Standard Operating Procedure
Cleanliness and Upkeep
Issue date:
Prepared by: Corporation Quality Assurance Unit
Document No. 1
Issued by: CQAC Approved by: Medical Officer Health
1. Purpose:
The purpose of cleanliness and upkeep in an Urban Primary Health Centre
(UPHC) is multifaceted, primarily focusing on preventing infections,
promoting a positive patient experience, and ensuring the efficient delivery of
healthcare services.
Maintaining a clean environment is crucial for patient safety, reducing the risk
of Hospital Acquired Infections (HAIs), and fostering a positive perception of
the facility.
2. Scope:
Housekeeping (Cleaning & Sweeping) shall comprise of the following:
S. No. Works Details Frequency of Cleaning
1 Working Area
Cleaning of the doors Once in a day
Removal of the Cobwebs Once in a week
Dusting of the verticals Once in a week
Cleaning of Electrical Switches Once in a week
Spot cleaning of the walls As Required
Dusting of windows Once in a day
Cleaning of windows Once in a week
Scrubbing of the Skirting Once in a week
Dusting of other article in the room Once in a day
Wet mopping of the floor As Required
Dry mopping of the floor As Required
Dusting of the Furniture & Fixtures Once in a day
Telephone and Computer Cleaning Once in a day
Fax and Photostat Machine Cleaning Once in a day
Fax and Photostat Machine Deep Cleaning Once in a week
Telephone and Computer Deep Cleaning Once in a week
Trash Removals As Required
Emptying of Dustbins Twice in a day
Spotting of Carpets As Required
Cleaning of the Doormat Once in a day
Electrical Equipment Cleaning Once in a week
2 Toilets
Cleaning of doors and windows Once in a Day
Scrubbing of the Urinals Twice in a day
Scrubbing of the Sinks Twice in a day
Washing of Toilet walls and Floor Once in a Day
Washing of W/B Twice in a day
Changing of the Urinal Cubes As Required
Changing of the Odonil Cubes As Required
Cleaning of the Doormat Once in a Day
Trash Removals As Required
Refilling Of the Soap Dispenser As Required
Refilling Of the Toilet Paper Rolls As Required
Refilling of the Face Tissues As Required
Cleaning of Toilet Fittings Once in a Day
Cleaning of Washbasin Once in a Day
Cleaning of Mirrors Once in a Day
3 Stairs
Wet Mopping of Stairs Twice in a day (Morning/Evening)
Dry Mopping of Stairs Four Times a Day
Scrubbing Of Stairs Once in a Day
4 Passage Area
Wet Mopping Twice in a Day
Dry Mopping As Required
Scrubbing Of front entrance tiles Twice in a Week
Washing of the Floors As Required
SCOPE OF HOUSEKEEPING SERVICES
Removal of paper, litter, garbage and packing material from all floors/rooms/pantry
etc.
Dusting of furniture, telephones, etc., firstly with dry cloth and then will Colin/
Cleaner.
Cleaning and Scrubbing of Toilets on regular interval/ as and when required.
Cleaning of washbasin, sanitary fittings and toilet floors with dry and wet mops.
Cleaning of window glasses sides, frames & Air conditioning grills.
Dry & Wet mopping of staircases & lobby area.
Cleaning of planters.
Reception, lobbies to be mopped twice/ thrice in a shift or as and when required.
Cleaning of Reception door and main entrance glass door and frames on both sides.
Dry & wet mopping of main lobby area on regular intervals.
Dry & wet dusting of glass partitions with glass cleaner.
Dusting & Cleaning of conference tables & Chairs.
Spot cleaning of carpets on regular basis as per prescribed maintenance instructions.
Cleaning of panel posters, paintings, light fittings, furniture and fixtures etc.
Scrubbing if staircase, lobbies and outside areas.
Removal of cobwebs.
Brass polishing of brass/ copper fixtures.
Cleaning of open lawns, footpath area on daily basis- twice a day.
Cleaning of Glass panes from outside- once in a month.
Cleaning and maintenance of artificial plants.
SCOPE OF HORTICULTURE SERVICES
Maintenance of Lawns & Gardens.
Watering the plants and flower pots.
Maintenance of Indoor Plants.
Cleaning of Dust on plants.
Maintenance of decoration of Gardens & Lawns.
