Healthcare Facility Housekeeping and Cleaning Activities

Assessment Date: [DATE]

Assessor: [ASSESSOR NAME]

Department/Area: [DEPARTMENT/AREA]

Review Date: [REVIEW DATE]

1. Assessment Scope

This risk assessment covers routine and non-routine housekeeping and cleaning activities within a healthcare facility, including floor cleaning, restroom sanitation, waste collection and disposal, chemical handling and storage, patient room cleaning, spill response, manual handling, operation of cleaning equipment, work at height using step stools or ladders, and infection control-related cleaning and disinfection tasks. The assessment applies to housekeeping staff and any other workers who may enter or work in the affected areas, including clinical staff, maintenance personnel, contractors, patients, visitors, and members of the public where applicable. It includes normal day-to-day cleaning, enhanced cleaning following contamination events, and response to blood/body fluid or chemical spills. It excludes specialist decontamination, laboratory processing, major maintenance, and any task requiring a separate permit or specialist competency unless housekeeping staff are specifically assigned to support those activities under an approved procedure.

2. Risk Assessment Methodology

This assessment uses a qualitative 5x5 risk matrix approach with likelihood levels of Rare, Unlikely, Possible, Likely, and Almost Certain, and severity levels of Negligible, Minor, Moderate, Major, and Catastrophic. Initial risk is determined before controls are applied, and residual risk is determined after applying controls using the hierarchy of controls: elimination, substitution, engineering controls, administrative controls, and PPE. The assessment also considers infection prevention and control requirements, hazardous chemical controls, safe work procedures, and healthcare housekeeping standards. Risks are reviewed against task conditions, area conditions, frequency of exposure, and the potential for cross-contamination or exposure to biological, chemical, physical, ergonomic, electrical, and environmental hazards.

3. Risk Matrix Reference

The following matrix is used to evaluate risk levels based on likelihood and severity:

		Likelihood
Rare	Unlikely	Possible	Likely	Almost Certain
Severity	Catastrophic	Low	Low	Low	Low	Medium
Major	Low	Low	Low	Medium	Medium
Moderate	Low	Low	Medium	High	High
Minor	Low	Medium	High	High	Extreme
Negligible	Medium	High	High	Extreme	Extreme

4. Hazard Identification and Risk Evaluation

1. Exposure to blood, body fluids, contaminated waste, and other potentially infectious materials during patient room cleaning, restroom sanitation, linen handling, and waste collection.

Potential Consequences: Workers may acquire infectious diseases through contact with contaminated surfaces, splashes to eyes or mucous membranes, contaminated hands, or contact with non-intact skin. Contamination may also spread to other areas, increasing infection risk for patients, visitors, and staff.

Affected Persons: Housekeeping staff, clinical staff, patients, visitors, contractors, and waste handlers.

Initial Risk Assessment

Likelihood	Severity	Risk Rating
Likely	Major	High

Control Measures

• Eliminate unnecessary contact with contaminated materials by using disposable cleaning items and dedicated tools for isolation or high-risk rooms where feasible.
• Substitute lower-risk cleaning methods and approved disinfectants appropriate to the contamination level and surface type.
• Use engineering controls such as designated sharps containers, closed waste bins, handwashing facilities, and adequate ventilation where cleaning chemicals or aerosols are used.
• Implement written cleaning and decontamination schedules, routine practices, task-specific procedures, segregation of contaminated waste, and clear escalation for isolation rooms or spill events.
• Provide PPE selected for the task, including gloves, fluid-resistant gowns or aprons, eye/face protection, and respiratory protection where splash or aerosol risk exists.
• Ensure hand hygiene before and after tasks, and prohibit eating, drinking, or touching the face during cleaning activities.

Residual Risk Assessment

Likelihood	Severity	Risk Rating
Unlikely	Major	Medium

2. Exposure to cleaning chemicals, disinfectants, and spill response products through skin contact, inhalation, splash, or improper mixing/storage.

Potential Consequences: Chemical burns, dermatitis, eye injury, respiratory irritation, poisoning, or release of toxic vapours may occur. Incompatible chemical mixing may create hazardous reactions, and poor storage may lead to leaks or accidental exposure.

Affected Persons: Housekeeping staff, maintenance staff, nearby workers, patients, and visitors.

