Audit

Cleaning Process

Hand hygiene performed before and after

Appropirate PPE worn

Clean began after patient discharge

Knows contact time of disinfectant

Previous patient supplies discarded prior to start of cleaning

Trash removed prior to cleaning

Cleaned from high to low

Cleans from clean to dirty (OR table is usually last)

Damp Dust

No Spray disinfectant utilized

Moves equipment while cleaning floor

Rags are changed out frequently

Only clean rags & mops placed in disinfectant

Supplies Cleaned

Ceiling

Overhead Lights

Walls

Vents

Room Light Switch

Door Handles & push plate

Anesthesia Equipment

Anesthesia supply cart

Monitor equipment

Specialized equipment

Back Table

Scrub table

Mayo Table

IV poles

Warmers

Computers and all accessories

Chairs

Step Stools

Trash cans & biohazard containers

OR Table and all accessories

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.