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Hospital PPE Compliance Checklist

Healthcare · Safety & Compliance · Intermediate

Observe staff during normal clinical activities. Record compliance for each observation. Calculate compliance rate.

21 items 20-30 minutes per unit 136 downloads Download PDF Use in App
INTL UK US

A quarterly PPE compliance audit checklist for hospital infection prevention and safety teams. Observes clinical staff during patient care to verify correct glove use, gown and apron selection, mask and respirator compliance, eye protection, donning and doffing sequence, and PPE supply availability at the point of care.

Incorrect PPE use is a leading cause of healthcare worker exposure to infectious agents. This audit catches the gown worn open, the mask below the nose, and the gloves not changed between patients.

This checklist template is provided as a general-purpose resource and is not tailored to the regulatory requirements of any specific country, region, or jurisdiction. It is the responsibility of each organisation to review and adapt this template to ensure compliance with all applicable local laws and regulations. Miratag does not accept liability for any inaccuracies or omissions, or for any actions taken based on this template.

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