Initial Risk Assessment

Likelihood	Severity	Risk Rating
Possible	Major	High

Control Measures

• Eliminate unnecessary chemical use by selecting the least hazardous product that will achieve the required cleaning or disinfection outcome.
• Substitute ready-to-use or pre-diluted products where this reduces handling and mixing risk.
• Use engineering controls such as labelled containers, secure chemical storage, local ventilation, and spill kits kept near points of use.
• Maintain COSHH-style chemical controls including safety data sheets, compatibility checks, dilution instructions, and restricted access to chemical stores.
• Implement administrative controls for training, decanting, inventory control, inspection of containers, and prohibition on mixing incompatible products.
• Provide PPE such as chemical-resistant gloves, eye protection, face shields where splash risk exists, and protective clothing suitable for the chemical hazard.

Residual Risk Assessment

Likelihood	Severity	Risk Rating
Unlikely	Moderate	Medium

3. Slips, trips, and falls caused by wet floors, spills, clutter, uneven surfaces, trailing equipment cords, or poor housekeeping during cleaning operations.

Potential Consequences: Workers or others may suffer sprains, fractures, head injury, or secondary contamination from falling into contaminated or wet areas. Falls may also interrupt patient care and create additional hazards in corridors, bathrooms, and entrances.

Affected Persons: Housekeeping staff, patients, visitors, clinical staff, and contractors.

Initial Risk Assessment

Likelihood	Severity	Risk Rating
Likely	Moderate	High

Control Measures

• Eliminate hazards promptly by removing obstructions, cleaning spills immediately, and keeping walkways clear.
• Substitute dry or low-moisture cleaning methods where appropriate to reduce wet-floor exposure.
• Use engineering controls such as warning signs, barriers, non-slip floor finishes, adequate lighting, and anti-slip footwear.
• Implement administrative controls including cleaning in sections, cord management, housekeeping inspections, and temporary access restrictions during wet cleaning.
• Provide PPE including slip-resistant footwear and, where needed, high-visibility clothing for cleaning in busy areas.

Residual Risk Assessment

Likelihood	Severity	Risk Rating
Possible	Minor	Medium

4. Manual handling and ergonomic strain from lifting waste bags, moving linen, pushing carts, carrying supplies, and repetitive cleaning motions.

Potential Consequences: Workers may experience musculoskeletal disorders, back strain, shoulder injury, hand/wrist injury, fatigue, or reduced ability to perform tasks safely. Poor handling may also cause dropped loads, spills, or collisions.

Affected Persons: Housekeeping staff, waste handlers, and staff assisting with cleaning or supply movement.

Initial Risk Assessment

Likelihood	Severity	Risk Rating
Likely	Moderate	High

Control Measures

• Eliminate unnecessary lifting by using mechanical aids, carts, trolleys, and centralized waste collection points.
• Substitute smaller or lighter loads and use split loads where practical.
• Use engineering controls such as adjustable carts, wheeled bins, and ergonomic tools with extended handles.
• Implement administrative controls for manual handling training, load limits, team lifts for bulky items, route planning, and task rotation to reduce repetition.
• Provide PPE such as supportive footwear and gloves with good grip where handling loads or waste bags is required.

Residual Risk Assessment

Likelihood	Severity	Risk Rating
Possible	Minor	Medium

5. Sharps injuries from needles, broken glass, lancets, or contaminated sharp objects found in waste, linen, patient rooms, or spill areas.

Potential Consequences: Puncture wounds may lead to bleeding, infection, exposure to bloodborne pathogens, and need for post-exposure management. Sharps incidents can also create psychological stress and work disruption.

Affected Persons: Housekeeping staff, waste handlers, clinical staff, and anyone handling contaminated waste or linen.

Initial Risk Assessment

Likelihood	Severity	Risk Rating
Possible	Major	High

Control Measures

• Eliminate direct hand contact with sharps by using tools such as tongs, forceps, or dustpans where appropriate.
• Substitute safety-engineered sharps and puncture-resistant waste containers where the facility controls the source of sharps.
• Use engineering controls including approved sharps containers, puncture-resistant waste receptacles, and secure disposal points.
• Implement administrative controls for sharps awareness training, room checks before linen removal, incident reporting, and no-hand-reach procedures into waste bags or bins.
• Provide PPE including puncture-resistant gloves and safety footwear when sharps exposure is foreseeable.

Residual Risk Assessment

Likelihood	Severity	Risk Rating
Unlikely	Major	Medium

6. Electrical hazards from operating powered cleaning equipment, using damaged cords or plugs, cleaning near outlets, or working in wet areas around electrical devices.

Potential Consequences: Workers may receive electric shock, burns, equipment damage, or secondary injury from a fall. Electrical faults may also create fire risk or service interruption in patient areas.

Affected Persons: Housekeeping staff, maintenance staff, patients, and nearby workers.

