Medical Waste Audit - Presurvey

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

2DOU - East/West

• Waste stream charts are posted in prominent areas.

  Yes

  No

  N/A

• Biohazard signage appropriate on containment room/area door.

  Yes

  No

  N/A

• Containment area/rooms are locked.

  Yes

  No

  N/A

• Bio-hazard containers are properly labeled on all sides and top. (Minimum requirement is "bio-hazard" logo)

  Yes

  No

  N/A

• Bio-hazard bags are properly tied. (no dog-eared).

  Yes

  No

  N/A

• Bio-hazardous trash was not found in clear bag waste (Note: syringes, sharps, saturated with blood).

  Yes

  No

  N/A

• Vials / Syringes with discernable amounts of meds are not found in Red sharps containers.

  Yes

  No

  N/A

• Municipal waste was not found in Red Bags.

  Yes

  No

  N/A

• Full, closed sharps containers are not left out in general area.

  Yes

  No

  N/A

• Large bio-hazardous container lids are closed when the employee leaves the work area.

  Yes

  No

  N/A

• Sharps containers are less than 3/4 full at the point of generation.

  Yes

  No

  N/A

• Inhalers are not disposed in sharps containers.

  Yes

  No

  N/A

• Additional Comments / Findings

2 South

• Waste stream charts are posted in prominent areas.

  Yes

  No

  N/A

• Biohazard signage appropriate on containment room/area door.

  Yes

  No

  N/A

• Containment area/rooms are locked.

  Yes

  No

  N/A

• Bio-hazard containers are properly labeled on all sides and top. (Minimum requirement is "bio-hazard" logo)

  Yes

  No

  N/A

• Bio-hazard bags are properly tied. (no dog-eared).

  Yes

  No

  N/A

• Bio-hazardous trash was not found in clear bag waste (Note: syringes, sharps, saturated with blood).

  Yes

  No

  N/A

• Vials / Syringes with discernable amounts of meds are not found in Red sharps containers.

  Yes

  No

  N/A

• Municipal waste was not found in Red Bags.

  Yes

  No

  N/A

• Full, closed sharps containers are not left out in general area.

  Yes

  No

  N/A

• Large bio-hazardous container lids are closed when the employee leaves the work area.

  Yes

  No

  N/A

• Sharps containers are less than 3/4 full at the point of generation.

  Yes

  No

  N/A

• Inhalers are not disposed in sharps containers.

  Yes

  No

  N/A

• Additional Comments / Findings

3 DOU - East/West

• Waste stream charts are posted in prominent areas.

  Yes

  No

  N/A

• Biohazard signage appropriate on containment room/area door.

  Yes

  No

  N/A

• Containment area/rooms are locked.

  Yes

  No

  N/A

• Bio-hazard containers are properly labeled on all sides and top. (Minimum requirement is "bio-hazard" logo)

  Yes

  No

  N/A

• Bio-hazard bags are properly tied. (no dog-eared).

  Yes

  No

  N/A

• Bio-hazardous trash was not found in clear bag waste (Note: syringes, sharps, saturated with blood).

  Yes

  No

  N/A

• Vials / Syringes with discernable amounts of meds are not found in Red sharps containers.

  Yes

  No

  N/A

• Municipal waste was not found in Red Bags.

  Yes

  No

  N/A

• Large bio-hazardous container lids are closed when the employee leaves the work area.

  Yes

  No

  N/A

• Sharps containers are less than 3/4 full at the point of generation.

  Yes

  No

  N/A

• Inhalers are not disposed in sharps containers.

  Yes

  No

  N/A

• Additional Comments / Findings

4th Floor

• Waste stream charts are posted in prominent areas.

  Yes

  No

  N/A

• Biohazard signage appropriate on containment room/area door.

  Yes

  No

  N/A

• Containment area/rooms are locked.

  Yes

  No

  N/A

• Bio-hazard containers are properly labeled on all sides and top. (Minimum requirement is "bio-hazard" logo)

  Yes

  No

  N/A

• Bio-hazard bags are properly tied. (no dog-eared).

  Yes

  No

  N/A

• Bio-hazardous trash was not found in clear bag waste (Note: syringes, sharps, saturated with blood).

  Yes

  No

  N/A

• Vials / Syringes with discernable amounts of meds are not found in Red sharps containers.

  Yes

  No

  N/A

• Municipal waste was not found in Red Bags.

  Yes

  No

  N/A

• Full, closed sharps containers are not left out in general area.

  Yes

  No

  N/A

• Large bio-hazardous container lids are closed when the employee leaves the work area.

