Medirest - Cleaning Audit

• Document No.

• Audit Title

• Site

• Conducted on

  Date

• Conducted by

• Conducted with

General Safety

• Are correct cleaning chemicals used, diluted and labelled correctly ?

  Yes

  No

  N/A

• Is personal protective equipment (PPE) available and being used?

  Yes

  No

  N/A

• Are chemicals stored correctly with MSDS sheets available?

  Yes

  No

  N/A

• Does the storeroom have adequate supply of equipment and supplies, and in good condition

  Yes

  No

  N/A

• Is the cleaner in the correct uniform?

  Yes

  No

  N/A

• Please check your equipment asset list, all accounted for?

Offices and work stations

• What office or work station are you auditing today?

• Skirtings, ledges, furniture and fittings - no visible dust

  Yes

  No

  N/A

• Telephone and handsets - no visible marks/dirt

  Yes

  No

  N/A

• Walls and doors - no visible marks/stains

  Yes

  No

  N/A

• Rubbish bins - not full/ overflow

  Yes

  No

  N/A

• New bin liner

  Yes

  No

  N/A

• Carpeted areas - no visible dirt

  Yes

  No

  N/A

Entry/ Reception Areas

• What entry or reception area are you auditing today?

• Skirtings, ledges, furniture and fittings - no visible dust

  Yes

  No

  N/A

• Walls - no visible marks/stains

  Yes

  No

  N/A

• Glass door - no visible dirt/marks

  Yes

  No

  N/A

• Tiled/Vinyl entry - no visible marks/ dirt

  Yes

  No

  N/A

• Carpeted areas - no visible dirt

  Yes

  No

  N/A

Staff rooms

• What staff room are you auditing today?

• Sink and bench - no visible marks/ dirt/ food waste

  Yes

  No

  N/A

• Furniture - no visible dust

  Yes

  No

  N/A

• Skirtings, ledges, furniture and fittings - no visible dust

  Yes

  No

  N/A

• Walls - no visible marks/stains

  Yes

  No

  N/A

• Vinyl floor - no visible marks/ dirt

  Yes

  No

  N/A

• Rubbish bins - not full

  Yes

  No

  N/A

• Carpeted areas - no visible dirt

  Yes

  No

  N/A

Audit either a resident lounge, dining room or kitchenette

• Please specify what area you are auditing today?

• Kitchen sinks, benches and cupboard fronts - no visible marks/ dirt/ food waste

  Yes

  No

  N/A

• Furniture - no visible dust

  Yes

  No

  N/A

• Skirtings and ledges - no visible dust

  Yes

  No

  N/A

• Walls - no visible marks/stains

  Yes

  No

  N/A

• Internal glass doors - no visible marks/ dirt

  Yes

  No

  N/A

• Carpet - no visible dirt

  Yes

  No

  N/A

• Vinyl floors - no visible dirt

  Yes

  No

  N/A

Audit at least one bedroom

• What room number are you auditing today?

• Hand basins - no visible marks/ dirt

  Yes

  No

  N/A

• Skirtings, ledges, furniture and fittings - no visible dust

  Yes

  No

  N/A

• Paper towel dispenser - at least half filled

  Yes

  No

  N/A

• Curtain rails, tops of wardrobes and beds - no visible dust

  Yes

  No

  N/A

• Rubbish bins - not full

  Yes

  No

  N/A

• Walls and doors - no visible marks/ dirt

  Yes

  No

  N/A

• Carpet - no visible dirt

  Yes

  No

  N/A

• Vinyl floor - no visible marks/ dirt

  Yes

  No

  N/A

Ensuite / resident bathroom

• What resident bathroom are you auditing today?

• Toilet bowls, seats and lids - no visible dirt

  Yes

  No

  N/A

• Doors, walls, ledges and partitions - no visible marks/ dirt

  Yes

  No

  N/A

• Dispensers (paper towel, toilet paper) - at least half filled

  Yes

  No

  N/A

• Hand basins, taps, mirrors, fittings, dispensers, driers - no visible marks/ dirt

  Yes

  No

  N/A

• Rubbish bins - not full

  Yes

  No

  N/A

• Floor - no visible marks and dirt

  Yes

  No

  N/A

Sluice rooms

• What sluice room are you auditing today?

