Inspection Details

Facility Manager


Cleaners and Microfibre

Staff Name

Name of the Wing

Take a photo of the trolley

The trolley is set up correctly with coloured microfibre cloths, mops and dusters ?

The trolley has sufficient microfibre mops and cloths required for the day?

The trolley has separate colour coded mop bases to differentiate between bedrooms and toilets?

The trolley has Microfibre hand held and extendable dusters?

The trolley has water in a labelled spray bottle?

The trolley has only minimal R7 (or DiversolCX), Crew, PerDiem and room freshener stored?

The used Microfibre cloths are stored and sent to the laundry for wash in the correct procedure?


What colour microfibre base do you use in any toilets and bathrooms?

The correct answer is " Red " : Always use Red colour coded handle for Toilets and Bathrooms only. Blue handle is used for residents bedroom and common areas ( this includes dining room ) , Green colour code is used for food prep related area like kitchen and behind the servery counter etc.

How many bathrooms can you use with each red Microfibre cloth?

The correct answer is " only 1 " : Always use only a new red Microfibre cloth to clean a new Bathroom, This applies for public area bathroom and toilets also. After finished cleaning one bathroom or toilets throw the soiled red Microfibre cloth in the wash and take a new red one for the next bathroom or toilet.

What chemicals are allowed for use with Microfibre cloths or Microfibre mops ?

The correct answer is " None " : Microfibre is not to be used with any chemicals. Chemicals will damage the Microfibres.
If you have to use chemicals eg: R7 around the wash basin tap , use it with brushes or other cloths and remove all the chemical residue before using Microfibre.

How does an Outbreak effect your use of Microfibre?

The correct answer is "No Microfibre" - when the room/s are declared with an outbreak then clean all the other rooms first and store all the Microfibre cloths and mops away before using the YELLOW colour coded cleaning cloths and mops with Oxivir chemical only. Always do the outbreak rooms as a full detail clean, wiping every surface with Oxivir, last before you finish your shift.


Overall rating on Microfibre based cleaning given by the staff member out of 10 ? ( 1 is the least efficient to 10 is the most efficient )

The feedback given by the staff is

Positive things about Microfibre cleaning method?

Negative things about using Microfibre cleaning method?

What can we do to make this work better?

Positive and negative comments about using microfibre ?

What can we do to make this work better ?

Additional information

Add Media
Laundry and Microfibre

Microfibre cloths and mops are laundered in correct temperature ?

Microfibre mops and cloths are stored appropriately ?

The cleaning staff coordinate with laundry in collection and return of Microfibre cloths?

The catering staff coordinate with laundry staff in collection and return of Microfibre cloths?

The overall feedback given by the Laundry staff about Microfibre is

Positive things about Microfibre that are related to laundry ?

Negative things about using Microfibre that are related to the Laundry ?

What can we do to make this work better ?

Positive and negative comments about using microfibre that are related to the Laundry ?

What can we do to make this work better ?

Additional information

Add media
Servery and Microfibre

Does the Facility have any serveries?


Name of the Servery

The servery has a green super swish spray mop handle in use with clean refill ready to use ?

The reason why the servery doesn't have the Swish mop?

The Swish mop is in good condition?

Why is the Swish mop not in good condition ?

The handle has a clean mop attached to the handle and in a ready to use condition ?

The reason for not having the mop refill attached to the handle ?

The servery is visibly clean ?

Additional information

Add media
Chemical Storage Room

An updated MSDS Register available within the room ?

PPE kit available in the room?

Minimal cleaning chemicals are stored that are appropriate to be used when microfibre is used on site ?

There should be a reduction in chemicals as the only chemicals now in use should be Crew , R7 or Diversol Cx , Airfreshner and PerDiem.

Is there a tangible reduction in the chemicals ordered from before implementing Microfiber to now ?

Additional Notes/Comments

Add media
Person interviewed about the feedback of the microfibre.

Does the facility look visibly clean ?

Do you find any difference in the cleanliness level from the past 4 weeks to now ?

Additional Notes/Comments

Additional Information
Photos of other items

Re-inspection Required

Time before next inspection

DECLARATION: I have read this report and understand the contents

NOTE: assessment report contains findings from date/time of inspection only

Contact Details

Aegis Aged Care Group

Address: 90 Goodwood Pde Burswood Perth WA 6103

Telephone: (08) 6254 8200

Fax: (08) 6254 8299



ABN: 97 377 986 723

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.