Title Page
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Site conducted
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Ward/Department Audited:
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Conducted on
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Prepared by:
wards
- Reception/Waiting Room
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Enter room/location
Estates Tasks
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9. Fans
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15. Walls
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16. Ceiling
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19. All external glazing
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23. Ventilation grilles extract and inlets
Cleaning Tasks
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14. Switches, sockets & data points
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15. Walls
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17. All doors
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18. All internal glazing including partitions
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20. Mirrors
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22. Radiators
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24. Floor - polished
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25. Floor - non slip
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26. Floor – soft floor
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28. Electrical items
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30. Low surfaces
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31. High surfaces
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32. Chairs
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35. Tables
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37. Hand hygiene/alcohol rub dispensers
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38. Waste receptacles
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39. Curtains & blinds
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47. Replenishment
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48. Sinks/hand-wash basins
Treatment Room
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Enter room/location
Nursing Tasks
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3. Weighing scales, manual handling equipment
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4. Drip stands
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5. Other medical equipment NOT CONNECTED TO PATIENT
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8. Medical gas equipment
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11. Notes & drugs trolley
Estates Tasks
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9. Fans
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15. Walls
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16. Ceiling
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19. All external glazing
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23. Ventilation grilles extract and inlets
Cleaning Tasks
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10. Bedside alcohol, clipboards & notice boards
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14. Switches, sockets & data points
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15. Walls
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17. All doors
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18. All internal glazing including partitions
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20. Mirrors
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22. Radiators
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24. Floor - polished
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25. Floor - non slip
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28. Electrical items
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30. Low surfaces
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31. High surfaces
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32. Chairs
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33. Beds
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34. Lockers
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35. Tables
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36. Hand wash/toilet tissue/hand towel dispenser
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37. Hand hygiene/alcohol rub dispensers
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38. Waste receptacles
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39. Curtains & blinds
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47. Replenishment
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48. Sinks/hand-wash basins
Storeroom
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Enter room/location
Nursing Tasks
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3. Weighing scales, manual handling equipment
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4. Drip stands
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5. Other medical equipment NOT CONNECTED TO PATIENT
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8. Medical gas equipment
Estates Tasks
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9. Fans
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15. Walls
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16. Ceiling
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19. All external glazing
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23. Ventilation grilles extract and inlets
Cleaning Tasks
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14. Switches, sockets & data points
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15. Walls
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17. All doors
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18. All internal glazing including partitions
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22. Radiators
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25. Floor - non slip
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26. Floor – soft floor
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28. Electrical items
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29. Cleaning equipment
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30. Low surfaces
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31. High surfaces
Stairwell
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Enter room/location
Estates Tasks
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15. Walls
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16. Ceiling
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19. All external glazing
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23. Ventilation grilles extract and inlets
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30. Low surfaces
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31. High surfaces
Cleaning Tasks
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14. Switches, sockets & data points
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15. Walls
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17. All doors
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18. All internal glazing including partitions
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22. Radiators
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24. Floor - polished
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25. Floor - non slip
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30. Low surfaces
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31. High surfaces
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37. Hand hygiene/alcohol rub dispensers
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39. Curtains & blinds
Staff Room
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Enter room/location
Estates Tasks
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15. Walls
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16. Ceiling
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19. All external glazing
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23. Ventilation grilles extract and inlets
Cleaning Tasks
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14. Switches, sockets & data points
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15. Walls
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17. All doors
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18. All internal glazing including partitions
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20. Mirrors
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22. Radiators
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24. Floor - polished
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25. Floor - non slip
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26. Floor – soft floor
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28. Electrical items
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30. Low surfaces
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31. High surfaces
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32. Chairs
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33. Tables
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34. Lockers
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36. Hand wash/toilet tissue/hand towel dispenser
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37. Hand hygiene/alcohol rub dispensers
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38. Waste receptacles
