Inspection

Please note that this inspection template is intended to provide guidance on the tasks that should be carried out and areas that should be examined. It is in no way intended to provide prescriptive rules on what must be done.

Reception/Waiting Room

Room/Location

Estates Tasks

Fans

Walls

Ceiling

All external glazing

Ventilation grilles

Cleaning Tasks

Switches, sockets, data points

Walls

All doors

All internal glazing (including partitions)

Mirrors

Radiators

Floor (Polished)

Floor (Non-slip)

Floor (Soft floor)

Electrical items

Low surfaces

High surfaces

Chairs

Tables

Hand hygiene/alcohol rub dispensers

Waste receptacles

Curtains/Blinds

Replenishment

Sinks/Hand-wash basins

Treatment Room

Treatment room description

Nursing Tasks

Weighing scales, manual handling equipment

Drip stands

Other medical equipment (NOT CONNECTED TO PATIENT)

Medical gas equipment

Notes and drugs trolley

Estates Tasks

Fans

Walls

Ceiling

All external glazing

Ventilation grilles

Cleaning Tasks

Bedside alcohol, clipboards and noticeboards

Switches, sockets, data points

Walls

All doors

All internal glazing (including partitions)

Mirrors

Radiators

Floor (Polished)

Floor (Non-slip)

Electrical items

Low surfaces

High surfaces

Chairs

Beds

Lockers

Tables

Hand wash/toilet roll/hand towel dispenser

Hand hygiene/alcohol rub dispensers

Waste receptacles

Curtains/Blinds

Replenishment

Sinks/hand-wash basins

Storeroom

Name/location of storeroom

Nursing Tasks

Weighing scales, manual handling equipment

Drip stands

Other medical equipment (NOT CONNECTED TO PATIENT)

Medical gas equipment

Estates Tasks

Fans

Walls

Ceiling

All external glazing

Ventilation grilles

Cleaning Tasks

Switches, sockets and data points

Walls

All doors

All internal glazing (including partitions)

Radiators

Floor (Non-slip)

Floor (Soft floor)

Electrical items

Cleaning equipment

Low surfaces

High surfaces

Stairwell

Stairwell description/location

Estates Tasks

Walls

Ceiling

All external glazing

Ventilation grilles

Low surfaces

High surfaces

Cleaning Tasks

Switches, sockets, data points

Walls

All doors

All internal glazing (including partitions)

Radiators

Floor (Polished)

Floor (Non-slip)

Low surfaces

High surfaces

Hand hygiene/alcohol rub dispensers

Curtains and blinds

Staff Room

Description/Location of staff room

Estates Tasks

Walls

Ceiling

All external glazing

Ventilation grilles

Cleaning Tasks

Switches, sockets, data points

Walls

All doors

All internal glazing (including partitions)

Mirrors

Radiators

Floor (Polished)

Floor (Non-slip)

Floor (Soft floor)

Electrical items

Low surfaces

High surfaces

Chairs

Tables

Lockers

Hand wash/toilet roll/hand towel dispenser

Hand hygiene/alcohol rub dispensers

Waste receptacles

Curtains and blinds

Fridges and freezers

Ice machines and hot water boilers

Kitchen/Storage cupboards

Microwaves

Replenishment

Sinks/hand-wash basins

Nurse Station

Location/Description of nurse station

Nursing Tasks

Weighing scales, manual handling equipment

Other medical equipment (NOT CONNECTED TO PATIENT)

Notes and drugs trolley

Estates Tasks

Fans

Walls

Ceiling

All external glazing

Ventilation grilles

Cleaning Tasks

Switches, sockets, data points

Walls

All doors

All internal glazing (including partitions)

Mirrors

Radiators

Floor (Polished)

Electrical items

Low surfaces

High surfaces

Chairs

Tables

Hand wash/toilet tissue/hand towel dispenser

Hand hygiene/alcohol rub dispensers

Waste receptacles

Curtains and blinds

Replenishment

Sinks/hand-wash basins

Office

Office description/location

Nursing Tasks

Electrical Items

Estates Tasks

Fans

Walls

Ceiling

All external glazing

Ventilation grilles extract and inlets

Cleaning Tasks

Switches, sockets, data points

Walls

All doors

All internal glazing (including partitions)

