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OFFICE WALKTHROUGH AUDIT
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AreaPassFailItemJob ResponsibleIf Fail, who was responsible (names)
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LobbyMusic on
Patient Coordinator
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Beverage bar stocked
Patient Coordinator
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Video games on
Patient Coordinator
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Lightbulbs working
Patient Coordinator
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Consult RoomClean desk - no visible food/drinkTx Coordinator
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Lights onTx Coordinator
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TX Coordinator using hygiene patient checklist
Tx Coordinator
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Tx Coordinator using daily checklistTx Coordinator
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Front deskClean desk - no visible food/drink
Patient Coordinator
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Lights on
Patient Coordinator
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Receptionist using daily checklist
Patient Coordinator
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Receptionist using message tracker form
Patient Coordinator
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HallwayNo visible trashHygienist
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Lightbulbs workingHygienist
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Music onHygienist
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Patient Restroom
No visible trashAssistant
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Fully stockedAssistant
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CleanAssistant
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Staff Rest Room
No visible trashAssistant
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Fully stockedAssistant
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CleanAssistant
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BreakroomNo visible trashHygienist
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No dirty dishesHygienist
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OperatoriesStocked bins
Assistant / Hygienist
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Patients have pillows
Assistant / Hygienist
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Assistant using daily checklistAssistant
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SterilizationNot running very low on any itemHygienist
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Casettes not piling up
Assistant / Hygienist
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HygienistsHave Chief Complaint on screenHygienist
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Using same-day dentistry scriptingHygienist
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Exams sheets fully filled outHygienist
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Using diagnodentHygienist
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Hygiene Patient Checklist being usedHygienist
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Hygienist using daily checklistHygienist
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