Title Page

  • Site conducted

  • Conducted on

  • Day

  • Prepared by

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Are all staff…

  • Wearing suitable clothing

  • Wearing staff ID Card clearly

  • Dressed cleanly i.e.no stains etc on clothing

  • Groomed appropriately for their shift

  • Wearing appropriate footwear

Haave you observed staff wash hands correctly by…

  • Wetting hands under tepid running water before applying liquid soap

  • Ensuring hand wash solution must come into contact with all surfaces of hand

  • Vigorously rubbing of hands for minimum of 20 seconds with attention to tips of fingers, thumbs and between fingers

  • Thoroughly rinsing

  • Drying appropriately

Have you observed staff wash hands when …

  • Coming onto shift

  • Direct contact with Service Users

  • After any activity or contact that contaminates the hands i.e. cleaning or cooking

  • Following the removal of gloves?

  • Have you observed Staff using alcoholbased hand rub to decontaminate hands between different Service Users or between different caring activities on same Service Users if deemed necessary?

  • Have you observed staff wearing PPE appropriately

  • Are staff using the PPE designated bin when disposing of used PPE

  • During your shift have you witnessed staff cleaning door handles and places of contact, in line with the government guidance i.e. every 3 hours

  • Have you observed Staff using and disposing gloves after each task?

Cleaning

  • Does the cleaning checklist show that Staff have completed the cleaning in the accommodation as the schedule dictates

  • Is it evident that the property is cleaned as the schedule dictates

  • Are carpets hoovered and stain free

  • Are laminate flooring clean and stain free

  • Are all tables and other furnishing clean and stain free

  • Are there any lingering odours in the property

  • is the property clean and dust free

Accessibility

  • Are gloves available in an accessible place

  • Is the Antibacterial hand gel available in an accessible place

  • Do all towel dispensers have enough paper towels?

General Observations

  • Is the kitchen clean and tidy

  • Are all open foods labelled correctly

  • Are fridge temperature recording records up to date and accurate

  • are Sharps check records up to date

  • Are all chemicals/ cleaning products stored correctly

  • Are bathrooms/shower rooms/toilets clean, with toilet roll

  • Are bathrooms and corridors free from clutter?

  • Are the glass only/recycle bins being used and emptied sufficiantly

  • Do waste bins have a bag in them and are they being emptied sufficiantly

  • Is the medication room clean and tidy with medication stored correctly, cupboards locked

  • Are the medication cupboards locked and are the keys stored correctly

  • Is the computer room clean and tidy

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.