Infection Control Physical Inspection
Hand hygiene

Sinks and appropriate hand washing products are available

Staff perform appropriate handwashing

Personal protective equipment

PPE is readily available (check 2 PPE boxes)

Eating/ Drinking

Area has a designated place for eating /drinking away from work area or any area where blood or body fluids are located

No food or drinks on desks, computers or housekeeping carts

Sharps Containers

Sharps are disposed of in puncture-resistant, leakproof, biohazard-labeled ( or red ) containers

Containers are secured, not overfilled or obstructed (check 2 boxes)

Refrigerated supplies

No combined food/ medication / patient specimens in refrigerators

Temperature is monitored and recorded daily, actions are documented if out of range

Food brought in from outside the facility must be labeled and dated

Clean/Dirty separation

Designated clean storage separate from dirty

Supplies are stored off floor

Supply area is free of dust, dirt, etc.

Card board boxes are not stored on floor

Clean linen cart is covered

Paper towels and toilet paper are not located in soiled utility room

Cleaning/ Disinfection

Correct process for cleaning equipment ( ask staff)

Correct contact time for disinfectant used (ask staff)

Isolation Precautions

Isolation precautions are being followed as appropriate

Sign on door

PPE cart/ cabinet contains appropriate supplies

Patient chart labeled

Waste disposal

Biohazard waste is red bagged

Biohazardous waste is segregated appropriately as evidenced by contents of waste receptacles

Patient Supplies

Monitoring of expired supplies (check 5 items for expiration)

Injection Safety

Are SDVs/ MDVs used appropriately?

HAI Measures

Staff know HAI rates for their unit

Staff know appropriate measures to use for HAI reduction

Notes Section
Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.