Hospital Housekeeping Checklist - FREE PDF

Templates

Hospital housekeeping checklist

Use this template with Lumiform

The Lumiform application helps frontline teams uphold internal standards effortlessly.

Customize this template or build your own
Fill out templates via mobile app
Assign and track corrective actions
Get reports and analyse your data

Prices start from ░░░ per month

Book a demo

Learn more

Use this template with Lumiform

The Lumiform application helps frontline teams uphold internal standards effortlessly.

Customize this template or build your own
Fill out templates via mobile app
Assign and track corrective actions
Get reports and analyse your data

Prices start from ░░░ per month

Book a demo

Learn more

Our hospital housekeeping checklist template provides a comprehensive framework for maintaining sterile environments in healthcare facilities. You can systematically track cleaning procedures for patient rooms, high-touch surfaces, and specialized areas like isolation rooms—reducing the risk of healthcare-associated infections (HAIs).

When facing regulatory inspections, this template serves as documented evidence of your cleaning protocols, helping you demonstrate compliance with infection control standards. According to the Centers for Disease Control and Prevention, proper environmental cleaning is a critical component in preventing the estimated 687,000 HAIs that occur in U.S. hospitals each year, with approximately 72,000 resulting in patient deaths during their hospitalization.

Related categories

Preview of the template

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

This template was downloaded 257 times

Frequently asked questions

How often should different areas of a hospital be cleaned using this checklist?

Patient rooms require daily cleaning and terminal cleaning after discharge. High-traffic areas need cleaning multiple times daily, while operating rooms require cleaning between procedures and terminal cleaning daily. Isolation rooms demand more frequent attention based on pathogen type. The checklist helps you track these varying schedules and maintain documentation of completed tasks.

How can I customize this hospital housekeeping checklist for different departments?

Identify department-specific equipment and surfaces requiring cleaning. Adjust cleaning frequencies based on patient turnover and infection risk levels. Add specialized protocols for areas like operating rooms or dialysis units. The template’s modular design allows you to maintain core cleaning standards while adapting to each department’s unique requirements.

How can this checklist help during infectious disease outbreaks?

During outbreaks, the checklist ensures enhanced cleaning protocols are consistently implemented across all areas. It helps track increased cleaning frequency, specialized disinfection procedures, and proper PPE usage. The structured format provides clear guidance when normal routines must be intensified, helping contain spread while maintaining documentation for outbreak investigation teams.

What training should staff receive before using this hospital housekeeping checklist?

Staff should understand proper cleaning sequences (clean to dirty), chemical handling safety, appropriate dwell times for disinfectants, and PPE protocols. Training should include hands-on demonstration of the checklist workflow, documentation requirements, and escalation procedures for contamination issues. Regular refresher training ensures consistent implementation across all shifts.

This template, developed by Lumiform employees, serves as a starting point for businesses using the Lumiform platform and is intended as a hypothetical example only. It does not replace professional advice. Companies should consult qualified professionals to assess the suitability and legality of using this template in their specific workplace or jurisdiction. Lumiform is not liable for any errors or omissions in this template or for any actions taken based on its content.