Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Department ie dental. av med etc

Pantry

  • Is the fridge free of old expired food?

  • Is the fridge cleaned and emptied weekly?

  • Is there a checklist for HK once weekly cleaning is complete? Take photo of checklist and list.

  • Is under the sink clean and free of any materials?

  • Are the kitchen worktops clean?

  • Are inside the cupboards clean?

  • Is the water filter in the pantry serviced?

  • Is the coffee machine clean (if applicable)?

  • Are the Drip trays empty and clean?

Watercoolers

  • Watercoolers in the clinic waiting areas- serviced within 6months?

  • Is it clean?

  • Are the Drip trays clean and empty?

Environmental

  • Furniture is clean and in good repair?

  • Are the rooms free of food supplies and equipment?

  • Are the rooms clean and dust free?

  • Gloves, overalls and eye shields available in all rooms

  • Curtains are clean and changed within 6 months? Tab on top of curtains with installation date.

  • Used linen is stored in a dedicated hamper

  • No expired items and/or materials found during inspection

  • Are multi use items ie gels discarded within one month? Excluding hand sanitiser.

  • Are single use items discarded after use?

Sharps bin

  • Sharps bins are not filled above the fill line

  • Sharps bins are free from protruding sharps

  • Temporary closure mechanisms are used when bins are not in use

  • Bins are assembled correctly and are clean

  • Bins are stored correctly off the floor between waist and shoulder height

  • Injection trays are clean

  • Staff are knowledgeable on actions to take i event of a sharps injury

  • Staff witnessed using safe sharp processes: disposal at point of use, safe disposal

  • Used bins are sealed, locked, dated then placed in the biohazardous waste room for disposal.

Waste Bins

  • General waste and Biohazard bins available in all rooms?

  • Stickers clearly mark if biohazard or general waste or not?

  • Appropriate waste in correct bin?

  • Only bins with lids in clinical rooms?

  • All waste bins are clean and in full working operation.- check the foot pedal.

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