NHS - National Specification for Cleanliness Audit Score Sheet

• Client Name

• Audit Frequency

• Document No.

• Conducted on

  Date

• Prepared by

• Site Address
  Address

• Special Notes

There are 49 eliminates to the audit score system and Alliance Cleaning have identified its responsibility to 27 of these requirements which are detailed as follows: -

• Element 3 - Weighing Scales, Manual Handling Equipment

  Yes

  No

  N/A

• Element 7 - Patient Washbowls

  Yes

  No

  N/A

• Element 14 - Switches, Sockets & Data Points

  Yes

  No

  N/A

• Element 15 - Walls

  Yes

  No

  N/A

• Element 17 - All Doors

  Yes

  No

  N/A

• Element 18 - All Internal Glazing Including Partitioning

  Yes

  No

  N/A

• Element 19 - All External Glazing

  Yes

  No

  N/A

• Element 20 - Mirrors

  Yes

  No

  N/A

• Element 22 - Radiators

  Yes

  No

  N/A

• Element 24 - Floors Polished

  Yes

  No

  N/A

• Element 25 - Floors Non Slip

  Yes

  No

  N/A

• Element 26 - Floors Carpeted

  Yes

  No

  N/A

• Element 30 - Low Surfaces

  Yes

  No

  N/A

• Element 31 - High Surfaces

  Yes

  No

  N/A

• Element 32 - Chairs

  Yes

  No

  N/A

• Element 33 - Beds

  Yes

  No

  N/A

• Element 35 - Tables

  Yes

  No

  N/A

• Element 38 - Waste Receptacles

  Yes

  No

  N/A

• Element 39 - Curtains and Blinds

  Yes

  No

  N/A

• Element 40 - Dishwashers

  Yes

  No

  N/A

• Element 41 - Fridges and Freezers

  Yes

  No

  N/A

• Element 43 - Kitchen Cupboards

  Yes

  No

  N/A

• Element 44 - Microwaves

  Yes

  No

  N/A

• Element 45 - Showers

  Yes

  No

  N/A

• Element 46 - Toilets and Bidets

  Yes

  No

  N/A

• Element 47 - Replenishment Washroom Consumables

  Yes

  No

  N/A

• Element 48 - Sinks

  Yes

  No

  N/A

COMPLIANCE MATTERS

• Cleaners Attendance

  Yes

  No

  N/A

• Timekeping

  Yes

  No

  N/A

• Uniforms Worn

  Yes

  No

  N/A

• ID Badges Worn

  Yes

  No

  N/A

• Cleaning Cupboard kept Tidy

  Yes

  No

  N/A

• Consumable Stocks Managed Effectively

  Yes

  No

  N/A

• Health & Safety

  Yes

  No

  N/A

• Portable Appliance Check (Itemise all electrical equipment and date stamps in notes field)

  Yes

  No

  N/A

• Management Response Time

  Yes

  No

  N/A

• Management Communication

  Yes

  No

  N/A

• Overall Management Support

  Yes

  No

  N/A

• Auditor Signature

  Sign

• Customer Signature

  Sign