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Housekeeping Checklist

DH/GH/CHC: B1.3, B1.4


Name of the Facility:

Name of the Department:

Mopping thoroughly clean of Preparation of cleaning soln


Scrubbing Floors, Walls,
Date Name of the staff Sign of the supervisor
4:00 PM or (once week) Furniture and Quantity of Quantity of
8:00 AM 1:00 PM fixture(once week)
8:00 PM water Cleaning soln

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