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39. Curtains & blinds
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41. Fridges & freezers
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42. Ice machines and hot water boilers
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43. Kitchen/Storage cupboards
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44. Microwaves
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47. Replenishment
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48. Sinks/hand-wash basins
Nurse Station
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Enter room/location
Nursing Tasks
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3. Weighing scales, manual handling equipment
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5. Other medical equipment NOT CONNECTED TO PATIENT
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11. Notes & drugs trolley
Estates Tasks
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9. Fans
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15. Walls
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16. Ceiling
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19. All external glazing
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23. Ventilation grilles extract and inlets
Cleaning Tasks
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14. Switches, sockets & data points
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15. Walls
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17. All doors
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18. All internal glazing including partitions
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20. Mirrors
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22. Radiators
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24. Floor - polished
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25. Floor - non slip
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28. Electrical items
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30. Low surfaces
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31. High surfaces
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32. Chairs
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35. Tables
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36. Hand wash/toilet tissue/hand towel dispenser
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37. Hand hygiene/alcohol rub dispensers
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38. Waste receptacles
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39. Curtains & blinds
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47. Replenishment
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48. Sinks/hand-wash basins
Office
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Enter room/location
Nursing Tasks
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28. Electrical Items
Estates Tasks
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9. Fans
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15. Walls
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16. Ceiling
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19. All external glazing
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23. Ventilation grilles extract and inlets
Cleaning Tasks
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14. Switches, sockets & data points
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15. Walls
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17. All doors
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18. All internal glazing including partitions
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20. Mirrors
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22. Radiators
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24. Floor - polished
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25. Floor - non slip
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26. Floor – soft floor
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28. Electrical items
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30. Low surfaces
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31. High surfaces
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32. Chairs
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35. Tables
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36. Hand wash/toilet tissue/hand towel dispenser
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37. Hand hygiene/alcohol rub dispensers
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38. Waste receptacles
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39. Curtains & blinds
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47. Replenishment
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48. Sinks/hand-wash basins
Kitchen
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Enter room/location
Estates Tasks
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16. Ceiling
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19. All external glazing
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23. Ventilation grilles extract and inlets
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27. Pest control devices
Cleaning Tasks
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14. Switches, sockets & data points
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15. Walls
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17. All doors
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18. All internal glazing including partitions
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22. Radiators
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24. Floor - polished
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25. Floor - non slip
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28. Electrical items
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30. Low surfaces
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31. High surfaces
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36. Hand wash/toilet tissue/hand towel dispenser
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38. Waste receptacles
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40. Dishwashers
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41. Fridges & freezers
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42. Ice machines and hot water boilers
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43. Kitchen/Storage cupboards
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44. Microwaves
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47. Replenishment
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48. Sinks/hand-wash basins
Waste Cupboard
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Enter room/location
Estates Tasks
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15. Walls
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16. Ceiling
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23. Ventilation grilles extract and inlets
Cleaning Tasks
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14. Switches, sockets & data points
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15. Walls
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17. All doors
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18. All internal glazing including partitions
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25. Floor - non slip
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30. Low surfaces
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31. High surfaces
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38. Waste receptacles
Entrance
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Enter room/location
Estates Tasks
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15. Walls
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16. Ceiling
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19. All external glazing
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23. Ventilation grilles extract and inlets
Cleaning Tasks
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14. Switches, sockets & data points
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15. Walls
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17. All doors
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18. All internal glazing including partitions
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20. Mirrors
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22. Radiators
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24. Floor - polished
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25. Floor - non slip
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26. Floor – soft floor
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30. Low surfaces
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31. High surfaces
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32. Chairs
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35. Tables
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36. Hand Wash Containers
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37. Hand hygiene/alcohol rub dispensers
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47. Replenishments
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48. Sinks
Domestic Cupboard
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Enter room/location
Estates Tasks
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15. Walls
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16. Ceiling
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19. All external glazing