• Hand basins, taps, mirrors, fittings, dispensers, driers - no visible marks/ dirt

  Yes

  No

  N/A

• Dispensers (paper towel, toilet paper) - at least half filled

  Yes

  No

  N/A

• Walls, doors and cupboards - no visible marks/ dirt

  Yes

  No

  N/A

• Rubbish bins - not full

  Yes

  No

  N/A

• Floors - no visible marks/ dirt

  Yes

  No

  N/A

Visitors toilets

• What visitor bathroom are you auditing today?

• Toilet bowls, seats and lids - no visible dirt

  Yes

  No

  N/A

• Doors, walls, ledges and partitions - no visible marks/ dirt

  Yes

  No

  N/A

• Hand basins, taps, mirrors, fittings, dispensers, driers - no visible marks/ dirt

  Yes

  No

  N/A

• Dispensers (paper towel, toilet paper) - at least half filled

  Yes

  No

  N/A

• Rubbish bins - not full

  Yes

  No

  N/A

• Floor - no visible marks and dirt

  Yes

  No

  N/A

Staff toilets, showers and locker rooms

• What staff bathroom/locker room will you be auditing today?

• Toilet bowls, seats and lids - no visible dirt

  Yes

  No

  N/A

• Doors, walls, ledges and partitions - no visible marks/ dirt

  Yes

  No

  N/A

• Hand basins, taps, mirrors, fittings, dispensers, driers - no visible marks/ dirt

  Yes

  No

  N/A

• Dispensers (paper towel, toilet paper) - at least half filled

  Yes

  No

  N/A

• Shower - no visible marks/ dirt

  Yes

  No

  N/A

• Floors - no visible marks/ dirt

  Yes

  No

  N/A

• Rubbish bins - not full

  Yes

  No

  N/A

Corridors and stairs

• What corridor or stairs are you auditing today?

• Internal glass doors - no visible marks/ dirt

  Yes

  No

  N/A

• Ledges, skirting so, handrails - no visible dust

  Yes

  No

  N/A

• Handrails - no visible marks/ dirt

  Yes

  No

  N/A

• Carpeted - no visible dirt

  Yes

  No

  N/A

• Picture frames - no visible dust

  Yes

  No

  N/A

• Fire doors - no visible dirt behind doors

  Yes

  No

  N/A

Physio / OT rooms

• What physio or OT room are you auditing today?

• Skirtings, ledges, furniture and fittings - no visible dust

  Yes

  No

  N/A

• Walls and doors - no visible marks/ dirt

  Yes

  No

  N/A

• Carpet - no visible dirt

  Yes

  No

  N/A

• Rubbish bins - not full

  Yes

  No

  N/A

• New bin liner

  Yes

  No

  N/A

• Floors - no visible marks/ dirt

  Yes

  No

  N/A

Hairdresser / Treatment room

• What hairdresser or treatments room are you auditing today?

• Ledges and skirting so - no visible dust

  Yes

  No

  N/A

• Walls and cupboards - no visible marks/ dirt

  Yes

  No

  N/A

• Sink and bench - no visible marks/ dirt

  Yes

  No

  N/A

• Rubbish bins - not full

  Yes

  No

  N/A

• Floors - no visible marks/ dirt

  Yes

  No

  N/A

Resident Satisfaction

• Please ask 5 residents, on a scale of 1 to 5 (one being very bad, 5 being very good) - how would you rate the cleanliness of the facilities. Resident One...

  1

  2

  3

  4

  5

• Please ask 5 residents, on a scale of 1 to 5 (one being very bad, 5 being very good) - how would you rate the cleanliness of the facilities. Resident Two...

  1

  2

  3

  4

  5

• Please ask 5 residents, on a scale of 1 to 5 (one being very bad, 5 being very good) - how would you rate the cleanliness of the facilities. Resident Three...

  1

  2

  3

  4

  5

• Please ask 5 residents, on a scale of 1 to 5 (one being very bad, 5 being very good) - how would you rate the cleanliness of the facilities. Resident Four...

  1

  2

  3

  4

  5

• Please ask 5 residents, on a scale of 1 to 5 (one being very bad, 5 being very good) - how would you rate the cleanliness of the facilities. Resident Five...

  Select 1 2 3 4 5

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