Thematic Area B: Sanitation & Hygiene

Sl B1: Cleanliness of B2: Cleanliness of B3: Cleanliness of B4: Cleanliness of B5: Cleanliness of B6: Cleanliness of
No Circulation area Wards Procedure Area Ambulatory Area Auxiliary Area Toilets

No Dirt / Grease / Stains/ Garbage in Circulation area, wards, procedure area, ambulatory area, auxiliary area, toilets.
1
(OB)

No Cobweb / Bird Nest / dust / Seepage on wall & roof of Circulation area, wards, procedure area, ambulatory area,
No foul smell in the
2 auxiliary area, toilets.
toilets. (OB)
(OB)

OT/Labour Room
Ambulatory areas are Auxiliary areas are
Corridors are cleaned Wards are cleaned at floors and procedures Toilets have running
cleaned at least thrice cleaned at least twice
at least twice in the least thrice in the day surfaces are cleaned at water & functional
3 in the day with wet in the day with wet
day with wet mop. with wet mop. least twice a day / after cistern.
mop. mop.
(SI / RR) (OB) every surgery. (OB)
(SI / RR) (SI / RR)
(SI / RR)

Corridors are
Patient Furniture, OT & Labour Room Sinks and Cistern are
rigorously cleaned Furniture & Fixtures Furniture & Fixtures
Mattresses, Fixtures Tables are without cleaned every two
with scrubbing / are without grease and are without grease and
4 are without grease and grease, body fluid and hours or whenever
flooding once in a dust and cleaned daily. dust and cleaned daily.
dust. dust. required.
month. (SI / OB) (SI / OB)
(OB) (OB) (SI / RR)
(SI / RR)

Floors, walls, furniture Floors, walls, furniture Floors, walls, furniture

Cleanliness of
Surfaces are conducive and fixture are and fixture are and fixture are Floors of Toilets are
Ambulance.
5 of effective cleaning. thoroughly cleaned thoroughly cleaned thoroughly cleaned dry and crack free.
(SI / RR)
(OB) once in a week. once in a week. once in a month. (OB)
(OB) (SI / RR) (SI / RR)
 Thematic Area B: Sanitation & Hygiene
B7: Use of Standard Materials & Equipment for cleaning

1. Availability of Detergent Disinfectant solution / Hospital Grade Phenyl for cleaning purpose. (SI / OB / RR)
A. ISI mark, composition & concentration of solution is written on label.
B. Eco friendly logo.
C. Stock register with consumption record.
2. Cleaning staff use correct concentration of cleaning solution. (SI / RR)
A. Cleaning staff is aware of the same.
B. Ask them to demonstrate.
C. Verify with the instruction given.
3. Availability of carbolic acid / basilocid for surface cleaning in procedure areas (SI / RR)
OT, LR. (Verify with the record of stock out)
4. Availability of eco – friendly / bio-degradable buckets & carts for mopping. (SI / RR)
A. Check for adequate numbers of buckets & carts are available (made up of eco friendly plastic / bio degradable /
aluminium as per the local availability.
B. General & critical areas should have separate bucket & carts.
5. Availability of cleaning equipment. (OB / RR)
Check the:
A. Availability of mops, brooms, collection buckets etc., as per requirement.
B. Storage area/Janitor room for cleaning equipment is clean and dry.
C. Hospitals with a size of more than 300 beds should have mopping machines & the routine maintenance schedule
for mopping machine is available.
 Thematic Area B: Sanitation & Hygiene

B8: Use of Standard Method Cleaning

1. Use of manual or mechanized system for cleaning. (SI / OB)
Check if cleaning staff uses three bucket system (manual cleaning) for cleaning.
(First mop the area with the warm water and detergent solution. After mopping, clean the mop in plain
water and squeeze it. Repeat this procedure for the remaining area. Mop area again using sodium
hypochlorite 1% after drying the area.)
Ask the cleaning staff about the process.
2. Use unidirectional and outward mopping method. (SI / OB)
A. It should be in one direction without returning to the starting point.
B. The mop should move from inner area to outer area of the room.
3. No use of brooms in patient care areas. (SI / OB)
4. Use of separate mops for critical and semi critical areas and procedures surfaces. (SI / OB)
A. Check if cleaning staff is using same mop for outer general areas and critical areas like OT and labour
room.
B. The mops should not be shared between critical and general area.
C. The clothes used for cleaning procedure surfaces like OT table and Labour Room Tables should not be
used for mopping the floors.
5. Disinfection and washing of mops after every cleaning cycle. (SI / OB)
 Thematic Area B: Sanitation & Hygiene
B9: Monitoring of Cleanliness Activities
1. Use of housekeeping checklist in toilets. (OB / RR)
A. Checklist should display & updated daily.
B. Cleaning schedule for each area has been prepared, approved & disseminated to the concerned
persons.
2. Use of housekeeping checklist in patient care areas & ambulance. (OB / RR)
A. Checklist should display in OPD, IPD, Lab etc. & update daily.
B. Cleaning checklist is displayed inside the ambulance.
3. Use of housekeeping checklist in procedure area. (OB / RR) Checklist should display in LR, OT,
Dressing room & update daily.
4. A person is designated for monitoring of Housekeeping and Bio medical waste management
Activities. (SI / RR)
A. A trained staff member from the hospital has been designated to manage and monitor the
housekeeping activities and Bio medical waste management activities.
B. Housekeeping checklist is counter-signed by the person.
C. Availability and adherence of Duty roster by cleaning and housekeeping staff.
5. Monitoring of adequacy and quality of material used for cleaning. (SI / RR)
A. There is any system of monitoring that adequate concentration of disinfectant solution is used for
cleaning.
B. Hospital administration takes feedback from cleaning staff about efficacy of the solution and takes
corrective action if it is not effective.
 Thematic Area B: Sanitation & Hygiene
B10: Drainage & Sewage Management
1. Availability of closed drainage system. (OB)
Check if
A. There is any open drain in the hospital premises.
B. Hospital should have a closed drainage system.
C. If, the hospital’s infrastructure is old and it is not possible create closed draining system, the open drains
should properly covered.
2. Gradient of Drains is conducive for adequate for maintaining flow. (OB)
Check that the drains have adequate slope and there is no accumulation and back-flow of water or debris in it
3. Availability of Sewage Treatment System/Effluent Treatment System. (OB / SI)
Check Hospital sewage is connected with functional Effluent Treatment Plant or Sewage Treatment Plant (as
per requirement)
4. No blocked/ over-flowing drains in the facility. (OB)
5. All the drains are cleaned once in a week. (SI / RR)
A. Check with the cleaning staff about the frequency of cleaning of drains.
B. Verify with the records.