LAUNDRY HEALTH INSTRUCTION
Page 1 of 3 Form # HSEQ -LHI-Rev 2 - Mar 23
Project Information
Accommodation Name:
Location: Company Name:
Date: Time :
Sl
No.
ITEMS TO BE CHECKED Yes No N/A Comments
Audit Check List for Laundry
1
The premises are cleaned & situated in an environment which has
minimum risk for contamination. яАк яАк
2 Sufficient area for storage of unwashed clothes & washed clothes. яАк яАк
3 Washing & drying premises was found cleaned & in good condition. яАк яАк
4
There are arrangements to control the entry of rodents, insects and
birds. яАк яАк
5 Clothes are collected washed & dried separately. яАк яАк
Infection Control Checklist Laundry Personnel
1 Clean, neat, untorn and appropriate clothing is worn яАк яАк
2 Closed toe shoes with safety soles and in good repair are worn яАк яАк
3
Good personal hygiene (including hair and body cleanliness) is
practiced яАк яАк
4 Fingernails are clean and trimmed яАк яАк
5 Hair is neat and protected by covering яАк яАк
6
Strict clothing and linen handling procedures are followed to avoid
contamination яАк яАк
7 Direct resident contact is avoided except in emergency situations яАк яАк
8
Rubber gloves and protective covering are worn when handling and
loading soiled linen яАк яАк
9 Disposable gloves are worn when handling isolation supplies яАк яАк
10 Injuries and suspected infections are reported immediately яАк яАк
11
Personnel are oriented to infection control policies on hiring; this is
documented яАк яАк
12
Personnel attend department/facility-wide infection control in
services monthly яАк яАк
13
Personnel are screened for infectious diseases on hiring and at
further facility discretion яАк яАк
LAUNDRY HEALTH INSTRUCTION
Page 2 of 3 Form # HSEQ -LHI-Rev 2 - Mar 23
14
Personnel are informed of potential dangers/toxicities of cleaning
compounds яАк яАк
15
Personnel, when informed of these potential dangers, follow safety
procedures/precautions яАк яАк
16
Personnel are aware of methods to handle supplies and disposal of
globes/equipment яАк яАк
Washing/Folding/Cleaning/Storage
1
Wash/rinse temperatures are maintained at a minimum of _____of
for regular linen яАк яАк
2 Dryer temperatures are set at _____of for linen and regular clothes яАк яАк
3
Clean linens are transported in covered containers and stored in
covered areas яАк яАк
4 Dirty linens are separated from clean ones at all times яАк яАк
5 Soiled linens are kept in a covered barrel at all times яАк яАк
6
Linen barrels are lined with plastic bags which cover the inside
surface at all time яАк яАк
7
Isolation linen is transported as outlined in the Infection Control
Manual яАк яАк
8
Linen folding surfaces are cleaned with a detergent germicide
solution яАк яАк
9
All laundry appliances (washers/dryers, carts) are cleaned daily with
detergent germicide solution яАк яАк
10
Supplies for clothing/equipment cleaning approved by Infection
Control Committee яАк яАк
11
Equipment and supply problems are immediately reported to the
administrator яАк яАк
тАжтАжтАжтАжтАжтАжтАжтАжтАжтАжтАжтАжтАжтАжтАжтАжтАжтАжтАж.тАжтАжтАжтАжтАжтАжтАжтАжтАжтАжтАжтАжтАжтАжтАжтАжтАжтАжтАжтАжтАжтАжтАжтАжтАжтАжтАжтАжтАжтАжтАжтАжтАжтАжтАжтАжтАжтАжтАжтАжтАжтАжтАжтАжтАжтАжтАжтАжтАжтАжтАж..
Laundry
Condition &
Specific Location
if needed:
Initial if OK
1. Fire Prevention
яВЯ Are staff aware of where extinguishers, hose cabinet, pull station alarms
and fire blankets are?
яВЯ Are staff aware of evacuation procedures in the event of a fire?
яВЯ Are fire extinguishers full?
яВЯ Do staff know how to correctly operate a fire extinguisher?
яВЯ Are fire doors clear?
яВЯ Are fire and disaster plans available to workers?
яВЯ Are all emergency exits marked appropriately?
LAUNDRY HEALTH INSTRUCTION
Page 3 of 3 Form # HSEQ -LHI-Rev 2 - Mar 23
яВЯ Are all emergency lighting units working and well maintained?
2. General Housekeeping
яВЯ Are all areas tidy and uncluttered?
яВЯ Are spills wiped up immediately?
яВЯ Are all ventilation vents clean and in good order?
3. Equipment
яВЯ Is the equipment in good repair and grounded?
яВЯ Are cords and plugs in good repair?
яВЯ Are staff instructed in the safe operation of equipment?
Are maintenance procedures in place for the repair of equipment?
4. Biological/ infectious
яВЯ Are in-house protocols followed for all biological and infectious
biological waste?
яВЯ Do staff have adequate training in Infection Control Routine Practices
required to safely handle contaminated laundry?
яВЯ Is the clean laundry area and contaminated laundry area separate?
яВЯ Are approved sharps containers readily available?
яВЯ Do staff find sharps in laundry? How do they report these incidents?
Do staff understand how to access post exposure assistance?
