Title Page

  • Conducted on

  • Auditor

Assessment

    Observation
  • Role of person observed

  • Describe role:

Donning PPE

  • Was PPE donned in the correct order?

  • Was all required PPE donned?

  • Was on the spot education required to safey don PPE?

Doffing PPE

  • Was PPE doffed in the correct order?

  • Was all required PPE doffed?

  • Was on the spot education required to safely doff PPE?

Hand Hygiene (if observed)

  • If Hand Hygiene was observed, was it performed correctly?

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.