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Ward

General Environment

Adequate facilities for hand hygiene are available in all clinical areas

Bed frames are clean and free from dust

Patient Lockers are free of splashes, soil, film, dust, fingerprints and spillage

Chairs and stools are free of splashes, soil, film, dust, fingerprints and spillage

Tables are free of splashes, soil, film, dust, fingerprints and spillage

Lockers, chairs and tables are in good state of repair

Floors including edges and corners are free from dust and grit

All high and low surfaces are free of dust and grit

Curtains and blinds are free from stains, dust and cobwebs

There is evidence of an effective pre-planned program for curtain changes

Air vents are clean and free from excessive dust

Patient call bells are clean and free from debris

Patient audio visual systems are clean and free from debris, dust and marks

Workstation equipment in clinical areas are visibly clean e.g. Phones, computer keyboards

GENERAL ENVIRONMENT COMPLIANCE RATE
Clinical/treatment room/clean store

There is an identified area for the storage of clean and sterile equipment

The area is clean and there are no inappropriate items of equipment

Hand hygiene equipment is available in the clinical/treatment room

Floors including edges and corners are free from dust and grit

All high and low surfaces are free from dust and cobwebs

Shelves, bench tops and cupboards are clean inside and out, and are free of dust and spillage

All products are stored above floor level

CLINICAL/TREATMENT ROOM/CLEAN STORE COMPLIANCE RATE
Bathrooms

Bathrooms are clean

Bathrooms are not used for equipment storage

Showers, Baths, sinks and accessories are clean

Wall tiles and wall fixtures are clean and free from mould

Shower curtains are free from mould, clean and dry

There is evidence that showers, baths and sinks taken out of use have planned provision for running water weekly

Floors including edges and corners are free from dust and grit

BATHROOMS COMPLIANCE RATE
Toilets

The toilet, hand wash sink, handrails and surrounding area is clean and free from extraneous items

Floors including edges and corners are free from dust and grit

Hand washing facilities are available including soap and paper towels

There is a facility for sanitary waste disposal

TOILETS COMPLIANCE RATE

Dirty utility

A dirty utility is available

A separate sink is available for decontamination of patient equipment

A sluice hopper is available for the disposal of body fluids

The integrity of fixtures and fittings are intact

Separate hand washing facilities are available including soap and water

The room is clean and free from inappropriate items

The floor is clean and free from spillage

Floors including edges and corners are free from dust and grit

Bed pan flusher is in working order

Shelves and cupboards are clean inside and out and free from dust, litter or stains

DIRTY UTILIY COMPLIANCE RATE
Cleaners room

Floors including edges and corners are free from dust and grit

Equipment used by the integrated services staff is clean, well maintained and stored in a locked area

Machines used by integrated services staff for floor cleaning are clean and dry

No inappropriate materials or equipment are stored in the cleaner's room

Products used for cleaning and disinfection comply with policy and are used at the correct dilution

Personal protection equipment is available and appropriately used

Information on the colour coding system for cleaning equipment in use is available in the cleaner's room

Hand hygiene facilities are available for cleaners use

CLEANERS ROOM COMPLIANCE RATE
OVERALL COMPLIANCE
Compliance total out of 50
OVERALL COMPLIANCE ACHEIVED

Overall compliance rate is greater than 90% which ensures that the environment been maintained appropriately to reduce the risk of cross infection?

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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.