Title Page
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Site conducted
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Client / Site
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Conducted on
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Inspected by
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Location
- Parking
- B1
- ER
- GF
- 1st Floor / Medical area
- 2ed Floor
- 3th Floor
- 4th Floor (Patient Rooms)
- 5th Floor
- 6th Floor (Obstetrics and patient rooms)
- 7th Floor
- Laboratory
- Dialysis
- Cath labs
- ICU/day case
- Operations rooms
- Cardiac clinic/rooms/vascular surgery
- Management offices
- Clinics
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Supervisor Name
Walkways and Working Surfaces
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Checklists are completed as required `
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All staff abiding with grooming and hygiene standards and showing their ID's
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All staff abiding with grooming and hygiene standards and showing their ID's
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All staff are committed to wearing PPE's according to site requirements
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All staff abiding with agreed SOP's and infection control policies
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Client rep at the site overall satisfaction
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Supervisors/ Team leaders are present at their locations, following up properly and managing their teams in efficient way
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Only agreed & approved chemicals are being used on site with labels shown on bottles
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Chemicals are being used as per manufacturer instructions. Each chemical is used for its intended use
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Internal walls & ceilings are free of dust, grit, lint, soil, film, graffiti & cobwebs
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Internal surfaces of glass & stainless steel are clear of all streaks, chewing gum, spots & marks, including fingerprints & smudges.
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Internal & external doors and floors are free of dust, grit, lint, chewing gum, soil, film, fingerprints & cobwebs
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Waste bins & receptacles to be kept clean inside & out - free of stains, marks, odour, dust, litter&chewing gum
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Elevators are clean and free of dirt, marks, and spots
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IT Equipment's and furniture are clean, free of dirt, spots, and marks
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Color coding is being followed as per SOP
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Staff at their designated areas are trained on SOPs and policies
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Toilets & janitorial rooms are clean, free of dirt build-up & have a fresh smell. Toilet bowls, lids, seats & cisterns are sanitized.
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Proper manpower and resources (tools and equipment) are available to deliver proper service
Completion
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Recommendations
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Full Name and Signature of the Inspector
