Approach
The assessment, in detail.
Seven areas walked. Four answer states. One readiness rating. A PDF you can hand to a surveyor or a board.
01 · Areas walked
- DECON
Decontamination
Sinks, pressure, PPE, chemistry, washer verification, eyewash
- PREP
Preparation and packaging
Inspection, assembly, count sheets, wrap and container integrity, lighting
- STER
Sterilization
Load records, BI and chemical indicators, IUSS, release criteria
- STOR
Sterile storage
Temperature and humidity, shelving clearances, event-related sterility
- DIST
Distribution
Case cart build, transport, covered and closed carts, loaner handling
- DOC
Documentation
Policies, logs, IFUs on hand, recall and traceability records
- LEAD
Leadership and training
Competencies, certification, orientation, staffing to volume
We walk with the shift, not around it. Technicians show us how work actually moves. Findings record what we saw, where, and under which standard.
02 · Four answer states
Every question gets one of four answers. Nothing is left as a comment.
- Compliant
Meets the standard as written. Evidence observed or on record.
- Alt. method
Intent of the standard met another way. The method is documented so a surveyor can follow it.
- Needs improvement
Practice exists but is inconsistent or incompletely documented. Fixable inside 30 days.
- Non-compliant
Does not meet the standard. Severity 1–4 assigned; severity 4 items are briefed the same day.
A fifth state, Not applicable, removes a question from scoring — for example a cart washer question where there is no cart washer.
03 · Readiness rating
How the score rolls up.
Each applicable question earns points by answer state. Area scores are the share of points earned; the overall score is the weighted average across areas. Any severity 4 finding caps the rating at High risk until it closes.
- Survey-readyScore ≥ 90 · no open severity 4 items
- Gaps to closeScore 75–89 · open items are scheduled in the 30/60/90 plan
- High riskScore < 75 or any open severity 4 finding
04 · The PDF report
What arrives in your inbox.
- 01Cover and summary — facility, dates, readiness rating, top three actions
- 02Readiness dashboard — overall score, score by area, counts by answer state
- 03Findings by area — question key, standard cited, what we observed, severity, the fix
- 04Photo evidence — annotated, unretouched, referenced to findings
- 0530/60/90-day corrective action plan — owner, due window, verification method
- 06Appendix — full question set with answers, standards index, sign-off page