Analyse environmental management of health facilities and check whether answers to the following questions are positive:

Standard of cleanliness, hygiene and safety at stores and health facilities

Gleaning:

- Is there an adequate supply of safe water?
- Is the facility clean inside and outside?
- Is there a person responsible for keeping the facility clean?
- Is there a cleaning schedule?
- Are there enough cleaners?
- Is there sufficient equipment and cleaning materials?
- Is there adequate refuse disposal?
- Are there specific measures for disposal of dangerous or toxic substances?
- Are there any posters or notices warning staff about the importance of cleanliness?

Hygiene:

- Are there clean conditions in key areas, such as the pharmacy and kitchens?

Health units only:

- Do staff use special clothing to wear whilst in these areas?
- Are the sanitary facilities satisfactory, e.g., wash basins and W.C.s?
- Is the drainage system satisfactory?
- Are there hygiene notices posted, e.g., for handwashing?

Safety:

- Are there regulations for handling inflammable, dangerous or toxic substances?
- Is there protective clothing for those who require it, e.g., dust masks, goggles, etc.?
- Is there an adequate level of lighting and ventilation?
- Are there working fire-fighting appliances?
- Are they regularly inspected?
- Do staff know what to do in case of fire?
- Is one person designated as fire officer?
- Is there a working fire alarm?
- Are there adequate safety precautions in laboratories, e.g., fume cabinets?
- Are there first aid kits in stores and high risk areas?
- Is smoking restricted to specific areas?