Title Page

  • Audit Conducted On:

  • Audit Conducted By:

  • Location

Hand Washing Preparation

  • Job Role of Staff being Observed.

  • Arms bare from the elbow down, with no jewellery/watches (plain wedding band acceptable).

  • Nails are Short and Varnish Free.

  • Cuts are covered with a waterproof dressing.

Five Moments for Hand Hygiene

  • Hands Cleaned before touching a patient.

  • Hands Cleaned before Clean/Aseptic Procedure.

  • Hands Cleaned after Body fluid exposure.

  • Hands Cleaned after Touching a Patient.

  • Hands Cleaned after Touching a Patient Surroundings.

Hand Washing Technique

  • Posters displaying steps to effective hand washing by each sink.

  • Hands washed with water and soap following correct steps for 20 seconds. Alcohol-based handrub used if no immediate access to soap and water.

  • Hands dried thoroughly (ideally with disposable towel), or allowed to evaporate if using handrub.

  • Tap turned off with elbow or clean disposable towel.

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.