Information

  • Facility / Department:

  • Conducted on:

  • Prepared by:

  • Personnel involved:

  • Sharps containers have not been overfilled (i.e. 2/3 full) ?

  • Nothing stored on top of sharps containers and opening is free from obstructions?

  • All safety devices are readily available/stocked appropriately (i.e. on lab draw caddy, in med room, etc.)?

  • Sharps containers are located at the point of use and at appropriate height (opening 52 - 56 inches from ground)?

  • All appropriate safety and transfer devices are in use?

  • No evidence of re-capping of needles?

  • Staff are aware of the action required following a sharps or blood/bodily fluid exposure injury?

  • Medication waste is being segregated properly?

  • Bulk biohazard (red bag) is segregated and stored properly?

  • Staff are donning, doffing, and disposing of PPE appropriately?

  • Additional Comments:

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.