Hand Hygiene Compliance Audit Checklist
FREE hand hygiene audit checklist with WHO Five Moments and CDC/Joint Commission compliance. Covers observation methodology, compliance rates, and improvement actions. Multi-market standards for US CDC/Joint Commission, UK CQC/NICE, India NABH, Brazil ANVISA, Mexico SSA, and Colombia regulations. Download FREE PDF with 35+ audit points.
- Industry: Healthcare
- Frequency: Weekly/Monthly
- Estimated Time: 30-60 minutes
- Role: Operations Manager
- Total Items: 37
- Compliance: WHO Five Moments for Hand Hygiene, CDC Hand Hygiene Guidelines, Joint Commission NPSG.07.01.01, UK NICE CG139, UK CQC Infection Prevention
WHO Five Moments Observations
Record compliance with each hand hygiene moment.
- Moment 1 (Before Patient Contact) - Opportunities observed
- Moment 1 - Compliant instances
- Moment 2 (Before Aseptic Task) - Opportunities observed
- Moment 2 - Compliant instances
- Moment 3 (After Body Fluid Exposure) - Opportunities observed
- Moment 3 - Compliant instances
- Moment 4 (After Patient Contact) - Opportunities observed
- Moment 4 - Compliant instances
- Moment 5 (After Touching Surroundings) - Opportunities observed
- Moment 5 - Compliant instances
Compliance by Healthcare Worker Type
Track compliance by professional category.
- Physicians - Opportunities
- Physicians - Compliant
- Nurses - Opportunities
- Nurses - Compliant
- Technicians/Aides - Opportunities
- Technicians/Aides - Compliant
- Other Staff - Opportunities
- Other Staff - Compliant
Supplies & Equipment Assessment
Verify hand hygiene resources availability.
- Soap dispensers full and functional?
- Alcohol-based hand rub dispensers full and accessible?
- Paper towels available at all sinks?
- All sinks functional with warm water?
- Hand hygiene signage visible?
Pre-Assessment Information
Initial assessment documentation and patient/facility identification
- Assessor Name / Credentials
- Assessment Date
- Department / Unit
- Assessment Type (Routine/Annual/Complaint)
- Previous assessment findings reviewed?
Infection Prevention & Control
Verify infection control practices per CDC and Joint Commission standards
- Hand hygiene compliance observed?
- Appropriate PPE available and properly used?
- Isolation precautions properly implemented?
- Sharps containers available and not overfilled?
- High-touch surfaces properly disinfected?
Patient Safety & Identification
Verify patient safety protocols and identification procedures
- Two patient identifiers used before procedures?
- Fall risk assessment completed?
- Call light within patient reach?
- Bed in lowest position with brakes locked?
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Why Use This Hand Hygiene Compliance Audit Checklist?
This hand hygiene compliance audit checklist helps healthcare teams maintain compliance and operational excellence. Designed for operations manager professionals, this checklist covers 37 critical inspection points across 6 sections. Recommended frequency: weekly/monthly.
Ensures compliance with WHO Five Moments for Hand Hygiene, CDC Hand Hygiene Guidelines, Joint Commission NPSG.07.01.01, UK NICE CG139, UK CQC Infection Prevention, India NABH Standards, Brazil ANVISA RDC 42, Mexico NOM-045-SSA2, Colombia Resolución 2003/2014. Regulatory-aligned for audit readiness and inspection documentation.
Frequently Asked Questions
What does the Hand Hygiene Compliance Audit Checklist cover?
This checklist covers 37 inspection items across 6 sections: WHO Five Moments Observations, Compliance by Healthcare Worker Type, Supplies & Equipment Assessment, Pre-Assessment Information, Infection Prevention & Control, Patient Safety & Identification. It is designed for healthcare operations and compliance.
How often should this checklist be completed?
This checklist should be completed weekly/monthly. Each completion takes approximately 30-60 minutes.
Who should use this Hand Hygiene Compliance Audit Checklist?
This checklist is designed for Operations Manager professionals in the healthcare industry. It can be used for self-assessments, team audits, and regulatory compliance documentation.
Can I download this checklist as a PDF?
Yes, this checklist is available as a free PDF download. You can also use it digitally in the POPProbe mobile app for real-time data capture, photo documentation, and automatic reporting.