Mirrors

Radiators

Floor (Polished)

Floor (Non-slip)

Floor (Soft floor)

Electrical items

Low surfaces

High surfaces

Chairs

Tables

Hand wash/toilet roll/hand towel dispenser

Hand hygiene/alcohol rub dispensers

Waste receptacles

Curtains and blinds

Replenishment

Sinks/hand-wash basins

Kitchen

Location/Description of kitchen

Estates Tasks

Ceiling

All external glazing

Ventilation grilles

Pest control devices

Cleaning Tasks

Switches, sockets, data points

Walls

All doors

All internal glazing including partitions

Radiators

Floor (Polished)

Floor (Non-slip)

Electrical items

Low surfaces

High surfaces

Hand wash/toilet roll/hand towel dispenser

Waste receptacles

Dishwashers

Fridges and freezers

Kitchen/Storage cupboards

Microwaves

Replenishment

Sinks/hand-wash basins

Waste Cupboard

Waste cupboard location

Estates Tasks

Walls

Ceiling

Ventilation grilles extract and inlets

Cleaning Tasks

Switches, sockets, data points

Walls

All doors

All internal glazing (including partitions)

Floor (Non-slip)

Low surfaces

High surfaces

Waste receptacles

Entrance

Entrance location

Estates Tasks

Walls

Ceiling

All external glazing

Ventilation grilles

Cleaning Tasks

Switches, sockets, data points

Walls

All doors

All internal glazing (including partitions)

Mirrors

Radiators

Floor (Polished)

Floor (Non-slip)

Floor (Soft floor)

Low surfaces

High surfaces

Chairs

Tables

Hand wash containers

Hand hygiene/alcohol rub dispensers

Replenishments

Sinks

Domestic Cupboard

Description/Location of domestic cupboard

Estates Tasks

Walls

Ceiling

All external glazing

Ventilation grilles

Cleaning Tasks

Switches, sockets, data points

Walls

All doors

All internal glazing (including partitions)

Radiators

Floor (Polished)

Floor (Non-slip)

Floor (Soft floor)

Electrical items

Cleaning equipment

Low surfaces

High surfaces

Hand wash/toilet tissue/hand towel dispenser

Waste receptacles

Curtains and blinds

Kitchen/Storage cupboards

Replenishment

Sinks/hand-wash basins

Dirty Utility

Description

Estates Tasks

Walls

Ceiling

All external glazing

Ventilation grilles

Cleaning Tasks

Commodes

Switches, sockets, data points

Walls

All doors

All internal glazing (including partitions)

Radiators

Floor (Polished)

Floor (Non-slip)

Floor (Soft floor)

Low surfaces

High surfaces

Tables

Hand wash/toilet roll/hand towel dispenser

Hand hygiene/alcohol rub dispensers

Waste receptacles

Curtains and blinds

Kitchen/Storage cupboards

Replenishment

Sinks/hand-wash basins

Clean Utility

Description/Location

Nursing Tasks

Weighing scales, manual handling equipment

Notes and drugs trolley

Estates Tasks

Walls

Ceiling

All external glazing

Ventilation grilles

Cleaning Tasks

Commodes

Switches, sockets, data points

Walls

All doors

All internal glazing (including partitions)

Radiators

Floor (Polished)

Floor (Non-slip)

Floor (Soft floor)

Low surfaces

High surfaces

Hand wash/toilet roll/hand towel dispenser

Hand hygiene/alcohol rub dispensers

Waste receptacles

Curtains and blinds

Kitchen/Storage cupboards

Replenishment

Sinks/hand-wash basins

W/C

WC Location

Estates Tasks

Walls

Ceiling

Ventilation grilles

Cleaning Tasks

Switches, sockets, data points

Walls

All doors

Mirrors

Radiators

Floor (Polished)

Floor (Non-slip)

