Laundry Services

• Site conducted

  Select

• Conducted on

  Date

• Prepared by

• Location
  Address

Staff

• 1. Staff wearing hair net

  Yes

  No

  N/A

• 2. Appropriate fingernail length. (1/4")

  Yes

  No

  N/A

• 3. Hand hygiene is being performed correctly.

  Yes

  No

  N/A

Work stations

• 1. Clean and free of clutter

  Yes

  No

  N/A

• 2. Trash is not overflowing

  Yes

  No

  N/A

• 3. Floors are swept and clean.

  Yes

  No

  N/A

• 4. All horizontal surfaces are clean

  Yes

  No

  N/A

• 5. No stained ceiling tiles.

  Yes

  No

  N/A

Precautions

• 1. PPE supplies are available.

  Yes

  No

  N/A

• 2. Linen handled according to specific isolation situation.

  Yes

  No

  N/A

• 3. Appropriate PPE being used by staff.

  Yes

  No

  N/A

Soiled Sort Area

• 1. Soil Sort Employees are trained in the BBP regulations

  Yes

  No

  N/A

• 2. Routine disinfection and cleaning performed in this area

  Yes

  No

  N/A

• 3. Soiled area separated from clean area.

  Yes

  No

  N/A

• 4. If low temp washed, chemicals designed for low temps

  Yes

  No

  N/A

• 5. Specific hand hygiene sink available with eye wash station.

  Yes

  No

  N/A

• 6. Universal precaution sign present at entrance

  Yes

  No

  N/A

• 7. Staff wearing gown and gloves when sorting soiled linens

  Yes

  No

  N/A

• 8. Soiled area door is closed at all times.

  Yes

  No

  N/A

Finish Area (Drying, Ironing, Folding)

• 1. There is no lint build-up on equipment, floors and ceilings

  Yes

  No

  N/A

• 2. Area is clean and free of clutter

  Yes

  No

  N/A

• 3. All horizontal surfaces are clean

  Yes

  No

  N/A

• 4. Soiled and clean carts are not coming into contact with each other

  Yes

  No

  N/A

• 5. Freshly washed linens are brought from the washer side in clean tubs .

  Yes

  No

  N/A

• 6. Drying times are followed per policy guideline.

  Yes

  No

  N/A

• 7. Dryers are cleaned of lint, wet linens covered with plastic, floors swept, and tables cleaned at the end of the day.

  Yes

  No

  N/A

Staging and Storage Area

• 1. Carts are clean

  Yes

  No

  N/A

• 2. Clean linens ready for transport are covered

  Yes

  No

  N/A

• 3. Linens are not stored for more than 72 hours.

  Yes

  No

  N/A

• 4. There is documentation of cleaning schedule for transport carts.

  Yes

  No

  N/A

EOC

• 1. Fire extinguishers not obstructed from easy access

  Yes

  No

  N/A

• 2. No electrical panels are blocked

  Yes

  No

  N/A

• 3. Countertop/doors are in good condition with no chipping to laminate

  Yes

  No

  N/A

• 4. No supplies stored under sinks

  Yes

  No

  N/A

• 5. Paper is not present on fire-rated doors

  Yes

  No

  N/A

• 6. Maintains the integrity of egress throughout the department

  Yes

  No

  N/A

• 7. There is at least 18" of open space maintained below a sprinkler deflector to the top of storage

  Yes

  No

  N/A