Name of the facility……………………………………….
House keeping cleaning List
Month & Year:- ………………………….
Srl 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24
Check List Cleaning Frequency
No.
Thu Fri Sat Sun Mon Tue Wed Thu Fri Sat Sun Mon Tue Wed Thu Fri Sat Sun Mon Tue Wed Thu Fri Sat
Use PPE & Hand wash
1 Floor dust moping
Daily ( Weekly once
with soap water )
2 Floor wet moping
3 Examination room
Bedsheet
Stethoscope
Torch
BP instrument Daily Morning &
Evening
Table
Wash basin
Tap
Stool
4 Dressing & Injection
Floor
Table Daily Morning &
Evening
Matress
Curtains
Walls
weekly
Door & Windows
5 Laboratory
Sample collection site
Microscope
Stool
Daily
Wash basin
Centrifuse machine
Chemical Spelage
Body fluid spelage
Carbolization Weekly
BMW Daily Morning
6 Labour Room
Table
Intrument table
Baby tray
Table sheet
After each
Labour
Name of the facility………………………………………. House keeping cleaning List
Month & Year:- ………………………….
Srl 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24
Check List Cleaning Frequency
No.
Thu Fri Sat Sun Mon Tue Wed Thu Fri Sat Sun Mon Tue Wed Thu Fri Sat Sun Mon Tue Wed Thu Fri Sat
Use PPE & Hand wash
Newborn care corner After each
Labour
Wash basin
Tap
BP instrument
Stethoscope
Suction machine
Name of the facility………………………………………. House keeping cleaning List
Month & Year:- ………………………….
Srl 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24
Check List Cleaning Frequency
No.
Thu Fri Sat Sun Mon Tue Wed Thu Fri Sat Sun Mon Tue Wed Thu Fri Sat Sun Mon Tue Wed Thu Fri Sat
Use PPE & Hand wash
Carbolization Weekly
7 Ward
Floor
Body fluid spelage
IV stand
Bedside lockers
Coat rails Daily Morning &
Evening
BP instrument
Stethoscope
Torch
equipments
Crshcart
Door & Windows Weekly
Curtains Weekly
Walls Monthly
Replace as needed:
Pillows, mattresses, pillow As per need
covers, mattress covers
8 Cold chain room
Floor Daily
ILR & DF dust mopping
Washing Weekly
Cold box Monthly
9 Drinking Water facility
Dust mopping Daily
Wet mopping on floor Daily
Monthly with
Water tank hot water
Overhead &
10 Underground Water Monthly
Tank Cleaning
11 Toilet cleaning
Commode
Floor Daily
Side walls
Tap
Name of the facility………………………………………. House keeping cleaning List
Month & Year:- ………………………….
Srl 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24
Check List Cleaning Frequency
No.
Thu Fri Sat Sun Mon Tue Wed Thu Fri Sat Sun Mon Tue Wed Thu Fri Sat Sun Mon Tue Wed Thu Fri Sat
Use PPE & Hand wash
Door & Windows Monthly
Handles
12 Dustbin cleaning Daily
13 Garbage disposal Daily
14 Glass cleaning Daily
15 Wheel Chair Daily
16 Strature with trolley Daily
17 Television Weekly
18 Cleaning the Switches Weekly
19 operator Daily
20 Chairs & Sofa Cleaning Daily
21 Telephone cleaning Weekly
22 Fans Monthly
23 Garden Weekly
24 Compound Monthly
Signature of Supervisor
after varification Daily
Weekly task to be done on every Sunday
Monthly task to be done on every first Sunday
REMARK :
…………………. House keeping cleaning List
Month & Year:- ………………………….
25 26 27 28 29 30
Sun Mon Tue Wed Thu Fri
…………………. House keeping cleaning List
Month & Year:- ………………………….
25 26 27 28 29 30
Sun Mon Tue Wed Thu Fri
…………………. House keeping cleaning List
Month & Year:- ………………………….
25 26 27 28 29 30
Sun Mon Tue Wed Thu Fri
…………………. House keeping cleaning List
Month & Year:- ………………………….
25 26 27 28 29 30
Sun Mon Tue Wed Thu Fri
