Hospital Cleaning Checklist (Consultation/ Examination Room)

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Conducted on

Дата

Name of Depatment

Prepared by

Location

Геопозиция

Consultation/ Examination Room №_

Name/ Description of consultation/ examination room

Nursing Tasks

Weighing scales, manual handling equipment

Other medical equipment (NOT connected to patient)

Notes and drugs trolley

Estates Tasks

Fans

Walls

Ceiling

All external glazing

Ventilation grilles

Cleaning Tasks

Switches, sockets, data points

Walls

All doors

All internal glazing (including partitions)

Mirrors

Radiators

Floor (Polished)

Floor (Non-slip)

Floor (Soft floor)

Electrical items

High surfaces

Low surfaces

Chairs

Tables

Hand wash/ toilet roll/ hand towel dispenser

Hand hygiene/ alcohol rub dispensers

Waste receptacles

Curtains and blinds

Replenishment

Sinks/ hand-wash basins

Sign-Off

Closing comments

Signature (Auditor)

Подпись

Signature (Ward/ Senior Manager)

Подпись

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