Hospital Room Housekeeping Checklist

This Patient room cleaning form can be used to ensure consistent housekeeping standards by janitorial staff, checking isolation status, hand hygiene, PPE and all the other important aspects of housekeeping in healthcare settings.

Hospital Room Housekeeping Checklist



Room Details

2. Room Number


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Before Entering Room

1. Isolation status checked?


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2. Hand hygiene observed?


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3. Donned appropriate PPE?


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4. Wet floor sign placed in front of the door?


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5. Sharps container checked and changed if necessary?


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6. Trash container emptied and cleaned?


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Patient Bed

1. Arm rails raised and wiped?


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2. Foot of bed wiped?


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3. Rag discarded after cleaning the bed?


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4. All equipment sanitized while moving clockwise from the door?


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5. Have all ledges (below shoulder height) been cleaned?


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6. Have all door handles, knobs been cleaned?


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7. Light switches been cleaned?


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8. Has the call box been cleaned?


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9. Has the telephone been cleaned?


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10. Has the computer keyboard been cleaned?


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11. Have the window sills and ledges been cleaned?


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12. Has the soiled linen hamper lid been cleaned?


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13. Has the in-room patient sink and faucet been cleaned?


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14. Has the in-room soap dispenser and paper rag dispenser been cleaned?


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15. Have the biohazard cans been cleaned?


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16. Has the dry erase marker been cleaned?


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17. Has the overbed table been cleaned?


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18. Have the patient chairs been cleaned?


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19. Have the bedside tables been cleaned?


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20. Have all other easily accessible wall mounted equipment been cleaned?


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Patient Restroom

1. Has the commode frame and seat cover been cleaned?


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2. Has the mirror been cleaned with glass cleaner and wiped dry with a paper towel?


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3. Have the light switches been cleaned?


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4. Have all door handles, knobs been cleaned?


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5. Have the hand rails been cleaned?


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6. Have the sink and sink counter been cleaned?


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7. Have the soap and paper towel dispensers been cleaned?


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8. Has the shower or tub been cleaned?


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9. Have the walls been cleaned?


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10. Have the rags been changed before cleaning the toilet?


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11. Has the toilet been cleaned?


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12. Has the toilet paper dispenser been cleaned?


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13. Has the toilet flusher been cleaned?


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14. Has the toilet seat been cleaned?


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15. Has the toilet bowl been cleaned inside disinfectant cleaner and toilet brush?


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16. Has the toilet outside been cleaned?


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17. Has the toilet rim been cleaned?


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Before Leaving Room

1. Gloves removed and hand hygiene performed?


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2. Supplies restocked?


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3. Floor mopped?


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4. Hand hygiene performed?


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5. Wet floor sign removed after the floor has dried?


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Checklist by GoAudits.com – Please note that this checklist is intended as an example. We do not guarantee compliance with the laws applicable to your territory or industry. You should seek professional advice to determine how this checklist should be adapted to your workplace or jurisdiction.

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