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Smartclinic
QCC Compliance

Smartclinic

Non-Conformance/Corrective-Preventive Action Form

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Free Smartclinic Checklist

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Title Page

  • Conducted on

  • Prepared by

  • Location

External Entry to Clinic

  • Windows

  • Doors

  • Floors

Reception/Corridor/Waiting Area & Miscellaneous Rooms

  • Doors

  • Windows and Blinds

  • Rubbish Bins / Liners

  • Furniture/Chairs/Chair Bases

  • Waiting Room Chairs

  • Reception Desks/Chairs

  • Fixtures

  • Phones/Computers/Screens

  • Wall Mounted TV's

  • Hand Sanitiser Dispensers

  • Light Switches

  • Walls and Skirting Boards

Staff Toilet

  • Floor Tiles

  • Waste Bins

  • Wash Basins

  • Toilet Bowls

  • Urinals

  • Walls

  • Kick Plates

  • Doors and Handles

  • Mirrors

  • Air Vents

  • Consumables

  • Light Fittings

Public Toilet

  • Floor Tiles

  • Waste Bins

  • Sanitary Bins

  • Wash Basins

  • Toilet Bowls

  • Walls

  • Kick Plates

  • Doors and Handles

  • Mirrors

  • Air Vents

  • Consumables

  • Light Fittings

All Consult Rooms

  • Rubbish Bins/Liners

  • Chairs/Furniture/

  • Trolleys/Medical beds

  • Phone/Printers/Computers

  • Wall Mounter TV's

  • Basins/Taps/Waste Outlets

  • Mirrors/Splashbacks

  • Curtain Rails

  • Paper Towel dispensers

  • Floors

  • Carpets

  • Doors/

  • Windows

  • Light Switches and Skirting Boards

Kitchens/Lunchrooms

  • Floors

  • Tables/Chairs

  • Exterior of Fridge

  • Microwave

  • Kitchen Sink & Benches&Splashbacks

Practice Managers Office

  • Desk

  • Chairs

  • Floors

  • Doors

  • Windows

  • Shelving

Management

  • Security Maintained

  • Communication Book in Place

  • Field Operation Manual in place and signed

  • Test and Tag up to date

  • Chemical Safety Data Sheets Current

  • Cleaners Area Clean and Tidy

  • Managers Visit

  • Date/Time of Inspection

  • Signature of Inspector

  • Signature of Client

Smartclinic
QCC Compliance

Smartclinic

Non-Conformance/Corrective-Preventive Action Form

Use this Template
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.

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