PPE & Standard Precautions Compliance Audit:

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Criteria:3 Personal Protective Equipment

• 3.1 Gloves

  Yes

  No

  N/A

• Gloves are available in a size of ranges

  Yes

  No

  N/A

• Latex free alternatives are available for staff with latex allergies

  Yes

  No

  N/A

• Storage system protects gloves from contaminants i.e. aerosolation of water and secretions

  Yes

  No

  N/A

• Gloves worn for all procedures involving contact with mucous membranes, blood or body substances fluid

  Yes

  No

  N/A

• 3.2 Gowns

  Yes

  No

  N/A

• Long and short sleeved gowns are available for staff during procedures

  Yes

  No

  N/A

• Gowns are changed at each case/meal break and or at least when soiled

  Yes

  No

  N/A

• 3.3 Protective eyewear

  Yes

  No

  N/A

• Should have side protection

  Yes

  No

  N/A

• Where possible staff should have their own dedicated safety eyewear OR wash between each use

  Yes

  No

  N/A

• Is available and readily accessible for staff to use when there is a risk to aerosols and splashing

  Yes

  No

  N/A

• Is available for patients to wear and washed between each patient use

  Yes

  No

  N/A

• Is clean and in good condition

  Yes

  No

  N/A

• 3.4 Face masks

  Yes

  No

  N/A

• Fluid resistant masks are available

  Yes

  No

  N/A

• Respirators (P2) masks are available for specific cases

  Yes

  No

  N/A

• Masks are dispensed from original container at point of use and disposed of on removal and are NOT reused

  Yes

  No

  N/A