Checklist for environmental cleaning of healthcare facilities

This checklist should also be used for makeshift isolation facilities, quarantine centers and hospitals.

Designate space

[ ] Assign designated physical space for storage, preparation, and care of cleaning supplies and equipment.

[ ] Create separated sluice rooms or areas (soiled and clean) for reprocessing of noncritical patient care equipment.

Ensuring availability of water

[ ] Water for cleaning should be free from turbidity (i.e., cloudiness due to suspended particles or dirt) because this can reduce the effectiveness of detergents and disinfectant solutions.

[ ] Water services should be available at all times and of sufficient quantity for all uses. The available daily quantity (i.e., yield) should be sufficient to meet the cleaning needs of the facility.

[ ] Cleaning staff should have access to dedicated hand hygiene stations (i.e., not used for cleaning of equipment), with soap and water before and after.

[ ] Graywater (i.e. rainwater or wash water) drainage system should divert water away from the facility (i.e. no standing water) and also protects nearby households

[ ] Utility sinks or drains (i.e., not sinks used for hand hygiene) should be available inside the facility in designated environmental cleaning services areas and sluice areas.

[ ] Drains should lead either to on-site wastewater systems (e.g., soakaway system) or to a functioning sewer system.

Cleaning staff attire

[ ] Sleeves should be kept at or above the elbow to not interfere with glove use or hand hygiene.

[ ] Rubber-soled closed toe shoes or boots should be worn (i.e., not sandals), to prevent accidental injury (e.g., slips and falls) and exposure to cleaning chemicals, dirt, or bacteria.

[ ] Wristwatches and hand jewelry should be removed before starting cleaning tasks—these items can tear gloves and can also harbor microorganisms.

[ ] Fingernails should be kept short and free of nail varnish to prevent tearing of gloves and picking up dirt and bacteria.

Cleaning supplies and equipment

[ ] Portable containers, cleaning carts or buckets should be dedicated for cleaning supplies of COVID wards.

[ ] The container/bucket should have enough cleaning cloths to complete the required cleaning session with a clean cloth for each patient zone, to prevent cross-contamination.

[ ] Clean clothes should be stocked in one area (e.g., container, section of the caddie) and soiled cloths in another.

[ ] Ensure a two-bucket system for mopping (routine cleaning): one bucket contains a detergent or cleaning solution and the other contains rinse water.

[ ] Ensure a three-bucket system (for disinfection, cleaning of bodily fluids): one bucket contains the detergent or cleaning solution, one contains rinse water and one the disinfectant or disinfectant solution. The rinse water bucket allows the mop to be rinsed and wrung out before it is redipped into the prepared solution.

Laundry for linen from patient wards

[ ] Always wear reusable rubber gloves prior to handling soiled linen (e.g., bed sheets, towels, curtains).

[ ] Never carry soiled linen against the body. Place it in the designated container. • Carefully roll up soiled linen to prevent contamination of the air, surfaces, and cleaning staff.

[ ] If there is any solid excrement on the linen, such as feces or vomit, scrape it off carefully with a flat, firm object and put it in the commode or designated toilet/latrine before putting linen in the designated container

[ ] Place soiled linen into a clearly labelled, leak-proof container (e.g., bag, bucket) in the patient care area. Do not transport soiled linen by hand outside the specific patient care area from where it was removed.

[ ] Disinfect linen by immersing the linen in boiling water or Immersing the linen in disinfectant solution for the required contact time and rinsing with clean water to remove residue.

[ ] Allow all bed linen to fully dry, ideally in the sun.

High touch surfaces

[ ] Remove soiled/used personal care items (e.g., cups, dishes) for reprocessing or disposal.

[ ] Removal privacy curtains and window coverings for laundering (curtains, blinds)

[ ] Reprocess all reusable (noncritical) patient care equipment including stethoscopes; blood pressure cuffs and pulse oximeters in sluice rooms

[ ] Clean all low- and high-touch surfaces, including those that may not be accessible when the room/area was occupied (e.g., patient mattress, bedframe, tops of shelves, vents, IV poles, head mounts, anaesthesia machines and ventilators), and floors.

[ ] Clean (scrub) and disinfect handwashing sinks.