Template

PPE Audit Template for Healthcare Settings

by Meghan Engbretson, from the Community

10+

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.

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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

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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
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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.
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Foley Catheter Maintenance Assessment
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by Jarrod Stahl, from the Community
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PPE Audit Template for Healthcare Settings

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Infection Control Checklist for Hospital Wards

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