Initial Risk Assessment

Likelihood	Severity	Risk Rating
Unlikely	Major	Medium

Control Measures

• Eliminate use of damaged equipment and remove defective items from service immediately.
• Substitute battery-powered or low-voltage equipment where suitable.
• Use engineering controls such as residual current protection, cable management, dry-use restrictions, and routine inspection of equipment and leads.
• Implement administrative controls for pre-use checks, isolation of faulty equipment, and prohibition on cleaning live electrical equipment unless specifically authorised.
• Provide PPE such as electrically appropriate footwear where required by the task and local procedure.

Residual Risk Assessment

Likelihood	Severity	Risk Rating
Rare	Major	Medium

7. Work at height during cleaning of high surfaces, vents, shelves, light fittings, or elevated fixtures using ladders, step stools, or platforms.

Potential Consequences: Falls from height may cause fractures, head injury, spinal injury, or fatality. Dropped tools or materials may injure people below or damage equipment.

Affected Persons: Housekeeping staff, nearby workers, patients, visitors, and contractors.

Initial Risk Assessment

Likelihood	Severity	Risk Rating
Possible	Major	High

Control Measures

• Eliminate work at height by using extendable tools or arranging specialist maintenance access where feasible.
• Substitute ladders with safer access equipment such as podium steps or mobile platforms when appropriate.
• Use engineering controls including stable, inspected access equipment with non-slip feet and guardrails where available.
• Implement administrative controls for work-at-height authorization, inspection before use, three points of contact, exclusion zones, and prohibition on overreaching.
• Provide PPE such as slip-resistant footwear and task-appropriate gloves.

Residual Risk Assessment

Likelihood	Severity	Risk Rating
Unlikely	Major	Medium

8. Environmental and operational conditions such as poor lighting, overcrowded corridors, night work, lone work, extreme temperatures, or adverse weather affecting entrances and external routes.

Potential Consequences: Reduced visibility, fatigue, delayed assistance, and environmental exposure may increase the likelihood of slips, collisions, stress, and delayed emergency response. Adverse conditions may also affect chemical storage and waste movement.

Affected Persons: Housekeeping staff, security staff, patients, visitors, and contractors.

Initial Risk Assessment

Likelihood	Severity	Risk Rating
Possible	Moderate	Medium

Control Measures

• Eliminate unnecessary lone or out-of-hours work where the task can be scheduled during staffed periods.
• Substitute task timing to daylight or lower-traffic periods when this reduces risk.
• Use engineering controls such as adequate lighting, heated or sheltered routes where needed, and secure storage for chemicals and waste.
• Implement administrative controls for lone-worker check-ins, weather monitoring, route planning, and escalation procedures for unsafe conditions.
• Provide PPE suitable for the environment, including weather-appropriate clothing and slip-resistant footwear.

Residual Risk Assessment

Likelihood	Severity	Risk Rating
Unlikely	Minor	Low

5. General Control Measures

• Maintain a documented housekeeping and infection control program covering routine cleaning, enhanced cleaning, waste segregation, spill response, and room turnover procedures.

Ensure procedures are task-specific, available at point of use, and reviewed with all affected workers. Include cleaning frequencies, approved products, contact times, and escalation triggers for contamination events.

• Provide and maintain suitable PPE based on task-specific hazard assessment.

Select gloves, eye protection, face protection, respiratory protection, footwear, and protective clothing according to the hazard, and ensure workers are trained in correct donning, doffing, cleaning, and disposal.

• Keep work areas orderly and free from unnecessary materials, waste, and equipment.

Store tools and equipment in designated areas, keep storage areas clearly marked, and remove waste regularly to prevent obstruction, contamination spread, and trip hazards.

• Ensure chemical and waste containers are correctly labelled, compatible, and stored in designated locations.

Segregate general waste, infectious waste, sharps, chemical waste, and flammables. Keep containers closed when not in use and inspect for leaks or damage.

• Require prompt reporting and correction of hazards, incidents, near misses, spills, and defective equipment.

Use a clear escalation process so supervisors can isolate hazards, arrange cleanup or repair, and verify corrective actions before work resumes.

6. Emergency Preparedness

• Chemical spill response must include immediate area isolation, alarm activation where required, use of appropriate PPE, stopping the leak if safe, controlling ignition sources for flammables, containing the spill with compatible absorbents, preventing entry to drains, and disposing of contaminated materials in labelled containers.
• Blood or body fluid contamination events must be managed using routine practices, with prompt containment, disinfection using approved products, safe disposal of contaminated materials, hand hygiene, and escalation to infection control or occupational health when exposure occurs.
• Sharps injuries must be reported immediately, the wound washed and managed according to exposure protocol, and post-exposure assessment initiated without delay. The source, if known, should be handled under facility exposure procedures.
• Fire or explosion risk from flammable chemicals or combustible dust must be controlled by removing ignition sources, evacuating if necessary, and using only suitable extinguishing media and trained responders.
• Falls, electric shock, or serious injury events require immediate first aid, area isolation, emergency services activation where needed, and preservation of the scene for investigation once safe.

