Information
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Audit Title
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Conducted on
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Project Name
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Project Number
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Project Location
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Prepared by
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Additional Personnel
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Subcontractors on Site
INFECTION CONTROL ASSESSMENT
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Have there been any reports of failed controls since last inspection (tracking, barriers down or not sealed adequately, etc.)? If "yes", explain.
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All workers are aware of special procedures and requirements prior to start of work?
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Workers are allowed in pre-approved, designated areas only. Are all workers aware of this requirement and is it being observed?
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Construction routes have been established and are being followed?
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Physical barriers have been installed to prevent the public on from accidentally entering the work area?
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Construction and safety signage has been installed as required?
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Are there any immediate signs of risk to public, patient or medical staff? If so, identify corrective procedures.
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Dust and fume containments are in place and adequate? Provide photos.
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Areas outside of containments are being kept clean? Note any tracking observed during the inspection.
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Protective apparel is being worn by workers if required?
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Periodic cleanup of the area is being done?
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All vacuums have HEPA filtering systems?
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Special procedures, such as walk off mats, floor coverings, ante rooms, etc. are in place?
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Are measures adequate? If additional measures are required, please identify.
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Negative Pressure Work Area
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Is negative air pressure being maintained in the work area?
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Air filtration units are in good condition and operating as intended?
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All return air paths are being contained and filtered?
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Walk through adjacent areas and note if any contaminates are observed. If so, note corrective procedures.
SUMMARY
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Do all containments and procedures appear to be adequate?
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Describe any additional procedures that might be required and note when these will be implemented?
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Assessment performed by:
