Dublcheck Cleaning Ltd -GP

• Conducted on

  Date

• Prepared by

DIRECTIONS

• Check all that apply and note if followup is needed. Complete this audit for each area weekly or for random audits as needed.

• Audit Location

• Add location
  Address

ENTRANCE HALLWAY/RECEPTION

• Have the telephones been dusted and sanitised? 





  Yes

  No

  N/A

• Fully mop all hard floors, Vacuum/sweep all floors

  Yes

  No

  N/A

• Have the carpets and entrance mats been vacuumed and spot cleaned? 





  Yes

  No

  N/A

• Ceilings are clean and free from cobwebs

  Yes

  No

  N/A

• Have all the waste bins been emptied, wiped and the liners replaced

  Yes

  No

  N/A

• Windows, window ledges, and screens are clean<br>

  Yes

  No

  N/A

PATIENT SPACES

• Clean all sink, desks, Shelves and surfaces

  Yes

  No

  N/A

• Fully mop all hard floors, Vacuum/sweep all floors

  Yes

  No

  N/A

• Disinfect weight scale, hight Measure, Gloves Dispenser

  Yes

  No

  N/A

• Waste baskets are empty/Domestic and Clinical bin/

  Yes

  No

  N/A

• Bed rails

  Yes

  No

  N/A

• Sanitize and Clean Telephone Handsets, keyboard, mouse, Examination Couch Frame

  Yes

  No

  N/A

• Clean dust & Cobwebs from ceiling corners, Light fittings &air vents

  Yes

  No

  N/A

• Replenish hand soaps, Spirigel & power towels

  Yes

  No

  N/A

Patient & Staff toilets

• Bathroom sink is clean/Taps,Splash backs, Sides & Han Dryer/Remove lime scale/

  Yes

  No

  N/A

• Bathroom mirror is clean/Empty general waste bin and wipe inside and outside with damp cloth/

  Yes

  No

  N/A

• Replenish Toilets & Dispensers , wipe with damp cloth

  Yes

  No

  N/A

• Toilet and plumbing/pipes are clean

  Yes

  No

  N/A

Kitchenette & Tea point





• Have the hard floors been swept, washed and dried, are they smear free? 



  Yes

  No

  N/A

• Have all the general waste bins been emptied, wiped and the liners replaced?

  Yes

  No

  N/A

• Have the microwave ovens been damp wiped? 





  Yes

  No

  N/A

• Have all the waste bins been emptied, wiped and the liners replaced? 





  Yes

  No

  N/A

• Are the dishwashers being operated correctly, filled and emptied regularly? 





  Yes

  No

  N/A

ADDITIONAL COMMENTS

• Please enter any additional comments about this audit.

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• Date and Time of Audit

  Date