Run Patient Care Equipment Cleaning Audit — Free

Audit Setup and Scope

Equipment type identified and matches audit scope critical (required)

Verify the item being audited is a shared patient care device such as a pump, IV pole, glucometer, monitor accessory, or bedside device.

Manufacturer IFU and facility SOP available for review critical (required)

Confirm the current manufacturer instructions for use and local reprocessing procedure are accessible to the inspector.

Yes No N/A

Audit date and unit/location recorded

Document the date, unit, room, or department where the equipment was observed.

Inspector name and role recorded

Record the person completing the audit and their role or department.

Equipment last-used status verified

Confirm whether the device was in use, awaiting cleaning, or ready for reuse at the time of inspection.

Applicable isolation or transmission-based precautions considered critical (required)

Verify the cleaning process accounts for any isolation status or contamination risk associated with the last patient use.

Yes No N/A

Pre-Cleaning Condition

Visible soil, blood, or body fluid removed from all accessible surfaces critical (required)

Check that no visible contamination remains on high-touch and exposed surfaces.

Yes No N/A

High-touch contact points addressed critical (required)

Verify buttons, handles, clamps, screens, cords, and other frequently touched areas were included in the cleaning process.

Yes No N/A

Equipment surface condition acceptable

Inspect for cracks, peeling, corrosion, residue buildup, or other damage that could interfere with cleaning or disinfection.

Yes No N/A

Single-use components not reused critical (required)

Confirm disposable parts, covers, lancets, strips, or other single-use items were not retained for reuse.

Yes No N/A

Equipment free of unauthorized accessories or attachments

Verify no unapproved add-ons, labels, tape residue, or attachments interfere with cleaning or manufacturer instructions.

Yes No N/A

Pre-cleaning contamination severity

Rate the extent of visible contamination observed before cleaning or during audit review.

Cleaning and Disinfection Process

Appropriate PPE used for cleaning task critical (required)

Confirm gloves and any additional PPE required by the chemical label, exposure risk, or facility policy were used.

Yes No N/A

Approved cleaning/disinfecting product used critical (required)

Verify the product used is approved for the device surface and matches the manufacturer IFU and facility-approved list.

Yes No N/A

Disinfectant contact time met critical (required)

Confirm the surface remained visibly wet for the full required contact time.

Cleaning sequence followed from clean to dirty areas

Verify the device was cleaned in a logical sequence to avoid recontamination of already cleaned surfaces.

Yes No N/A

All required surfaces and crevices cleaned critical (required)

Check that seams, seams around buttons, handles, wheels, cords, holders, and other hard-to-reach areas were addressed.

Yes No N/A

Chemical dilution or ready-to-use preparation correct critical (required)

If applicable, verify dilution, mixing, or activation followed label instructions and facility procedure.

Yes No N/A

Cleaning log or reprocessing record completed

Confirm the cleaning event was documented with date, time, device identifier, and staff initials or ID.

Yes No N/A

Shared Device Reprocessing and Storage

Device fully dry before storage or reuse critical (required)

Confirm no visible moisture remains on the device, cords, or accessories before return to service.

Yes No N/A

Clean and dirty equipment separated critical (required)

Verify cleaned devices are not stored or staged with soiled equipment, waste, or used supplies.

Yes No N/A

Storage area clean, dry, and protected from contamination

Inspect the storage location for dust, splash exposure, clutter, and other contamination risks.

Yes No N/A

Device labeled status is accurate

Confirm any clean/dirty, ready-for-use, or out-of-service labeling is accurate and legible.

Yes No N/A

Reusable accessories reprocessed or replaced critical (required)

Verify cuffs, probes, cables, holders, or other reusable accessories were cleaned or replaced as required.

Yes No N/A

Device removed from service when damage or non-conformance identified critical (required)

Confirm any device with cracks, failed cleaning, or IFU deviation was tagged and removed from circulation.

Yes No N/A

Documentation and Compliance

Deficiencies documented with clear details critical (required)

Record each non-conformance, including the device, location, observed issue, and risk level.

Yes No N/A

Corrective action assigned

Document the responsible person, due date, and action required to correct the deficiency.

Repeat audit needed

Indicate whether follow-up verification is required after corrective action is completed.

Yes No N/A

Overall compliance rating

Provide an overall assessment of the equipment cleaning and reprocessing process.

Inspector signature

Signature confirming the accuracy of the audit findings.

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Run: Patient Care Equipment Cleaning Audit

Audit Setup and Scope

Pre-Cleaning Condition

Cleaning and Disinfection Process

Shared Device Reprocessing and Storage

Documentation and Compliance

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