Remarks:
Inspected By: Signature:
Reviewed By HSE Manager / In charge : Signature:

LAUNDRY HEALTH INSTRUCTION Form # HSEQ - LSI- Rev 2.docx

  • 1.
    LAUNDRY HEALTH INSTRUCTION Page1 of 3 Form # HSEQ -LHI-Rev 2 - Mar 23 Project Information Accommodation Name: Location: Company Name: Date: Time : Sl No. ITEMS TO BE CHECKED Yes No N/A Comments Audit Check List for Laundry 1 The premises are cleaned & situated in an environment which has minimum risk for contamination. яАк яАк 2 Sufficient area for storage of unwashed clothes & washed clothes. яАк яАк 3 Washing & drying premises was found cleaned & in good condition. яАк яАк 4 There are arrangements to control the entry of rodents, insects and birds. яАк яАк 5 Clothes are collected washed & dried separately. яАк яАк Infection Control Checklist Laundry Personnel 1 Clean, neat, untorn and appropriate clothing is worn яАк яАк 2 Closed toe shoes with safety soles and in good repair are worn яАк яАк 3 Good personal hygiene (including hair and body cleanliness) is practiced яАк яАк 4 Fingernails are clean and trimmed яАк яАк 5 Hair is neat and protected by covering яАк яАк 6 Strict clothing and linen handling procedures are followed to avoid contamination яАк яАк 7 Direct resident contact is avoided except in emergency situations яАк яАк 8 Rubber gloves and protective covering are worn when handling and loading soiled linen яАк яАк 9 Disposable gloves are worn when handling isolation supplies яАк яАк 10 Injuries and suspected infections are reported immediately яАк яАк 11 Personnel are oriented to infection control policies on hiring; this is documented яАк яАк 12 Personnel attend department/facility-wide infection control in services monthly яАк яАк 13 Personnel are screened for infectious diseases on hiring and at further facility discretion яАк яАк
  • 2.
    LAUNDRY HEALTH INSTRUCTION Page2 of 3 Form # HSEQ -LHI-Rev 2 - Mar 23 14 Personnel are informed of potential dangers/toxicities of cleaning compounds яАк яАк 15 Personnel, when informed of these potential dangers, follow safety procedures/precautions яАк яАк 16 Personnel are aware of methods to handle supplies and disposal of globes/equipment яАк яАк Washing/Folding/Cleaning/Storage 1 Wash/rinse temperatures are maintained at a minimum of _____of for regular linen яАк яАк 2 Dryer temperatures are set at _____of for linen and regular clothes яАк яАк 3 Clean linens are transported in covered containers and stored in covered areas яАк яАк 4 Dirty linens are separated from clean ones at all times яАк яАк 5 Soiled linens are kept in a covered barrel at all times яАк яАк 6 Linen barrels are lined with plastic bags which cover the inside surface at all time яАк яАк 7 Isolation linen is transported as outlined in the Infection Control Manual яАк яАк 8 Linen folding surfaces are cleaned with a detergent germicide solution яАк яАк 9 All laundry appliances (washers/dryers, carts) are cleaned daily with detergent germicide solution яАк яАк 10 Supplies for clothing/equipment cleaning approved by Infection Control Committee яАк яАк 11 Equipment and supply problems are immediately reported to the administrator яАк яАк тАжтАжтАжтАжтАжтАжтАжтАжтАжтАжтАжтАжтАжтАжтАжтАжтАжтАжтАж.тАжтАжтАжтАжтАжтАжтАжтАжтАжтАжтАжтАжтАжтАжтАжтАжтАжтАжтАжтАжтАжтАжтАжтАжтАжтАжтАжтАжтАжтАжтАжтАжтАжтАжтАжтАжтАжтАжтАжтАжтАжтАжтАжтАжтАжтАжтАжтАжтАжтАжтАж.. Laundry Condition & Specific Location if needed: Initial if OK 1. Fire Prevention яВЯ Are staff aware of where extinguishers, hose cabinet, pull station alarms and fire blankets are? яВЯ Are staff aware of evacuation procedures in the event of a fire? яВЯ Are fire extinguishers full? яВЯ Do staff know how to correctly operate a fire extinguisher? яВЯ Are fire doors clear? яВЯ Are fire and disaster plans available to workers? яВЯ Are all emergency exits marked appropriately?
  • 3.
    LAUNDRY HEALTH INSTRUCTION Page3 of 3 Form # HSEQ -LHI-Rev 2 - Mar 23 яВЯ Are all emergency lighting units working and well maintained? 2. General Housekeeping яВЯ Are all areas tidy and uncluttered? яВЯ Are spills wiped up immediately? яВЯ Are all ventilation vents clean and in good order? 3. Equipment яВЯ Is the equipment in good repair and grounded? яВЯ Are cords and plugs in good repair? яВЯ Are staff instructed in the safe operation of equipment? Are maintenance procedures in place for the repair of equipment? 4. Biological/ infectious яВЯ Are in-house protocols followed for all biological and infectious biological waste? яВЯ Do staff have adequate training in Infection Control Routine Practices required to safely handle contaminated laundry? яВЯ Is the clean laundry area and contaminated laundry area separate? яВЯ Are approved sharps containers readily available? яВЯ Do staff find sharps in laundry? How do they report these incidents? Do staff understand how to access post exposure assistance? Remarks: Inspected By: Signature: Reviewed By HSE Manager / In charge : Signature: