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Hospital Housekeeping Checklist - Weekly
Section 1: Patient Rooms
1. 1. Have hands been cleaned thoroughly?
Yes
No
N/A
2. 2. Are cleaning gloves worn?
Yes
No
N/A
3. 3. Is the room entered slowly for patient privacy?
Yes
No
N/A
4. 4. Are areas that people touch often disinfected?
Yes
No
N/A
5. 5. Is the floor swept and mopped?
Yes
No
N/A
6. 6. Is dust removed from air vents and other surfaces?
Yes
No
N/A
7. 7. Are door handles disinfected?
Yes
No
N/A
8. 8. Is the room organized until it is neat and orderly?
Yes
No
N/A
9. 9. Is trash removed?
Yes
No
N/A
10. 10. Are trash cans relined?
Yes
No
N/A
Section 2: Patient Room Bathrooms
1. 1. Have hands been cleaned thoroughly?
Yes
No
N/A
2. 2. Are cleaning gloves worn?
Yes
No
N/A
3. 3. Is there a knock to ensure no patients or guests are in the bathroom?
Yes
No
N/A
4. 4. Are surfaces that are used often wiped down?
Yes
No
N/A
5. 5. Are handles, switches, and doorknobs sanitized?
Yes
No
N/A
6. 6. Are walls, floors, and countertops sanitized?
Yes
No
N/A
7. 7. Is the floor swept and mopped?
Yes
No
N/A
8. 8. Is trash removed?
Yes
No
N/A
9. 9. Are trash cans relined?
Yes
No
N/A
10. 10. Is toilet paper and soap restocked?
Yes
No
N/A
11. 11. Are mirrors and sink areas sanitized?
Yes
No
N/A
12. 12. Is the toilet bowl and seat sanitized?
Yes
No
N/A
13. 13. Are bathtub/shower areas sanitized?
Yes
No
N/A
Section 3: Exam Rooms
1. 1. Have hands been cleaned thoroughly?
Yes
No
N/A
2. 2. Are cleaning gloves worn?
Yes
No
N/A
3. 3. Is it ensured that the exam room is unoccupied?
Yes
No
N/A
4. 4. Are areas with bodily fluids cleaned?
Yes
No
N/A
5. 5. Are hands recleaned, and new gloves put on?
Yes
No
N/A
6. 6. Is the table cover removed and replaced?
Yes
No
N/A
7. 7. Are all surfaces sanitized?
Yes
No
N/A
8. 8. Is the floor swept and mopped?
Yes
No
N/A
9. 9. Is trash removed?
Yes
No
N/A
10. 10. Are trash cans relined?
Yes
No
N/A
11. 11. Is dust removed from air vents and other surfaces?
Yes
No
N/A
12. 12. Are door handles disinfected?
Yes
No
N/A
13. 13. Is the room organized until it is neat and orderly?
Yes
No
N/A
Section 4: Waiting Rooms
1. 1. Have hands been cleaned thoroughly?
Yes
No
N/A
2. 2. Are cleaning gloves worn?
Yes
No
N/A
3. 3. Is work done around patients and guests if they are present?
Yes
No
N/A
4. 4. Are any misplaced items found and reported?
Yes
No
N/A
5. 5. Is the entire floor area swept and mopped?
Yes
No
N/A
6. 6. Are dirty rug areas vacuumed as needed?
Yes
No
N/A
7. 7. Are all surfaces sanitized?
Yes
No
N/A
8. 8. Is trash removed?
Yes
No
N/A
9. 9. Are trash cans relined?
Yes
No
N/A
10. 10. Is the room organized until it is neat and orderly?
Yes
No
N/A
Section 5: Hospital Cafeteria Areas
1. 1. Have hands been cleaned thoroughly?
Yes
No
N/A
2. 2. Are cleaning gloves worn?
Yes
No
N/A
3. 3. Is work done around patients and guests if they are present?
Yes
No
N/A
4. 4. Is the ideal cleaning time determined based on cafeteria use?
Yes
No
N/A
5. 5. Are any misplaced items found and reported?
Yes
No
N/A
6. 6. Is the entire floor area swept and mopped?
Yes
No
N/A
7. 7. Are tables, chairs, and food service areas sanitized?
Yes
No
N/A
8. 8. Is trash removed?
Yes
No
N/A
9. 9. Are trash cans relined?
Yes
No
N/A
10. 10. Is the room organized until it is neat and orderly?
Yes
No
N/A