Subject
Surgery, Minor Procedure, Interventional Minor
Procedure and C-Section Cleaning Procedures
PROCEDURE
Number
Original Issue
Revised
Page 1 of 18
Reviewed by:
Department Head
Date:
Objective:
To ensure that the operating rooms in the Surgery Centers and Family Beginnings Unit (FBU),
and rooms used for invasive procedures in Interventional Radiology, are thoroughly cleaned and
sanitized after each procedure, at the end of each day, and additionally as scheduled.
To ensure that all other patient care areas, supply/equipment areas, and support areas in the
surgery centers and FBU are cleaned and sanitized daily or as scheduled.
Scope:
This procedure applies to the following specific locations that do invasive procedures:
 Ambulatory Surgery Center (BASC)
 Ambulatory Surgery Center (CHOSC)
 Ambulatory Surgery Center (TASC)
 Family Beginnings Unit (FBU) C–Section Operating Rooms
 Interventional Radiology (IR) Special Procedure Rooms used for invasive procedures
(CH, BVU, TSC)
References:
Guidelines for Environmental Infection Control in Health-Care Facilities, CDC, 2003
Perioperative Standards and Recommended Practices, Chapter 16: Recommended Practices for
Environmental Cleaning in the Perioperative Setting. Association of Perioperative Registered
Nurses, 2012
Each location will provide these documents for their specific location if deemed applicable or
needed by the location:
Guiding Principles
Zone Procedure
OR Furniture/Equipment Diagrams
Refer to Surgery Services Department Policies:
Environmental Sanitation 4.002
Surgical Attire 4.009
Traffic Patterns in the Surgical Center 4.012
Page 1 of 18
PROCEDURE FM-EVS-0146
Use in Conjunction with:
FM-EVS Policy 0147 Emergency Cleanup of Blood Spills and Other Body Fluids (Hard Floor
Surfaces)
FM-EVS Policy 0128 Cleaning Pails
FM-EVS Policy 0161 Housekeeping Chemicals and Supplies
FM-EVS Policy 0102 Floor Stripping
FM-EVS Policy 0104 Operating Auto Scrubber
FM-EVS Policy 0166 Wet Vac Cleaning and Care
FM-EVS Policy 0162 Use and Care of Standard Floor Machines
Equipment/Supplies Needed
 Appropriate personal protective equipment (PPE) including:
○ Disposable, single use gloves
○ Protective eyewear (goggles or face shield)
 GH approved disinfectant, preferably dispensed by a chemical solution dispenser
 Mop bucket and wringer
 Mop head (lint free or microfiber) and handle
 Wall mop and heads (lint free or microfiber)
 Small plastic pail
 Cleaning cloths (lint-free or microfiber); not washcloths.
 Scrubbing pads
 Hand broom and dust pan
 Plastic liners for garbage/trash containers
 Disposable laundry bags
 Biohazard bags
Note: Use 1-2 or more cleaning cloths on each surface/item to prevent debris inactivation of
the disinfectant. Start at the top of the surface and work down to legs/wheels then discard
rag(s). Example: an OR table or gurney may require 2-3 rags.
I. Cooperative wide Surgical Services, Interventional Radiology, and Family Birthing Unit staff
and Environmental Services cleaning check lists define which service is responsible for the
cleaning of the operating room and surgical services environment specific areas to assure a
safe and clean environment for the patient and staff.

See attached staff departmental responsibility checklists

See attached Environmental Services (EVS) responsibility checklists

Individual checklists, in collaboration with EVS, may be developed specific to
each site using this procedure as the guideline.
Page 2 of 18
PROCEDURE FM-EVS-0146
II. DIFFERENCES BETWEEN THE FACILITY LOCATIONS
Variables
FBU C-Section
Interventional Rad
(CH/BVU)
BASC
CHOSC
TASC
EVS Staff On Site
During Day
Yes
Yes
No (evening only)
Hours:
5pm -1:30 am
Days-on call only
Evening Hours:
(4pm-1:30 am)
No (evening only)
Hours:
5pm-1:30am
Core or No Core
Booms or Towers
No Core
N/A
No core
N/A
Core
Towers
Core
Towers
Suction Disposal
Biowaste
NA
Biowaste
Biowaste
Green Light Outside
Operating Rooms
Identifying Positive
Pressure
Gel pad storage
location
Cart washer in CSR
Anesthesia Techs
None
NA
No core
Booms
(items not unplugged
from boom)
Dornoch Disposal
System
&
Biowaste
Yes
None
None
NA
NA
Varies
Varies
Varies
Yes
Come from CH OSC
on a periodic
scheduled basis
NA
NA
No
Yes
Yes
Yes
No
Yes
Page 3 of 18
PROCEDURE FM-EVS-0146
Departmental Staff Responsibility Checklist
OPERATING/PROCEDURE ROOM
FBU
IR
ASCs
ASCs
Between Each Case
Between Each Case
Between Each Case
At End of Day/Other
Instruments – Remove
Staff
Staff
Yes
Yes
Sharps – Place all used in sharps container
Staff
staff
Yes
Yes
Sharps container - Replace when 2/3rds full.
Seal and place in biomedical waste
container.
Staff
Staff
As needed
As needed
Suction canisters/tubing - Remove all used
liners and tubing
Staff
Staff
Yes
Yes
CH EVS
EVS
Yes
No
Suction connections (ceiling & between
canisters – Replace)
Staff
Staff
As needed
As needed
Black/reusable straps - Remove & place in
CSR laundry bin (picked up by CSR on
Friday)
N/A
N/A
Yes
Yes
White/disposable straps - Remove & discard
in trash
NA
N/A
Yes
Yes
Laundry – Remove & clean stand
CH EVS
Staff
Yes
Remove laundry only
Trash – Remove & clean stand/trash
containers
CH EVS
Staff
Yes
Remove trash only
Floors - Mop
CH EVS
EVS
Yes
No
Staff
N/A
Yes
Yes
and see
End of Day Responsibilities
Task
Suction stand - Clean
Equipment: Damp wipe with disinfectant
 Clipper
 BairHugger machine and hose
 SCD machine and cable
 Cautery
 Headlight/light source
 Towers
 Neopuff
 Other
Page 4 of 18
PROCEDURE FM-EVS-0146
Departmental Staff Responsibility Checklist
OPERATING/PROCEDURE ROOM
FBU
IR
ASCs
ASCs
Between Each Case
Between Each Case
Between Each Case
EVS (Stirrups only)
Gel Pads = N/A
N/A
Yes
At End of Day/Other
No
and see
End of Day Responsibilities
Operating Room Table: Damp wipe with
disinfectant
 All pads
 Armboards
 Other accessories
 Base of table
EVS
Yes
Yes
Yes
Other Furniture: Damp wipe with
disinfectant
 Chairs/stools/carts/stands/tables/OR
Table
EVS
Yes
Yes
No
Task
Positioning Equipment: Damp wipe with
disinfectant
 Stirrups
 Gel pads
Other Miscellaneous: Damp wipe with
disinfectant

Computer console, cart, mouse,
keyboard, monitors, tray
DRTs
Yes
Yes
Yes

Telephone
EVS
Yes
Yes
No

Boom box (CD Player) Cover with plastic
bag which is changed between patients
DRTs
Yes
Yes
Yes
Yes
Yes
Other:
 Erase white board
DRTs
Yes
Yes
Yes
 Remove all confidential patient information
DRTs
Yes
From previous
patient only
Yes
Leave in OR
Leave in OR
Leave in OR
Remove from OR
Anesthesia
Yes
Yes
Yes
Anesthesia Med/Supply Cart:
 Discard all opened single use meds &
anesthesia-prepared syringes
Page 5 of 18
PROCEDURE FM-EVS-0146
Departmental Staff Responsibility Checklist
OPERATING/PROCEDURE ROOM
FBU
IR
ASCs
ASCs
Between Each Case
Between Each Case
Between Each Case
At End of Day/Other
 Laryngoscope handle - Remove &
disinfect each case
DRTs
NA
Yes
Yes
 Laryngoscope used blade(s) – Remove
DRTs
NA
Yes
Yes
 Remove towel on top of cart and trash bag
DRTs
Yes
Yes
Yes
 Damp clean with disinfectant: Top of cart,
all drawer handles, trash container
DRTs
Yes
Yes
Yes
 Replace towel, trash bag
DRTs
Yes
Yes
Yes
Anesthesia /
Anesthesia Tech
Yes
Yes
Yes
DRTs
NA
Yes
Yes
Anesthesia /
Anesthesia Tech
NA
Yes
Yes
NA
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Task
 Restock cart
Anesthesia Machine/Cardiac
Monitor/Computer:

Remove: Used suction container/tubing,
and towel

Remove: Used circuit / hoses and all
items on top of machine

Anesthesia Machine: Damp clean with
disinfectant all flat surfaces, drawer
handles, knobs, hoses, etc.
DRTs

Cardiac monitor, cable and lead wires:
Damp clean with disinfectant
DRTs
Yes

Computer, keyboard, mouse, tray,
monitor: Damp clean with disinfect
DRTs
Yes

Restock machine
Anesthesia /
Anesthesia Tech
Yes
Page 6 of 18
PROCEDURE FM-EVS-0146
Departmental Staff Responsibility Checklist
OPERATING/PROCEDURE ROOM
FBU
IR
ASCs
ASCs
Between Each Case
Between Each Case
Between Each Case
At End of Day/Other
Dedicated Room Equipment: Turn off,
unplug, secure all cords/cables/ hoses,
and damp wipe with disinfectant
 Clipper
 BairHugger machine and hose
 SCD machine and cable
 Cautery
 Towers
 Other
Don’t unplug
equipment
Yes
Yes
Yes
Case Specific Equipment: Turn off,
unplug, secure all cords/cables, console
and damp wipe with disinfectant, and
return to storage
 Headlight/light source
 Towers
 Neoprobe / NeoPuff
 Other
Don’t unplug
equipment
Yes
Yes
Yes

Case specific positioning equipment
and OR table attachments: Damp wipe
and return to storage
DRTs
Yes
Yes
Yes

Store all clean items (armboards and
other table attachments, hoses, wires,
cords, autoclave racks, BairHugger,
SCD machine/hose, etc) off the floor
Yes
Yes
Yes

Return all clean, unused supplies
(gloves, sutures, implants, medications,
etc) to their proper storage areas.
EVS cleans
armboards. DRTs
cover it (the left one)
and place it on the
chair
DRTs
Yes
Yes
Yes
Task
Miscellaneous End of Day:


DRTs
DRTs
Departmental Staff Responsibility Checklist
Page 7 of 18
PROCEDURE FM-EVS-0146
OPERATING/PROCEDURE ROOM
FBU
IR
ASCs
ASCs
Task
Between Each Case
Between Each Case
Between Each Case

Restock in-room supplies as needed.
DRTs
Yes
Yes
At End of Day/Other
Yes

Make sure autoclave is empty
NA
NA
Yes
Yes

Send all lakeside/case carts to CSR for
cleaning
CSR Picks up
NA
Yes
Yes

Windows restart all computers
Nurse
NA
Yes
Yes

Place all patient confidential info in
confidential waste bin
DRTs
NA
Yes
Yes
EVS - Each Case
Weekly
Weekly
Weekly
Miscellaneous:

Shelves – spot clean / damp dust with
disinfectant

Supply Cart plastic covers - replace
N/A
Weekly
Weekly
Weekly
PACU (PRE-OP & RECOVERY)
FBU
IR
ASCs
ASCs
Between Each Case
Between Each Case
Between Each Case
At End of Day/Other
N/A
N/A
Yes
Yes
Yes
Yes
Yes
Yes
N/A
Yes
Yes
Yes
N/A
Yes
Yes
Yes
N/A
N/A
N/A
Yes
Monthly
Quarterly
Yes
NA
NA
Yes
Monthly
Quarterly
Task
Damp wipe with disinfectant:
 Counters/work surfaces/chairs
 Patient furniture: stretchers, recliners,
bedside tables/carts including drawer
handles, chairs
 Patient equipment: Monitors including
cables and leads, SCD machines,
BairHugger machines, other
 Computer keyboards, mice, trays and
stands
 Keep area clean (pick up after self)
 Shelves
 Bins/totes
Page 8 of 18
PROCEDURE FM-EVS-0146
Departmental Staff Responsibility Checklist
CORE/CLEAN or STERILE
EQUIPMENT/SUPPLY STORAGE
AREAS/
FBU
IR
ASCs
ASCs
Between Each Case
Between Each Case
Between Each Case
DRTs
NA
DRTs
Yes
NA
NA
NA
NA
NA
At End of Day/Other
Monthly
Monthly
Quarterly
FBU
EVS as needed
IR
Yes
CHOSC
As needed
ASCs
As needed
 Clean equipment stored in hallway
DRTs
As needed
As needed

