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r%� <br />State of California <br />Date <br />TO DR DUNIGAN <br />CHIEF DENTIST, CF <br />From : Deuel Vocational Institution, Tracy, CA 95378 <br />Subject : WEEKLY INSPECTION OF CLINICS <br />Today, the <br />17: <br />Dental Clinic was inspected. <br />The following checklist was used: <br />Question <br />SAFE WORK CONDITIONS: <br />1. Emergency & First Aid available & current? <br />2. Personal Alarms/whistles worn? <br />3. Floors and rooms clear of clutter? <br />4. Exits clear and marked? <br />5. Fire extinguishers clear? <br />SAFE WORK PRACTICES; <br />6. Universal Precautions used in cleanup?. <br />7. Sharps disposed into sharps container? <br />8. Instruments sterilized/ bagged? <br />PERSONAL PROTECTIVE EQUIPMENT: <br />9. Are latex gloves available? <br />10. Are nitryle gloves available and in good condition? <br />11. Are masks available? <br />12. Is eye protection for staff and patients available? <br />13. Are Xray lead aprons available and in good condition? <br />WASTE DISPOSAL: <br />14. Are trash containers in good condition? <br />15. Are traps cleaned and / or disposed? <br />16. Is the PERIOPRO @ mechanism cleaned? <br />17. Is the amalgam waste 3/4ths full and ready for shipment? <br />18. Is the lead foil 4/5ths full and ready for disposal? <br />AUTOCLAVES: <br />19. Was the Autoclave spore tested, cleaned, and drained? <br />Alternative Weeks: <br />20. Autoclaves inspected? <br />21. Are the cold sterilizers emptied and air dried? <br />NAME: <br />. Yes No <br />Department of Corrections <br />