Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Location

Entrance & Waiting Area

  • Sweep entry ramp remove dirt & debris from ramp etc

  • Spot clean glass doors & panels

  • Wipe clean tables & purifier

  • Vacuum carpeted floors incl corners & edges

  • Wipe clean & scrub wall toy (Monthly)

  • Full squeegee clean entrance glass doors & panels ( Quarterly)

Reception

  • Wipe clean reception bench & work area

  • Wipe clean desks including behind screens & cables

  • Dust computers, printers & copiers

  • Vacuum carpeted floors

Consultation Rooms

  • Wipe clean tables & benches

  • Clean basins, taps & nozzles

  • Vacuum carpeted floors

  • Dust curtain rails

  • Clean bed frames

Treatment & Sterilising Rooms

  • Wipe clean tables & benches

  • Clean basins, taps & nozzles

  • Sweep & damp mop vinyl floors

  • Dust curtain rails ( Every Friday)

  • Clean bed frames (Every Friday)

Pathology Rooms

  • Vacuum carpeted floors

Kitchen Breakout

  • Wipe clean & polish all stainless steel surfaces

  • Wipe clean all bench tops & cupboards & shelving

  • Wipe clean appliances incl. microwaves int & ext

  • Wipe clean fridge & dw faces & coffee machine

  • Wipe clean tables & chairs

  • Wipe clean bin lids

  • Sweep & damp mop hard floor strip

  • Fridge internal clean ( Quarterly )

Nurses Offices

  • Wipe clean tables & benches

  • Clean basins, taps & nozzles

  • Sweep & damp mop vinyl floors

General All Area

  • Detailed dusting window ledgers, sills & skirting ( Saturday)

  • Dust & damp wipe shelves, cabinets & furniture

  • Spot clean marks - walls, doors, handles & switches

  • Detail mop vinyl floors corners & under desks

  • Detail vacuum floors corners & under desks

  • Detail clean of all walls & doors (Monthly)

  • Full clean external shell glass ( Monthly)

All Washrooms

  • Clean & disinfect bowls, lids, seats & cisterns

  • Clean & sanitize vanity units, hand basins, taps, tiles

  • Clean fixtures & mirrors

  • Clean push plates & surrounds

  • Dust & damp wipe all surfaces

  • Replenish toilet rolls, paper towels & soap

  • Spot clean marks form walls & doors

  • Wipe clean bin lids

  • Sweep, mop & sanitize hard floors

Waste

  • Empty waste station bins

  • Take waste to correct waste stream collection bins

  • Replace bin liners

Cleaning Room

  • Is test and tag updated?

  • Is cleaning room tidy?

  • Is SWOP accessible?

  • Is emergency kit accessible?

  • Is there enough chemicals?

  • Is consumables due to order?

Signature

  • Client Name

  • Auditor

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.