2. All photographs used in this
presentation are real.
Photographs were taken with
consent from the facility.
They are used only for training
purpose. All efforts are made not
to disclose the identity of the
facility.
5. Sanitation refers to providing facilities and
services for the safe disposal of human
waste—including waste management systems
such as sewers and latrines. Sanitation is about
creating an environment safe from pathogens
Hygiene refers to personal cleanliness and healthy
habits that prevent the spread of disease—
encompassing everything from washing your hands to
brushing your teeth to cooking food properly
7. B1: Clean Circulation
area B2: Clean Wards
B3: Clean procedure
area
B4: Clean Ambulatory
area
B6: Clean Toilets
B8: Standard methods
for cleaning
B9: Monitoring of
cleanliness activities
B10: Drainage and
sewage management
Sanitation &
Hygiene
Theme B
B5: Clean Auxiliary areas
B7: Standard material and
equipment for cleaning
8. Clean Circulation areas
B1
No dirt/ Grease/ stains
No cobwebs/ Bird nest/ dust on walls and roofs of corridors
Wet mop of corridors at least twice in a day
Surfaces are conducive of effective cleaning
Rigorously cleaned with scrubbing/ flooding once in a
month
9. B1.1: No dirt/ Grease/ stains in circulation areas
Corridors
Waiting Areas
Stairs
Ramps
Lifts
Roof tops
14. Cleanliness of wards
B2
No dirt/ Grease/ stains
No cobwebs/ Bird nest/ dust on walls and roofs
Cleaning of wards at least thrice in a day
Cleaning of floors, walls, furniture and fixtures once in week
Patient furniture, Mattresses fixtures are without grease
and dust
19. B2.5: Floors, walls, furniture and fixtures are
thoroughly cleaned once in a week
20. Cleanliness of procedure areas
B3
No dirt/ Grease/ stains
No cobwebs/ Bird nest/ dust on walls and roofs
Cleaning of OT/ Labor room at least twice in a
day/after surgery
Cleaning of floors, walls, furniture and fixtures once in week
OT & Labor tables without body fluids, grease
21. B3.1: No dirt/ Grease/ stains/ Garbage in procedure
areas
Labour room
OT
Dressing room
Minor OT
Endoscopy room
Dental procedure
rooms
Dialysis
23. B3.3: OT/ Labour room floors and procedure surfaces
are cleaned at least twice a day/ after every surgery
24. B3.4: OT & Labor room tables are without grease, body
fluids and dust
25. B3.5: Floors, walls, furniture and fixtures are
thoroughly cleaned once in a week
26. Cleanliness of Ambulatory area
B4
No dirt/ Grease/ stains
No cobwebs/ Bird nest/ dust on walls and roofs
Cleaning at least thrice in a day with wet mop
Cleaning of floors, walls, furniture and fixtures once in week
Furniture & fixtures are without body fluids, grease and
cleaned daily
27. B4.1: No dirt/ Grease/ stains/ Garbages in
Ambulatory areas
OPD
Emergency
Laboratory
Radiology
28. B4.2: No cobwebs/ Bird nest/ seepage in walls &
roofs of ambulatory areas
32. Cleanliness of Auxiliary area
B5
No dirt/ Grease/ stains
No cobwebs/ Bird nest/ dust on walls and roofs
Cleaning at least twice in a day with wet mop
Cleaning of floors, walls, furniture and fixtures once in week
Furniture & fixtures are without body fluids, grease and
cleaned daily
33. B5.1: No dirt/ Grease/ stains/ Garbages in Auxiliary
areas
Pharmacy
Kitchen
Laundry
Mortuary
Administrativ
e Office
MRD
34. B5.2: No cobwebs/ Bird nest/ seepage in walls &
roofs of auxiliary areas
36. B5.4: Furniture & fixtures are without grease, dust,
and cleaned daily
37. B5.5: Floors, walls, furniture and fixture are
thoroughly cleaned once in a month
38. Cleanliness of Toilets
B6
No dirt/ Grease/ stains
No foul smell
Availability of running water and functional cisterns
Dry Floors
Cleaning of toilets
44. Use of standard material & equipment for cleaning
B7
Availability of Detergent Disinfectant for cleaning
Using correct concentration of cleaning solution
Carbolic acid/ Baciloacid for surface cleaning
Cleaning equipment
Buckets and carts for mopping
45. B7.1: Availability of Detergent Disinfectant solution/
Hospital grade phenyl for cleaning purpose
47. B7.3: Availability of Carbolic acid/ Bacillocid for
surface cleaning in procedure areas – OT, Labour
room
• Mopping is recommended over fogging.
