Medical Device Audit

• Document No.

• Audit Title

• Prepared by

Location details

• Location and delegate

• Audited by:

• Date of audit

  Date

Medical Device Inventory

• Is there a Medical Device Inventory?

  Yes

  No

  N/A

• Any equipment audited?

  Yes

  No

  N/A

Maintenance and servicing

• Is there evidence that each piece of equipment is routinely maintained and tested in line with Manufacturers instructions?

  Yes

  No

  N/A

• Is there a documented maintenance schedule?

  Yes

  No

  N/A

• Is there a documented repair procedure?

  Yes

  No

  N/A

• Are the repairs recorded?

  Yes

  No

  N/A

• Do all staff know where to find repair records?

  Yes

  No

  N/A

• Do the staff know how to report a faulty/broken device?

  Yes

  No

  N/A

Training records

• Yes

  No

  N/A

• Are there training records to demonstrate which staff are competent to use the equipment?

  Yes

  No

  N/A

• Is this regularly submitted to OLM?

  Yes

  No

  N/A

Audit confirmation

• Audited by:

  Sign

• Witnessed by:

  Sign