  Yes

  No

  N/A

Experimental Rooms

• Choose 3 cages on different protocols at random. Is the paperwork up to date?

  Yes

  No

  N/A

• Is the anaesthetic machine set up correctly?

  Yes

  No

  N/A

• Is the charcoal canister refreshed and dated with last fill?

  Yes

  No

  N/A

• Autoclave bags (plastic and/or material) are provided.

  Yes

  No

  N/A

• AQIS paperwork is up to date.

  Yes

  No

  N/A

Signature

• Please sign when completed.

  Sign