Free inspection template
Dental Practice OSHA + Infection Control — Free Template
Run this Dental Practice OSHA + Infection Control from your phone — online or offline — and get a finished PDF report when you're done.
Overview
What is A Dental Practice OSHA + Infection Control?
A Dental Practice OSHA + Infection Control is a structured checklist that helps inspectors systematically verify compliance with the relevant standards or operational requirements. Completing the inspection on mobile produces a timestamped PDF that can be shared immediately with clients or management.
The checklist
Every checkpoint, in full
A read-only preview of the live template. Clone it to run the inspection on mobile, where each item records Pass, Fail or N·A with optional photos and notes.
Walkthrough Information
6 checksNOTENote on Usage
This walkthrough is based on OSHA 29 CFR §1910.1030 and CDC dental infection-prevention guidance. Completing it does not guarantee OSHA or infection-control compliance; the practice owner / infection-control coordinator remains responsible for meeting all applicable federal, state, and dental-board requirements.
Walkthrough date
Practice / location name
Reviewer name
Written OSHA and infection-control programs available on site
Nitrous oxide (N₂O) used on site?
Radiographic (X-ray) equipment on site?
Bloodborne Pathogens — Exposure Control
5 checksWritten Exposure Control Plan present and reviewed within the last 12 monthsCritical
Hepatitis B vaccination offered to staff with occupational exposure
Post-exposure evaluation and follow-up procedure documented
Sharps injury log maintained
Bloodborne pathogens / infection-control training current for all clinical staff (annual)Critical
Personal Protective Equipment
3 checksGloves, masks, protective eyewear/face shields, and gowns available
PPE worn during patient care and removed before leaving the operatory
Eyewash station accessible, unobstructed, and flushed weekly
Sharps Safety
3 checksSharps containers puncture-resistant, labeled, and not overfilled (≤ 3/4 full)Critical
Safer engineering controls (self-sheathing needles / recapping devices) in use
No two-handed recapping or hand-passing of uncapped sharps observed
Instrument Reprocessing & Sterilization
4 checksInstruments cleaned, inspected, and packaged per manufacturer instructions
Sterilizer biological (spore) test run weekly and loggedCritical
Chemical and mechanical indicators used and verified each load
Sterile packages stored clean, dry, dated, and with intact seals
Environmental Infection Control
4 checksClinical contact surfaces barrier-protected or disinfected between patientsCritical
EPA-registered hospital disinfectant used at the correct contact time
Dental unit waterlines treated and tested (≤ 500 CFU/mL)Critical
Regulated medical waste segregated, labeled, and stored securely
Hand Hygiene
2 checksHand-hygiene supplies stocked at each handwashing / sanitizing point
Clinical staff free of artificial nails and hand jewelry that impede hygiene
Hazard Communication & Chemicals
3 checksSafety Data Sheets (SDS) accessible for hazardous chemicals
Secondary chemical containers labeled
Nitrous oxide scavenging system functional and inspected
Radiography
3 checksLead aprons and thyroid collars available and free of cracks
X-ray equipment registered and inspected per state requirements
Dosimetry (radiation) badges used per policy, if required
Medical Emergency Preparedness
2 checksMedical emergency kit and oxygen present and within date
AED present with current pads and battery
Sign-off
2 checksFindings / corrective actions noted
Reviewer signature
Yours to edit
Not quite how your site runs?
Clone it and the checklist becomes yours in seconds. Reword a checkpoint, drop in a whole new section, flag what's critical, and add photo or signature fields wherever proof matters. No code, no form-building.
Field procedure
How to run this inspection
Walk the site area by area. Mark each checkpoint Pass, Fail or N·A as you go, and add a photo on any Fail to document it for the report.
STEP 01
Walkthrough Information
Check all items in the Walkthrough Information area and record Pass, Fail or N·A for each.
STEP 02
Bloodborne Pathogens — Exposure Control
Check all items in the Bloodborne Pathogens — Exposure Control area and record Pass, Fail or N·A for each.
STEP 03
Personal Protective Equipment
Check all items in the Personal Protective Equipment area and record Pass, Fail or N·A for each.
STEP 04
Sharps Safety
Check all items in the Sharps Safety area and record Pass, Fail or N·A for each.
STEP 05
Instrument Reprocessing & Sterilization
Check all items in the Instrument Reprocessing & Sterilization area and record Pass, Fail or N·A for each.
STEP 06
Environmental Infection Control
Check all items in the Environmental Infection Control area and record Pass, Fail or N·A for each.
Run your first Dental Practice OSHA + Infection Control today
Clone the template, inspect from your phone, and hand over a finished PDF report before you leave the floor.