Title Page

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Are the traps and filters clean and free from residue?

  • Is the dental chair clean and free from any splatter?

  • Are non consumables stocked appropriately?

  • Is the entire x-Ray unit clean and dust free?

  • Are dispensers appropriately filled and clean?

  • Is the surgery checklist filled in correctly?

  • Are the steri bay logbooks filled in correctly? (Autoclave and dishwasher)

  • Is the assistina filled correctly and clean?

  • Is the magnifying light free from dust and clean?

  • Are all hazardous substances stored in the correct cupboard?

  • Is the steri bay sufficiently stocked with steri bags, impression trays etc?

  • Are the cupboards and ledges free from dust and debris?

  • Are the alginate bowls clean and free from hardened alginate?

  • Are all impression materials capped and stored correctly?

  • Is the surgical kit sufficiently stocked and ready for use?

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