Infection Control + Health & Safety Audit

• Site conducted

  Select

• Conducted on

  Date

• Prepared by

• Location
  Address

• Is an Infection Control Manual or Policy available?

  Yes

  No

  N/A

• Is an Infection Control Management Plan (ICMP) available? (QLD only)

  Yes

  No

  N/A

• Is a Radiation Safety Management Plan (RSPP) available? (QLD & VIC only)

  Yes

  No

  N/A

• Are there relevant policies & procedures available? select those that apply

  Select Immunisations Incident Management Exposure to Blood & Body Fluids None

  • Immunisations
  • Incident Management
  • Exposure to Blood & Body Fluids
  • None

• Are Safety Data Sheets available for products used in practice?

  Yes

  No

  N/A

• Are copies of the two Australian Standards available in either printed or digital format?

  Select AS4815 AS4187 Neither available

  • AS4815
  • AS4187
  • Neither available

• Is the Federal Governments National Health & Medical Research Council (NHRMC) Australian Guidelines on Infection Prevention Available in either printed or digital format?

  Yes

  No

  N/A

• Confirm with clinicians that in line with AHPRA & National Law a blood test has been undertaken within the last 36 months to confirm antibody status for HBV, HCV, and HIV.

  Select Clinicians aware of this and have had a blood test within last 36 months Clinician/s not aware of this and have not had a blood test within 36 months

  • Clinicians aware of this and have had a blood test within last 36 months
  • Clinician/s not aware of this and have not had a blood test within 36 months

• Does the practice have any of the follow registers (printed or digital)

  Select Immunisation Register Allergy Register Training Register No Registers

  • Immunisation Register
  • Allergy Register
  • Training Register
  • No Registers

• Is yearly Infection Control training undertaken and documented?

  Yes

  No

  N/A

• Are all masks being treated as single use?

  Yes

  No

  N/A

• Are Level 2 and N95 Masks available?

  Yes

  No

  N/A

• Have team members been fit tested for N95 masks?

  Yes

  No

  N/A

• Is correct eye protection being worn that includes side eye protection?

  Yes

  No

  N/A

• Are heavy-duty utility gloves available and being worn in the sterilisation room when reprocessing instruments?

  Yes

  No

  N/A

• Are aprons being worn in the sterilisation room when reprossing instruments?

  Yes

  No

  N/A

• Are scrubs/aprons removed when in non-clinical areas?

  Yes

  No

• Is enclosed footwear being worn in clinical areas?

  Yes

  No

  N/A

• Is handwash and ABHR being used at the correct opportunities?

  Yes

  No

  N/A

• Is moisturiser available and used when appropriate?

  Yes

  No

  N/A

• Are hands being dried with disposable paper towel?

  Yes

  No

  N/A

• Has all hand and wrist jewelry been removed prior to working in clinical areas? *Note a plain wedding band is permissible provided appropriate hand hygiene is completed

  Yes

  No

  N/A

• Do sharps containers conform to Australian Standards (AS4301 and AS4261) by having the following; a lid, an appropriate mouth with plastic fingers, a full line mark, a bio-hazard symbol and disposal instructions?

  Select A lid An appropriate mouth A full line mark A bio-hazard symbol Disposal Instructions Do not conform to standards

  • A lid
  • An appropriate mouth
  • A full line mark
  • A bio-hazard symbol
  • Disposal Instructions
  • Do not conform to standards

• Confirm all sharps containers are not filled beyond the full line mark?

  Select None filled above full line mark One or more containers found over filled

  • None filled above full line mark
  • One or more containers found over filled

• Are sharps containers wall mounted or is a safety-engineered device used such as a Sharpsmart container?

  Yes

  No

  N/A

• Are any full sharps containers stored safety when awaiting collection?

  Yes

  No

  N/A

• Are needles being disposed of by clinicians?

  Yes

  No

  N/A

• Are team members aware of what to do in the event of a sharps injury?

  Yes

  No

  N/A

• Is a risk assessment completed for any sharps injuries?

  Yes

  No

  N/A

• Is the environment clean and are work surfaces conducive for effective cleaning?

  Yes

  No

  N/A

• Are floor coverings impervious with sealed joins and in good repair?

  Yes

  No

  N/A

• Are dental chairs in good repair allowing for effective cleaning?

  Yes

  No

  N/A

• Observe team members clean treatment rooms between patients. What tasks have been completed?

  Select No cross contamination occurred Waterlines flushed Detergent or disinfectant used Cleaning occurred from clean to dirty All surfaces required were wiped down

  • No cross contamination occurred
  • Waterlines flushed
  • Detergent or disinfectant used
  • Cleaning occurred from clean to dirty
  • All surfaces required were wiped down

• Are all handpieces sterilised between patients? (even if not used)

  Yes

  No

  N/A

• Are suction units cleaned daily?

