Clover Queensburgh

• Site conducted

  Select

• Conducted on

  Date

• Prepared by

• Location
  Address

• Is the process area cleaned?

  Yes

  No

  N/A

• Is the lab cleaned and disinfected

  Yes

  No

  N/A

• Is the receiving area cleand?

  Yes

  No

  N/A

Admin Block

• Is the reception are fully cleaned?

  Yes

  No

  N/A

• Are the floors moped ?

  Yes

  No

  N/A

• Are the chairs cleaned and dusted?

  Yes

  No

  N/A

• Are the skirtings wiped?

  Yes

  No

  N/A

• Are the glass windows cleaned?

  Yes

  No

  N/A

Admin Block offices

• Are all offices cleaned?

  Yes

  No

  N/A

• Are the carpets vacuumed regularly ?

  Yes

  No

  N/A

• Are the desks wiped daily and bins emptied twice a day ?

  Yes

  No

  N/A

• Are the window seals cleaned properly ?

  Yes

  No

  N/A

Admin Block Ablutions

• Are the all the ablutions cleaned and disinfected ?

  Yes

  No

  N/A

• Is there enough toilet paper?

  Yes

  No

  N/A

• Is there hand soap availible?

  Yes

  No

  N/A

• Is there hand sanitiser available ?

  Yes

  No

  N/A

• Is there paper towel in the dispenser?

  Yes

  No

  N/A

• Is the black floor passage cleaned from top to bottom and red beams washed ?

  Yes

  No

  N/A

Cleaning equipment & staff appearance

• Are the correct colours of equipment being used ?

  Yes

  No

  N/A

• Is the staff neat and clean in full DBU uniform?

  Yes

  No

  N/A

• Is the clinic cleaned & disinfected ?

  Yes

  No

  N/A

• Are the counter tops wiped ?

  Yes

  No

  N/A

• Is the stores area cleaned and dusted?

  Yes

  No

  N/A

• Are the stores steps cleaned ?

  Yes

  No

  N/A

• Is the 2nd passage washed and broken pallets pieces removed?

  Yes

  No

  N/A

• Is the lift cleaned and washed ?

  Yes

  No

  N/A

• How is the canteen looking?

  Good

  Fair

  Poor

  N/A

• Are the tables and chairs clean?

  Yes

  No

  N/A

• Are the microwaves clean and disinfected ?

  Yes

  No

  N/A

• Are the floors moped using the correct equipment and colour coding?

  Yes

  No

  N/A

• Is there enough hand towel?

  Yes

  No

  N/A

• Is there sanitiser availible?

  Yes

  No

  N/A

• How is the cleaner looking?

  Yes

  No

  N/A

• Is the cleaning equipment in a good condition?

  Yes

  No

  N/A

• Is the Grey passage clean?

  Yes

  No

  N/A

• How is the milk receiving area

  Good

  Fair

  Poor

  N/A

• How is old dispatch looking?

  Good

  Fair

  Poor

  N/A

• Are the admin steps both cleaned ?

  Yes

  No

  N/A

• How is the passage looking?

  Good

  Fair

  Poor

  N/A

• How are the ablutions looking ?

  Good

  Fair

  Poor

  N/A

• How is the UHT passage and steps looking?

  Good

  Fair

  Poor

  N/A

• Is the cleaner looking presentable ?

  Yes

  No

  N/A

• Cold Room 1 floors

  Good

  Fair

  Poor

  N/A

• Cold Room 1 rackings

  Good

  Fair

  Poor

  N/A

• Cold Room 1 fire-extinguishers

  Good

  Fair

  Poor

  N/A

• Cold Room 2 floors

  Good

  Fair

  Poor

  N/A

• Cold Room 2 rackings

  Good

  Fair

  Poor

  N/A

• Cold Room 2 fire-extinguishers

  Good

  Fair

  Poor

  N/A

• Cold Room 4 floors

  Good

  Fair

  Poor

  N/A

• Cold Room 4 rackings

  Good

  Fair

  Poor

  N/A

• Cold Room fire -extinguishers

  Good

  Fair

  Poor

  N/A

Dispatch Canteen

• How is the canteen looking?

  Yes

  No

  N/A

• Are the floors cleaned properly?

  Yes

  No

  N/A

• Are the tables and chairs clean and disinfected ?

  Yes

  No

  N/A

• Are the walls washed ?

  Yes

  No

  N/A

Dispatch Ablutions

• How are the ablutions looking like?

  Yes

  No

  N/A

• Is there hand soap?

  Yes

  No

  N/A

• Is there toilet paper availible?

  Yes

  No

  N/A

• Are sinks,urinals and toilet bowls washed & disinfected ?

  Yes

  No

  N/A

• Are the floors cleaned?

  Yes

  No

  N/A

Security House Bottom Gate

• Are the floors clean?

  Yes

  No

  N/A

• Are the desks wiped and disinfected ?

  Yes

  No

  N/A

• Are the chairs cleaned?

  Yes

  No

  N/A

• How is the cleaner looking?

  Yes

  No

  N/A