  Yes

  No

  N/A

• Sharps containers are less than 3/4 full at the point of generation.

  Yes

  No

  N/A

• Inhalers are not disposed in sharps containers.

  Yes

  No

  N/A

• Additional Comments / Findings

Ambulatory Care

• Waste stream charts are posted in prominent areas.

  Yes

  No

  N/A

• Biohazard signage appropriate on containment room/area door.

  Yes

  No

  N/A

• Containment area/rooms are locked.

  Yes

  No

  N/A

• Bio-hazard containers are properly labeled on all sides and top. (Minimum requirement is "bio-hazard" logo)

  Yes

  No

  N/A

• Bio-hazard bags are properly tied. (no dog-eared).

  Yes

  No

  N/A

• Bio-hazardous trash was not found in clear bag waste (Note: syringes, sharps, saturated with blood).

  Yes

  No

  N/A

• Vials / Syringes with discernable amounts of meds are not found in Red sharps containers.

  Yes

  No

  N/A

• Municipal waste was not found in Red Bags.

  Yes

  No

  N/A

• Full, closed sharps containers are not left out in general area.

  Yes

  No

  N/A

• Large bio-hazardous container lids are closed when the employee leaves the work area.

  Yes

  No

  N/A

• Sharps containers are less than 3/4 full at the point of generation.

  Yes

  No

  N/A

• Inhalers are not disposed in sharps containers.

  Yes

  No

  N/A

• Additional Comments / Findings

Cardiac Cath Lab

• Waste stream charts are posted in prominent areas.

  Yes

  No

  N/A

• Biohazard signage appropriate on containment room/area door.

  Yes

  No

  N/A

• Containment area/rooms are locked.

  Yes

  No

  N/A

• Bio-hazard containers are properly labeled on all sides and top. (Minimum requirement is "bio-hazard" logo)

  Yes

  No

  N/A

• Bio-hazard bags are properly tied. (no dog-eared).

  Yes

  No

  N/A

• Bio-hazardous trash was not found in clear bag waste (Note: syringes, sharps, saturated with blood).

  Yes

  No

  N/A

• Vials / Syringes with discernable amounts of meds are not found in Red sharps containers.

  Yes

  No

  N/A

• Municipal waste was not found in Red Bags.

  Yes

  No

  N/A

• Full, closed sharps containers are not left out in general area.

  Yes

  No

  N/A

• Large bio-hazardous container lids are closed when the employee leaves the work area.

  Yes

  No

  N/A

• Sharps containers are less than 3/4 full at the point of generation.

  Yes

  No

  N/A

• Inhalers are not disposed in sharps containers.

  Yes

  No

  N/A

• Additional Comments / Findings

Emergency Department

• Waste stream charts are posted in prominent areas.

  Yes

  No

  N/A

• Biohazard signage appropriate on containment room/area door.

  Yes

  No

  N/A

• Containment area/rooms are locked.

  Yes

  No

  N/A

• Bio-hazard containers are properly labeled on all sides and top. (Minimum requirement is "bio-hazard" logo)

  Yes

  No

  N/A

• Bio-hazard bags are properly tied. (no dog-eared).

  Yes

  No

  N/A

• Bio-hazardous trash was not found in clear bag waste (Note: syringes, sharps, saturated with blood).

  Yes

  No

  N/A

• Vials / Syringes with discernable amounts of meds are not found in Red sharps containers.

  Yes

  No

  N/A

• Municipal waste was not found in Red Bags.

  Yes

  No

  N/A

• Full, closed sharps containers are not left out in general area.

  Yes

  No

  N/A

• Large bio-hazardous container lids are closed when the employee leaves the work area.

  Yes

  No

  N/A

• Sharps containers are less than 3/4 full at the point of generation.

  Yes

  No

  N/A

• Inhalers are not disposed in sharps containers.

  Yes

  No

  N/A

• Additional Comments / Findings

Endoscopic Services

• Waste stream charts are posted in prominent areas.

  Yes

  No

  N/A

• Biohazard signage appropriate on containment room/area door.

  Yes

  No

  N/A

• Containment area/rooms are locked.

  Yes

  No

  N/A

• Bio-hazard containers are properly labeled on all sides and top. (Minimum requirement is "bio-hazard" logo)

  Yes

  No

  N/A

• Bio-hazard bags are properly tied. (no dog-eared).

  Yes

  No

  N/A

• Bio-hazardous trash was not found in clear bag waste (Note: syringes, sharps, saturated with blood).

  Yes

  No

  N/A

• Vials / Syringes with discernable amounts of meds are not found in Red sharps containers.

