General appearance of area is clean and orderly.

Trash bins are clean and not overfilled

Bio hazardous waste disposed of appropriately

Ceiling tiles are not stained or wet.

Air vents and overhead lenses are clean and free of dust and debris

Support closets are clean (electrical, telecom, etc.)

Furniture is in working order with no breaks in the fabric or material.

Under sink areas are clean and free of storage of equipment/supplies

Sharps containers are available at point of use and replaced before 3/4 full

Sharps containers are safely mounted/stabilized

Linen is covered, including on portable carts. If linen is stored in a dedicated room, cover not required.

Clean linen cart has solid surface on bottom shelf.

Soiled linens are discarded appropriately

Patient equipment is clean

Employees are aware of procedure for cleaning equipment using hospital approved disinfectant.

Employees are aware of the disinfectant contact time according to the manufacturer's instructions

PPE is available and staff is aware of location & appropriate use

PPE is worn appropriately in Isolation Rooms

Hand sanitizer, soap & paper towel dispensers are filled and have not expired

Appropriate hand hygiene observed (3 observations)

Sinks and/or hand sanitizer are available and appropriately placed

Isolation/precaution signs are appropriately placed

Only hospital-approved products are present (hand soap and sanitizes, lotions, cleaning products, etc.)

Only disposable equipment/instruments are used at the site, i.e. autoclaves & high level disinfection are not used.

Medical supplies have not expired

Medications and sharps are stored appropriately.

Clean and sterile supplies stored appropriately

Soiled and Clean Utility rooms are appropriate/ clean and dirty areas are separated.

Ice Machines are clean

Ice scoop is stored appropriately (not with ice)

Daily logs maintained (refrigerator, freezer, hydrocollator, etc.).

Only patient food is stored in patent fridge, and the food is not expired.

Food & drink is located in break rooms & not in patient care areas.

Microwaves, refrigerators and freezers are clean.


Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.