Title Page

  • Conducted on

  • Conducted by

  • Location

Cleaning Cupboard

  • Is the door locked?

  • Does the door display the chemical warning sign?

  • Is it neat and tidy?

  • Is the COSHH folder in there and is it up to date?

  • Is there an adequate amount of toilet rolls (both types), hand towels, soap and bed rolls?

  • Is the clinical waste bin locked?

Patient Toilets

  • Is there toilet roll available in each toilet?

  • Is there an air freshener in each toilet?

  • Have the bins been emptied and wiped over?

  • Have the mirrors been cleaned?

  • Have the taps/sinks been cleaned?

  • Have the toilets been cleaned?

  • Have the sanitary bins and waste bins been cleaned?

  • Have the toilet brush holders been cleaned?

  • Have the disabled rails been cleaned?

  • Are they cobweb free?

  • Have they been hoovered properly?

  • Have they been mopped?

  • Have the daily cleaning sheets been signed?

Staff Toilets

  • Is there toilet roll available in each toilet?

  • Is there an air freshener in each toilet?

  • Have the bins been emptied and wiped over?

  • Have the paper towels been topped up?

  • Have the mirrors been cleaned?

  • Have the taps/sinks been cleaned?

  • Have the toilets been cleaned?

  • Have the sanitary bins and waste bins been cleaned?

  • Have the toilet brush holders been cleaned?

  • Are they cobweb free?

  • Have they been hoovered properly?

  • Have they been mopped?

Kitchen, Staffroom and Meeting room

  • Have the bins been emptied and wiped over?

  • Has the kitchen sides been cleaned and the tap/sinks cleaned?

  • Do the outside of the kitchen cupboards/fridge have any marks?

  • Has the wall behind the bin been wiped over?

  • Have the tables/desks been wiped over?

  • Have the window sills been wiped over?

  • Have the skirting boards been cleaned?

  • Are they free from cobwebs?

  • Have they been hoovered properly?

  • Have they been mopped?

Corridors/Waiting room

  • Have the window sills been cleaned?

  • Has the BP machine area been cleaned?

  • Are the chairs clean?

  • Has the front of the reception desk been cleaned?

  • Have the radiators, fire extinguishers, light switches and plug sockets been cleaned?

  • Have the skirting boards been cleaned?

  • Is it cobweb free?

  • Has it been hoovered properly?

Offices/behind reception

  • Have all the bins been emptied?

  • Have all the desks been cleaned?

  • Have all the window sills been cleaned?

  • Has the internal glass on the doors been cleaned?

  • Have the radiators, fire extinguishers, light switches and plug sockets been cleaned?

  • Has it been hoovered properly?

Clinical Rooms

  • Room number:

  • Have the taps/sink been cleaned?

  • Have all the sides been wiped down?

  • Have the bins been emptied and wiped over?

  • Is there enough hand soap, paper towels and bed roll? (always a spare bed roll at the side)

  • Has the window sill been wiped over?

  • Have the cupboard door gaps been cleaned? (If applicable)

  • Have the skirting boards been cleaned?

  • Have the apron holders, soap dispenser, sanitiser dispenser etc been wiped over?

  • Have the radiators, clocks, light switches and plug sockets been wiped over?

  • Have the bed legs been cleaned?

  • Is the room free from cobwebs?

  • Has the room been hoovered properly?

  • Has the room been mopped? (If applicable)

  • Room number:

  • Have the taps/sinks been cleaned?

  • Have all the sides been wiped down?

  • Have the bins been emptied and wiped over?

  • Is there enough hand soap, paper towels and bed roll? (always a spare bed roll at the side)

  • Has the window sill been wiped over?

  • Have the cupboard door gaps been cleaned? (If applicable)

  • Have the skirting boards been cleaned?

  • Have the apron holders, soap dispenser, sanitiser dispenser etc been wiped over?

  • Have the radiators, clocks, light switches and plug sockets been wiped over?

  • Have the bed legs been cleaned?

  • Is the room cobweb free?

  • Has the room been hoovered properly?

  • Has the room been mopped? (If applicable)

  • Room number:

  • Have the taps/sink been cleaned?

  • Have all the sides been wiped down?

  • Have the bins been emptied and wiped over?

  • Is there enough hand soap, paper towels and bed roll? (Always a spare bed roll at the side)

  • Has the window sill been wiped over?

  • Have the cupboard door gaps been cleaned? (If applicable)

  • Have the skirting boards been cleaned?

  • Have the apron holders, soap dispenser, sanitiser dispenser etc been wiped over?

  • Have the radiators, clocks, light switches and plug sockets been wiped over?

  • Have the bed legs been cleaned?

  • Is the room free from cobwebs?

  • Has the room been hoovered properly?

  • Has the room been mopped? (If applicable)

Pharmacy

  • Have the bins been emptied and recycling removed?

  • Has the taps/sink been cleaned?

  • Have the sides been wiped over?

  • Has it been hoovered properly?

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.