Western Hospital's Environmental Cleaning Offices / Consult Area Audit, NSQHS Standard 3.15.2 - duplicate

Standard 3.15.2 Western Hospital's Environmental Cleaning Patient / Clinical Area Audit Objective: Assess cleanliness of the patient / clinical environment to ensure compliance with cleaning and infection control standards.

• This audit is designed to assess the accepted standard of cleanliness for patient occupied rooms and/or clinical areas based on *Cleaning Standards for South Australian Healthcare Facilities 2014, Australian Guidelines for the Prevention and Control of Infection in Healthcare, 2010. NHMRC, Western Hospital Infection Control Manual, Western Hospital Cleaning Program and Cleaning Schedules. NSQHS Standard 3.15

• Location

  Select Foyer/Administration Sports Ortho/GP Practise Services Ground Floor Consults Fulham Grange Consults

  • Foyer/Administration
  • Sports Ortho/GP Practise
  • Services
  • Ground Floor Consults
  • Fulham
  • Grange Consults

• Functional Risk Rating

  Very High Risk

  High Risk

  Significant Risk

  Low Risk

• Conducted on

  Date

• Prepared by

• Personnel

• Auditor

Department / Office

• Location: Ward / Area

• Windows, frames and ledges are clean and free of dust?

  Yes

  No

  N/A

• Walls, doors, frames and handles are clean, unmarked and free of dust?

  Yes

  No

  N/A

• Lights, notice boards and picture frames are clean and free of dust?

  Yes

  No

  N/A

• Vents and ceilings are clean and free of dust and spiderwebs?

  Yes

  No

  N/A

• Counters are clean and free of dust?

  Yes

  No

  N/A

• Furniture is clean and neatly arranged?

  Yes

  No

  N/A

• Waste bins are clean and lined?

  Yes

  No

  N/A

• Floor is clean and free of litter, lint and dust, skirting boards are clean and free of dust or lint?

  Yes

  No

  N/A

• Curtains and blinds are clean and free of dust?

  Yes

  No

  N/A

• Telephones, power points and light switches are clean and free of dust?

  Yes

  No

  N/A

• Hand washing sink and facilities are clean and restocked with consumables?

  Yes

  No

  N/A

• Patient equipment including consulting bed, alcohol hand wash, oxygen and suction connectors are clean and free of dust and tape?

  Yes

  No

  N/A

• Air is fresh with no unpleasant odours detected?

  Yes

  No

  N/A

• Are there any maintenance issues requiring repair?

  Yes - repair required.

  No

Department / Offices

• Location: Room No. / Area

• Windows, frames and ledges are clean and free of dust?

  Yes

  No

  N/A

• Walls, doors, frames and handles are clean, unmarked and free of dust?

  Yes

  No

  N/A

• Vents and ceilings are clean and free of dust and spiderwebs?

  Yes

  No

• Lights, notice boards and picture frames are clean and free of dust?

  Yes

  No

  N/A

• Counters are clean and free of dust?

  Yes

  No

  N/A

• Furniture is clean and neatly arranged?

  Yes

  No

  N/A

• Waste bins are clean and lined?

  Yes

  No

  N/A

• Floor is clean and free of litter, lint and dust, skirting boards are clean and free of dust or lint?

  Yes

  No

  N/A

• Curtains and blinds are clean and free of dust?

  Yes

  No

  N/A

• Telephones, power points and light switches are clean and free of dust?

  Yes

  No

  N/A

• Hand washing sink and facilities are clean and restocked with consumables?

  Yes

  No

  N/A

• Patient equipment including consulting bed, alcohol hand wash, oxygen and suction connectors are clean and free of dust and tape?

  Yes

  No

  N/A

• Air is fresh with no unpleasant odours detected?

  Yes

  No

  N/A

• Are there any maintenance issues requiring repair?

  Yes - repair required.

  No

Department / Office

• Location: Room No. / Area

• Windows, frames and ledges are clean and free of dust?

  Yes

  No

  N/A

• Walls, doors, frames and handles are clean, unmarked and free of dust?

  Yes

  No

  N/A

• Vents and ceilings are clean and free of dust and spiderwebs?

  Yes

  No

• Lights, noticeboards and picture frames are clean and free of dust?

  Yes

  No

  N/A

• Furniture is clean and neatly arranged?

  Yes

  No

  N/A

• Waste bins are clean and lined?

  Yes

  No

  N/A

• Floor is clean and free of litter, lint and dust, skirting boards are clean and free of dust or lint?

  Yes

  No

  N/A

• Curtains and blinds are clean and free of dust?

  Yes

  No

  N/A

• Telephones, power points and light switches are clean and free of dust?

  Yes

  No

  N/A

• Hand washing sink and facilities are clean and restocked with consumables?

  Yes

  No

  N/A

• Patient equipment including consulting bed, alcohol hand wash, oxygen and suction connectors are clean and free of dust and tape?

  Yes

  No

  N/A

• Air is fresh with no unpleasant odours detected?

