Title Page
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Site conducted
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Conducted on
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Prepared by
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Location
Environmental Audit - IPC
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Entrance - Is the area clean, in good decorative condition and free from clutter and inappropriate items?
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Entrance - Are the walls, furniture, fixtures and fittings, e.g. lampshades, chairs in good condition, clean and free from stains?
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Lounge/Sitting areas - Is the area clean, in good decorative condition and free from clutter and inappropriate items?
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Lounge/Sitting areas - Are the walls, furniture, fixtures and fittings, e.g. carpets, lampshades, chairs, in good condition, clean and free from stains?
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Halls/Corridors - Are these areas clean, in good decorative condition and free from clutter and inappropriate items, e.g. waste bins, hoists?
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Halls/Corridors - Are the walls, floor, ceiling, furniture, fixtures and fittings, e.g. carpets, lamp-shades, chairs in good condition, clean and free from stains?
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Dining Room - Is the area clean, in good decorative condition and free from clutter and inappropriate items?
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Dining Room - Are the walls, Floor, ceiling, furniture, fixtures and fittings, e.g. carpets, lamp-shades, chairs in good condition, clean and free from food and beverage stains?
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Beverage Kitchen - Is the area clean, in good decorative condition and free from clutter and inappropriate items?
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Beverage Kitchen - Are the walls, Floor, ceiling, furniture, fixtures and fittings, e.g. work surfaces, cupboards in good condition, clean and free from food and beverage stains?
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Bedrooms - (Select at least 10% of bedrooms to inspect) Each bedroom should be clean, in good decorative condition and personal items e.g. ornaments, free from dust. (Please identify which rooms have been audited)
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Bedroom 1 - Is this area clean, in good decorative condition and personal items e.g. ornaments, free from dust? Are fixtures such as wardrobes and drawers secure to the wall?
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Bedroom 1 - Are the walls, floor, ceiling, furniture, fixtures and fittings, e.g. mattresses, bed frames, lampshades, chairs, tables in good condition, clean and free from stains?
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Bedroom 1 - Are en-suite facilities clean, in good decorative condition and free from dust and inappropriate items?
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Bedroom 1 - Are en-suite fixtures and fittings e.g. toilet, toilet brush, wash basin, waste bin, liquid soap and paper towel dispensers in good condition, clean and free from stains?
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Bedroom 2 - Is this area clean, in good decorative condition and personal items e.g. ornaments, free from dust? Are fixtures such as wardrobes and drawers secure to the wall?
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Bedroom 2 - Are the walls, floor, ceiling, furniture, fixtures and fittings, e.g. mattresses, bed frames, lampshades, chairs, tables in good condition, clean and free from stains?
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Bedroom 2 - Are en-suite facilities clean, in good decorative condition and free from dust and inappropriate items?
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Bedroom 2 - Are en-suite fixtures and fittings e.g. toilet, toilet brush, wash basin, waste bin, liquid soap and paper towel dispensers in good condition, clean and free from stains?
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Bedroom 3 - Is this area clean, in good decorative condition and personal items e.g. ornaments, free from dust? Are fixtures such as wardrobes and drawers secure to the wall?
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Bedroom 3 - Are the walls, floor, ceiling, furniture, fixtures and fittings, e.g. mattresses, bed frames, lampshades, chairs, tables in good condition, clean and free from stains?
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Bedroom 3 - Are en-suite facilities clean, in good decorative condition and free from dust and inappropriate items?
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Bedroom 3 - Are en-suite fixtures and fittings e.g. toilet, toilet brush, wash basin, waste bin, liquid soap and paper towel dispensers in good condition, clean and free from stains?
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Bathrooms/Shower rooms (Select at least 2 bathrooms/shower rooms to inspect)
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Bathroom/Shower room 1 - Is the area clean, free from mould, in good decorative condition and free from clutter and inappropriate items e.g. hoist slings?
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Bathroom/Shower room 1 - Are fixtures and fittings, e.g. bath, hoist, shower curtain, shower head, wash basin, waste bin in good condition, clean and free from stains?
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Bathroom/Shower room 2 - Is the area clean, free from mould, in good decorative condition and free from clutter and inappropriate items e.g. hoist slings?
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Bathroom/Shower room 2 - Are fixtures and fittings, e.g. bath, hoist, shower curtain, shower head, wash basin, waste bin in good condition, clean and free from stains?
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Toilets (Select at least 2 communal toilets to inspect)
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Toilet 1 - Is the area is clean, in good decorative condition and free from clutter and inappropriate items?
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Toilet 1 - Are walls, floor, ceiling, furniture, fixtures and fittings, e.g. walls, floor, toilet, toilet brush, wash basin, waste bin in good condition, clean and free from stains?
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Toilet 2 - Is the area is clean, in good decorative condition and free from clutter and inappropriate items?
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Toilet 2 - Are walls, floor, ceiling, furniture, fixtures and fittings, e.g. walls, floor, toilet, toilet brush, wash basin, waste bin in good condition, clean and free from stains?
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Clinical room/ Clean Utility room - Is the area clean, in good decorative condition and free from clutter and inappropriate items?
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Clinical room/Clean utility room - Is all equipment, walls, floor, ceiling, furniture, fixtures and fittings, e.g. shelves, work surfaces in good condition and free from stains?
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Sluice - Is the area clean, in good decorative condition and free from clutter and inappropriate items?
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Sluice - Are fixtures and fittings in good condition, e.g. hand wash basin, bed pan washer, slop happer clean and free from stains?
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Linen store room/Cupboard - Is the area clean, in good decorative condition and free from clutter and inappropriate items? e.g. fans
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Linen store room/Cupboard - Are fixtures and fitting, e.g. walls, ceiling, light, shelves in good condition?
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Laundry room - Is the area clean, in good decorative condition and free from clutter and inappropriate items?
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Laundry room - Are fixtures and fittings, e.g. walls, floor, washing machines, hand wash basin, waste bins in good condition?
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Cleaner's Room/COSHH - Is the area clean, in good decorative condition and free from clutter and inappropriate items?
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Cleaner's room/COSHH - Are fixtures and fittings, e.g. walls, ceiling, floor, hand wash basin, shelves in good condition?