  Yes

  No

  N/A

• Is there a process for the collection of amalgam & scrap metal?

  Select Scrap metal Amalgam Neither

  • Scrap metal
  • Amalgam
  • Neither

• Is a detergent and a disinfectant product available for cleaning?

  Yes

  No

  N/A

• Are any barriers used? ie curing light, intra-oral camera's or x-ray holders

  Yes

  No

  N/A

• Are instruments stored to ensure no damage to the pack?

  Yes

  No

  N/A

• Check a selection of instruments to ensure they are clean and sterile. Were any issues identified?

  Yes

  No

• Is instrument sterility checked chairside by the clinician?

  Yes

  No

  N/A

• Is the water being used in the dental chair being treated?

  Yes

  No

  N/A

• Have the dental unit waterlines been tested for water quality in the past 12 months and was the result below 200 CFU?

  Yes

  No

  N/A

• If impressions are taken, are they cleaned and disinfected?

  Yes

  No

  N/A

• Is daily validation occuring on the Ultrasonic bath?

  Yes

  No

  N/A

• Is the Ultrasonic bath solution prepared in line with instructions?

  Yes

  No

  N/A

• Is daily validation occurring on the Autoclave/s?

  Yes

  No

  N/A

• Is the sterilisation room cleary demarcated into clean and dirty zones?

  Yes

  No

  N/A

• Were any instances of cross contamination identified

  No

  Yes

• When reprocessing instruments is correct PPE being worn?

  Yes

  No

  N/A

• Are there dedicated brushes for manual cleaning?

  Yes

  No

  N/A

• If Rotary NiTi files are used and reprocessed, are they being reprocessed according to ADA guidelines?

  Yes

  No

  N/A

• Are handpieces cleaned and lubricated prior to sterilisation?

  Yes

  No

  N/A

• Are low-lint or lint-free cloths being used for the drying of instruments?

  Yes

  No

  N/A

• Review processed and/or sterilised instruments for cleanliness. Were any issues identified

  Yes

  No

• Review instrument tracking (from recording to the patient file). Is this being completed inline with guidelines?

  Yes

  No

  N/A

• Is there a process for identifying and disposing of damaged instruments?

  Yes

  No

  N/A

• What instruments are being bagged and tracked?

  Select Critical instruments Semi-Critical instruments Non-Critical instuments

  • Critical instruments
  • Semi-Critical instruments
  • Non-Critical instuments

• Is there a record of the Ultrasonic passing daily validation? Record any issues identified

  Yes

  No

  N/A

• Is there record of the autoclaves passing daily validation? Record any issues identified

  Yes

  No

  N/A

Review autoclave log sheets for the below content

• Autoclave Identifier

  Yes

  No

  N/A

• Load/Cycle number

  Yes

  No

  N/A

• Completed cycle parameters

  Yes

  No

  N/A

• List of instruments/contents

  Yes

  No

  N/A

• Number of instruments/bags

  Yes

  No

  N/A

• Person who loaded and unloaded autoclave

  Yes

  No

  N/A

• Chemical indicator (class 4 or 6)

  Yes

  No

  N/A

• Can team members identify a correct and incorrect colour change on chemical indicators

  Yes

  No

  N/A

• Is the autoclave loaded as per manufacturer's guidelines

  Yes

  No

  N/A

• Can the most recent autoclave validation certificates be provided

  Yes

  No

  N/A

• Was a spore test/biological test completed in the last validation

  Yes

  No

  N/A

• Was cold spot identification completed in the last validation

  Yes

  No

  N/A

• Is there a current evacuation diagram?

  Yes

  No

  N/A

• Does the evacuation diagram contain all the required information

  Yes

  No

  N/A

• Has an evacuation been practiced and recorded in the past 12 months

  Yes

  No

  N/A

• Are emergency exits clearly signed

  Yes

  No

  N/A

• Are fire extinguishers serviced every 6 months?

  Yes

  No

  N/A

• Is there a medical emergency/first aid kit?

  Yes

  No

  N/A

• Is emergency oxygen available

  Yes

  No

• Is there an AED

  Yes

  No

• Has medical emergency/first aid training occurred in the past 12 months

  Yes

  No

  N/A

• Is nitrous oxide used?

  Yes

  No

• Are x-rays being taken by licensed individuals

  Yes

  No

  N/A

• Is there a process for recording incidents

  Yes

  No

  N/A

• Is there a process for recording incidents that occur to patients

  Yes

  No

  N/A

• Are there any hazards identifed?

  Yes

  No

• Are there any unlabelled/unidentified chemicals?

  Yes

  No

• Is there an Asbestos clearance certificate or Asbestos Register/Management Plan available?

  Yes

  No

  N/A

• Has electrical testing and tagging been completed within the past 12 months?

  Yes

  No

  N/A