Infection Control Checklist (Clean Utility/ Central Supply/ Storage)

Infection Control Inspection of Storage, Clean Utility and Central Supply. Detailed checklist which helps to control everyday situation and prevent spreading of any infections in medical and nonmedical centers

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Title page

Conducted on

Date

Name of department

Prepared by

Location

Clean Utility / Central Supply/ Storage

1. Clean linen cart is covered

2. Clean linen cart has solid surface on bottom shelf

3. Sink storage area empty and clean

4. Trash cans or waste baskets are not overfilled or overflowing

5. Ceiling tiles are not stained or wet

6. Floors are clean

7. Supplies are stored at least 6 inches off of the floor

8. Air intake vents and diffusers are clean

9. Is this section free of additional findings

Sign-Off

Closing comments

Signature (Auditor)

Signature

Signature (Department Manager)

Signature

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