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23. Ventilation grilles extract and inlets
Cleaning Tasks
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14. Switches, sockets & data points
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15. Walls
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17. All doors
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18. All internal glazing including partitions
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22. Radiators
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24. Floor - polished
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25. Floor - non slip
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26. Floor – soft floor
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28. Electrical items
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29. Cleaning equipment
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30. Low surfaces
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31. High surfaces
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36. Hand wash/toilet tissue/hand towel dispenser
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38. Waste receptacles
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39. Curtains & blinds
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43. Kitchen/Storage cupboards
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47. Replenishment
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48. Sinks/hand-wash basins
Dirty Utility
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Enter room/location
Estates Tasks
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15. Walls
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16. Ceiling
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19. All external glazing
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23. Ventilation grilles extract and inlets
Cleaning Tasks
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1. Commodes
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14. Switches, sockets & data points
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15. Walls
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17. All doors
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18. All internal glazing including partitions
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22. Radiators
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24. Floor - polished
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25. Floor - non slip
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26. Floor – soft floor
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30. Low surfaces
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31. High surfaces
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35. Tables
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36. Hand wash/toilet tissue/hand towel dispenser
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37. Hand hygiene/alcohol rub dispensers
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38. Waste receptacles
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39. Curtains & blinds
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43. Kitchen/Storage cupboards
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47. Replenishment
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48. Sinks/hand-wash basins
Clean Utility
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Enter room/location
Nursing Tasks
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3. Weighing scales, manual handling equipment
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11. Notes & Drugs Trolley
Estates Tasks
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15. Walls
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16. Ceiling
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19. All external glazing
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23. Ventilation grilles extract and inlets
Cleaning Tasks
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1. Commodes
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14. Switches, sockets & data points
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15. Walls
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17. All doors
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18. All internal glazing including partitions
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22. Radiators
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24. Floor - polished
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25. Floor - non slip
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26. Floor – soft floor
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30. Low surfaces
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31. High surfaces
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36. Hand wash/toilet tissue/hand towel dispenser
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37. Hand hygiene/alcohol rub dispensers
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38. Waste receptacles
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39. Curtains & blinds
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43. Kitchen/Storage cupboards
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47. Replenishment
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48. Sinks/hand-wash basins
W/C
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Enter room/location
Estates Tasks
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15. Walls
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16. Ceiling
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23. Ventilation grilles extract and inlets
Cleaning Tasks
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14. Switches, sockets & data points
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15. Walls
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17. All doors
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20. Mirrors
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22. Radiators
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24. Floor - polished
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25. Floor - non slip
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30. Low surfaces
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31. High surfaces
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32. Chairs
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36. Hand wash/toilet tissue/hand towel dispenser
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38. Waste receptacles
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39. Curtains & blinds
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46. Toilets & bidets
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47. Replenishment
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48. Sinks/hand-wash basins
Bathroom/Shower
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Enter room/location
Estates Tasks
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15. Walls
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16. Ceiling
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23. Ventilation grilles extract and inlets
Cleaning Tasks
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14. Switches, sockets & data points
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15. Walls
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17. All doors
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20. Mirrors
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22. Radiators
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24. Floor - polished
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25. Floor - non slip
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30. Low surfaces
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31. High surfaces
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32. Chairs
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36. Hand wash/toilet tissue/hand towel dispenser
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38. Waste receptacles
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39. Curtains & blinds
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45. Showers
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46. Toilets & bidets
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47. Replenishment
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48. Sinks/hand-wash basins
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49. Baths
Bed area
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Enter room/location
Nursing Tasks
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4. Drip stands
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5. Other medical equipment NOT CONNECTED TO PATIENT
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6. Medical equipment CONNECTED TO PATIENT
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8. Medical gas equipment
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11. Notes & Drugs trolley
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12. Patient personal items e.g. cards, suitcase
Estates Tasks
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9. Fans
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15. Walls
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16. Ceiling
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19. All external glazing
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23. Ventilation grilles extract and inlets
Cleaning Tasks
