Hand Hygiene Compliance Audit Checklist
Systematic hand hygiene compliance auditing using WHO Five Moments methodology including observation and technique assessment.
- Industry: Healthcare
- Frequency: Ongoing audits
- Estimated Time: 15-30 minutes
- Role: Infection Control
- Total Items: 29
- Compliance: WHO Five Moments, CDC Hand Hygiene, Joint Commission NPSG.07.01.01
WHO Five Moments Observations
Observe hand hygiene opportunities
- Before touching patient?
- Before clean/aseptic procedure?
- After body fluid exposure risk?
- After touching patient?
- After touching patient surroundings?
Technique Assessment
Proper hand hygiene technique
- Appropriate method (ABHR or soap/water)?
- Duration adequate (20-30 sec ABHR, 40-60 sec soap)?
- All hand surfaces covered?
Compliance Data
Calculate compliance
- Total opportunities observed?
- Compliance actions performed?
- Compliance rate calculated?
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?
Medication Safety & Management
Verify medication handling and administration practices
- Medications stored securely and at proper temperature?
- Controlled substances properly secured and counted?
- No expired medications in stock?
- High-alert medications properly labeled?
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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 infection control professionals, this checklist covers 29 critical inspection points across 7 sections. Recommended frequency: ongoing audits.
Ensures compliance with WHO Five Moments, CDC Hand Hygiene, Joint Commission NPSG.07.01.01. Regulatory-aligned for audit readiness and inspection documentation.
Frequently Asked Questions
What does the Hand Hygiene Compliance Audit Checklist cover?
This checklist covers 29 inspection items across 7 sections: WHO Five Moments Observations, Technique Assessment, Compliance Data, Pre-Assessment Information, Infection Prevention & Control, Patient Safety & Identification, Medication Safety & Management. It is designed for healthcare operations and compliance.
How often should this checklist be completed?
This checklist should be completed ongoing audits. Each completion takes approximately 15-30 minutes.
Who should use this Hand Hygiene Compliance Audit Checklist?
This checklist is designed for Infection Control 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.