DRTs
Weekly
Before moving
into OR and After
Use/Before
recovering
Weekly
FBU
IR
ASCs
ASCs
 Pick up after self
Everyone
Yes
Yes
Yes

Pick up trash off floor & counter
Everyone
Yes
Yes
Yes

Place all patient info in confidential waste
DRTs / Med Staff
Yes
Yes
Yes
Staff
Yes
Yes
Yes
Med Staff
Yes
Yes
Yes
OFFICES & NURSING STATIONS
FBU
IR
ASCs
 Clean counters, desks & shelves
EVS, if cleared off /
coordinated
Med Staff
Yes
ASCs
NA
Yes
NA
Yes
ANESTHESIA WORKROOMS
Task
 Replace supply cart covers
 Remove dust from lower shelves of carts
 Clean bins to remove dust
CORRIDORS

Pick up trash
Cover items not used frequently and
change cover weekly
RESTROOMS & LOUNGES
 Clean lounge refrigerator (surgery center
is responsible for cleaning weekly)

Clean microwave (surgery center is
responsible for cleaning weekly)
 Clean computer keyboard, mouse, tray,
monitor
Page 9 of 18
Weekly
Yes
PROCEDURE FM-EVS-0146
Environmental Services Responsibility Checklist (As Applicable To Location)
FBU
IR
BASC/TASC
EVS: OPERATING ROOMS
Task
Laundry Cart– Remove to pick up location
Trash Cart – Remove to pick up location
Biomedical Waste Bins – Remove to pick up location
Equipment/Furniture: Clean with disinfectant
 Wheels/casters – Clean all wheels/casters of equipment/furniture
 Overhead surgical light & boom
 Suction stand
 Laundry stand – Clean & replace bag
 Trash stand/container – Clean & replace bag
 Chairs/stools/carts/stands
 Tape – remove sticky residue with adhesive remover
Clean with disinfectant:
 Ceiling & Walls –spot clean (walls are spot cleaned up to 6 feet)
 Vents & light covers
 Window & wall sills
 Surgical light & boom
 Telephones
 Electrical cords – ceiling to connection
 Gas hoses
 Trash can
 Kick bucket
 Laundry hamper & lid (inside & out)
 Door handles & plates
 Light switches
Frequency
Frequency
Frequency
Frequency
Each case
Each case
Each case
As needed
As needed
As needed
Daily
Daily
Daily
Daily
Daily
Daily
Each case
Each case
Each case
Each case
Each case
Each case
Daily
IR staff
Daily
Daily
Daily
Daily
Daily
Daily
Daily
Daily
Daily
Daily
Daily
Daily
Daily
Daily
Daily
Daily
Daily
Daily
Daily
Daily
Daily
Daily
Daily
Daily
Daily
Daily
NA
Daily
Daily
Daily
Daily
Daily
Daily
Daily
Daily
Daily
Daily
Daily
Daily
Daily
Daily
Daily
Daily
Daily
Daily
Daily
Daily
Daily
Daily
Daily
Daily
Daily
Daily
Daily
Daily
Daily
Daily
Daily
As needed
Each Case /
Daily
Daily
Daily
Each case
Each case
Each case
Each case
Each case
Each case
Each case
Each case
Each case
Each case
Daily
Each case
 Wall mounted hand sanitizer & catch plate
 Wheel guards
 Stools/chairs including armrests
Page 10 of 18
CH OSC
Daily
Daily
Daily
Daily
Daily
Daily
PROCEDURE FM-EVS-0146
Environmental Services Responsibility Checklist (As Applicable To Location)
FBU
IR
BASC/TASC
EVS: OPERATING ROOMS
Task
Clean with disinfectant:
 Positioning Equipment: Stirrups, arm boards and other table attachments
 IV poles
 Step stool
 Mayo stand
 Gurney/stretcher/surgilift (remove pad-clean both sides of pad)