7. Training Requirements

• Infection Prevention and Control Training: Workers must be trained in routine practices, transmission routes, cleaning and disinfection requirements, hand hygiene, isolation room procedures, and safe handling of contaminated waste and linen. Training should emphasize that blood, body fluids, and soiled items may be infectious and must be handled accordingly.
  • Standard and transmission-based precautions
  • Cleaning and disinfection contact times
  • Hand hygiene and doffing sequence
  • Escalation for exposure incidents
• Chemical Safety and Hazard Communication Training: Workers must understand chemical labels, safety data sheets, dilution instructions, incompatibilities, ventilation requirements, spill response, and the correct selection of PPE for chemical exposure risks.
  • Label reading and SDS access
  • Safe decanting and storage
  • Spill kit use and limitations
  • Prohibited mixing of chemicals
• Manual Handling and Ergonomics Training: Workers must be trained to assess load weight, use mechanical aids, avoid twisting and overreaching, and request assistance for bulky or awkward items. Training should address repetitive tasks and safe pushing and pulling techniques.
  • Team lifting criteria
  • Cart and trolley use
  • Posture and repetition control
  • Early reporting of discomfort
• Sharps Awareness and Exposure Response Training: Workers must be able to recognize sharps hazards, avoid hand contact with unknown waste, use puncture-resistant containers, and follow immediate reporting and post-exposure procedures after an injury.
  • Safe handling of waste and linen
  • Use of tongs or tools for pickup
  • Sharps container location and use
  • Exposure incident reporting
• Work at Height and Equipment Safety Training: Workers assigned to elevated cleaning tasks must be trained in safe ladder or step-stool use, inspection before use, maintaining three points of contact, and recognizing when specialist access equipment or maintenance support is required.
  • Pre-use inspection
  • Stable setup and exclusion zones
  • No overreaching or carrying unstable loads
  • Defect reporting and removal from service

8. Monitoring and Review

Review Frequency: Annually and after any incident, significant change in cleaning methods, introduction of new chemicals or equipment, or following an exposure, spill, or serious near miss.

Monitoring Type	Frequency	Responsible Party	Description
Regular Inspection	Daily and before use	Housekeeping supervisor	Inspect work areas, cleaning equipment, chemical containers, waste receptacles, and access routes for spills, obstructions, damage, missing labels, and unsafe conditions before tasks begin.
Compliance Observation	Weekly	Shift supervisor or infection control lead	Observe cleaning practices, PPE use, hand hygiene, waste segregation, and disinfection technique to confirm workers are following approved procedures and contact times.
Equipment Inspection	Weekly and after defects are reported	Facilities or housekeeping supervisor	Check carts, vacuums, floor machines, cords, plugs, ladders, and step stools for wear, leaks, damage, and safe operation. Remove defective equipment from service immediately.
Chemical and Waste Audit	Monthly	Supervisor with safety or environmental services support	Verify chemical storage, labelling, segregation of waste streams, spill kit readiness, and disposal practices. Confirm incompatible materials are not stored or disposed of together.
Incident Trend Review	Quarterly	Safety manager and department leadership	Review slips, exposure incidents, sharps injuries, manual handling complaints, and equipment failures to identify trends, corrective actions, and opportunities for control improvement.

9. Special Circumstances

• Night work and reduced staffing increase the likelihood of delayed assistance, reduced supervision, and fatigue-related errors. Additional check-ins, lighting, and access controls are required.
• Lone work increases the severity of incidents because immediate help may not be available. Lone-worker communication and escalation procedures must be in place before work starts.
• Wet weather, snow, or ice can increase slip risk at entrances, loading areas, and waste collection routes. External routes should be treated, monitored, and cleared before use.
• Outbreak conditions or isolation cleaning may require enhanced PPE, restricted access, dedicated equipment, and stricter decontamination procedures.
• High patient activity, emergency admissions, or corridor congestion can increase collision and contamination risks. Work should be sequenced to minimize interference with patient care.

Approval and Sign-off

This risk assessment has been reviewed and approved by:

Assessor: _________________________ Date: __________

Manager/Supervisor: _________________________ Date: __________

Safety Representative: _________________________ Date: __________

This risk assessment must be reviewed annually and after any incident, significant change in cleaning methods, introduction of new chemicals or equipment, or following an exposure, spill, or serious near miss. or when significant changes occur.

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