  Yes

  No

  N/A

• Municipal waste was not found in Red Bags.

  Yes

  No

  N/A

• Full, closed sharps containers are not left out in general area.

  Yes

  No

  N/A

• Large bio-hazardous container lids are closed when the employee leaves the work area.

  Yes

  No

  N/A

• Sharps containers are less than 3/4 full at the point of generation.

  Yes

  No

  N/A

• Inhalers are not disposed in sharps containers.

  Yes

  No

  N/A

• Additional Comments / Findings

Labor and Delivery

• Waste stream charts are posted in prominent areas.

  Yes

  No

  N/A

• Biohazard signage appropriate on containment room/area door.

  Yes

  No

  N/A

• Containment area/rooms are locked.

  Yes

  No

  N/A

• Bio-hazard containers are properly labeled on all sides and top. (Minimum requirement is "bio-hazard" logo)

  Yes

  No

  N/A

• Bio-hazard bags are properly tied. (no dog-eared).

  Yes

  No

  N/A

• Bio-hazardous trash was not found in clear bag waste (Note: syringes, sharps, saturated with blood).

  Yes

  No

  N/A

• Vials / Syringes with discernable amounts of meds are not found in Red sharps containers.

  Yes

  No

  N/A

• Municipal waste was not found in Red Bags.

  Yes

  No

  N/A

• Full, closed sharps containers are not left out in general area.

  Yes

  No

  N/A

• Large bio-hazardous container lids are closed when the employee leaves the work area.

  Yes

  No

  N/A

• Sharps containers are less than 3/4 full at the point of generation.

  Yes

  No

  N/A

• Inhalers are not disposed in sharps containers.

  Yes

  No

  N/A

• Additional Comments / Findings

Laboratory

• Waste stream charts are posted in prominent areas.

  Yes

  No

  N/A

• Biohazard signage appropriate on containment room/area door.

  Yes

  No

  N/A

• Containment area/rooms are locked.

  Yes

  No

  N/A

• Bio-hazard containers are properly labeled on all sides and top. (Minimum requirement is "bio-hazard" logo)

  Yes

  No

  N/A

• Bio-hazard bags are properly tied. (no dog-eared).

  Yes

  No

  N/A

• Bio-hazardous trash was not found in clear bag waste (Note: syringes, sharps, saturated with blood).

  Yes

  No

  N/A

• Vials / Syringes with discernable amounts of meds are not found in Red sharps containers.

  Yes

  No

  N/A

• Municipal waste was not found in Red Bags.

  Yes

  No

  N/A

• Full, closed sharps containers are not left out in general area.

  Yes

  No

  N/A

• Large bio-hazardous container lids are closed when the employee leaves the work area.

  Yes

  No

  N/A

• Sharps containers are less than 3/4 full at the point of generation.

  Yes

  No

  N/A

• Inhalers are not disposed in sharps containers.

  Yes

  No

  N/A

• Additional Comments / Findings

Latimer

• Waste stream charts are posted in prominent areas.

  Yes

  No

  N/A

• Biohazard signage appropriate on containment room/area door.

  Yes

  No

  N/A

• Containment area/rooms are locked.

  Yes

  No

  N/A

• Bio-hazard containers are properly labeled on all sides and top. (Minimum requirement is "bio-hazard" logo)

  Yes

  No

  N/A

• Bio-hazard bags are properly tied. (no dog-eared).

  Yes

  No

  N/A

• Bio-hazardous trash was not found in clear bag waste (Note: syringes, sharps, saturated with blood).

  Yes

  No

  N/A

• Vials / Syringes with discernable amounts of meds are not found in Red sharps containers.

  Yes

  No

  N/A

• Municipal waste was not found in Red Bags.

  Yes

  No

  N/A

• Full, closed sharps containers are not left out in general area.

  Yes

  No

  N/A

• Large bio-hazardous container lids are closed when the employee leaves the work area.

  Yes

  No

  N/A

• Sharps containers are less than 3/4 full at the point of generation.

  Yes

  No

  N/A

• Inhalers are not disposed in sharps containers.

  Yes

  No

  N/A

• Additional Comments / Findings

Maternity

• Waste stream charts are posted in prominent areas.

  Yes

  No

  N/A

• Biohazard signage appropriate on containment room/area door.

  Yes

  No

  N/A

• Containment area/rooms are locked.

  Yes

  No

  N/A

• Bio-hazard containers are properly labeled on all sides and top. (Minimum requirement is "bio-hazard" logo)

  Yes

  No

  N/A

• Bio-hazard bags are properly tied. (no dog-eared).

