Template

PPE Audit Checklist for Contact and Droplet Precautions

by Melissa Therrien, from the Community

30+

Conduct a comprehensive PPE audit aligned with contact and droplet isolation precautions. This checklist guides observers through donning and doffing steps, hand hygiene, proper mask and eye protection use, glove removal technique, gown handling, and disposal or sanitizing of reusable items. Record roles and locations, verify compliance behaviors, and capture issues with corrective actions to improve staff training and patient safety.

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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
PPE Audit Template for Healthcare Settings
Use this PPE audit template to evaluate safe and compliant PPE use in healthcare environments. Capture observation context, staff roles such as physicians, nurses, allied health, and EVS, and the required precautions including contact, droplet, droplet plus, and airborne. Verify hand hygiene before and after PPE, correct sequence of gown, gloves, mask, and eye protection, and proper donning and doffing. Record universal precautions, potential contamination sources like phones or pagers, missed hand hygiene, and any noncompliance. Customize to your facility policies and confirm suitability with professional guidance.
by Meghan Engbretson, from the Community
Downloads: 10+
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Template
Personal Protective Equipment PPE Competency Validation
Assess healthcare professionals on safe and effective use of personal protective equipment with a structured checklist for donning and doffing. Covers hand hygiene, gown, mask or respirator fit check, eye protection, and gloves. Includes guidance on standard, contact, droplet, and airborne precautions so staff can identify appropriate PPE for each scenario. Designed for evaluators to validate competency, reduce exposure risks, and support consistent infection prevention training across clinical settings.
by SafetyCulture
Downloads: 10+
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Template
Transmission Based Precautions Checklist
This Transmission Based Precautions checklist helps healthcare teams implement and audit infection control for patients requiring isolation. It covers airborne, contact, and droplet precautions, including placement in appropriate rooms, door and signage checks, and PPE availability such as N95 or P2 masks, gowns, gloves, and level 2 or 3 masks. Staff can verify correct donning and doffing, ensure hand hygiene with alcohol based hand rub is accessible, and confirm documentation like infectious disease notes or safety alerts. The template prompts checks for patient masking when leaving rooms, availability of disinfectant wipes, correct clinical waste disposal, cleaning procedures, and whether patient information leaflets were provided.
by Curt Werner, from the Community
Downloads: 0
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Template
PPE Audit Checklist for Healthcare
This PPE audit template helps healthcare teams evaluate compliance with infection control practices at the point of care. Review hand hygiene before and after patient contact, confirm proper donning and doffing order, check gown ties, glove fit over cuffs, and correct use of masks and eye protection. Capture locations inside or outside the patient environment, note observed roles such as physicians, nurses, EVS, and allied health, and identify potential contamination sources like phones or pagers. Record misses, duration of hand hygiene, and staff not complying to drive corrective actions and safer practice.
by Meghan Engbretson, from the Community
Downloads: 0
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PPE Audit Template for Healthcare Settings

Use this PPE audit template to evaluate safe and compliant PPE use in healthcare environments. Capture observation context, staff roles such as physicians, nurses, allied health, and EVS, and the required precautions including contact, droplet, droplet plus, and airborne. Verify hand hygiene before and after PPE, correct sequence of gown, gloves, mask, and eye protection, and proper donning and doffing. Record universal precautions, potential contamination sources like phones or pagers, missed hand hygiene, and any noncompliance. Customize to your facility policies and confirm suitability with professional guidance.

by Meghan Engbretson, from the Community

10+

Get

Template

Personal Protective Equipment PPE Competency Validation

Assess healthcare professionals on safe and effective use of personal protective equipment with a structured checklist for donning and doffing. Covers hand hygiene, gown, mask or respirator fit check, eye protection, and gloves. Includes guidance on standard, contact, droplet, and airborne precautions so staff can identify appropriate PPE for each scenario. Designed for evaluators to validate competency, reduce exposure risks, and support consistent infection prevention training across clinical settings.

by SafetyCulture

10+

Get

Template

Transmission Based Precautions Checklist

This Transmission Based Precautions checklist helps healthcare teams implement and audit infection control for patients requiring isolation. It covers airborne, contact, and droplet precautions, including placement in appropriate rooms, door and signage checks, and PPE availability such as N95 or P2 masks, gowns, gloves, and level 2 or 3 masks. Staff can verify correct donning and doffing, ensure hand hygiene with alcohol based hand rub is accessible, and confirm documentation like infectious disease notes or safety alerts. The template prompts checks for patient masking when leaving rooms, availability of disinfectant wipes, correct clinical waste disposal, cleaning procedures, and whether patient information leaflets were provided.

by Curt Werner, from the Community

Get

Template

PPE Audit Checklist for Healthcare

This PPE audit template helps healthcare teams evaluate compliance with infection control practices at the point of care. Review hand hygiene before and after patient contact, confirm proper donning and doffing order, check gown ties, glove fit over cuffs, and correct use of masks and eye protection. Capture locations inside or outside the patient environment, note observed roles such as physicians, nurses, EVS, and allied health, and identify potential contamination sources like phones or pagers. Record misses, duration of hand hygiene, and staff not complying to drive corrective actions and safer practice.

by Meghan Engbretson, from the Community

Get

PPE Audit Checklist for Contact and Droplet Precautions

About author

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PPE Audit Template for Healthcare Settings

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PPE Audit Template for Healthcare Settings

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