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Hospital Room Cleaning Checklist
Section 1: Room Details
1. 1. Unit
2. 2. Room Number
Section 2: Before Entering Room
1. 1. Isolation status checked?
Yes
No
N/A
2. 2. Hand hygiene observed?
Yes
No
N/A
3. 3. Donned appropriate PPE?
Yes
No
N/A
4. 4. Wet floor sign placed in front of the door?
Yes
No
N/A
5. 5. Sharps container checked and changed if necessary?
Yes
No
N/A
6. 6. Trash container emptied and cleaned?
Yes
No
N/A
Section 3: Patient Bed
1. 1. Arm rails raised and wiped?
Yes
No
N/A
2. 2. Foot of bed wiped?
Yes
No
N/A
3. 3. Rag discarded after cleaning the bed?
Yes
No
N/A
4. 4. All equipment sanitized while moving clockwise from the door?
Yes
No
N/A
5. 5. Have all ledges (below shoulder height) been cleaned?
Yes
No
N/A
6. 6. Have all door handles, knobs been cleaned?
Yes
No
N/A
7. 7. Light switches been cleaned?
Yes
No
N/A
8. 8. Has the call box been cleaned?
Yes
No
N/A
9. 9. Has the telephone been cleaned?
Yes
No
N/A
10. 10. Has the computer keyboard been cleaned?
Yes
No
N/A
11. 11. Have the window sills and ledges been cleaned?
Yes
No
N/A
12. 12. Has the soiled linen hamper lid been cleaned?
Yes
No
N/A
13. 13. Has the in-room patient sink and faucet been cleaned?
Yes
No
N/A
14. 14. Has the in-room soap dispenser and paper rag dispenser been cleaned?
Yes
No
N/A
15. 15. Have the biohazard cans been cleaned?
Yes
No
N/A
16. 16. Has the dry erase marker been cleaned?
Yes
No
N/A
17. 17. Has the overbed table been cleaned?
Yes
No
N/A
18. 18. Have the patient chairs been cleaned?
Yes
No
N/A
19. 19. Have the bedside tables been cleaned?
Yes
No
N/A
20. 20. Have all other easily accessible wall mounted equipment been cleaned?
Yes
No
N/A
Section 4: Patient Restroom
1. 1. Has the commode frame and seat cover been cleaned?
Yes
No
N/A
2. 2. Has the mirror been cleaned with glass cleaner and wiped dry with a paper towel?
Yes
No
N/A
3. 3. Have the light switches been cleaned?
Yes
No
N/A
4. 4. Have all door handles, knobs been cleaned?
Yes
No
N/A
5. 5. Have the hand rails been cleaned?
Yes
No
N/A
6. 6. Have the sink and sink counter been cleaned?
Yes
No
N/A
7. 7. Have the soap and paper towel dispensers been cleaned?
Yes
No
N/A
8. 8. Has the shower or tub been cleaned?
Yes
No
N/A
9. 9. Have the walls been cleaned?
Yes
No
N/A
10. 10. Have the rags been changed before cleaning the toilet?
Yes
No
N/A
11. 11. Has the toilet been cleaned?
Yes
No
N/A
12. 12. Has the toilet paper dispenser been cleaned?
Yes
No
N/A
13. 13. Has the toilet flusher been cleaned?
Yes
No
N/A
14. 14. Has the toilet seat been cleaned?
Yes
No
N/A
15. 15. Has the toilet bowl been cleaned inside disinfectant cleaner and toilet brush?
Yes
No
N/A
16. 16. Has the toilet outside been cleaned?
Yes
No
N/A
17. 17. Has the toilet rim been cleaned?
Yes
No
N/A
Section 5: Before Leaving Room
1. 1. Gloves removed and hand hygiene performed?
Yes
No
N/A
2. 2. Supplies restocked?
Yes
No
N/A
3. 3. Floor mopped?
Yes
No
N/A
4. 4. Hand hygiene performed?
Yes
No
N/A
5. 5. Wet floor sign removed after the floor has dried?
Yes
No
N/A