Manuring of plants & lawns.
Seeding of flowering plants.
Beautification of Garden.
Improvement of ambiance, greenery in the ICAI premises.
SCOPE OF PEST AND ANIMAL CONTROL:
Measures for pest and animal control:
Engagement of a pest control agency for carrying out pest control activities
including antitermite treatment for wooden furniture and fixtures.
UPHC boundary wall is intact (at least 2.5 meters)
Installation of cattle traps at all entrances and exits of the hospital to restrict
entry of stray animals UPHC staff follow and comply with best practices of
housekeeping, cleaning and disinfection, and the best practices of waste
management
Periodic maintenance of cracks and holes in infrastructure and for any plumbing
faults in utilities and pipes, fixing of clogs, fastening of floor drains
Regular trimming of landscapes, plants, shrubs and trees also to prevent rodents
from having easy access to upper levels, windows and the roof
Regularly cleaning of drains and check for any drain clogs
Coordinate with local authorities to prevent accumulation of waste around the
premises of the hospital as it leads to pest infestation in and around the premises
Measures for mosquito free environment:
Elimination of standing water in and around the hospital
All the containers like coolers, buckets, planters, flower pots, trash containers
should be checked for water storage and should be cleaned on weekly basis
UPHCs can use good quality insect repellents
Tightly cover water storage containers (buckets, cisterns, rain barrels)
For containers without lids, use of fine wire mesh
All the septic tanks should be checked for cracks or gaps and open vent should be
covered with fine wire mesh
SCOPE OF TECHNICAL SERVICES
1. ELECTRICAL:
Electrician will be overall responsible for uninterrupted power supply to the
building.
Will ensure proper functioning of Transformer, Substation, LT Panels, AMF
Panels, all other accessories & pumps, motor blowers etc.
Agency will carry out preventive maintenance and operation of complete internal
electrical installation.
Agency will monitor electrical consumption.
Agency will maintain log books to record the day-to-day complaints, electrical
meter reading etc.
Agency will maintain status card of each equipment.
2. PLUMBER:
To attend to day to ‘day’s plumbing requirements.
To attend to the complaints pertaining to pumps motors, sewerage, water tank
(underground and overhead) & wash rooms related.
3. Procedure:
ROUTINE CLEANING OF FLOORS
Mopping Floors using Dust Control Mop (microfiber) Working from clean areas to dirty
areas:
Remove debris from floor and dry any wet spots with old newspaper
Remove gum or other sticky residue from floor
Starting in the farthest corner of the room, drag the mop toward you, then
push it away, working in straight, slightly overlapping lines and keeping the
mop head in full contact with the floor
Do not lift dust mop off the floor once you have started, use swivel motion of
frame and wrist to change direction
Move furniture and replace after dust mopping, including under and behind
bed
Carefully dispose of debris, being careful not to stir up dust
Replace mop head/pad when soiled and after mopping a room
Mopping Floors using Wet Loop Mop and Bucket Working from clean areas to dirty
areas:
Prepare fresh cleaning solution according to the manufacturer’s instructions
using appropriate PPE according to MSDS (material safety data sheet)
Place ‘wet floor’ caution sign outside of room or area being mopped
Divide the area into sections (eg. corridors may be divided into two halves,
lengthwise, so that one side is available for movement of traffic while the
other is being cleaned)
Immerse mop in cleaning solution and wring out
Push mop around skirting first, paying particular attention to removing soil
from corners; avoid splashing walls or furniture
In open areas use a figure eight stroke in open and wide spaces, overlapping
each stroke; turn mop drag the mop toward you, then push it away, working
in straight, slightly overlapping lines and keeping the mop head in full contact
with the floor
Repeat until entire floor is done
Change the mop head when heavily soiled or at the end of the day
Figure: Eight stroke technique for mopping
CLEANING OF WATER COOLERS
Water cooler tanks should be kept covered at all times
The tank cover should fit properly with no gaps between the tank and the
cover
The outside of the cooler, electrical cord and plugs, the tap and the drain tray
should be wet wiped daily with soap and water. Drainage should be provided
for overflow of water
The cooler tank should be emptied and cleaned at least once in two weeks or
more frequently. In general, less frequently used coolers need more frequent
cleaning as stagnation of water promotes microbial growth. In areas and at
times when water supplied appears turbid/muddy, more frequent cleaning
may be required e.g., every week
Empty the tank and clean it with soap and water using a brush. Rinse with
plenty of water to remove all soap
Wipe the inner surfaces of the tank liberally with chorine solution containing
500 ppm of chlorine (0.5% dilution of sodium hypochlorite or prepared from
chlorine powder as per manufacturer recommendations). The chlorine
solution should remain wet on the surface for at least 1-2 minutes
Rinse with plain water twice to remove the chorine. Check the level of
residual chlorine in the water before allowing consumption
In coolers without an attached carbon filter/softener the chlorine level will
always be zero.
