Infection Control Audit Form Template

What is the infection control audit form template?

Infection prevention and control only works when the basics are right every day — soap in the dispenser, sharps bins below the fill line, clean equipment clearly marked, clinical waste in the right bag. An audit is how a clinic finds out whether that's actually happening, rather than assuming it is. This template turns that audit into a consistent walk-round: the same standards, rated the same way, every time.

Each area of practice gets its own rating grid, with every item marked Compliant, Partly compliant, Non-compliant or N/A. There's space to count hand hygiene opportunities you observed against the number done correctly, notes for anything that fell short, and a findings page that only asks for actions when there are actions to record.

When the auditor signs, FileIt saves the audit as a PDF in the vault folder you pick — so the practice builds a dated history of audits, actions and re-audits that's easy to pull up for a governance meeting or an inspection.

Who uses a infection control audit form?

• A GP surgery running its routine infection control audit of treatment and consulting rooms
• A dental practice checking decontamination-adjacent basics like sharps, waste and surface cleaning in each surgery
• A care home manager doing spot checks on hand hygiene and PPE use during a shift
• A clinic re-auditing an area to confirm actions from the last audit have been completed
• A physiotherapy or podiatry clinic keeping a simple, dated record of IPC checks
• An organisation responding to an outbreak by checking standards across several rooms quickly

Questions on this infection control audit form

26 questions over 4 pages · includes signature, file upload, conditional questions, multiple pages, ratings.

The infection control audit form, page by page

1 Audit details

Record the Clinic / site, the Area or department audited, the Audit date and Time started, and the Auditor with their role. Type of audit separates scheduled audits from spot checks, follow-ups and outbreak responses — choosing a follow-up asks for the Previous audit date or reference so the two can be read together.

2 Hand hygiene & PPE

The Hand hygiene grid covers sinks, soap and towels, alcohol rub at the point of care, whether staff cleaned their hands at the right moments, bare below the elbows and technique posters. Two number fields — Hand hygiene opportunities observed and …of which hands were cleaned correctly — let you work out a simple compliance rate.

The PPE grid checks that gloves, aprons, masks and eye protection are available and that PPE is worn, removed and disposed of properly. A notes box collects the detail behind any poor rating.

3 Cleaning, sharps & waste

Three grids cover Environment & equipment cleaning (surfaces, cleaning between patients, clean-equipment labelling, schedules, spill kits and linen), Sharps (point of use, fill line, labelling, temporary closure, safe storage) and Waste handling (segregation, lidded bins, bag filling and tagging, the waste store and collection records). A shared notes field follows.

4 Findings & sign-off

Choose an Overall result. If it's anything other than compliant, the form asks for the Actions required, the Person responsible and an Actions due by date. Say whether a re-audit is needed and when, attach up to 10 photos, and sign. A short note reminds you to adapt the checklist to your own IPC policy and the guidance for your setting.

Make the template yours

• Add or rename grid rows so the checklist matches your own infection control policy word for word
• Duplicate the form for different settings — a dental surgery and a care home bedroom need different items
• Change the rating scale to a simple Yes / No if that's how your organisation scores audits
• Add a percentage score question if your policy sets a pass mark
• File audits under the site's entity or a governance folder so they're easy to find at inspection time
• Add the IPC lead's email to the notification list so they see every completed audit

Tips for a better infection control audit form

• Audit what you actually see — watching real care for a while tells you far more than asking staff what they do
• Record hand hygiene counts honestly, even when they're disappointing — the trend over time is what matters
• Photograph problems before they're fixed and again afterwards, so the evidence and the fix sit together
• Give every action a named owner and a date — actions without both rarely get done
• Re-audit the same area after actions are complete to confirm the change has stuck

Infection control audit form: frequently asked questions

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Templates are a starting point. Check that the questions and any wording about consent, privacy or terms suit your situation and the rules where you are. Page last reviewed 2026-09-28.