• For fogging: use 1% dilution of Bacillocid
daily. i.e. 20 ml in 2 litres of water.
• Disinfected surfaces must remain in contact
i.e. wet with solution for 10 to 20 minutes
for optimum results.
• Add 25 to 50 ml of Bacillocid to 5 litres of
water to get 0.25% to 0.5% solution
49. B7.5: Availability of Cleaning equipment
Hospital with more than 300
beds should have mechanized
mopping machine
50. Use of standards methods for cleaning
B8
3 Bucket system for cleaning
Unidirectional method and out word mopping
No use of brooms in patient care areas
Disinfection and washing of mops after every cleaning cycle
Separate mops for critical and semi critical areas
51. B8.1: Use of Three Bucket system for
cleaning
The Three bucket system
should be ideally practiced.
The first bucket should
contain water with detergent
used in the beginning. The
mop is then rinsed in the
second bucket and dipped in
the third bucket which can
also contain a disinfectant and
the mopping done again.
56. Monitoring of cleanliness activities
B9
Housekeeping checklists in toilets
Housekeeping checklists in patient care areas
Housekeeping checklists in procedure areas
Monitoring of adequacy and quality of material used for
cleaning
Designated person for monitoring
57. B9.1: Use of Housekeeping checklists in toilets
SL.NO WORKS
DATE & TIME
1
7.30 am 1.00 pm 7.30 pm
1 Brush the Floor
2 Mop the Floor
3 Dusting
4 Toilet Wash
5 Closet Clean
6 Wash Basin Clean
7 Liquid soap refill
8 Wall tiles clean
9 Lights clean
10 Fans clean
11 Door mat clean
12 Doors clean
13 Windows clean
14 Window screen clean
15 Waste collected
16 Waste bins clean
17 Complaint reported
Name of cleaning / Housekeeping staff.
Signature of Ward Nurse
Sign of HIC Nurse.
58. B9.2: Use of Housekeeping checklists in Patient care areas
SL.NO WORKS
DATE & TIME
1
7.30 am 1.00 pm 7.30 pm
1 Brush the Floor
2 Mop the Floor
3 Dusting
4 Toilet Wash
5 Closet Clean
6 Wash Basin Clean
7 Liquid soap refill
8 Wall tiles clean
9 Lights clean
10 Fans clean
11 Door mat clean
12 Doors clean
13 Windows clean
14 Window screen clean
15 Waste collected
16 Waste bins clean
17 Complaint reported
Name of cleaning / Housekeeping staff.
Signature of Ward Nurse
Sign of HIC Nurse.
59. B9.3: Use of Housekeeping checklists in Procedure areas
SL.NO WORKS
DATE & TIME
1
7.30 am 1.00 pm 7.30 pm
1 Brush the Floor
2 Mop the Floor
3 Dusting
4 Toilet Wash
5 Closet Clean
6 Wash Basin Clean
7 Liquid soap refill
8 Wall tiles clean
9 Lights clean
10 Fans clean
11 Door mat clean
12 Doors clean
13 Windows clean
14 Window screen clean
15 Waste collected
16 Waste bins clean
17 Complaint reported
Name of cleaning / Housekeeping staff.
Signature of Ward Nurse
Sign of HIC Nurse.
60. B9.4: A person is designated for
monitoring of Housekeeping activities
61. B9.5: Monitoring of adequacy and quality
of material used for cleaning
Suggestions/feed back needs to
be taken from the housekeeping
staff, for efficiency of the
cleanliness agents.
Monitoring of the cleaning
material can also be carried out
by doing the surveillance activity
of cleaning effectiveness through
microbiological testing.
62. Drainage and sewage management
B10
Closed drainage system
Gradient of drains is conducive for free flow
Connection with municipal sewage system/ Soak pit
Cleaning of drains once in a week
No block/ overflowing drains