Care Home Infection Control Audit Checklist
Use this form to record an infection control audit for a care home, including audit details, checklist items, findings, and follow-up actions.
Audit Details
Audit Date
*
-
Month
-
Day
Year
Date
Care Home Name
*
Unit / Wing / Area Audited
*
Auditor Name or Role
*
Infection Control Checklist
Hand hygiene
*
Alcohol-based hand rub available
Soap and water available
Sinks accessible at point of care
Staff observed performing hand hygiene
Hand hygiene signage displayed
Other
PPE availability and use
*
Gloves available
Aprons/gowns available
Masks available
Eye protection available
PPE used correctly by staff
PPE donned and removed safely
Other
Cleaning, waste, and linen handling
*
High-touch surfaces cleaned and disinfected regularly
Cleaning products available and in date
Waste bins available and covered
Clinical waste segregated correctly
Sharps containers available and not overfilled
Linen/laundry handled in sealed bags
Soiled linen stored separately
Other
Isolation precautions and staff training
*
Isolation or cohorting signage displayed
Transmission-based precautions followed
Staff aware of isolation procedures
Infection control training completed
Staff could explain reporting of concerns
Other
Findings and Actions
Overall Audit Result
*
Compliant
Partially Compliant
Non-Compliant
Issues Found
Corrective Actions Required
Follow-up Date
-
Month
-
Day
Year
Date
Submit
Should be Empty: