Bi-monthly Clinic Audit Tool

This audit tool is required to check and ensure that all control measures identified within the Annual Risk Assessment are being completed adequately in order to reduce risks.
The completed audit form will be reviewed at Head Office and any areas of concern/ improvement that have been identified will be actioned

1.

Completed by: *

2.

Clinic: *

Risks audited by Observation:

The following questions are to be answered by observing the premises:

3.

Is laser key stored and locked away from the laser? Or a security keypad on the laser *

4.

Is there a yellow alert sign displayed on each door to the laser room (external side)? *

5.

Is clinical room sink visibly clean and free from clutter? *

6.

Is tap nozzle free from build up of slim (biofilms/bacteria)? *

7.

Is the temporary closure in use on the sharps bin? *

8.

Is the sharps bin below the fill line? *

9.

Are hand hygiene signs on display (laminated) and by hand washing facilities? *

10.

Is there hand gel available and filled at the point of entry/exit to the clinical room? *

11.

Are clinical areas free from clutter? *

12.

Are all fire routes clear from obstruction? *

13.

Is overhead ceiling lighting working and sufficient? *

14.

Are any clinical waste products disposed of in domestic waste bags? (observation of 3 bins monthly) *

15.

Is all stock stored off the floor? *

16.

Is Xylocaine stored within the locked medicines fridge?

17.

Are all medicines within date?

18.

Is the location of the emergency equipment obvious and within access?

19.

Is temperature and ventilation of treatment rooms satisfactory?

20.

Are appropriate safety goggles available for all persons present in the treatment room? (check the parameters written on the lense of the goggles)

21.

Are adequate amounts of PPE available?

22.

Do electrical items have in date PAT sticker? (check 5 random items)

23.

are all locks working on treatment room doors?

24.

Is equipment in good working order and service in date?

25.

Is a first aid box available, in date and easily located?

26.

Any additional risks identified? please comment below *

27.

Please state actions required, responsible person(s)

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