Dental Infection Control Checklist: PPE & Surface Disinfection

Protect your patients and team! This Dental Infection Control Checklist ensures meticulous PPE usage and surface disinfection, minimizing risk and maximizing safety in your practice. Stay compliant & confident.

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Personal Protective Equipment (PPE)

1 of 8

Ensuring proper use and availability of PPE for all staff members.

Quantity of N95 Masks Available

Quantity of Surgical Masks Available

Quantity of Gloves (various sizes)

Number of Gowns Available

PPE Types Currently in Use:

Date of Last PPE Inventory Check

Notes on PPE Supply or Shortages

Hand Hygiene

2 of 8

Verification of adherence to handwashing and hand sanitization protocols.

Handwashing Duration (seconds)

Soap Type Used

Handrub Used?

Last Hand Hygiene Training Date

Time of Last Handwashing

Areas of Hands Washed Thoroughly

Surface Disinfection

3 of 8

Validation of disinfection procedures for all surfaces and equipment.

Disinfectant Contact Time (Minutes)

Disinfectant Type Used

Specific Surfaces Disinfected (Detailed List)

Date of Last Surface Disinfection

Time of Last Surface Disinfection

Frequency of Disinfection

Photo Documentation (Optional)

Instrument Processing

4 of 8

Confirmation of correct sterilization and disinfection cycles for dental instruments.

Autoclave Cycle Time (Minutes)

Autoclave Temperature (°C)

Autoclave Pressure (PSI)

Autoclave Load Type

Last Autoclave Maintenance Date

Cycle Start Time

Indicator Type Used

Comments/Observations

Waste Management

5 of 8

Proper handling and disposal of infectious waste materials.

Quantity of Red Bag Waste Generated (Approximate)

Quantity of Sharps Container Waste Generated (Approximate)

Waste Segregation Practices Followed?

Date of Last Sharps Container Replacement

Any Unusual Waste Handling Procedures?

Container Lids Secure?

Waste Storage Area Clean and Organized?

PPE Donning & Doffing

6 of 8

Ensuring correct procedures for putting on and taking off PPE to prevent contamination.

Order of PPE Application (Correct Sequence)

Detailed steps for Glove Donning (Observed)

Detailed steps for Mask Application (Observed)

Detailed steps for Eye Protection Application (Observed)

Detailed steps for Gown Application (Observed)

Potential Contamination Points (During Doffing)

Glove Removal Technique (Description - e.g., Over-the-wrist technique)

Gown Removal Technique (Description)

Observer Signature (Confirmation of Protocol Adherence)

Environmental Surface Cleaning

7 of 8

Routine cleaning and disinfection of non-critical surfaces in the dental operatory.

Dilution Ratio of Disinfectant (e.g., 1:10)

Contact Time of Disinfectant (Minutes)

Surfaces Cleaned (Check all that apply)

Date of Last Surface Cleaning

Disinfectant Used (Specify Brand and Type)

Notes/Comments Regarding Cleaning Procedure

Respiratory Protection

8 of 8

Assessment of respiratory protection needs and proper fit testing (if applicable).

Fit Test Frequency (Months)

Last Fit Test Date

Respiratory Protection Program in Place?

Type of Respirator Used (if applicable)

Notes on Respirator Use and Program

Employee Trained on Respirator Use?

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