Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

A MORTUARY PREMISES DETAILS:

  • Owners Name:

  • Occupiers Name;

  • Council Approval Identification Details:

  • Health Registration Number:

  • Registration Details Complete?

  • Registration details match with Council approval?

B AUDIT DETAILS

  • 1. Premises generally (Clause 5)

  • Only approved mortuary being used for body preparation? (1)

  • Only approved mortuary being used for body storage? (2)

  • Bodies not stored in a vehicle? (3)

  • Holding room being used for body storage only? (4)

  • Bodies not stored as a hospital? (5)

  • 2. Facilities for Body Preparation Rooms (Clause 6)

  • Vehicle reception area adjacent to body preparation room? (1)(a)

  • Vehicle reception area screen from public view? (1)(a)

  • Hand wash basin with adequate hot and cold water and hands free operation? (1)(b)

  • Sufficient slabs, tables and fittings?

  • Slabs, tables and fittings impervious and drained for cleaning? (1)(c)

  • Refrigerated body storage facilities for at least two adults? (1)(d)

  • Temperature:

  • Less than 5 C?

  • Impervious containers with lids; hands free operation for solid wastes? (1)(e)

  • Only bodies stored in body refrigerator?

  • 3. Waste Disposal (Clause 7)

  • Solid wastes disposed as contaminated (clinical) waste?

  • Waste observed in container:

  • Name of clinical waste contractor:

  • 4. Vehicles (Clause 8)

  • Hearse: Make, Model and Registration (1)(a):

  • Collection vehicle: Make, model and registration (1)(b):

  • Mortuary transport service or freight carrier? (2)

  • Bodies placed only in vehicle body area? (3)

  • Vehicle body area not used for other purposes? (4)

  • Vehicle clean of exudates? (5)

  • Un-embalmed bodies transported less than 8 hours? (7)

  • Body bags supplied in vehicle? (CI 13)

  • Protective clothing in vehicle? (CI 14)

  • 5. Mortuary Register of Body Preparation (Clause 18)

  • Register Sighted? (1)

  • Entries complete for disposed bodies? (3)

  • Entries reconciled with each body prepared? (2 & 3)

  • 6. Retention of Bodies (Clause 10)

  • All bodies held in mortuary or holding room? (1)

  • All bodies kept under refrigeration? (2)

  • Reason for any body not in refrigeration? (3)

  • All un-embalmed bodies kept less than 7 working days after certificate? (4)

  • 7. Embalming of bodies (Clause 11 & 12)

  • Any un-embalmed bodies on premises? (*)

  • Name and qualification of embalmer? (11,1)

  • Qualification approved?

  • Any body with List B disease embalmed? (11,2)

  • Any body with List A disease pierced by unqualified person? (12)

  • 8. Body Bags (Clause 13)

  • All bodies in body bags and identified? (1)

C RECOMMENDATIONS

  • Recommendation;

D ACTION TAKEN

  • Action;

  • (*) = Not a legislative requirement

  • NB:

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