Template

Housekeeping Environmental Surveillance Checklist

by Michael Rountree, from the Community

30+

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.

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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
Daily Patient Room Cleaning Checklist
This daily patient room cleaning checklist standardizes hospital housekeeping tasks to support infection control and patient comfort. It covers hand hygiene before, during, and after cleaning; restocking soap, paper goods, and sharps disposal; disinfecting high-touch surfaces such as door handles, call cords, phones, keyboards, tables, rails, and fixtures; detailed bathroom cleaning from sink to toilet; and floor care with dust mopping, deck brushing, and wet mopping. It also includes safety steps like wet floor signage, permission for bed rail cleaning, and logging work orders.
by Cary Hauth, from the Community
Downloads: 10+
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Infection Prevention Audit for Labor and Delivery and OR
Use this infection prevention audit to evaluate compliance in Labor and Delivery and Operating Room settings. The checklist covers general infection control practices, hand hygiene, personal protective equipment, cleaning and environmental hygiene, storage and sterilization, waste and sharps management, and anesthesia cart checks. It also includes refrigerator and freezer temperature monitoring, medication security, linen and utility room standards, hallway and scrub area requirements, and staff knowledge on isolation and instrument care. Apply it during rounds to identify issues, document corrective actions, and maintain safe, compliant patient care areas.
by Mary Claire Horkay, from the Community
Downloads: 10+
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Template
2022 Infection Control Clinical Audit Checklist
This 2022 Infection Control Clinical Audit checklist helps hospitals and clinical units assess compliance with infection prevention practices. It covers hand hygiene facilities and technique, proper use of personal protective equipment, environmental cleanliness, patient equipment care and disinfection, linen handling, clinical and general waste management, spill response, sharps handling and disposal, and maintenance of medical equipment. It also includes checks for medical refrigerator management, urinary catheter care and IV line practices, and alignment with current infection control policies and guidelines. Use it to standardize audits across departments such as haemodialysis and emergency care and to document corrective actions.
by Siti Rohaiya Mohd Mohiadin, from the Community
Downloads: 10+
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Template
Infection Control Checklist - Care Homes
The Infection Control Checklist for Care Homes is designed to enhance hygiene practices and minimize infection risks within care facilities. It includes essential elements such as infection prevention policies, surveillance programs, outbreak management, and staff education, ensuring compliance with health standards to protect residents and staff.
by SafetyCulture
Downloads: 400+
Get

Daily Patient Room Cleaning Checklist

This daily patient room cleaning checklist standardizes hospital housekeeping tasks to support infection control and patient comfort. It covers hand hygiene before, during, and after cleaning; restocking soap, paper goods, and sharps disposal; disinfecting high-touch surfaces such as door handles, call cords, phones, keyboards, tables, rails, and fixtures; detailed bathroom cleaning from sink to toilet; and floor care with dust mopping, deck brushing, and wet mopping. It also includes safety steps like wet floor signage, permission for bed rail cleaning, and logging work orders.

by Cary Hauth, from the Community

10+

Get

Template

Infection Prevention Audit for Labor and Delivery and OR

Use this infection prevention audit to evaluate compliance in Labor and Delivery and Operating Room settings. The checklist covers general infection control practices, hand hygiene, personal protective equipment, cleaning and environmental hygiene, storage and sterilization, waste and sharps management, and anesthesia cart checks. It also includes refrigerator and freezer temperature monitoring, medication security, linen and utility room standards, hallway and scrub area requirements, and staff knowledge on isolation and instrument care. Apply it during rounds to identify issues, document corrective actions, and maintain safe, compliant patient care areas.

by Mary Claire Horkay, from the Community

10+

Get

Template

2022 Infection Control Clinical Audit Checklist

This 2022 Infection Control Clinical Audit checklist helps hospitals and clinical units assess compliance with infection prevention practices. It covers hand hygiene facilities and technique, proper use of personal protective equipment, environmental cleanliness, patient equipment care and disinfection, linen handling, clinical and general waste management, spill response, sharps handling and disposal, and maintenance of medical equipment. It also includes checks for medical refrigerator management, urinary catheter care and IV line practices, and alignment with current infection control policies and guidelines. Use it to standardize audits across departments such as haemodialysis and emergency care and to document corrective actions.

by Siti Rohaiya Mohd Mohiadin, from the Community

10+

Get

Infection Control Checklist - Care Homes

Template

Infection Control Checklist - Care Homes

The Infection Control Checklist for Care Homes is designed to enhance hygiene practices and minimize infection risks within care facilities. It includes essential elements such as infection prevention policies, surveillance programs, outbreak management, and staff education, ensuring compliance with health standards to protect residents and staff.

by SafetyCulture

400+

Get

Housekeeping Environmental Surveillance Checklist

About author

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Daily Patient Room Cleaning Checklist

Infection Prevention Audit for Labor and Delivery and OR

2022 Infection Control Clinical Audit Checklist

Infection Control Checklist - Care Homes

You might also like

Daily Patient Room Cleaning Checklist

Infection Prevention Audit for Labor and Delivery and OR

2022 Infection Control Clinical Audit Checklist

Infection Control Checklist - Care Homes