Low surfaces

High surfaces

Chairs

Hand wash/toilet roll/hand towel dispenser

Waste receptacles

Curtains and blinds

Toilets and bidets

Replenishment

Sinks/Hand-wash basins

Bathroom/Shower

Bathroom/Shower location

Estates Tasks

Walls

Ceiling

Ventilation grilles

Cleaning Tasks

Switches, sockets, data points

Walls

All doors

Mirrors

Radiators

Floor (Polished)

Floor (Non-slip)

Low surfaces

High surfaces

Chairs

Hand wash/toilet roll/hand towel dispenser

Waste receptacles

Curtains and blinds

Showers

Toilets and bidets

Replenishment

Sinks/hand-wash basins

Baths

Bed area

Description/Location of bed area

Nursing Tasks

Drip stands

Medical equipment (CONNECTED TO PATIENT)

Other medical equipment (NOT CONNECTED TO PATIENT)

Medical gas equipment

Notes and drugs trolley

12. Patient personal items e.g. cards, suitcase

Estates Tasks

Fans

Walls

Ceiling

All external glazing

Ventilation grilles

Cleaning Tasks

Bedside alcohol, clipboards and notice boards

Switches, sockets, data points

Walls

All doors

All internal glazing (including partitions)

Mirrors

Patient entertainment in bay

Radiators

Floor (Polished)

Floor (Non-slip)

Electrical items

Cleaning equipment

Low surfaces

High surfaces

Chairs

Beds

Lockers

Tables

Hand wash/toilet roll/hand towel dispenser

Hand hygiene/alcohol rub dispensers

Waste receptacles

Curtains and blinds

Replenishment

Sinks/Hand-wash basins

Consultation/Examination Room

Name/Description of consultation/examination room

Nursing Tasks

Weighing scales, manual handling equipment

Other medical equipment (NOT CONNECTED TO PATIENT)

Notes and drugs trolley

Estates Tasks

Fans

Walls

Ceiling

All external glazing

Ventilation grilles

Cleaning Tasks

Switches, sockets, data points

Walls

All doors

All internal glazing (including partitions)

Mirrors

Radiators

Floor (Polished)

Floor (Non-slip)

Floor (Soft floor)

Electrical items

Low surfaces

High surfaces

Chairs

Tables

Hand wash/toilet tissue/hand towel dispenser

Hand hygiene/alcohol rub dispensers

Waste receptacles

Curtains and blinds

Replenishment

Sinks/hand-wash basins

Corridors

Corridor location

Estates Tasks

Walls

Ceiling

All external glazing

Ventilation grilles

Cleaning Tasks

Switches, sockets, data points

Walls

All doors

All internal glazing (including partitions)

Radiators

Floor (Polished)

Floor (Non-slip)

Floor (Soft floor)

Electrical items

Cleaning equipment

Low surfaces

High surfaces

Chairs

Hand wash/toilet roll/hand towel dispenser

Hand hygiene/alcohol rub dispensers

Curtains and blinds

Replenishment

Sinks/hand-wash basins

Approach Corridor

Corridor location

Estates Tasks

Walls

Ceiling

All external glazing

Ventilation grilles

Cleaning Tasks

Switches, sockets and data points

Walls

All doors

All internal glazing (including partitions)

Radiators

Floor (Polished)

Floor (Non-slip)

Floor (Soft floor)

Low surfaces

High surfaces

Chairs

Hand wash/toilet roll/hand towel dispenser

Hand hygiene/alcohol rub dispensers

Curtains and blinds

Replenishment

Sinks/hand-wash basins

Day/Quiet room

Location/Description of day/quiet room

Estates Tasks

Walls

Ceiling

All external glazing

Ventilation grilles

Cleaning Tasks

Switches, sockets and data points

Walls

All doors

All internal glazing (including partitions)

Radiators

Floor (Polished)

Floor (Soft Floor)

Electrical items

Low surfaces

High surfaces

Chairs

Tables

Hand wash/toilet tissue/hand towel dispenser

Hand hygiene/alcohol rub dispensers

Waste receptacles

Curtains and blinds

Replenishment

Sinks/hand-wash basins

Sign-Off

Closing comments

Signature (Auditor)
Signature (Ward/Senior Manager)
Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.