Title Page

  • Ward/Department

  • Conducted on

  • Prepared by

  • 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

  • General impression of the ward conditions

  • Please provide further information above by tapping the "Note" or "Media" options.

  • Is the waste holding clean?

  • Bay/Consulting/Side/Treatment Room
  • Please select which type of room you are inspecting.

  • Location of room

  • Are the bins in the correct location?

  • Are the bins clean?

  • Do the bins have the correct sticker to identify the waste stream?

  • Is the waste within the clinical waste bins correctly segregated?

  • Is the waste within the recycling waste bins correctly segregated?

  • Is the waste within the domestic waste bins correctly segregated?

  • Sluice/Clean Room
  • Location/Description of room

  • Are the bins clean?

  • Are the bins in the correct location?

  • Are the sharps and medicine bins using the temporary closure?

  • Are the stickers on the sharps and medicinal waste bins correctly completed?

  • Do the sharps and medicine waste bins contain the correct waste within?

Sign-Off

  • Auditor signature

  • Department lead/Manager signature

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.