2._Linen_Facilities_Inspection_checklist_-_2017.pdf

INFECTION CONTROL LINEN FACILITY INSPECTION CHECKLIST

PAGE 1 OF 2 PAGES

NAME OF FACILITY:________________________________________

ADDRESS:__________________________________________________

TELEPHONE:_______________________________________________

OPR

IP

DATE

NO.

ITEM

YES NO N/A

A. ACCREDITATION/LICENSE

1. Does the facility have a current business license? ref: OSHA General guidelines

2. Has the facility been inspected by any other agency since the last inspection

*If yes, list agencies:

B. PHYSICAL FACILITY

1. Is the facility overall clean and sanitary (i.e., restrooms supplied with toilet paper, hand soap, running water, paper towels or dryer, working toilets, clean floors)? ref: OSHA 1910.1030

2. Are there adequate hand washing stations? ref: OSHA 1910.1030

3. Are alcohol hand based hand rubs available? ref: OSHA 1910.1030

4. Are sharps containers available and accessible IAW OSHA guidelines?

ref: OSHA 1910.1030 & AFI 44-108

C. POLICY/PROCEDURES

1. Writing policies and procedures covering all area of responsibility relating to service provided to MTF?

D. PERSONNEL

1. Do the employees have initial/annual training records and are they current?

ref: OSHA 1910.1030

2. Does the training cover the following areas:

Wear and use of PPE ref: OSHA 1910.1030

The identification and handling of contaminated laundry ref: OSHA 1910.1030

How to handle and dispose of sharps (BBP-ECP) ref: OSHA 1910.1030

How and when to wash their hands ref: OSHA 1910.1030

What to do if they are exposed to a biohazard ref: OSHA 1910.1030

3. Compliance with universal/standard precautions is observed?

ref: OSHA 1910.1030

4. Do employees remove PPE before leaving receiving/sorting area?

ref: OSHA 1910.1030

5. Is the Hep B vaccine available for all employees? Or are there signed statements of refusal? ref: OSHA 1910.1030(f)(1).

6. Is eating, drinking, smoking prohibited in all work areas? ref: OSHA

1910.1030

E. PRE-WASH PROCESS

1. Is equipment arranged to prevent cross-traffic of clean and soiled linen?

ref: AFI 44-108, para 3-11

2. Are there separate areas for the processing of soiled and clean linen?

ref: AFI 44-108 para. 3-11

3. Does the facility conduct maintenance on equipment as recommended?

4. Are designated clean carts used in this area?

F. WASH PROCESS

1. Is the temperature adequate (71C/160F)? ref: AFI 44-108, para 3-11 & CDC

Guidelines

2. Are the chemicals used appropriate (Soap, Detergent/Bleach)? ref: AFI 44-

108, para 3-11 & CDC Guidelines

3. Are designated clean carts used in this area?

G. POST WASH PROCESS

1. Are clean items transported in containers exclusively for clean linen, clean hampers lined with plastic or reusable liners, placed in a clean cart with a secure plastic or reusable cover? Ref: AFI 44-108, para 3.11.3.1.

2. Are clean and soiled textiles transported separately and/or are there physical barriers separating clean from soiled linen? Ref: AFI 44-108, para 3.11.3.1.

3. Clean linen will be stored in clean storage areas (dedicated storage rooms with closing door or covered carts or closed drawers or cabinets) Ref: AFI 44-108, para 3.11.3.1.

4. Clean linen remains protected until point of use. Ref: AFI 44-108, para

3.11.3.2.

5. Is the lint vent cleaned with each load?

6. Is the area for sorting and folding clean and free of food and beverage items?

7. Are presses dusted each day?

8. Are sprayers washed, dried and refilled when emptied?

H. WRAPPING AND TRANSPORTING

1. Does a moisture repellant wrap cover the entire bundle per contact requirements?

2. Are items maintained in a clean environment at all times?

3. Are the clean linen carts cleaned on a regular basis?

4. Are the transport vehicles cleaned on a regular basis?

REFERENCES:

Air Force Instruction (AFI) 44-108, Infection Prevention and Control, 11 Dec 2014

Occupational Safety and Health Administration (OSHA) Standards www.osha.gov

Centers For Disease Control and Prevention (CDC) www.cdc.gov

Inspector signature_______________________________________

Date ___________________________________________________

Inspector signature_______________________________________

Date____________________________________________________

UPDATED: JUN 2017 (approved by ICRF) http://www.osha.gov/ http://www.cdc.gov/