Hospital Hygiene &SOP Checklist

Cleanliness
Is clean linen cart covered?
Is Clean linen cart has solid surface?
Is the Sink storage area clear and clean?
Are Thrash cans or waste basket clean?
Are Ceiling tiles dry?
Are the floors clean?
Are Air intake vents and diffusers clean?
Is this section free of additional findings?
Employee General Knowledge Check
Is the blood exposure procedure known to the staff?
Please mark which of the options the personnel can locate.
Can the staff inform the WHO's 5 moments of Hand Hygiene?
Did you notice any dust in high places?
Is this section free of additional findings?
Employee Kitchen / Breakroom Check
Which of the following was clean and well maintained?
Is Employee food labeled and dated accordingly?
In case of temperature out of range are necessary steps taken of?
Is this section free of additional findings?
General
Audit date
Employees Monitored
General Unit / Nurses Station / Medication Room Check
Is the Unit / area clean and well maintained?
Are the Unused patient equipment/supplies stoked properly?
Are Medication, specimens, and food kept safely?
Is Biohazard trash cleared from regular trash
Is Clean, dirty linen kept separately?
Are clean linen carts covered?
Is Linen carts have a solid bottom shelf?
Are Needles and syringes disposed as per instructed?
Did you notice any experied items available?
Is the Infectious waste put in red bag or container?
Did you find any clean items in soiled utility room?
Are the Ceiling tiles in good condition?
Are the Lab supplies valid?
Is the sink undamaged?
Are the halls well arranged?
Is Respiratory hygiene present?
Is the washrooms clean?
Are the Trash basket cleaned on time?
Is biomedical waste storage have Biohazard symbol on door?
Is the Medication cart locked?
Is there any usage of personal lotion?
Is the Medication Room refrigerator ice free and clean?
Did you find any expired products?
Is this section free of additional findings?
Hand Hygiene Check
Are the sinks for hand hygiene well stocked?
Are Alcohol hand rubs well stocked?
Are sinks available in all area?
Are alcohol hand rubs present in patient's rooms?
Is alcohol hand rubs placed at proper area?
Do the patients follow hand washing procedure?
Did you notice Hand Hygiene posters?
Is Hand soap present in hand washing stations / bathrooms?
Isolation Section Check
Mark as per your observation
Is Trash and linen done as per rules?
Does the staff wear proper PPE?
Is isolation requirements instruction given to the patient and family?
Is this section free of additional findings?
Logs
Is regular checks done for Crash cart?
Is regular checks done for Defibrillator?
Is regular checks done for refrigerators?
Is cleaning date / time stamped on ice machine?
Is there date stamp on Glucose meter strips?
Is the Cidex monitoring Log done?
Is this section free of additional findings?
Patient Area Check
Are the horizontal surfaces clean?
AreThrash cans or waste basket clear?
Are the washroom clean?
Are the hygiene products available?
Are PPE's available as required?
Is patient equipment clean?
Did you notice any dirt on vertical surfaces?
Are the Ceiling tiles well maintained?
Are Air intake vents and diffusers well maintained?
Are Furniture (chairs, sleepers) well maintained?
Is Mattress pad well maintained?
Are the floors are clean?
Are Foley catheters well kept?
Are IV pumps and poles, feeding pumps well maintained?
Did you notice any pest?
Was the clean/dirty linens kept separately?
Was the needles, syringes, medications kept away from the patients?
Was mildew or mold seen?
Is this section free of additional findings?
Patient Kitchen / Breakroom Check
Which of the following was clean and well maintained?
Is patient refrigerated labelled accordingly?
In case of temperature out of range are necessary steps taken of?
Is patient food follow the basic norms?
Is this section free of additional findings?
Patient Washroom Check
Is the Shower room clean and hygienic?
Are the walls/floors clean?
Are the Ceiling tiles in good condition?
Did you notice any dust in high places?
Is this section free of additional findings?
Soiled Linen / Store room Check
Is biomedical waste storage have Biohazard symbol on door?
Are the boxes kept at 6 inches above the floor?
Are the walls/floors dust free?
Are the Ceiling tiles in good condition?
Did you notice any dust in high places?
Is this section free of additional findings?

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