Infection Control Audit
Date
*
/
Day
/
Month
Year
2 digit day, 2 digit month, 4 digit year
Date
Completed By
*
Policies and Procedures
Rows
Met
Not Met
Action Required
Responsibility
Target Date
Completed Date
Comment
Is there an Infection Control Policy and Procedure in place?
Is the Policy in date and is a review date set?
Are roles and responsibilities for infection control clearly stated in the Infection Control Policy?
Management
Rows
Met
Not Met
Action Required
Responsibility
Target Date
Completed Date
Comment
Is there a designated Infection Control lead?
Are staff able to obtain 24 hour infection control advice?
Is there written guidance available on Covid-19?
Is there written guidance available on MRSA?
Is there written guidance available on Clostridium Difficile?
Is there written guidance available on hand washing?
Training
Rows
Met
Not Met
Action Required
Responsibility
Target Date
Completed Date
Comment
Is infection control included in the induction programme?
Is refresher infection control training provided?
Are records kept of all infection control training?
Is infection control training up to date?
Back
Next
Hand Hygiene
Rows
Met
Not Met
Action Required
Responsibility
Target Date
Completed Date
Comment
Is hand hygiene guidance available?
Is hand hygiene included in induction?
Do staff clean their hands before and after each care activity?
Personal Protective Equipment (PPE)
Rows
Met
Not Met
Action Required
Responsibility
Target Date
Completed Date
Comment
Have staff received training in the use of PPE as part of their induction?
Are Donning and Doffing PPE Competency Assessments completed?
Are gloves available for staff and are in a range of sizes?
Are gloves being worn as per policy?
Are disposable plastic aprons worn as per policy?
Additional Comments/Observations
Signature of person completing the audit
Role of person Completing the audit
Date
-
Day
-
Month
Year
2 digit day, 2 digit month, 4 digit year
Date
SUBMIT
Should be Empty: