Run Grocery Pharmacy Consultation Area Cleanliness Audit — Free

Consultation Counter Cleanliness

Consultation counter surface is free of debris, spills, and residue

Visually inspect the entire counter surface. No visible dust, liquid spills, medication residue, or food debris should be present.

Yes No N/A

Counter surface has been sanitized within the last 4 hours (verify log)

Check the cleaning log to confirm the counter was sanitized with an EPA-registered disinfectant within the past 4 hours. Log must include time, date, and initials.

Yes No N/A

Consultation area is free of clutter (personal items, non-pharmacy materials, excess paperwork)

Only pharmacy-related materials should be present on or immediately around the consultation counter. Personal items, food, and beverages must not be present.

Yes No N/A

Pen, stylus, or shared patient-contact items are sanitized between uses

Verify that any shared items (e.g., signature pads, pens) are wiped with a disinfectant wipe between patient interactions.

Yes No N/A

Consultation counter cleanliness overall rating

Rate the overall cleanliness of the consultation counter area.

HIPAA Notice of Privacy Practices (NPP) Compliance

HIPAA Notice of Privacy Practices (NPP) is visibly posted in the consultation area critical (required)

The NPP must be displayed in a clear, prominent location where patients can read it without requesting it. Per 45 CFR §164.520(c)(2)(ii), covered entities must post the notice at each service delivery site.

Yes No N/A

Photo evidence (optional)

Posted NPP is the current version (verify effective date on document) critical (required)

Check the effective date printed on the NPP. An outdated NPP constitutes a non-conformance. The current version must reflect any policy changes made within the last revision cycle.

Yes No N/A

Paper copies of the NPP are available for patients upon request critical (required)

A supply of printed NPP copies must be accessible at or near the consultation counter per 45 CFR §164.520(c)(2)(i). Verify physical copies are stocked.

Yes No N/A

NPP is legible and undamaged (not faded, torn, or obscured)

The posted NPP must be fully readable. Faded, torn, or partially obscured notices are a deficiency.

Yes No N/A

Number of NPP paper copies currently available at counter

Count the number of printed NPP copies available. Minimum acceptable quantity is 5.

Patient Privacy and Confidentiality Controls

Consultation area provides adequate visual privacy from general store traffic critical (required)

The consultation space must be positioned or screened so that patient interactions are not visible to general store customers. Verify physical barrier, partition, or designated private space exists.

Yes No N/A

Consultation area provides adequate auditory privacy (conversations not easily overheard) critical (required)

Verify that normal-volume conversations at the consultation counter cannot be clearly overheard by customers in adjacent aisles or at the main pharmacy counter.

Yes No N/A

No patient PHI (Protected Health Information) is visible on counter surfaces or screens facing the public critical (required)

Check that no prescription labels, patient records, or screen displays containing PHI are visible to unauthorized individuals from the public side of the counter.

Yes No N/A

Privacy screen or monitor filter is installed on any patient-facing computer terminal

If a computer terminal is present at the consultation area, verify a privacy screen filter is installed to prevent shoulder-surfing of PHI.

Yes No N/A

OSHA and Safety Compliance

Emergency exit path from consultation area is unobstructed and clearly marked (OSHA 29 CFR 1910.37) critical (required)

Verify that the path from the consultation area to the nearest emergency exit is free of boxes, equipment, or other obstructions. Exit signage must be illuminated per OSHA 29 CFR 1910.37(b).

Yes No N/A

Fire extinguisher is accessible within 75 feet of consultation area and current inspection tag is present (NFPA 10) critical (required)

Locate the nearest fire extinguisher. Verify it is unobstructed, the inspection tag shows a check within the last 12 months, and the pressure gauge is in the green zone. Per NFPA 10, portable fire extinguishers must be inspected annually.

Yes No N/A

Safety Data Sheets (SDS) are accessible for all chemical cleaning agents used in the consultation area (OSHA 29 CFR 1910.1200) critical (required)

Per OSHA Hazard Communication Standard (HazCom 2012), SDS must be readily accessible to employees for all hazardous chemicals used. Verify SDS binder or electronic access is available.

Yes No N/A

Appropriate PPE (gloves, hand sanitizer) is available at or near the consultation counter

Verify that nitrile or latex-free gloves and hand sanitizer (≥60% alcohol per CDC guidelines) are stocked and accessible to pharmacy staff at the consultation area.

Yes No N/A

Lighting at consultation counter is adequate for reading prescription labels and counseling materials

Measure or estimate illumination level. Minimum acceptable lux level at the consultation counter work surface is 500 lux (approximately 50 foot-candles) per IESNA RP-29 pharmacy lighting guidelines.

Signage, Regulatory Postings, and Documentation

Current state pharmacy license is posted and visible critical (required)

The pharmacy's state board of pharmacy license must be posted in a conspicuous location. Verify the license is current (not expired) and the expiration date is legible.

Yes No N/A

Pharmacist-in-charge (PIC) name is posted or readily identifiable to patients

Many state boards require the PIC name to be displayed. Verify name placard or posted notice is present and current.

Yes No N/A

Consultation area cleaning log is present and entries are current (within last 24 hours)

A cleaning and sanitization log must be maintained at or near the consultation area. Verify the most recent entry is within the last 24 hours and includes date, time, and staff initials.

Yes No N/A

Additional deficiencies or observations noted during inspection

Document any deficiencies, non-conformances, or notable observations not captured in prior items.

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Run: Grocery Pharmacy Consultation Area Cleanliness Audit

Consultation Counter Cleanliness

HIPAA Notice of Privacy Practices (NPP) Compliance

Patient Privacy and Confidentiality Controls

OSHA and Safety Compliance

Signage, Regulatory Postings, and Documentation

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