Employee Health Screening Checklist

Cleaning and Decontamination

Are there written policies and procedures for cleaning and decontamination processes?

Yes No Na

Are all surfaces cleaned properly?

Yes No Na

Is saline or sodium hypochlorite (bleach) solution used for cleaning?

Yes No Na

Which of the following are done according to the manufacturer's instructions?

Yes No Na

Rigid container systems disassembled

Yes No Na

Usage of cleaning agents

Yes No Na

Manual and mechanical cleaning methods

Yes No Na

Chemical for disinfectants and terminal sterilization

Yes No Na

Is appropriate PPE used?

Yes No Na

Are brushes and cleaning tools decontaminated at least daily?

Yes No Na

Is mechanical cleaning equipment monitored after installation and then weekly?

Yes No Na

Are manual and mechanical rinsing methods followed?

Yes No Na

Is the cleaning agent compatible with the medical device to be cleaned?

Yes No Na

Is the cleaning agent easily removed from instruments by rinsing with water?

Yes No Na

Are any antimicrobial solutions used?

Yes No Na

Is the ultrasonic cleaner solution replaced whenever required?

Yes No Na

Is the final rinse in washer disinfector done with deionized/distilled/RO water?

Yes No Na

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Employee Health Screening Checklist

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