Infection Control Linen Facility Inspection Checklist - Attachment 2.pdf

INFECTION CONTROL LINEN FACILITY INSPECTION CHECKLIST PAGE 1 OF 2 PAGES

NAME OF FACILITY:________________________________________

ADDRESS:__________________________________________________

TELEPHONE:_______________________________________________

OPR

IP

DATE

NO.

ITEM YES NO N/A

A. ACCREDITATION/LICENSE

1. Does the facility have a current business license? ref: OSHA General guidelines

2. Has the facility been inspected by any other agency since the last inspection

*If yes, list agencies:

B. PHYSICAL FACILITY

1. Is the facility overall clean and sanitary (i.e., restrooms supplied with toilet paper, hand soap, running water, paper towels or dryer, working toilets, clean floors)? ref: OSHA 1910.1030

2. Are there adequate hand washing stations? ref: OSHA 1910.1030

3. Are alcohol hand based hand rubs available? ref: OSHA 1910.1030

4. Are sharps containers available and accessible IAW OSHA guidelines?

ref: OSHA 1910.1030 & AFI 44-108

C. PERSONNEL

1. Do the employees have initial/annual training records and are they current?

ref: OSHA 1910.1030

2. Does the training cover the following areas:

Wear and use of PPE ref: OSHA 1910.1030 The identification and handling of contaminated laundry ref: OSHA 1910.1030 How to handle and dispose of sharps (BBP-ECP) ref: OSHA 1910.1030 How and when to wash their hands ref: OSHA 1910.1030 What to do if they are exposed to a biohazard ref: OSHA 1910.1030

3. Compliance with universal/standard precautions is observed?

ref: OSHA 1910.1030

4. Do employees remove PPE before leaving receiving/sorting area?

ref: OSHA 1910.1030

5. Is the Hep B vaccine available for all employees? Or are there signed statements of refusal? ref: OSHA 1910.1030(f)(1).

6. Is eating, drinking, smoking prohibited in all work areas? ref: OSHA 1910.1030

D. PRE-WASH PROCESS

1. Is equipment arranged to prevent cross-traffic of clean and soiled linen?

ref: AFI 44-108, para 3-11

2. Are there separate areas for the processing of soiled and clean linen?

ref: AFI 44-108 para. 3-11

E. WASH PROCESS

1. Is the temperature adequate (71C/160F)? ref: AFI 44-108, para 3-11 & CDC

Guidelines

2. Are the chemicals used appropriate (Soap, Detergent/Bleach)? ref: AFI 44-

108, para 3-11 & CDC Guidelines

F. POST WASH PROCESS

1. Are carts, containers, covers, and liners used to collect or transport soiled textiles properly cleaned and disinfected after the cart is emptied and before any next use (whether to transport clean textiles or soiled textiles)? Ref: AFI 44-108, para 3.11.3.

2. Are clean items transported in containers exclusively for clean linen, clean hampers lined with plastic or reusable liners, placed in a clean cart with a secure plastic or reusable cover? Ref: AFI 44-108, para 3.11.3.1.

3. Are clean and soiled textiles transported separately and/or are there physical barriers separating clean from soiled linen? Ref: AFI 44-108, para 3.11.3.1.

4. Clean linen will be stored in clean storage areas (dedicated storage rooms with closing door or covered carts or closed drawers or cabinets) Ref: AFI 44-108, para 3.11.3.1.

5. Clean linen remains protected until point of use. Ref: AFI 44-108, para 3.11.3.2.

REFERENCES:

Air Force Instruction (AFI) 44-108, Infection Prevention and Control, 11 Dec 2014 Occupational Safety and Health Administration (OSHA) Standards www.osha.gov Centers For Disease Control and Prevention (CDC) www.cdc.gov

Inspector signature_______________________________________ Date ___________________________________________________

Inspector signature_______________________________________ Date____________________________________________________

UPDATED: APR 2015 (approved by ICRF)