Title Page
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Site conducted
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Conducted on
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Prepared by
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Location
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Staff wear appropriate PPE when handling instruments.
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Instruments are transported in a manner that prevents leakage.
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The transport container includes a lid to prevent airborne contamination.
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The transport containers include biohazardous material warnings.
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The transport container is clean.
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The transport container is stored in an appropriate location when not in use.
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Instruments are clean of visible bioburden.
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Instruments are opened, unhinged, dissasembled and arranged in an orderly fashion.
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Appropriate solutions are available for soaking, are properly labeled, and not expired.
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Instruments are pretreated with pre-cleanser.
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Instruments are stored appropriately while awaiting tranport.
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Staff are able to locate the procedure for transporting of dirty instruments.
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Staff can show you the Safety Data Sheets for chemicals used.
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Staff can locate an eyewash station and it can be reached within 10 seconds/55 feet, unobstructed path.
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Review documentation of eyewash checks on the tag at the station for the last month. Does documentation include weekly checks?
