E. Sputum Collection Checklist

1.Name of Contractor Completing Survey:(Required.)
Directly observe sputum collection by watching several applicants undergo this process
2.Identity is verified using photo ID, official documents, or signature.(Required.)
3.Sputum is collected under supervision.(Required.)
4.Access to the collection area is restricted.(Required.)
5.Personal items are not allowed in the collection area.(Required.)
6.Request forms are labeled with barcodes or unique identifiers.(Required.)
7.Containers do not include applicant names.(Required.)
Collection Area Conditions (attach photos of collection area separately, do not include pictures of applicants)
8.Collection area has adequate air exchange and privacy(Required.)
9.Setting where sputum collection is conducted.(Required.)
10.If indoor, collection booths have negative pressure and UV light source.(Required.)
11.Equipment and area are cleaned and disinfected between applicants.(Required.)
12.Bottled/distilled water or saline (not tap or cooler) is used for rinsing mouth during sputum collection.(Required.)
13.Hand hygiene materials (sink or sanitizer) are available.(Required.)
14.Instructional materials (signs, videos, etc.) are visible.(Required.)
Collection Method
15.Instructions (fasting, no antibiotics) are provided in advance.(Required.)
16.Collection is conducted with clear counseling or instruction.(Required.)
17.A high-quality standard operating procedure is in place and up to date.(Required.)
18.Three early morning fasting specimens are collected on separate days.(Required.)
19.Specimens are collected under direct observation.(Required.)
20.Proper containers (10–50 ml, wide-mouth, screwcap) are used.(Required.)
21.Technicians are trained in collection and induction methods.(Required.)
Specimen Quality
22.Specimens are checked visually before applicant leaves.(Required.)
23.Each specimen is at least 5 ml and not saliva.(Required.)
24.Specimens are placed in biohazard bags and refrigerated promptly.(Required.)
Safety Measures
25.Technician wears gown, gloves, and N95 mask.(Required.)
26.Maximum of four applicants per technician at a time.(Required.)
27.Tissues are provided for applicant use.(Required.)
28.Biohazard waste protocols are followed for disposal.(Required.)
29.Specimens are transported in a secure outer container.(Required.)