Title Page
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
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Are all surfaces clean & clear of clutter?
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X-ray unit - wall mount arm & head free from dust & debris?
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Is the surgery free of cup, food & drink (other than bottled water with cap)
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Are all shelves, ledges & windowsills free of dust & debris? <br>
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Are all surfaces including the dental chair & bracket table free from bodily fluids & splatter?
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Are all instruments bagged & correctly dated.?
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Is all equipment and instruments stored correctly in cupboards & drawers?
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Is the amalgamator clean and the surface around clear of dust & debris?
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Is the surgery sufficiently stocked with essentials for the next session? (Water, gloves, bibs, cotton wool roll cups etc)
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Are all bins tidy and not overflowing?
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Is all decontamination equipment clean and ready for next session (ultra sonic, autoclave & washer) <br>
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Are all xrays present = 2x size 2 1x size 1