 Surgical table (disassemble)
 Surgical table pads (top, bottom, and sides) & attachments
 C locker top and sides
 Floors - Mop
 Cupboard/cabinet handles & exterior of drawers
Rearrange furniture & equipment
Clean, Dry & Store all Cleaning Equipment in a clean EVS storage
closet
Weekly Cleaning With Disinfectant:
 Shelves-spot clean/damp dust with disinfectant
 Entire ceiling
 Ceiling tracks
 Curtain tracks
 Vent covers
 Light covers
 Sprinkler heads
 Entire walls (including base coves)
 All Linoleum lips
 Door jams & hardware
Page 11 of 18
CH OSC
Frequency
Frequency
Frequency
Frequency
Each case
Each case
Each case
Each case
Each case
Each case
Each case
NA
Each case
Each case
Each case
Daily
Daily
Daily
Daily
Daily
Daily
Daily
Daily
Daily
Daily
Daily
Daily
Daily
Daily
Daily
Daily
Daily
Daily
Daily
Daily
Daily
Daily
Daily
Daily
Daily
Daily
Daily
Daily
Daily
Daily
Daily
Daily
Daily
Daily
Daily
Daily
Daily
Weekly
Weekly
Weekly
Weekly
Weekly
Weekly
Weekly
Weekly
Weekly
Weekly
NA
Weekly
Weekly
Weekly
Weekly
Weekly
Weekly
Weekly
Weekly
Weekly
NA
Weekly
Weekly
Weekly
Weekly
Weekly
Weekly
Weekly
Weekly
Weekly
NA
Weekly
Weekly
Weekly
Weekly
Weekly
Weekly
Weekly
Weekly
Weekly
PROCEDURE FM-EVS-0146
Environmental Services Responsibility Checklist (As Applicable To Location)
FBU
IR
BASC/TASC
EVS: OPERATING ROOMS
Task
Quarterly Cleaning
 Engineering will damp clean light diffusers
Semi-Annual Cleaning
 Change MOR curtains (TASC)
 Refinish floors
All Staff shall report immediately:
 Any safety issue
 Burned out or flickering lights
 Sharps found on floor or hard surfaces
 Frayed cords or wires
 Torn vinyl
 Chipped surfaces
Page 12 of 18
CH OSC
Frequency
Frequency
Frequency
Frequency
Quarterly &
as needed
Quarterly &
as needed
Quarterly &
as needed
Quarterly & as
needed
2 x year& as
needed
2 x year
2 x year& as
needed
2 x year
2 x yearas
needed
2 x year
2 x year& as
needed
2 x year
As needed
As needed
As needed
As needed
As needed
As needed
As needed
As needed
As needed
As needed
As needed
As needed
As needed
As needed
As needed
As needed
As needed
As needed
As needed
As needed
As needed
As needed
As needed
As needed
PROCEDURE FM-EVS-0146
Environmental Services Responsibility Checklist (As Applicable To Location)
EVS: PACU (PREOP & RECOVERY)
Task
Remove trash
Remove linen
Clean with disinfectant:
FBU
Frequency
IR
Frequency
BASC/TASC
Frequency
CH-OSC
Frequency
NA
NA
NA
NA
Daily
Daily
As needed
As needed
Daily
Daily

All surfaces under 6 feet
NA
NA
NA
NA

Cabinets and handles
NA
NA
Daily
Daily
Doorknobs
NA
NA
Daily
Daily


Spot Clean Walls
Hopper/Sinks
NA
NA
NA
NA
Daily
Daily
Daily
Daily

Beds/Chairs/Stools/Furniture
NA
NA
Daily
Daily

Electrical Cords (ceiling to connection)
NA
NA
Daily
Daily

IV poles
NA
NA
Daily
Daily

Telephones
NA
NA
Daily
Daily

Mop Floor
NA
NA
Daily
Daily

Trash containers
NA
NA
Daily
Daily

Laundry hampers
NA
NA
Daily
Daily

Dispensers
NA
Daily
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
Daily
Vacuum Upholstered Chairs
NA
Weekly
Weekly
Weekly

