Hospital Cleaning Checklist (Nurse Station)

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Title page

Conducted on

Date

Prepared by

Name of ward/department

Site

Location

Nursing Tasks

Weighing scales, manual handling equipment

Other medical equipment (NOT CONNECTED TO PATIENT)

What kind of equipment is failed?

Notes and drugs trolley

Estates Tasks

Fans

Walls

Ceiling

All external glazing

Ventilation grilles

Cleaning Tasks

Switches, sockets, data points

Walls

All doors

How many doors was not clean

All internal glazing (including partitions)

Mirros

Radiators

Floor (Polished)

Electrical items

High surfaces

Low surfaces

Chairs

Tables

Hand wash/ toilet tissue/ hand towel dispenser

Hand Hygiene/ Alcohol rub dispenser

Waste receptacles

Curtauins and blinds

Sink/ hand-wash basins

Sing-Off

Closing comments

Signature (Auditor)

Signature

Signature (Ward/ Senior Manager)

Signature

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