Infection Control Checklist (Patient Kitchen / Breakroom)

Hospital Infection Control Inspection in Patien 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

Patient 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. Area under sink is clean and without storage

5. Microwave oven is clean

6. Refrigerator is clean and thawed of ice

7. Patient refrigerator is labeled for patient use only

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

9. Patient food is labeled appropriately with no expired food found

10. Ice machine is clean

11. There is no evidence of pest present

12. This section is free of additional findings

Sign-Off

Closing comments

Signature (Auditor)

Signature

Signature (Department Manager)

Signature

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