Template

Infection Control Surveillance Checklist

by Thomas Carr, DPM, from the Community

10+

This infection control surveillance checklist helps healthcare facilities assess compliance across key areas. It covers hand hygiene supplies and practices, clean utility and storage standards, patient room cleanliness and PPE availability, nursing station and medication room controls, segregation of biohazard waste, linen handling, equipment condition, and environmental cleanliness. It also prompts daily and shift-based logs such as crash cart and defibrillator checks, narcotic counts, temperature monitoring for medications and vaccines, refrigerator checks, glucose strip dating, and Cidex monitoring. Staff knowledge is verified, including procedures for blood exposure, locations of plans and kits, and the WHO five moments of hand hygiene. Use it to identify deficiencies, set corrective actions, and improve patient safety and regulatory compliance.

With SafetyCulture you can

Digitize any process, procedure or policy

Eliminate mistakes made by paper-based processes

Create and share professional reports instantly

Confirm accountability and compliance with a digital log

With SafetyCulture you can

Digitize any process, procedure or policy

Eliminate mistakes made by paper-based processes

Create and share professional reports instantly

Confirm accountability and compliance with a digital log

About author

Community

This community page makes available free workplace checklists and templates created by other users within the SafetyCulture community. SafetyCulture has re-published this content and where possible, has credited the original author. SafetyCulture has not verified the accuracy, reliability or suitability of any community content. You agree that your use of any of this content is in accordance with SafetyCulture’s Terms and Conditions.

Template
Beach Road Surgery & Skin Clinic Infection Control Audit
This infection control audit for Beach Road Surgery and Skin Clinic helps assess compliance across key areas of clinical practice. The checklist covers sterilization and equipment cleaning records, PPE availability and use, and clear separation of clean and dirty workflows. It reviews hand hygiene stations, WHO 5 Moments adherence, signage, and environmental cleaning standards in practice rooms, storage areas, bathrooms, and general areas. Clinical safety checks include sharps management, biohazard waste segregation, defibrillator checks, refrigerator temperature monitoring for vaccines and medications, and documentation of monthly checks. It also verifies staff knowledge of exposure procedures, spill kits, and locating infection control documentation to support patient safety and regulatory compliance.
by shontae giles, from the Community
Downloads: 0
Get
Template
Infection Prevention Audit for Labor and Delivery and OR
Use this infection prevention audit to evaluate compliance in Labor and Delivery and Operating Room settings. The checklist covers general infection control practices, hand hygiene, personal protective equipment, cleaning and environmental hygiene, storage and sterilization, waste and sharps management, and anesthesia cart checks. It also includes refrigerator and freezer temperature monitoring, medication security, linen and utility room standards, hallway and scrub area requirements, and staff knowledge on isolation and instrument care. Apply it during rounds to identify issues, document corrective actions, and maintain safe, compliant patient care areas.
by Mary Claire Horkay, from the Community
Downloads: 10+
Get
Template
Critical Care Nursing Administration Internal Audit
This Critical Care Nursing Administration internal audit checklist helps hospital units such as GICU, NCCU, PICU, and NICU evaluate compliance with patient safety and environmental standards. It covers correct patient identification, effective communication, high alert medication checks with dual verification in EPIC, surgical consent and bundles, and infection prevention including hand hygiene, labeling and dating of lines and tubings, waste segregation, and sharps management. It includes fall prevention practices, PPE use with N95 fit testing, signage and precautions, and negative pressure room monitoring. Environmental safety spans exits, KPIs, temperature and humidity logs, inventory control, crash cart readiness and defibrillator checks, MSDS availability, medication room controls for HAM and LASA, narcotics counts, clean and dirty utility management, staff lounge hygiene, and linen handling.
by Mustafa Qaraqei, from the Community
Downloads: 0
Get
Template
Critical Care Nursing Administration Internal Cross Audit
This internal cross audit checklist helps nursing leaders and quality teams assess compliance with patient safety standards in critical care units. It covers patient identification, timely communication and documentation, management of high alert medications, consent and surgical safety, infection prevention and hand hygiene, equipment and crash cart readiness, environmental and storage controls, medication room security and labeling, management of look alike sound alike and narcotics, clean and dirty utility practices, staff lounge hygiene, linen and waste handling, and monitoring of negative pressure rooms. Use it to identify gaps, record findings, and drive continuous improvement.
by Mustafa Qaraqei, from the Community
Downloads: 10+
Get

Infection Control Surveillance Checklist

About author

You might also like

Beach Road Surgery & Skin Clinic Infection Control Audit

Infection Prevention Audit for Labor and Delivery and OR

Critical Care Nursing Administration Internal Audit

Critical Care Nursing Administration Internal Cross Audit

You might also like

Beach Road Surgery & Skin Clinic Infection Control Audit

Infection Prevention Audit for Labor and Delivery and OR

Critical Care Nursing Administration Internal Audit

Critical Care Nursing Administration Internal Cross Audit