Run Bed Bug Mitigation Audit — Free

Audit Details

Unit / department identified

Record the inpatient unit, ward, or department being audited.

Room number identified

Record the room or bed space number inspected.

Audit date and time recorded critical (required)

Document when the inspection was completed.

Inspector name and role recorded critical (required)

Enter the inspector's name and job title or role.

Reason for audit documented

Identify why the audit was performed.

Note (optional)

Room Assessment and Identification

Mattress seams, box spring, and bed frame inspected for live bugs or evidence critical (required)

Inspect bed seams, tufts, frame joints, and nearby crevices for live bed bugs, cast skins, fecal spotting, or eggs.

Yes No N/A

Photo evidence (optional)

Furniture, baseboards, and adjacent surfaces inspected for bed bug evidence critical (required)

Check nightstands, chairs, wall edges, baseboards, and nearby surfaces within the room for signs of infestation.

Yes No N/A

Photo evidence (optional)

Clutter minimized to support inspection and treatment access

Verify the room allows access to bed, furniture, and perimeter areas without obstruction.

Yes No N/A

Signs of patient bites or reported exposure documented

Confirm whether patient-reported symptoms, bites, or exposure history were documented and escalated per facility procedure.

Yes No N/A

Adjacent rooms or shared spaces assessed when indicated

Verify whether nearby rooms, shared equipment, or common areas were assessed based on risk or confirmed activity.

Yes No N/A

Evidence type recorded

Select all evidence observed during the inspection.

Note (optional)

Treatment Verification

Treatment order or service record available critical (required)

Verify a treatment order, pest control service record, or approved work order is available for the room.

Yes No N/A

Treatment date and method documented critical (required)

Record the date of treatment and the method used, such as heat, chemical, vacuuming, encasement, or integrated pest management actions.

Treatment completed as ordered critical (required)

Confirm the treatment was completed according to the approved plan and any required re-entry restrictions were followed.

Yes No N/A

PPE used by staff during treatment or room entry

Verify appropriate PPE was used based on the treatment method and facility procedure.

Yes No N/A

Post-treatment monitoring or reinspection scheduled critical (required)

Confirm follow-up inspection, monitoring, or retreatment date has been scheduled when required.

Yes No N/A

Discharge Linen Handling and Containment

Used linens and soft goods bagged at point of removal critical (required)

Verify linens, gowns, blankets, and other soft goods were contained before leaving the room.

Yes No N/A

Photo evidence (optional)

Linen bags sealed and labeled per facility procedure critical (required)

Confirm linen containment bags were sealed and identified according to facility process for suspected or confirmed bed bug exposure.

Yes No N/A

Clean and soiled linen separated during transport

Verify clean linen was protected from contaminated items and transport routes minimized cross-contamination risk.

Yes No N/A

Discharge or transfer linen handling documented

Confirm discharge linen handling steps were documented for the patient transfer or room turnover.

Yes No N/A

Environmental services notified of linen and room status

Verify housekeeping or environmental services were notified that the room requires special handling or turnover precautions.

Yes No N/A

Documentation, Communication, and Follow-Up

Findings documented in the incident or pest log critical (required)

Confirm inspection findings, evidence observed, and actions taken were entered into the appropriate log or record.

Yes No N/A

Patient care team notified of findings

Verify nursing, provider, and relevant support staff were informed of the inspection results and any precautions.

Yes No N/A

Corrective actions assigned with owner and due date critical (required)

Confirm each deficiency or non-conformance has an assigned owner and target completion date.

Yes No N/A

Follow-up status recorded

Document the current status of the bed bug mitigation follow-up.

Note (optional)

Inspector signature completed critical (required)

Inspector signs to confirm the audit findings are accurate and complete.

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Run: Bed Bug Mitigation Audit

Audit Details

Room Assessment and Identification

Treatment Verification

Discharge Linen Handling and Containment

Documentation, Communication, and Follow-Up

Get your results