Attachment 11.1: Autoclave Audit Checklist Item Yes No Comments Waste storage and segregation 1 Storage area clean and tidy Yes No 2 Yes No Storage area accessible only to authorized personnel 3 Yes No Storage area protected from pests 4 Biohazard warning sign in the waste storage area and on Yes No waste containers 5 Yes No Storage area properly ventilated 6 Infectious waste in robust containers with closed lids Yes No 7 Yes No Infectious sharps waste in puncture containers 8 Waste bags no more than ⅔full Yes No 9 Yes No Sharps containers no more than ¾ full 10 Only infectious waste sent for autoclaving Yes No 11 Toxic, corrosive and hazardous chemicals are excluded from Yes No materials for autoclaving 12 Waste autoclaved within acceptable time limits Yes No 13 Waste containers tagged with autoclave tape to show Yes No which have been autoclaved 14 Treated waste stored properly and away from untreated Yes No waste Autoclave status and operation 15 Autoclave in an appropriate location Yes No 16 Yes No Access restricted to authorized personnel 17 Yes No Treatment area clean and uncluttered 18 Yes No Treatment area properly ventilated 19 Autoclave is free of leaks (can be indicated by water or water stains on the floor, water stains around joints and Yes No seals) 20 Yes No Door seal in good condition 21 Yes No Staff wearing the correct PPE 22 Yes No PPE clean and in good condition 23 Staff understand operational and safety procedures Yes No 24 Spill kit/emergency response supplies and equipment Yes No available 25 Pressure and temperature gauges on the autoclave are Yes No operational 26 Yes No Chamber trap strainer present and clean Challenge testing 27 Yes No Challenge tests regularly run 28 Challenge tests conform to UNDP/GEF guidelines Yes No 29 Yes No The autoclave passes all challenge tests 30 Appropriate action taken if a challenge test is failed Yes No Item Yes No Comments Documentation 31 Yes No Autoclave manual available in autoclave room
Attachment 11.1: Autoclave Audit Checklist Item Yes No Comments Waste storage and segregation 1 Storage area clean and tidy Yes No 2 Storage area accessible only to authorized personnel Yes No 3 Storage area protected from pests Yes No 4 Biohazard warning sign in the waste storage area and on waste containers Yes No 5 Storage area properly ventilated Yes No 6 Infectious waste in robust containers with closed lids Yes No 7 Infectious sharps waste in puncture containers Yes No 8 Waste bags no more than ⅔full Yes No 9 Sharps containers no more than ¾ full Yes No 10 Only infectious waste sent for autoclaving Yes No 11 Toxic, corrosive and hazardous chemicals are excluded from materials for autoclaving Yes No 12 Waste autoclaved within acceptable time limits Yes No 13 Waste containers tagged with autoclave tape to show which have been autoclaved Yes No 14 Treated waste stored properly and away from untreated waste Yes No Autoclave status and operation 15 Autoclave in an appropriate location Yes No 16 Access restricted to authorized personnel Yes No 17 Treatment area clean and uncluttered Yes No 18 Treatment area properly ventilated Yes No 19 Autoclave is free of leaks (can be indicated by water or water stains on the floor, water stains around joints and seals) Yes No 20 Door seal in good condition Yes No 21 Staff wearing the correct PPE Yes No 22 PPE clean and in good condition Yes No 23 Staff understand operational and safety procedures Yes No 24 Spill kit/emergency response supplies and equipment available Yes No 25 Pressure and temperature gauges on the autoclave are operational Yes No 26 Chamber trap strainer present and clean Yes No Challenge testing 27 Challenge tests regularly run Yes No 28 Challenge tests conform to UNDP/GEF guidelines Yes No 29 The autoclave passes all challenge tests Yes No 30 Appropriate action taken if a challenge test is failed Yes No Item Yes No Comments Documentation 31 Autoclave manual available in autoclave room Yes No
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