Title Page

  • Site conducted

  • Date

  • Therapist Closing Room

  • Room #

  • Audit Performed By

  • Door closed

  • Door sign set to room # (not treatment in progress) and clean

  • Massage table is bare and clean

  • Counter clean (no oil, debris, personal contents)

  • Interior of cupboards are empty of linen, clean, and open to air out

  • Exterior of cupboards and handles are clean and free of oil and fingerprints

  • Hot cabi is off, empty, open and clean

  • Warmer drawer in cupboard is off, empty, open and clean

  • Garbage is empty, replaced with a new bag, and usable (bag not pulled tight across)

  • Table warmer is turned off

  • Table power is turned off

  • Warmer drawer in table is off, empty, open and clean

  • Circulation fan left on

  • Hand soap bottle is more than 2/3 full

  • Cleaning products are more than ½ full (both bottles)

  • Black laundry bin is empty and clean

  • Floor is clean and free of oil marks

  • Stool is clean and free of oil marks

  • Bolster is hanging on hook on the wall

  • High touch areas are clean (music, light switch, door handles, remotes)

  • Silver tray and tissue box are clean and free of fingerprints, oil and water marks

  • There is a box of masks in the cupboard with a while plastic bin

  • One extra white bin present for face cloths (and left empty)

  • All personal belongings are removed

  • Computer is clean and logged out of Klickbook

TOTAL

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