Title Page
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
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Are the traps and filters clean and free from residue?
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Is the dental chair clean and free from any splatter?
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Is the surgery stocked appropriately?
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Is the entire x-Ray unit clean and dust free?
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Are dispensers appropriately filled and clean?
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Is the surgery checklist filled in correctly?
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Are the steri bay logbooks filled in correctly? (Autoclave and dishwasher)
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Is the magnifying light free from dust and clean?
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Are all hazardous substances stored in the correct cupboard?
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Is the steri bay sufficiently stocked with steri bags, impression trays etc?
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Are the cupboards and ledges free from dust and debris?
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Are the alginate bowls clean and free from hardened alginate?
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Are the windowsills and cupboard tops clutter and dust free?
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Are the drawers and cupboards clean & tidy?
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Are all instruments & devices stored and bagged correctly?
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Is the autoclave, ultrasonic and washer-disinfector clean and clear of clutter?
