Oncology Unit Chemotherapy Spill Readiness Audit

Inspection template for oncology units to verify chemotherapy spill kit contents, accessibility, location signage, PPE availability, and staff response readiness for hazardous drug spills.

Spill Kit Location and Accessibility

• Chemo spill kit is present in the unit
  A hazardous drug spill kit is physically available in the oncology unit.
• Spill kit is located in a spill-prone area and accessible without obstruction
  Kit is positioned near medication preparation, administration, or storage areas and can be accessed immediately.
• Spill kit location is clearly signed
  Signage identifies the spill kit location so staff can find it quickly during an incident.
• Access path to spill kit is unobstructed
  No carts, equipment, locked doors, or other barriers prevent immediate access to the spill kit.

Spill Kit Contents and Condition

• Spill kit contents checklist is present and current
  A contents list is available inside or attached to the kit and matches the stocked supplies.
• Absorbent materials are present
  Kit contains absorbent pads or equivalent materials appropriate for hazardous drug spill cleanup.
• Disposable chemotherapy-rated PPE is present
  Kit contains PPE appropriate for hazardous drug spill response, such as chemotherapy gloves, gown, eye/face protection, and respiratory protection if required by procedure.
• Waste disposal bags and labels are present
  Kit contains waste bags, closure materials, and labels or instructions for hazardous drug waste disposal.
• Spill kit components are intact and not expired
  No damaged containers, missing items, or expired supplies are observed.
• Kit exterior is clean, sealed, and labeled
  The spill kit container is clean, closed, and clearly identified as a chemotherapy or hazardous drug spill kit.

Staff Response Readiness

• Staff can identify the spill kit location
  At least one staff member on shift can point to the spill kit location without prompting.
• Staff can describe the initial spill response steps
  Staff can state the immediate actions for isolating the area, donning PPE, and following the spill procedure.
• Current spill response procedure is available to staff
  Written instructions or SOP for chemotherapy spill response are accessible in the unit.

Training, Reporting, and Closeout

• Staff hazardous drug spill training is current
  Observed staff have documented training on hazardous drug spill response within the required interval.
• Incident reporting process is known and posted
  Staff know how to report a spill, exposure, or kit deficiency to the appropriate supervisor or safety contact.
• Deficiencies identified during inspection are documented with corrective action
  Any non-conformance is recorded with owner, due date, and corrective action plan.