Template

Environmental Services Terminal Cleaning Checklist

by Ashley Ani, from the Community

This terminal cleaning checklist supports hospital Environmental Services teams in performing and auditing thorough post-procedure and discharge cleans. Based on CDC guidance, it covers monitoring methods such as direct observation, visual checks, fluorescent gel, ATP testing, and swab or agar cultures. Sections span PreOp and PACU areas, operating rooms, decontamination tasks, and surgical scrub stations. Items include bed rails, tray tables, IV poles, call buttons, phones, light switches, door hardware, bathroom fixtures, OR tables, anesthesia carts and machines, monitors and cables, overhead lights, Mayo stands, storage carts, and floors and walls where soiled. Steps reinforce hand hygiene, PPE use, debris and waste removal, and disinfection of high-touch and clinical equipment to ensure infection control compliance.

With SafetyCulture you can

Digitize any process, procedure or policy

Eliminate mistakes made by paper-based processes

Create and share professional reports instantly

Confirm accountability and compliance with a digital log

With SafetyCulture you can

Digitize any process, procedure or policy

Eliminate mistakes made by paper-based processes

Create and share professional reports instantly

Confirm accountability and compliance with a digital log

About author

Community

This community page makes available free workplace checklists and templates created by other users within the SafetyCulture community. SafetyCulture has re-published this content and where possible, has credited the original author. SafetyCulture has not verified the accuracy, reliability or suitability of any community content. You agree that your use of any of this content is in accordance with SafetyCulture’s Terms and Conditions.

Template
Monitoring Terminal Cleaning Checklist
This CDC-based monitoring checklist supports terminal cleaning audits in healthcare settings. It guides staff to review high-touch room and bathroom surfaces such as bed rails, tray tables, IV poles, call buttons, phones, door knobs, light switches, handrails, sinks, toilet seats, and flush handles. It also prompts evaluation of equipment controls including IV pumps, multi-module monitors and cables, ventilator panels, and more. Users can record the monitoring method used, including direct observation, fluorescent gel, swab or agar slide cultures, and ATP systems, along with notes and locations. Use it to standardize documentation and strengthen infection prevention practices across patient care areas.
by Anna Frick, from the Community
Downloads: 30+
Get
Template
Discharge Cleaning Checklist for Patient Rooms
This discharge cleaning checklist supports hospital environmental services teams in preparing patient rooms after discharge. It covers hand hygiene, waste removal and restocking, high dusting, cleaning of high touch objects such as door handles, bed rails, call buttons, computers and IV poles, detailed bathroom cleaning, bed and mattress sanitation, rag changes, and floor care. It also includes steps for double wiping high touch objects, using approved disinfectants, placing supplies, relining waste bins, and documenting the room as clean in the clinical system. Use it to standardize room turnover and support infection prevention.
by Cary Hauth, from the Community
Downloads: 0
Get
Template
Surgical Services Infection Prevention Audit
This surgical services infection prevention audit helps operating room teams verify compliance with hospital policies and best practices. It covers general infection control, proper PPE availability and use, hand hygiene, sink and scrub station supplies, and disinfectant readiness. Cleaning checks include dust control, air grills, equipment condition and stickers, OR turnover, and mattress integrity. Storage standards verify segregation of clean and dirty items, stock organization, temperature logging, and medication security. Sections for anesthesia cart readiness, waste and sharps management, soiled utility room practices, hallway and scrub area hygiene, and staff attire and workflow are included. Environmental controls confirm temperature, humidity, and air exchanges. Staff knowledge is assessed on hand hygiene, instrument care at point of use, and isolation identification.
by Mary Claire Horkay, from the Community
Downloads: 10+
Get
Template
Housekeeping Environmental Surveillance Checklist
This healthcare housekeeping environmental surveillance checklist helps environmental services teams monitor cleaning and disinfection across high-touch areas, patient rooms, and restrooms. Use it to verify PPE use and hand hygiene, check surfaces like door handles, sinks, bed frames, and medical equipment, and confirm waste removal and floor care. Log issues, corrective actions, and electronic signatures to maintain infection control standards and keep facilities clean and compliant.
by Michael Rountree, from the Community
Downloads: 30+
Get

Environmental Services Terminal Cleaning Checklist

About author

You might also like

Monitoring Terminal Cleaning Checklist

Discharge Cleaning Checklist for Patient Rooms

Surgical Services Infection Prevention Audit

Housekeeping Environmental Surveillance Checklist

You might also like

Monitoring Terminal Cleaning Checklist

Discharge Cleaning Checklist for Patient Rooms

Surgical Services Infection Prevention Audit

Housekeeping Environmental Surveillance Checklist