  Yes

  No

  N/A

• Bio-hazardous trash was not found in clear bag waste (Note: syringes, sharps, saturated with blood).

  Yes

  No

  N/A

• Vials / Syringes with discernable amounts of meds are not found in Red sharps containers.

  Yes

  No

  N/A

• Municipal waste was not found in Red Bags.

  Yes

  No

  N/A

• Full, closed sharps containers are not left out in general area.

  Yes

  No

  N/A

• Large bio-hazardous container lids are closed when the employee leaves the work area.

  Yes

  No

  N/A

• Sharps containers are less than 3/4 full at the point of generation.

  Yes

  No

  N/A

• Inhalers are not disposed in sharps containers.

  Yes

  No

  N/A

• Additional Comments / Findings

Nuclear Medicine

• Waste stream charts are posted in prominent areas.

  Yes

  No

  N/A

• Biohazard signage appropriate on containment room/area door.

  Yes

  No

  N/A

• Containment area/rooms are locked.

  Yes

  No

  N/A

• Bio-hazard containers are properly labeled on all sides and top. (Minimum requirement is "bio-hazard" logo)

  Yes

  No

  N/A

• Bio-hazard bags are properly tied. (no dog-eared).

  Yes

  No

  N/A

• Bio-hazardous trash was not found in clear bag waste (Note: syringes, sharps, saturated with blood).

  Yes

  No

  N/A

• Vials / Syringes with discernable amounts of meds are not found in Red sharps containers.

  Yes

  No

  N/A

• Municipal waste was not found in Red Bags.

  Yes

  No

  N/A

• Full, closed sharps containers are not left out in general area.

  Yes

  No

  N/A

• Large bio-hazardous container lids are closed when the employee leaves the work area.

  Yes

  No

  N/A

• Sharps containers are less than 3/4 full at the point of generation.

  Yes

  No

  N/A

• Inhalers are not disposed in sharps containers.

  Yes

  No

  N/A

• Additional Comments / Findings

PACU

• Waste stream charts are posted in prominent areas.

  Yes

  No

  N/A

• Biohazard signage appropriate on containment room/area door.

  Yes

  No

  N/A

• Containment area/rooms are locked.

  Yes

  No

  N/A

• Bio-hazard containers are properly labeled on all sides and top. (Minimum requirement is "bio-hazard" logo)

  Yes

  No

  N/A

• Bio-hazard bags are properly tied. (no dog-eared).

  Yes

  No

  N/A

• Bio-hazardous trash was not found in clear bag waste (Note: syringes, sharps, saturated with blood).

  Yes

  No

  N/A

• Vials / Syringes with discernable amounts of meds are not found in Red sharps containers.

  Yes

  No

  N/A

• Municipal waste was not found in Red Bags.

  Yes

  No

  N/A

• Full, closed sharps containers are not left out in general area.

  Yes

  No

  N/A

• Large bio-hazardous container lids are closed when the employee leaves the work area.

  Yes

  No

  N/A

• Sharps containers are less than 3/4 full at the point of generation.

  Yes

  No

  N/A

• Inhalers are not disposed in sharps containers.

  Yes

  No

  N/A

• Additional Comments / Findings

Pediatrics

• Waste stream charts are posted in prominent areas.

  Yes

  No

  N/A

• Biohazard signage appropriate on containment room/area door.

  Yes

  No

  N/A

• Containment area/rooms are locked.

  Yes

  No

  N/A

• Bio-hazard containers are properly labeled on all sides and top. (Minimum requirement is "bio-hazard" logo)

  Yes

  No

  N/A

• Bio-hazard bags are properly tied. (no dog-eared).

  Yes

  No

  N/A

• Bio-hazardous trash was not found in clear bag waste (Note: syringes, sharps, saturated with blood).

  Yes

  No

  N/A

• Vials / Syringes with discernable amounts of meds are not found in Red sharps containers.

  Yes

  No

  N/A

• Municipal waste was not found in Red Bags.

  Yes

  No

  N/A

• Full, closed sharps containers are not left out in general area.

  Yes

  No

  N/A

• Large bio-hazardous container lids are closed when the employee leaves the work area.

  Yes

  No

  N/A

• Sharps containers are less than 3/4 full at the point of generation.

  Yes

  No

  N/A

• Inhalers are not disposed in sharps containers.

  Yes

  No

  N/A

• Additional Comments / Findings

Pharmacy

• Waste stream charts are posted in prominent areas.

  Yes

  No

  N/A

• Biohazard signage appropriate on containment room/area door.

  Yes

  No

  N/A

• Containment area/rooms are locked.

