Run Surgical Smoke Evacuation Compliance Audit — Free

Inspection Details

Procedure area and case type documented

Record the operating room, procedure location, and whether the case involved electrosurgery, laser use, or both.

Inspection date and time

Inspector name and role

Smoke Evacuator Availability and Setup

Smoke evacuator present at point of use critical (required)

A smoke evacuator is available in the room and staged for the active case.

Yes No N/A

Evacuation nozzle positioned within 2 inches of the surgical site critical (required)

Verify the suction inlet is positioned as close as feasible to the plume source, typically within 2 inches of the surgical site.

Yes No N/A

Smoke evacuator activated during plume-generating activity critical (required)

Device is turned on and actively evacuating smoke during electrosurgery or laser activation.

Yes No N/A

Appropriate suction tubing and filter setup in place

Tubing, filter, and collection components are installed per manufacturer instructions and facility policy.

Yes No N/A

Evacuator does not obstruct sterile field or workflow

Placement supports safe use without compromising the sterile field or creating a trip or handling hazard.

Yes No N/A

Operational Performance During Case

Smoke plume captured at source critical (required)

Visible plume is effectively captured with minimal escape into the room.

Yes No N/A

Staff use smoke evacuation consistently during electrosurgery and laser activation critical (required)

Observed use is consistent for each plume-generating event in the case.

Yes No N/A

Device noise and airflow do not indicate malfunction

No abnormal noise, loss of suction, alarms, or other signs of reduced performance are observed.

Yes No N/A

Staff can identify when smoke evacuation is required

Team members demonstrate awareness that smoke evacuation is required for plume-generating procedures per policy.

Yes No N/A

Training, Policy, and Compliance

Current facility policy available and aligned to practice

Policy addresses smoke evacuation expectations for electrosurgery and laser cases and matches observed practice.

Yes No N/A

Staff training on surgical smoke hazards documented

Relevant perioperative staff have documented training or competency on smoke hazards and evacuation procedures.

Yes No N/A

Non-compliance or workarounds identified and escalated critical (required)

Any observed deviation from policy is documented and escalated for corrective action.

Yes No N/A

Maintenance and Inspection Records

Routine inspection or preventive maintenance is current critical (required)

Device inspection and maintenance records are current per manufacturer and facility requirements.

Yes No N/A

Filters and consumables replaced per schedule

Filter life, tubing, and other consumables are within service limits and replaced as required.

Yes No N/A

Device is clean, labeled, and ready for use

Equipment is visibly clean, properly labeled, and stored or staged in a ready state.

Yes No N/A

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Run: Surgical Smoke Evacuation Compliance Audit

Inspection Details

Smoke Evacuator Availability and Setup

Operational Performance During Case

Training, Policy, and Compliance

Maintenance and Inspection Records

Get your results