Title Page
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Ward/Department
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Conducted on
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Prepared by
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The points covered in this checklist serve the purpose of guidance only, and are in no way intended to indicate a prescriptive list of steps that must be followed.
General observations
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General impression of the ward conditions
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Please provide further information above by tapping the "Note" or "Media" options.
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Is the waste holding clean?
Bay/Consulting/Side/Treatment Room
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Please select which type of room you are inspecting.
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Location of room
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Are the bins in the correct location?
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Are the bins clean?
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Do the bins have the correct sticker to identify the waste stream?
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Is the waste within the clinical waste bins correctly segregated?
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Is the waste within the recycling waste bins correctly segregated?
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Is the waste within the domestic waste bins correctly segregated?
Sluice/Clean Room
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Location/Description of room
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Are the bins clean?
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Are the bins in the correct location?
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Are the sharps and medicine bins using the temporary closure?
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Are the stickers on the sharps and medicinal waste bins correctly completed?
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Do the sharps and medicine waste bins contain the correct waste within?
Sign-Off
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Auditor signature
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Department lead/Manager signature