Environmental Audit

Items are clean, intact and in good state of repair

The following areas are clean clutter free and in good repair, check: fittings and flooring, ceiling and walls/tiles, vents, lights and radiators, clutter (i.e. no items stored on the floor)

Are there designated clinical hand wash sinks within all appropriate areas?
There is an equipment wash sink which has a plug and a draining board.
There is a separate dish wash sink or dishwasher
Toilets / sinks /showers out of use or infrequently used are regularly flushed and a signed record is maintained for 3 months. *Twice weekly
There are no dead legs within the area (a dead leg is a water supply which is infrequently or not used)

Disposable paper roll is available and is wall mounted
Bactericidal detergent is available for dish washing
In areas where self catering is permitted microwaves must have a rating of 1000w
If present microwave interior clean and in good state of repair
Food for staff that requires refrigeration is stored separately from clinic supplies
Refrigerators are maintained at a temperature between 0-5oC
There is a signed daily record of fridge temperature
Interior of fridge is clean, dry and in good repair
Food is covered properly stored and marked with use by date
Clients’ tea and coffee is adequately covered
Shelves, cupboards and drawers are clean inside and out

Shelves and cupboards are clean inside/out and free of dust/spillage
Sterile packs are suitably stored
Items stored are appropriate to clean area
Equipment is stored clean
Trolleys are clean
Drug fridge is clean and free of extraneous items
Drug fridge is within safe zone 2-8oC
There is a signed daily record of drug fridge temperature (kept for 3 months)
Items stored are appropriate to treatment room
Client associated equipment is clean
All appropriate items are adequately stored and not exposed to environmental contamination, off floor.

Staff member answered correctly when asked: How is equipment/environment cleaned between use (not contaminated with blood or body fluids)?
Staff member answered correctly when asked: How is equipment/environment decontaminated when contaminated with blood? Are staff aware of proper concentrations?
General purpose neutral detergent is available e.g. Hospec
Chlorine releasing agents are available e.g. Actichlor Plus and are not past use by date

Approved sharps containers are in use
Containers are properly assembled
Containers are in the temporary locked position when not in use
Signed record of assembly and final closure (if sealed) on container
Containers are safely positioned and do not present a risk to patients, staff or public
Containers are not filled beyond the ‘fill line’
No evidence of inappropriate items disposed in sharps containers
Containers are externally clean
Sharps are disposed of at the point of use

Waste is segregated according to policy i.e. domestic waste in black bags and clinical waste in orange bags
Pedal bins are clean and functioning
Bags are sealed effectively
Bags are no more than three quarters full
Identification tape is available and in use
Waste is stored in designated area prior to uplift

Staff answered correctly when asked: Describe the correct procedure following an occupational exposure
Staff answered correctly when asked: Who should be contacted following an occupational exposure?
Staff answered correctly when asked: How would you report an exposure incident?
Staff answered correctly when asked: Where would you access information on what to do following an occupational exposure?

Alcohol hand rub is easily accessible
Hand cream is readily available and suitably situated for use
Hand hygiene products are not past their expiry date
Skin cleansing wipes are available for client use
Clinical hand wash sinks are easily accessible and not blocked by furniture/equipment
Clinical hand wash sinks are free of extraneous items
Disposable non-sterile examination gloves are available for use
Eye protection is available for use