Page 13 of 18
PROCEDURE FM-EVS-0146
Environmental Services Responsibility Checklist (As Applicable To Location)
EVS: CORE/CLEAN or STERILE EQUIPMENT/SUPPLY
STORAGE AREAS/ANESTHESIA WORKROOMS
FBU
IR
BASC/TASC
CH-OSC
Frequency
Frequency
Frequency
Frequency
 All surfaces
Daily
Daily
Daily
Daily
 Ceiling vent covers
Daily
Daily
Daily
Daily
 Wall vent covers
Daily
Daily
Daily
Daily
 Spot clean walls
Daily
Daily
Daily
Daily
 Mop floors
Daily
Daily
Daily
Daily
 Door handles/light switches
Daily
Daily
Daily
Daily
Weekly
Weekly
Weekly
Weekly
N/A
Weekly
Weekly
Weekly
 Light covers
Weekly
Weekly
Weekly
Weekly
 Ceiling
Weekly
Weekly
Weekly
Weekly
 Removal of all carts/equipment
Monthly
Monthly
Monthly
Monthly
 Clean walls, ceiling, floors, sprinkler heads, vent covers
Monthly
Monthly
Monthly
Monthly
 Clean light diffusers (engineering)
Monthly
Monthly
Monthly
Monthly
Task
Clean with disinfectant:
 Doors/jambs/hardware
 Autoclave rooms
 Coordinate with OR staff/engineering:
Page 14 of 18
PROCEDURE FM-EVS-0146
Environmental Services Responsibility Checklist (As Applicable To Location)
EVS: OFFICES & NURSING STATIONS
FBU
IR
BASC/TASC
CHOSC
Frequency
Daily &
Frequency
Daily &
Frequency
Frequency
Daily &
As needed
As needed
Remove laundry
Daily
Daily
Daily
Daily
Clean with disinfectant:
Daily
Daily
Daily
Daily
 Sinks, counters, fixtures
Daily
Daily
Daily
Daily
 Counter tops/desks
Daily
Daily
Daily
Daily
 Light switches
Daily
Daily
Daily
Daily
 Spot clean walls
Daily
Daily
Daily
Daily
 Trash cans
Daily
Daily
Daily
Daily
 Door handles & plates
Daily
Daily
Daily
Daily
 Locker tops and face
Daily
Daily
Daily
Daily
 Floors
Daily
Daily
Daily
Daily
Stock all dispensers after completing hand hygiene
Daily
Daily
Daily
Daily
High dust all surfaces
Daily
Daily
Daily
Daily
Vacuum carpets
Daily
Daily
Daily
Daily
Weekly
Weekly
Weekly
Weekly
 Ceiling (damp dust)
Weekly
Weekly
Weekly
Weekly
 Ceiling Vents (high dust)
Weekly
Weekly
Weekly
Weekly
 Light covers (high dust)
Weekly
Weekly
Weekly
Weekly
 Window blinds/sills (high dust blinds, damp dust sills)
Weekly
Weekly
Weekly
Weekly
 Sprinkler heads (high dust)
Monthly
Monthly
Monthly
Monthly
Task
Remove trash
Daily
As needed
Miscellaneous:
Vacuum upholstery
Clean:
Page 15 of 18
PROCEDURE FM-EVS-0146
Environmental Services Responsibility Checklist (As Applicable To Location)
EVS: OFFICES & NURSING STATIONS
FBU
IR
BASC/TASC
CH OSC
Frequency
Frequency
Frequency
Frequency
 Baseboards (damp dust)
Monthly
Monthly
Monthly
Monthly
 Door jambs & hardware (damp dust)
Monthly
Monthly
Monthly
Monthly
 Interior Windows (glass cleaner)
Monthly
Monthly
Monthly
Monthly
FBU
IR
BASC/TASC
CH OSC
Frequency
Frequency
Frequency
Frequency
Remove trash
As needed
As needed
Daily
As needed
Remove laundry
As needed
As needed
Daily
As needed
 Scrub Sinks
Daily
Daily
Daily
Daily
 Metal Sink Fixtures
Daily
Daily
Daily
Daily
 Soap Dispensers
Daily
Daily
Daily
Daily
 Trash containers