  Yes

  No

  N/A

• Are there any maintenance issues requiring repair?

  Yes - repair required.

  No

Department / Office

• Location: Room No. / Area

• Windows, frames and ledges are clean and free of dust?

  Yes

  No

  N/A

• Walls, doors, frames and handles are clean, unmarked and free of dust?

  Yes

  No

  N/A

• Vents and ceilings are clean and free of dust and spiderwebs?

  Yes

  No

  N/A

• Lights, notice boards and picture frames are clean and free of dust?

  Yes

  No

  N/A

• Furniture is clean and neatly arranged?

  Yes

  No

  N/A

• Waste bins are clean and lined?

  Yes

  No

  N/A

• Floor is clean and free of litter, lint and dust, skirting boards are clean and free of dust or lint?

  Yes

  No

  N/A

• Curtains and blinds are clean and free of dust?

  Yes

  No

  N/A

• Telephones, power points and light switches are clean and free of dust?

  Yes

  No

  N/A

• Hand washing sink and facilities are clean and restocked with consumables?

  Yes

  No

  N/A

• Patient equipment including consulting bed, alcohol hand wash, oxygen and suction connectors are clean and free of dust and tape?

  Yes

  No

  N/A

• Air is fresh with no unpleasant odours detected?

  Yes

  No

  N/A

• Are there any maintenance issues requiring repair?

  Yes - repair required.

  No

Public Area / Entrance

• Location: Room / Area

• Windows, frames and ledges are clean and free of dust?

  Yes

  No

  N/A

• Walls, doors, frames and handles are clean, unmarked and free of dust?

  Yes

  No

  N/A

• Vents and ceilings are clean and free of dust and spiderwebs?

  Yes

  No

• Lights, notice boards and picture frames are clean and free of dust?

  Yes

  No

  N/A

• Furniture is clean and neatly arranged?

  Yes

  No

  N/A

• Waste bins are clean and lined?

  Yes

  No

  N/A

• Floor is clean and free of dust, dirt and litter, lint and dust, skirting boards are clean and free of dust or lint?

  Yes

  No

  N/A

• Public toilets are clean and free of litter and restocked with consumables?

  Yes

  No

  N/A

• Curtains and blinds are clean and free of dust?

  Yes

  No

  N/A

• Telephones, power points and light switches are clean and free of dust?

  Yes

  No

  N/A

• Air is fresh with no unpleasant odours detected?

  Yes

  No

  N/A

• Are there any maintenance issues requiring repair?

  Yes - repair required.

  No

Corridors / Stairs

• Corridors are clean and free of obstructions?

  Yes

  No

  N/A

• Walls, doors, frames and handles are clean, unmarked and free of dust?

  Yes

  No

  N/A

• Vents and ceilings are clean and free of dust and spiderwebs?

  Yes

  No

• Lights, notice boards and picture frames are clean and free of dust?

  Yes

  No

  N/A

• Corners and base boards are clean and free of dust, dirt and litter?

  Yes

  No

  N/A

• Elevator tracks and doors are clean, free of dust and marks?

  Yes

  No

  N/A

• Elevator ceilings, walls, rails, panels are clean and free of dust and marks?

  Yes

  No

  N/A

• Linen cupboards and shelves are clean and free of dust and lint?

  Yes

  No

  N/A

• Fire extinguishers and cupboards, switch board panels are clean and free of dust?

  Yes

  No

  N/A

• Stairwell ledges and rails are clean and free of dust?

  Yes

  No

  N/A

• Stairs are clean and free of dust?

  Yes

  No

  N/A

• Light switches, hand rails and alcohol dispensers are clean and free of dust? Alcohol dispensers are working and stocked?

  Yes

  No

  N/A

• Air is fresh with no unpleasant odours detected?

  Yes

  No

  N/A

• Are there any maintenance issues requiring repair?

  Yes - repair required.

  No

External Surrounds / Entry

• Fire exits, entrances and entry doors are clean and free of dirt, leaves, cobwebs and rubbish?

  Yes

  No

  N/A

• Balconies are clean and free of dirt and leaves?

  Yes

  No

  N/A

• Garden furniture is clean and courtyards are clean and free of rubbish?

  Yes

  No

  N/A

• Rubbish and cigarette bins are clean, lined and regularly emptied?

  Yes

  No

  N/A

• Are there any maintenance issues requiring repair?

  Yes - repair required.

  No

Cleaning Schedule / Staff Practises

• Cleaning schedule signed, appropriate cleaning system and completed as scheduled and appropriate cleaning system used? (Staff practise observed or retrospective if cleaning completed prior to audit).

  Yes

  No

  N/A

Other

• Are there any other issues or non-compliances requiring action?

  Yes

  No

Feedback from Area Staff

• Comments

Priority Rating for Action of Non-conformances

• Turnaround for action required based on functional risk rating of area

  Very High Risk - Immediate

  High Risk - ASAP

  Significant Risk - 24 hours

  Low Risk - 48 Hours

• Auditor Signature:

  Sign