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10. Bedside alcohol, clipboards & notice boards
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14. Switches, sockets & data points
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15. Walls
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17. All doors
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18. All internal glazing including partitions
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20. Mirrors
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21. patient Entertainment in bay
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22. Radiators
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24. Floor - polished
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25. Floor - non slip
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28. Electrical items
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29. Cleaning equipment
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30. Low surfaces
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31. High surfaces
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32. Chairs
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33. Beds
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34. Lockers
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35. Tables
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36. Hand wash/toilet tissue/hand towel dispenser
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37. Hand hygiene/alcohol rub dispensers
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38. Waste receptacles
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39. Curtains & blinds
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47. Replenishment
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48. Sinks/hand-wash basins
Consultation/Examination Room
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Enter room/location
Nursing Tasks
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3. Weighing scales, manual handling equipment
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5. Other medical equipment NOT CONNECTED TO PATIENT
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11. Notes & drugs trolley
Estates Tasks
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9. Fans
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15. Walls
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16. Ceiling
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19. All external glazing
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23. Ventilation grilles extract and inlets
Cleaning Tasks
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14. Switches, sockets & data points
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15. Walls
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17. All doors
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18. All internal glazing including partitions
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20. Mirrors
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22. Radiators
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24. Floor - polished
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25. Floor - non slip
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26. Floor – soft floor
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28. Electrical items
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30. Low surfaces
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31. High surfaces
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32. Chairs
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35. Tables
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36. Hand wash/toilet tissue/hand towel dispenser
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37. Hand hygiene/alcohol rub dispensers
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38. Waste receptacles
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39. Curtains & blinds
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47. Replenishment
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48. Sinks/hand-wash basins
Corridors
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Enter room/location
Estates Tasks
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15. Walls
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16. Ceiling
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19. All external glazing
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23. Ventilation grilles extract and inlets
Cleaning Tasks
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14. Switches, sockets & data points
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15. Walls
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17. All doors
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18. All internal glazing including partitions
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22. Radiators
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24. Floor - polished
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25. Floor - non slip
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26. Floor – soft floor
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28. Electrical items
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29. Cleaning equipment
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30. Low surfaces
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31. High surfaces
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32. Chairs
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36. Hand wash/toilet tissue/hand towel dispenser
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37. Hand hygiene/alcohol rub dispensers
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39. Curtains & blinds
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47. Replenishment
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48. Sinks/hand-wash basins
Approach Corridor
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Enter room/location
Estates Tasks
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15. Walls
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16. Ceiling
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19. All external glazing
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23. Ventilation grilles extract and inlets
Cleaning Tasks
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14. Switches, sockets & data points
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15. Walls
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17. All doors
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18. All internal glazing including partitions
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22. Radiators
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24. Floor - polished
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25. Floor - non slip
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26. Floor – soft floor
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30. Low surfaces
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31. High surfaces
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32. Chairs
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36. Hand wash/toilet tissue/hand towel dispenser
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37. Hand hygiene/alcohol rub dispensers
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39. Curtains & blinds
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47. Replenishment
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48. Sinks/hand-wash basins
Day/Quiet room
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Enter room/location
Estates Tasks
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15. Walls
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16. Ceiling
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19. All external glazing
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23. Ventilation grilles extract and inlets
Cleaning Tasks
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14. Switches, sockets & data points
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15. Walls
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17. All doors
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18. All internal glazing including partitions
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22. Radiators
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24. Floor - polished
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26. Floor – soft floor
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28. Electrical items
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30. Low surfaces
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31. High surfaces
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32. Chairs
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35. Tables
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36. Hand wash/toilet tissue/hand towel dispenser
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37. Hand hygiene/alcohol rub dispensers
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38. Waste receptacles
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39. Curtains & blinds
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47. Replenishment
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48. Sinks/hand-wash basins
summary and signatures
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summary of audit
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auditors signature
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ward/senior manager signature