Daily
Daily
Daily
Daily
 Laundry hampers
Daily
Daily
Daily
Daily
 Door handles/face plates
Daily
Daily
Daily
Daily
 Windows & sills
Daily
Daily
Daily
Daily
 Chairs, furniture
Daily
Daily
Daily
Daily
 All surfaces
Daily
Daily
Daily
Daily
All staff shall report to facilities: Lights that need changing
Daily
Daily
Daily
Daily
Daily
Daily
Daily
Daily
As needed
As needed
As needed
As needed
Daily
Daily
Daily
Daily
Task
EVS: CORRIDORS
Task
Clean with disinfectant:
Miscellaneous:
 High dust surfaces above 6 feet
 Stock all dispensers
 Clean, dry & store all cleaning equipment
Page 16 of 18
PROCEDURE FM-EVS-0146
Environmental Services Responsibility Checklist (As Applicable To Location)
FBU
IR
BASC/TASC
Frequency
Frequency
Frequency
Frequency
 Ceiling vents
Weekly
Weekly
Weekly
Weekly
 Window blinds
Weekly
Weekly
Weekly
Weekly
 Sprinkler heads
Monthly
Monthly
Monthly
Monthly
 Walls
As needed
As needed
Monthly
As needed
 Lights
Quarterly
Quarterly
Quarterly
Quarterly
2 x year & as
needed
2 x year as
needed
2 x year & as
needed
2 x year & as
needed
FBU
IR
BASC/TASC
CH-OSC
Frequency
Frequency
Frequency
Frequency
Remove trash
As needed
As needed
Daily
As needed
Remove laundry
As needed
As needed
Daily
As needed
 Vent covers (high dust)
Daily
Daily
Daily
Daily
 Sinks, counters, fixtures
Daily
Daily
Daily
Daily
 Light switches
Daily
Daily
Daily
Daily
 Spot clean walls
Daily
Daily
Daily
Daily
 Trash cans
Daily
Daily
Daily
Daily
 Toilets (change gloves after cleaning)
Daily
Daily
Daily
Daily
 Toilet stall doors (inside/out)
Daily
Daily
Daily
Daily
EVS: CORRIDORS
Task
CH OSC
Other cleaning (high dust):
Other cleaning (damp dust w/ disinfectant):
 Scrub & refinish floors
EVS: RESTROOMS & LOUNGES
Task
Clean with disinfectant:
Page 17 of 18
PROCEDURE FM-EVS-0146
Environmental Services Responsibility Checklist (As Applicable To Location)
EVS: RESTROOMS & LOUNGES
FBU
IR
BASC/TASC
CH-OSC
Frequency
Frequency
Frequency
Frequency
 Door handles & plates
Daily
Daily
Daily
Daily
 Showers
Daily
Daily
Daily
Daily
 Floors
Daily
Daily
Daily
Daily
As needed
As needed
Daily
As needed
As needed
As needed
Daily
As needed
As needed /
Daily
Daily
Daily
Daily
Daily
Daily
Daily
Daily
Daily
Monthly
Daily
Monthly
Daily
Monthly
Daily
Monthly
2 x yearor as
needed
(grossly /
visibly soiled)
2 x year or
as needed
(grossly /
visibly soiled)
2 x year or as
needed
(grossly /
visibly soiled)
2 x year or as
needed
(grossly / visibly
soiled)
Task
 Tables, chairs
Clean with glass cleaner:
 Mirrors
Miscellaneous:
 Stock all dispensers (complete hand hygiene before)
 High dust all surfaces
 Vacuum carpet
 Change shower curtains
 Privacy Curtains
Clean with disinfectant (damp dust):

Blinds & window sills
Weekly
Weekly
Weekly
Weekly

Baseboards
Weekly
Weekly
Weekly
Weekly

Ceiling vents
Weekly
Weekly
Weekly
Weekly
 Sprinkler heads
Monthly
Monthly
Monthly
Monthly
 Door jambs & hardware
Monthly
Monthly
Monthly
Monthly
Page 18 of 18