Audit

CART OBSERVATIONS

1. Dusting tool present

2. Wet mop handle and head is present and in good condition?

3. CRT is organized according to cart set up card?

4. cart is clean and presentable to the customers and caddy is clean?

5. All products and buckets are labels properly with secondary labels?

6. Wet floor sign/wet floor magnets (6) Re on cart?

7. No personal items, Food or drinks and/or personal stickers are present?

9. Dust pan and lobby broom is present and clean and emptied?

10. Putty knife, small grout brush, white scrub pad present?

CLEANING PRODUCTS

11. DFC Cleaner / Germicidal cleaner

12. Pure Brite disinfectant/Bleach wipes

13. Liquid abrasive cleaner

14. Stainless Steel cleaner

15. Gum off

16.

SUPPLIES STOCKED. EQUIPMENT/OTHER OBSERVATION

17. Hand washing soap. (4)

18. Toilet paper (4)

19. Plastic liners appropriate to area

20. Microfiber mops (appropriate amount not over stocked)

21. High touch laminated card present and other instruction cards?

22. Seat covers (4)

23. Paper Towels (2 - 4)

24. Microfiber Towels (appropriate amount and not overstocked)

A25. EVS Service Cards / Tent cards
(Hospital only)

(#YES & NA /27 ) x 100 / = % (Acceptable Cart is > 90% )
FOLLOW UP ACTION

Individual teaching provided to employee. DATE

In service needed for the department DATE

EVS COMMUNICATION MEMO. DATE

Share at up coming Huddle. DATE

Review or revise policy and procedures. DATE

Add to EVS UBT agenda. DATE

Other comments.

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.