PPE Audit Template for Healthcare Settings
by Meghan Engbretson, from the Community
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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About author
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.
