Sharp Safety Audit

• Document No.

• Audit Title

• Prepared by

Location details

• Location and delegate

• Audited by

• Select date

  Date

Documentation

• Are there Risk Assessments?

  Yes

  No

  N/A

• Are there policies that exist at local level?<br>If yes, please describe

  Yes

  No

  N/A

• Are there procedures for using and disposing of instruments?

  Yes

  No

  N/A

• Is there information available to support incident reporting?

  Yes

  No

  N/A

Devices

• Are any safety engineered devices in use?

  Yes

  No

  N/A

• Are devices procured at local level?

  Yes

  No

  N/A

• Are the sharps bins in close proximity to the usage area?

  Yes

  No

  N/A

• Is there any evidence of recapping?

  Yes

  No

  N/A

Training records

• Is there any evidence of training?

  Yes

  No

  N/A

• Is this training relevant and up to date?

  Yes

  No

  N/A

• Action plan

Action

• Description

• By whom

• By when?

  Date

Audit confirmation

• Witnessed by

  Sign

• Audited by

  Sign