Title Page

  • Conducted on

  • Location


Confidentiality Statement In order to maintain the integrity and credibility of the risk assessment processes and to protect the parties involved, it is understood that the assessors will not divulge to unauthorized persons any information obtained during this risk assessment unless legally obligated to do so.


  • There is a contact isolation room (single) at a rate of one room for every four beds

  • There‚Äôs a Negative Pressure Room at rate of least one for eight beds

  • The presence of a sufficient area around the perimeter of each bed, at least 20 square meters

  • A hand washing Sink between each bed is designed with sufficient depth to avoid splashing water on the floor

  • The walls and floors are made of non-porous materials that are easy to wash

  • There is a storage room for clean supplies, another for dirty items, and a cleaning room

  • There is a room for contaminated items including a drainage and a hand washing station

  • There is a cleaning room that includes a drain hole, cleaning materials and disinfectant for the environment

  • There must be a separator between each bed, and the separators designated to separate patients from each other must be made of materials that are easy to clean

  • IPC Practitioner

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.