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Winnipeg Regional Health Authority Infection Prevention and Control Program
Semi-Annual Equipment Cleaning Audit Report Template
20__ - 20__
Site:

Audit Dates: April 1 – Sept 30

Report completed by:

Report date:

October 1 – March 31

Number of Equipment
Cleaning Audits Completed
Compliance Rate Range
Highlight Deficiencies
Found (Significant or
recurring)
Highlight Interventions
(Summary)
Outstanding issues
summary of the plan

Include challenges
encountered

Individuals/Groups notified
of results

Approved: February 21, 2013 by IP&C Regional Committee

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