Infection Control Audit

• Site Conducted

  Select

• Conducted on

  Date

• Staff on duty

• Person Carrying out Audit

Managers/Team Leaders- Infection Control performed an inspection of your unit. Please review your survey and document your Plan of Correction next to each deficiency.

Employee Hand Hygiene Compliance

• Observe Staff’s hand hygiene

• Staff on duty completed Infection Control Training?

  Yes

  No

  N/A

• Are Staff aware of the Infection Control Policy and Procedure?

  Yes

  No

  N/A

1.0 Hand Hygiene

• 1.1. Sinks for hand hygiene are clean?

  Yes

  No

  N/A

• 1.2. Alcohol hand rubs are well stocked?

  Yes

  No

  N/A

• 1.3. Hand wash soaps are available in all areas as needed?(sinks)

  Yes

  No

  N/A

• 1.4. Paper towels are available in each bathroom?

  Yes

  No

  N/A

• 1.5 Thrash cans or waste bins are not overfilled or overflowing?

  Yes

  No

  N/A

• 1.6. Hand washing / hand hygiene is in use at all times

  Yes

  No

  N/A

• 1.7. Hand Hygiene reminder posters present?

  Yes

  No

  N/A

2.0 Employee/Staff Room

• 2.1. Floor and room clean?

  Yes

  No

  N/A

• 2.2. Microwave oven clean?

  Yes

  No

  N/A

• 2.3. Refrigerator clean and thawed of ice?

  Yes

  No

  N/A

• 2.4. Files properly arranged and shelves tidy

  Yes

  No

  N/A

3.0. Person We Support’s Bathroom

• Initial Of the Person We Support

• 3.1. Shower room clean and orderly?

  Yes

  No

  N/A

• 3.2. Walls and floor are clean?

  Yes

  No

  N/A

• 3.3. Ceiling tiles are not discolored/ wet/ missing / damaged?

  Yes

  No

  N/A

• 3.4. Dust not found in high places?

  Yes

  No

  N/A

• 3.5. Bathroom well ventilated?

  Yes

  No

  N/A

• Toilet bin in place?

  Yes

  No

  N/A

4.0 PPE

• 4.1. Are PPE in use by staff on shift

  Yes

  No

  N/A

• 4.2. Are PPE well stocked?

  Yes

  No

  N/A

• 4.3. Are staff aware of how to order PPEs? Ask staff

• Further Comments