Infection Control Checklist (Employee Kitchen / Breakroom)

Hospital Infection Control Inspection in Employee Kitchen or Breakroom. Delailed checklist which helps to control everyday situation and prevent spreading of any infections in a medical center

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Title page

Conducted on

Date

Name of department

Prepared by

Location

Employee Kitchen / Breakroom

1. Floors and walls are clean

2. Other horizontal and vertical surfaces are clean

3. There are no any signs of mildew and mold

4. Microwave oven is clean

5. Refrigerator is clean and thawed of ice

6. Area under sink is clean and free of storage

7. Employee food is labeled and dated

8. Temperature checks are documented with corrective action when temp is out of range

9. This section is free of additional findings

Sign-Off

Closing comments

Signature (Auditor)

Signature

Signature (Department Manager)

Signature

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