  Yes

  No

  N/A

• Bio-hazard containers are properly labeled on all sides and top. (Minimum requirement is "bio-hazard" logo)

  Yes

  No

  N/A

• Bio-hazard bags are properly tied. (no dog-eared).

  Yes

  No

  N/A

• Bio-hazardous trash was not found in clear bag waste (Note: syringes, sharps, saturated with blood).

  Yes

  No

  N/A

• Vials / Syringes with discernable amounts of meds are not found in Red sharps containers.

  Yes

  No

  N/A

• Municipal waste was not found in Red Bags.

  Yes

  No

  N/A

• Full, closed sharps containers are not left out in general area.

  Yes

  No

  N/A

• Large bio-hazardous container lids are closed when the employee leaves the work area.

  Yes

  No

  N/A

• Sharps containers are less than 3/4 full at the point of generation.

  Yes

  No

  N/A

• Inhalers are not disposed in sharps containers.

  Yes

  No

  N/A

Radiation Oncology

• Waste stream charts are posted in prominent areas.

  Yes

  No

  N/A

• Biohazard signage appropriate on containment room/area door.

  Yes

  No

  N/A

• Containment area/rooms are locked.

  Yes

  No

  N/A

• Bio-hazard containers are properly labeled on all sides and top. (Minimum requirement is "bio-hazard" logo)

  Yes

  No

  N/A

• Bio-hazard bags are properly tied. (no dog-eared).

  Yes

  No

  N/A

• Bio-hazardous trash was not found in clear bag waste (Note: syringes, sharps, saturated with blood).

  Yes

  No

  N/A

• Vials / Syringes with discernable amounts of meds are not found in Red sharps containers.

  Yes

  No

  N/A

• Municipal waste was not found in Red Bags.

  Yes

  No

  N/A

• Full, closed sharps containers are not left out in general area.

  Yes

  No

  N/A

• Large bio-hazardous container lids are closed when the employee leaves the work area.

  Yes

  No

  N/A

• Sharps containers are less than 3/4 full at the point of generation.

  Yes

  No

  N/A

• Inhalers are not disposed in sharps containers.

  Yes

  No

  N/A

• Additional Comments / Findings

Radiology

• Waste stream charts are posted in prominent areas.

  Yes

  No

  N/A

• Biohazard signage appropriate on containment room/area door.

  Yes

  No

  N/A

• Containment area/rooms are locked.

  Yes

  No

  N/A

• Bio-hazard containers are properly labeled on all sides and top. (Minimum requirement is "bio-hazard" logo)

  Yes

  No

  N/A

• Bio-hazard bags are properly tied. (no dog-eared).

  Yes

  No

  N/A

• Bio-hazardous trash was not found in clear bag waste (Note: syringes, sharps, saturated with blood).

  Yes

  No

  N/A

• Vials / Syringes with discernable amounts of meds are not found in Red sharps containers.

  Yes

  No

  N/A

• Municipal waste was not found in Red Bags.

  Yes

  No

  N/A

• Full, closed sharps containers are not left out in general area.

  Yes

  No

  N/A

• Large bio-hazardous container lids are closed when the employee leaves the work area.

  Yes

  No

  N/A

• Sharps containers are less than 3/4 full at the point of generation.

  Yes

  No

  N/A

• Inhalers are not disposed in sharps containers.

  Yes

  No

  N/A

• Additional Comments / Findings

Surgery

• Waste stream charts are posted in prominent areas.

  Yes

  No

  N/A

• Biohazard signage appropriate on containment room/area door.

  Yes

  No

  N/A

• Containment area/rooms are locked.

  Yes

  No

  N/A

• Bio-hazard containers are properly labeled on all sides and top. (Minimum requirement is "bio-hazard" logo)

  Yes

  No

  N/A

• Bio-hazard bags are properly tied. (no dog-eared).

  Yes

  No

  N/A

• Bio-hazardous trash was not found in clear bag waste (Note: syringes, sharps, saturated with blood).

  Yes

  No

  N/A

• Vials / Syringes with discernable amounts of meds are not found in Red sharps containers.

  Yes

  No

  N/A

• Municipal waste was not found in Red Bags.

  Yes

  No

  N/A

• Full, closed sharps containers are not left out in general area.

  Yes

  No

  N/A

• Large bio-hazardous container lids are closed when the employee leaves the work area.

  Yes

  No

  N/A

• Sharps containers are less than 3/4 full at the point of generation.

  Yes

  No

  N/A

• Inhalers are not disposed in sharps containers.

  Yes

  No

  N/A

• Additional Comments / Findings

Signatures