Free CQC audit template · Six-monthly
Decontamination audit (HTM 01-05)
A free 7-point audit for dental practices. It evidences the CQC quality statement “Infection prevention and control” under the Safe key question (Reg 12), as processes. Built from NHS England, Infection Prevention Society (charity). Answer each check below and download a PDF report, or print a blank form.
Checks
- Six-monthly self-assessment audit completed
- Clean-to-dirty flow for instrument reprocessing
- Washer-disinfector and steriliser tests logged
- Instruments stored and dated as HTM 01-05 requires
- Dental unit waterlines managed
- Hand hygiene and PPE observed
- Actions from the last audit completed
Official sources
- NHS England: HTM 01-05: decontamination in primary care dental practices
- Infection Prevention Society (charity): Dental audit tool for HTM 01-05 self-assessment
Infection Prevention Society (charity): Dental audit tool for HTM 01-05 self-assessment
This checklist summarises the official guidance. Check the sources for the full requirements.
Related CQC templates
From NHS England · official toolLegionella and water temperature logInfection prevention and control
From HSESafe recruitment file check (per staff member)Safe and effective staffing
From CQC, NHS Employers, Home Office (GOV.UK) · official toolTraining matrix reviewSafe and effective staffing
From CQCSupervision and appraisal record checkWorkforce wellbeing and enablement
From Skills for Care (charity), CQCIncident and learning reviewLearning culture
From NHS England · official tool
Templates summarise official guidance as of October 2026. They do not replace it: always check the linked source for the full requirements. Audit Angel CQC is not affiliated with the Care Quality Commission.
Know your gaps before the inspector does.
Set-up takes ten minutes. Start with example evidence for your type of service, run your first audit, then replace the examples with your own.