Template

Point of Care Risk Assessment

10+

This Point of Care Risk Assessment template helps frontline healthcare workers evaluate exposure risks before each patient interaction and select appropriate controls and PPE. It covers patient and environment factors, room placement, and detailed donning and doffing procedures supported by a trained observer. Use it to strengthen infection prevention, standardize safety practices, and support an effective occupational health and safety management plan.

With Mitti you can

Digitize any process, procedure or policy

Eliminate mistakes made by paper-based processes

Create and share professional reports instantly

Confirm accountability and compliance with a digital log

With Mitti you can

Digitize any process, procedure or policy

Eliminate mistakes made by paper-based processes

Create and share professional reports instantly

Confirm accountability and compliance with a digital log

About author

Mitti

Mitti (by SafetyCulture) is the operations system for every site, shift and standard. Trusted by 80,000 organizations in 190 countries, Mitti publishes free checklists, SOP templates, audit checklists and toolbox talk topics that turn paper processes into a digital audit trail. Download one, put it to work on your next inspection or shift, and see why teams keep coming back for more.

Template

PPE Audit Checklist for Healthcare

This PPE audit template helps healthcare teams evaluate compliance with infection control practices at the point of care. Review hand hygiene before and after patient contact, confirm proper donning and doffing order, check gown ties, glove fit over cuffs, and correct use of masks and eye protection. Capture locations inside or outside the patient environment, note observed roles such as physicians, nurses, EVS, and allied health, and identify potential contamination sources like phones or pagers. Record misses, duration of hand hygiene, and staff not complying to drive corrective actions and safer practice.

by Meghan Engbretson, from the Community

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PPE Audit Tool for Care Homes

Use this PPE audit checklist for care homes to assess staff readiness and adherence to standard infection control precautions. Verify correct risk assessment and selection of PPE for tasks, and observe proper donning and doffing order. Confirm clean, appropriate uniforms and safe, non-slip footwear, and capture sign-off. This template supports compliance, protects staff and residents, and helps standardize training and audits.

by Jamal Ogungbola, from the Community

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Risk Management Plan - Mental Health

Healthcare practitioners can use this template to prepare a risk management plan for a patient. Identify mental health related risk factors and document actions to minimize risks and desired outcomes. Agree the risk management plan with the patient and get sign-off from both patient and practitioner.

by Mitti

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General Patient Fall Risk Assessment Template

This fall risk assessment template is used to evaluate a patient's probability of falling. It includes fields to record a patient's fall history, current medication, and medical test results (vision, peripheral sensation, and mobility). Record the patient's fall risk rating depending on the number of accumulated risk factors. If a patient gets 1-2 risk factors patient has a Low risk probability of falling, a Medium risk for 3-5 risk factors and High risk for 6 risk factors and above.

by Mitti

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KRMC PS Go To Gemba Audit

This Go to Gemba audit tool supports hospital patient safety rounds across units. Use it to verify environment of care standards, life safety and egress, equipment condition, hazardous room security, eyewash and refrigeration logs, and biomedical maintenance. Confirm protection of confidential patient information, proper storage and labeling, and staff identification. Review infection prevention practices, PPE availability and use, hand hygiene supplies, biohazard and sharps disposal, and separation of clean and soiled items. Assess medication management, controlled substance security, expirations, and cold-chain controls. Capture unit quality dashboards, posted patient rights, and point-of-care testing controls. Record team engagement and observations to drive continuous improvement.

by Shawn Butler, from the Community

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Safety Survey Tool for Healthcare Audits

This safety survey tool helps healthcare teams assess environment of care, emergency preparedness, information management, life safety, infection prevention, medication management, patient safety, and waived testing. Use it to identify hazards, verify equipment and storage compliance, check labeling and expiries, ensure confidentiality of patient information, and review facility readiness. Capture findings, assign corrective actions, and generate clear reports to monitor trends and meet regulatory standards.

by Matt Tumbleson, from the Community

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Point of Care Risk Assessment

About author

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