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Hospital Housekeeping Checklist

Rated 4.8/5 stars on Capterra

Say goodbye to paper checklists!

Lumiform enables you to conduct digital inspections via app easier than ever before
  • Cut inspection time by 50%
  • Uncover more issues and solve them 4x faster
  • Select from over 5,000 expert-proofed templates
Use this hospital housekeeping checklist to easily specify the unit and room to be cleaned,  check isolation status, perform hand hygiene, check for appropriate PPE, and more, take/attach photos of cleaned patient rooms and add annotations of high-touch surfaces, complete the hospital housekeeping checklist with a digital signature, and automatically generate and share a hospital housekeeping report before leaving the room.
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Register for free on lumiformapp.com and conduct inspections via our mobile app

  • Cut inspection time by 50%
  • Uncover more issues and solve them 4x faster
  • Select from over 4000 expert-proofed templates
Rated 4.8/5 stars on Capterra
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Hospital Housekeeping Checklist

Unit

Room Number

Before entering room

Check isolation status

Perform hand hygiene

Don appropriate PPE

Place wet floor sign in front of the door

Check the sharps container (change if necessary)

Empty and clean the trash container (handle plastic bags from the top)

Patient bed

Raise and wipe down arm rails – high touch area

Wipe foot of bed

Discard the rag and proceed with a clean one after cleaning the bed

Move clockwise from the door and sanitize all equipment

Ledges (below shoulder height)

Door handles, knobs – high touch surfaces

Light switches – high touch surfaces

Call box – high touch surfaces

Telephone – high touch surfaces

Computer keyboard – high touch surfaces

Window sills and ledges

Soiled linen hamper lid

In-room patient sink and faucet

In-room soap dispenser and paper rag dispenser

Biohazard can

Dry erase marker

Overbed table – high touch surfaces

Patient chairs – high touch surfaces

Bedside tables – high touch surfaces

All other easily accessible wall mounted equipment

Clean commode frame and seat cover last

Patient restroom

Clean mirror with glass cleaner and wipe dry with a paper towel

Light switches – high touch surfaces

Door handles, knobs – high touch surfaces

Hand rails – high touch surfaces

Sink and sink counter – high touch surfaces

Clean soap and paper towel dispensers

Wipe shower or tub

Spot walls

Clean commode frame and seat cover

Change rags before cleaning the toilet

Toilet

Toilet paper dispenser

Toilet flusher – high touch area

Toilet seat – high touch area

Under the bowl

Toilet rim

Clean inside of bowl with disinfectant cleaner and toilet brush

Before leaving room

Remove gloves and perform hand hygiene

Restock supplies

Mop floor

Perform hand hygiene

Remove wet floor sign after the floor has dried

Completion

Additional Comments

Hospital Housekeeper Name & Signature