CN report - duplicate

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Section One - Cleaning Operative Assessment

• 1.1- Are the Operatives in full PPE uniform presenting a smart and professional image at all times ?

  Yes

  No

  N/A

• PPE and disposable gloves, glasses, aprons and ear protection are available for use and in good condition

  Yes

  No

  N/A

• Staff are wearing the required PPE

  Yes

  No

  N/A

• Detail One item of PPE worn:

• Staff are wearing appropriate footwear I.e. non - slip rubber-soled shoes

  Yes

  No

  N/A

• PPE and disposable gloves, glasses, aprons are available for use and in good condition

  Yes

  No

  N/A

• 1.2 - Is the Operatives time keeping and attendance of an acceptable standard ?

  Yes

  No

  N/A

• 1.3 - Do the Operatives have a good, 'Yes can do' type attitude and approach to the role - detail any issues or concerns raised with the operatives attitude ?

  Yes

  No

  N/A

• 1.4 - Do the Operatives demonstrate good interaction and communication skills- colleagues, centre management, tenants, the public etc ?

  Yes

  No

  N/A

• 1.5 - Is the Operatives performance to the required standard - any issues or concerns raised concerning their performance ?

  Yes

  No

  N/A

• 1.6 - Have all Operatives been fully site trained?

  Yes

  No

  N/A

• 1.7- Are the Operatives fully aware of the centres emergency plans - fire, bomb threats, flooding etc ?

  Yes

  No

  N/A

Equipment / Machinery

• Safety steps and or step ladders are available within the area to be utilised when needed to enable access to top shelves in the cleaner’s Rooms.

  Yes

  No

  N/A

• Cleaner’s trolleys and their wheels are in good working order

  Yes

  No

  N/A

• Electrical equipment within the cleaners room is tested and tagged

  Yes

  No

  N/A

• Safety signage is in place I.e. wet floor signs are being used when cleaners are mopping

  Yes

  No

  N/A

Electrical

• Electrical appliances, cords, and equipment have been tested and tagged (PAT tested) . Please check all items and advise when the NEXT EXPIRY date is out of all of the items

  Yes

  No

  N/A

• Detail next expiry date

  Date

• Electrical cords, extensions, plug and switches are safely arranged and in good repair I.e. Plastic covering intact

  Yes

  No

  N/A

• Electrical cords are secured to prevent trip injuries

  Yes

  No

  N/A

• Double adaptors are not used?

  Yes

  No

  N/A

• Personal Electrical Appliances are PAT tested?

  Yes

  No

  N/A

• Electrical equipment is not exposed to water

  Yes

  No

  N/A

• Personal Electrical Equipment Policy?

  Yes

  No

  N/A

Housekeeping

• The environment is free of trip / slip hazards

  Yes

  No

  N/A

• The floor is free from rubbish, debris and or spills

  Yes

  No

  N/A

Storage

• Items stored on shelves are not stored too high. I.e. items on top shelves should be one box high

  Yes

  No

  N/A

• Are items stored appropriately I.e. Frequently used items and heavy items stored between knee and shoulder height

  Yes

  No

  N/A

• Materials are stored securely to prevent falling

  Yes

  No

  N/A

• Shelves are secured to the walls / floors to prevent falling

  Yes

  No

  N/A

• Safety steps are available in all storage areas

  Yes

  No

  N/A

• Storage rooms are neat and tidy to allow a clear walking path and are free from rubbish

  Yes

  No

  N/A

Manual handling

• Staff follow correct materials manual tasks procedures

  Yes

  No

  N/A

• Staff have received manual handling training within the last year

  Yes

  No

  N/A

• Staff are not required to undertake tasks lifting excessive weight

  Yes

  No

  N/A

Policy and Procedure

• Policy and Procedures are followed at all times and are up to date

  Yes

  No

  N/A

Waste Management

• All waste is contained and disposed of in appropriate waste stream I.e. general, clinical, confidential, recycle

  Yes

  No

  N/A

• A sharps container is located in the immediate vicinity

  Yes

  No

  N/A

Section two- Scenario Testing - give the cleaning operative two scenarios and assess the response given. Please record details of both the scenario and response below

• 2.1 - Scenario one - Was the response of the required standard

  Yes

  No

  N/A

• 2.2 - Scenario Two - was the response of the required standard

  Yes

  No

  N/A

• Staff are aware of emergency procedures and how to raise the alarm

  Yes

  No

  N/A

Section three - cleaning routines and specifications and procedures

• 3.1 - Are all the Operatives fully aware of the current daily routines / specifications in place ?

  Yes

  No

  N/A

• 3.2 - Are the Operatives trained to use all equipment - evidence required

  Yes

  No

  N/A

• 3.3 - Is the operative fully trained in COSHH

  Yes

  No

  N/A

• Safety data sheet (SDS) book is stored with the chemicals in the chemical storage / cleaners room

  Yes

  No

  N/A

• Chemical containers are labelled with the manufacture/suppliers label.

  Yes

  No

  N/A

• Spill kits are available to clean up chemical spills (in bulk chemical storage areas)

  Yes

  No

  N/A

• All chemicals are stored to prevent unauthorised access and storage areas are locked I.e. cleaners room is locked at the time of inspection

  Yes

  No

  N/A

• No food, drinks or personal items are being stored in the cleaner’s room

  Yes

  No

  N/A

• Chemical First Aid procedures and chemical information sheets are located on the wall

  Yes

  No

  N/A

• No chemical residue is on the outside of the chemical containers or on the floor. All chemicals are stored appropriately and have adequate separation and bunding as required

  Yes

  No

  N/A

• 3.4 - Have all Operatives been trained to carry out work safely?

  Yes

  No

  N/A

• Cleaning staff have received chemical handling training within the last 12 months

  Yes

  No

  N/A

• 3.5 - Can the Operatives explain how they go about cleaning certain areas - test their knowledge and approach

  Yes

  No

  N/A

• 3.6 - Inspect the areas last cleaned by the operative - is it to a good standard ?

  Yes

  No

  N/A

• 3.7 - Are the Operatives aware of what to do when dealing with a spillage - actions required as well as how it's reported ?

  Yes

  No

  N/A

Section four - Summary

• 4.1 - Are there any other outstanding issues or concerns not already discussed ?

  Yes

  No

• 4.2 - Do the Operatives have any issues or concerns to discuss ?

  Yes

  No

• 4.3 - Are there any additional actions, targets or objectives set for the Operatives based upon this assessment - detail below, I.e. Is there a requirement for refresher training, if so record proposed actions:

  Yes

  No

  N/A

• Completed by

  Sign

• Cleaning operative

  Sign