Infection Control Quarterly Self-Audit Tool
To be completed by the Infection Control Key Worker each quarter and counter-signed by the Project Manager to confirm their agreement with the findings.
Project:Infection Control Key Worker(print name):
Project Manager(print name):
Date of Audit:
Potential Risk Areas / Yes / No / Comments/Actions/Control Measures
1.1 / Is the Infection Control Policy easily accessible to all staff?
1.2 / Has the Infection Control Generic Risk Assessment been implemented, and the findings communicated to all staff?
1.3 / Are all staff aware of their responsibilities in relation to, and competently practising, effective:
hand hygiene
respiratory and cough hygiene
use of PPE & equipment
blood & body fluid safety
disposal of waste
maintenance of a clean, general environment?
1.4 / Is there an appropriate, safe system of work for the disposal of waste & waste products from within the project? / (If yes, please give details.)
1.5 / Is a suitable waste management uplift contract in place for the project? / (If yes, please give details.)
1.6 / Have all staff been instructed on how to maintain good hygiene by ensuring effective hand washing? / Please state how this is recorded.
1.7 / Are all staff provided with suitable hand washing /
cleaning/ drying materials? / How do you ensure supplies are readily available?
Potential Risk Areas / Yes / No / Comments/Actions/Control Measures
2.0 / Are there sufficient hand washing facilities and equipment?
2.1 / Is there a readily available supply of disposable gloves and aprons for staff?
2.2 / Have all staff received training or instruction on Infection Control?
2.3 / Are all staff instructed on the hazards associated with sharps?
2.4 / Is there a sharps container (box) and lifting implements (tongs)?
2.5 / Are there instructions available on how to manage needle stick injuries?
2.6 / Has a needle stick incident occurred in the last 12 months? / (If yes, please give details.)
2.7 / Are staff aware of incident reporting procedures?
2.8 / Has the Exposure to Blood-Borne Viruses Generic Risk Assessment been implemented and the findings communicated to staff where applicable?
3.0 / Are all staff trained in Basic Life Support training?
3.1 / Do staff have access to first aid equipment?
What additional points or information would you like to include as part of your audit?
Action Plan
All actions are to be allocated to a specific individual with a target date and dated and signed by them on completion.
No. / Action / Person To Action / Target Date / Date Completed / Signature1