CLEANING & HYGIENE
Surface Sanitization Checklist
Checklist Items
1
Are all cleaning supplies and sanitizers available and within expiration date?
Pass/Fail
Required
2
Have all personnel put on appropriate PPE (gloves, masks, aprons)?
Pass/Fail
Required
3
Are all surfaces cleared of debris and clutter before cleaning?
Pass/Fail
Required
4
What is the concentration of sanitizing solution?
Numeric
Required
Range: 50 – 200 ppm
5
Have all high-touch surfaces been cleaned with detergent first?
Pass/Fail
Required
6
What type of sanitizer is being used?
Multiple Choice
Required
- Bleach solution
- 70% Isopropyl alcohol
- Quaternary ammonium
- Other approved sanitizer
7
Have all surfaces been allowed proper contact time for sanitizer?
Pass/Fail
Required
8
What is the contact time being observed?
Numeric
Required
Min: 1 minutes
9
Are door handles and light switches sanitized?
Pass/Fail
Required
10
Are electronic devices and screens cleaned with appropriate methods?
Pass/Fail
Required
11
Have all cleaning cloths and tools been sanitized or replaced?
Pass/Fail
Required
12
Is the sanitization log completed with time, date, and personnel?
Pass/Fail
Required
13
Supervisor signature confirming sanitization completion
Signature
Required
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