1 Bio medical waste colour coding not been followed Sharps Yellow Red Blue Black 2 Waste containers are overfilled 3 Suction apparatus is not clean 4 PPEs not available Gloves not available Mouth mask not available 5 Safe injection practices not been followed 6 Safe catheter insertion practices not been followed 7 Safe Cannula Practice not been followed 8 Staff not using PPEs properly Doctors Nurses Paramedical Housekeeping Admin 9 Sterile items not been stored properly 10 Barrier Nursing protocols not been followed 11 Staff not handling infected linen safely 12 General Hyigene of the room is not good 13 Personal hygiene of clinical staff in patient area is not good 14 Lines care not been done properly 15 Water from the humidifier or oxygen bottle changed daily 16 General Hyigene is OK 17 Hand Hygiene Practices not been followed Non availability of soap Staff fingernails are not clean and short Jewelry worn (wedding ring excepted) Hand washing steps not been followed Alcoholic hand rubs are not available at strategically places Staffs not performing hand hygiene immediately before direct patient contact Staffs not performing hand hygiene immediately after direct patient contact