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HOSPITAL, CITY

LABORATORY AND BLOOD BANK DEPARTMENT


FORMS

FORM TITLE:CLEANING SHEET INDEX No: FORM-LAB-001-01

Unit …………………………….
Computer No: ………………… Month: ……………...

Week 1 Sunday Monday Tuesday Wednesday Thursday Friday Saturday

Signature

Week 2 Sunday Monday Tuesday Wednesday Thursday Friday Saturday

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Week 3 Sunday Monday Tuesday Wednesday Thursday Friday Saturday

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Week 4 Sunday Monday Tuesday Wednesday Thursday Friday Saturday

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Week 5 Sunday Monday Tuesday Wednesday Thursday Friday Saturday

Signature

Unit Supervisor: …………………….

COMPUTER CLEANING SHEET Page 1

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