Indicator code

Number

Criterion

Description

B. Management and Oversight

B1

IPC committee

Presence of an active IPC committee

B2

IPC meeting

Whether committee had met in the last 3 months

B3

HCWM in minutes

Whether HCWM appeared in IPC committee minutes

B4

Audit checklist

Whether IPC committee had an audit checklist

B5

Inclusion of HCWM

Whether checklist included HCWM issues

B6

HCWM audit

Whether IPC committee had conducted HCWM audit in the last 6 months

B7

Addressing gaps after audit

Whether IPC committee had addressed gaps identified in HCWM audit

B8

Giving feedback

Whether IPC committee had given feedback to hospital management after audit

B9

IPC committee composition

Whether the IPC committee was multi-disciplinary in its composition

B10

Appointment of HCWM in charge

Whether there was an officer appointed as in-charge of HCWM in the hospital

B11

HCWM in charge and hospital policy

Whether HCWM in-charge had been identified in the hospital policy

B12

Job description

Whether the hospital policy contained job description for the HCWM in-charge

B13

Facility audit

Whether there was evidence that HCWM in-charge had carried out facility audit within 3 months

B14

Supervisors inspections

Whether supervisors of the various sections had conducted any inspections for HCWM within the past 2 months?

B15

Evidence of inspections

Whether there was evidence of such inspections

B16

Evidence of inspection checklist

Whether section supervisors had IPC inspection checklists

B17

Training and OSH requirements

Whether the supervisors checked their employees HCWM training or Occupational Health requirements?