Electrical Cords (ceiling to connection) NA NA Daily Daily IV NA NA Daily Telephones NA NA Daily Mop Floor NA NA Daily Daily Trash containers NA NA Daily Laundry hampers NA NA Daily Daily Dispensers NA Daily Daily Ceiling NA Weekly Weekly Weekly Ceiling Vents NA Weekly Weekly Weekly Lights NA Weekly Weekly Weekly Sprinkler Heads NA Weekly Weekly Weekly High Dust all Surfaces above 6 feet NA Daily Daily Daily Restock all dispensers NA Daily Daily Daily Clean/Dry and Store Cleaning Equipment NA Daily Daily Vacuum Upholstered Chairs NA Weekly Weekly Weekly Environmental Services Responsibility Checklist (As Applicable To Location) EVS: or STERILE FBU IR EQUIPMENT/SUPPLY STORAGE BASC/TASC CH-OSC AREAS/ANESTHESIA WORKROOMS Frequency Frequency Task Frequency Frequency Clean with disinfectant: All surfaces Daily Daily Daily Daily Ceiling vent covers Daily Daily Daily Wall vent covers Daily Daily Daily Daily Spot clean walls Daily Daily Daily Mop floors Daily Daily
Electrical Cords (ceiling to connection) NA NA Daily Daily IV NA NA Daily Telephones NA NA Daily Mop Floor NA NA Daily Daily Trash containers NA NA Daily Laundry hampers NA NA Daily Daily Dispensers NA Daily Daily Ceiling NA Weekly Weekly Weekly Ceiling Vents NA Weekly Weekly Weekly Lights NA Weekly Weekly Weekly Sprinkler Heads NA Weekly Weekly Weekly High Dust all Surfaces above 6 feet NA Daily Daily Daily Restock all dispensers NA Daily Daily Daily Clean/Dry and Store Cleaning Equipment NA Daily Daily Vacuum Upholstered Chairs NA Weekly Weekly Weekly Environmental Services Responsibility Checklist (As Applicable To Location) EVS: or STERILE EQUIPMENT/SUPPLY STORAGE AREAS/ANESTHESIA WORKROOMS FBU IR BASC/TASC CH-OSC Task Frequency Frequency Frequency Frequency Clean with disinfectant: All surfaces Daily Daily Daily Daily Ceiling vent covers Daily Daily Daily Wall vent covers Daily Daily Daily Daily Spot clean walls Daily Daily Daily Mop floors Daily Daily
Periop_Surgical_Services_Cleaning_Procedure_Checklist.docx