CLEANING OF AIR CONDITIONERS (ACs)
Wipe the outer surface of all ACs (especially the louvers on the air outlet) with
soap and water at least once a week or more frequently (daily) if easily
accessible. Wiping should be done more frequently (2-3 times a week) if the
area is heavily used
Once a week, the dust filters in the AC should be removed, taken outside the
area and washed to remove all dust and fibers. They should be dried and then
fitted back into the AC
Proper drainage should be provided to drain away all condensation from the
unit. Any leakage should immediately be reported and rectified urgently
Regular servicing of the units should be carried and records main
Materials required:
Disinfectant working solution, hand mops, utility gloves Prepare and arrange all
materials before beginning.
Use separate mops for equipment and environmental surfaces such as floors
and walls.
Wear utility gloves.
Fold the mop twice (to make four layers)
Pour the disinfectant/cleaner on the mop. Quantity to be poured should be
enough to leave the wiped surface wet for two minutes after wiping
(exception: soap and water should be allowed to dry as soon as possible)
Wipe the equipment surface moving the mop in one direction over it. Wipe
with pressure. Do not go back into the wiped area
Always begin cleaning at the top of the equipment and move downwards (top
to down)
When moving from one piece of equipment to another, change the fold of the
mop, add more disinfectant/cleaner and proceed
When all the folds of the mop are used, keep it aside for washing and continue
with a new mop. Change mops when the room is changed
Allow the disinfectant/cleaner to dry naturally. Note: During equipment
cleaning, do not rinse the mop in water
CLEANING OF TOILETS
All toilets should be cleaned at least thrice a day especially the ones in general areas
Cleaning equipment for toilets (i.e., floor mops, hand mops, buckets, bottles used to
prepare disinfectant dilutions) should be separate and not be used in other areas of
the hospital.
Use the following method to clean toilets:
Prepare all cleaning material first.
Ensure mops and buckets are clean
Wear utility gloves and waterproof apron and protective goggles
Wash the basin and tap with soap and water and rinse with plain water
Clean any buckets and tumblers in the toilet
Clean the toilet fixtures and pans using a soap and brush. Brush walls up to
waist height each time. Brush at higher levels if soiling is seen
Rinse away the soap by spraying water under pressure. A piece of tubing can
be fixed to the tap in the toilet and water sprayed through it with pressure by
partially closing the outlet opening of the tube with the finger. A car sprayer
attachment should be obtained if possible
Brush any remaining stains and soiled areas using more soap and water
applying pressure
Drain away excess water on the floor using a rubber floor wiper
Sprinkle chlorine solution containing at least 5000 ppm chlorine on all
surfaces except metal ones (taps). This can be prepared by making a 10%
dilution by volume of a hypochlorite solution containing minimum 5%
chlorine or by dissolving chorine powder in water in proportion
recommended by the manufacturer to provide this strength of chlorine
Allow to dry naturally
Wash the cleaning equipment with soap and water and keep it in the correct
place
Wash the utility gloves with soap and water and hand them to dry
Wash hands with soap and water and disinfect them using an alcohol hand
rub before proceeding to other work
3. Responsibility:
I/C MO, Staff nurse, Supervisor
Supervision by an experienced and qualified supervisor who will be overall
responsible for smooth functioning of all facilities.
He will be responsible for the discipline of Entire staff.
4. Records:
S No Name of Record
1 Cleaning schedule and activities and monitoring record
2 Monitoring record of hospital cleanliness (once in month)
3 Meetings and monitoring activities regarding cleanliness drive
4 Pest control measures record (yearly maintenance)
5 Maintenance registers for furniture and fixtures (once in a year)
6 Annual maintenance registers for infrastructure
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