Weekly Cleanliness Audit Tool

Standard: The environment should be clean, free from dust, dirt and body fluid stains and spillages.

• This audit tool should be completed weekly by the Lead person for Infection Prevention and Control.

• In the event of non-compliance, action plans should be produced and reviewed regularly.

• Completed audit tools should be kept digitally for good practice assurance and as evidence for inspections.

Please write any issues you find during the inspection in the box below:

The reception area is clean, in good decorative condition and free from clutter and inappropriate items. *

Yes No

Reception walls, floor, ceiling, furniture, fixtures and fittings, e.g. light fittings, reception desk, are in a good condition, clean and free from stains. *

Yes No

Waiting area is clean, in good decorative condition and free from clutter and inappropriate items. *

Yes No

Waiting area walls, floor, ceiling, furniture, fixtures and fittings, e.g. carpets, light fittings, pictures, chairs, curtains, blinds, are in a good condition, clean and free from stains. *

Yes No

Corridors are clean, in good decorative condition and free from clutter and inappropriate items. *

Yes No

Corridor walls, floor, ceiling, furniture, fixtures and fittings, e.g. carpets, light fittings, pictures, chairs, curtains, blinds, are in a good condition, clean and free from stains. *

Yes No

Exam rooms are clean, in good decorative condition and free from clutter and inappropriate items. *

Yes No

Exam room walls, floor, ceiling, furniture, fixtures and fittings, e.g. flooring, light fittings, chairs, desks, couches, curtains, blinds, hand washing facilities are in a good condition, clean and free from stains. *

Yes No

Utility/storage room is clean, in good decorative condition and free from clutter andinappropriate items. *

Yes No

Utility/storage room walls, floor, ceiling, fixtures and fittings, e.g. flooring, light fittings, curtains, blinds, hand washing facilities, cupboards, are in a good condition and free from stains. *

Yes No

Decontamination room is clean, in good decorative condition and free from clutter and inappropriate items. *

Yes No

Decontamination room walls, floor, ceiling, fixtures and fittings, e.g. flooring, light fittings, curtains, blinds, hand washing facilities, cupboards, are in a good condition and free from stains. *

Yes No

Toilets are clean, in good decorative condition and free from clutter and inappropriate items. *

Yes No

Toilet walls, floor, ceiling, fixtures and fittings, e.g. flooring, light fittings, curtains, blinds, hand washing facilities, cupboards, are in a good condition and free from stains. *

Yes No

Staff room is clean, in good decorative condition and free from clutter and inappropriate items. *

Yes No

Staff room walls, floor, ceiling, fixtures and fittings, e.g. flooring, light fittings, curtains, blinds, hand washing facilities, cupboards, are in a good condition and free from stains. *

Yes No