Audit

Auditor

Department / Office

Location: Ward / Area

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

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

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

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

Counters are clean and free of dust?

Furniture is clean and neatly arranged?

Waste bins are clean and lined?

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

Curtains and blinds are clean and free of dust?

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

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

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

Air is fresh with no unpleasant odours detected?

Are there any maintenance issues requiring repair?

Department / Offices

Location: Room No. / Area

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

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

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

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

Counters are clean and free of dust?

Furniture is clean and neatly arranged?

Waste bins are clean and lined?

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

Curtains and blinds are clean and free of dust?

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

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

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

Air is fresh with no unpleasant odours detected?

Are there any maintenance issues requiring repair?

Department / Office

Location: Room No. / Area

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

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

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

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

Furniture is clean and neatly arranged?

Waste bins are clean and lined?

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

Curtains and blinds are clean and free of dust?

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

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

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

Air is fresh with no unpleasant odours detected?

Are there any maintenance issues requiring repair?

Department / Office

Location: Room No. / Area

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

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

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

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

Furniture is clean and neatly arranged?

Waste bins are clean and lined?

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

Curtains and blinds are clean and free of dust?

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

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

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

Air is fresh with no unpleasant odours detected?

Are there any maintenance issues requiring repair?

Public Area / Entrance

Location: Room / Area

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

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

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

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

Furniture is clean and neatly arranged?

Waste bins are clean and lined?

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

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

Curtains and blinds are clean and free of dust?

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

Air is fresh with no unpleasant odours detected?

Are there any maintenance issues requiring repair?

Corridors / Stairs

Corridors are clean and free of obstructions?

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

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

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

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

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

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

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

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

Stairwell ledges and rails are clean and free of dust?

Stairs are clean and free of dust?

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

Air is fresh with no unpleasant odours detected?

Are there any maintenance issues requiring repair?

External Surrounds / Entry

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

Balconies are clean and free of dirt and leaves?

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

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

Are there any maintenance issues requiring repair?

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).

Other

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

Feedback from Area Staff

Comments

Priority Rating for Action of Non-conformances

Turnaround for action required based on functional risk rating of area

Auditor Signature:
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.