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Clinic disinfection records
First Name
Must fill
Last Name
Must fill
Date
Must fill
Time
Must fill
Area Cleaned
Common Area (including waiting room, Receiption, restroom, kitchroom,hallway etc)
pharmacy
Treatment Room 3
Treatment Room 4
Treatment Room 5
Vice Manager' s office
Conference Room
Pratitioner's office
Must fill
Items and Equipment Cleaned and disinfected
Doorknobs
Light switch
Waiting room surfaces
Floor
Thermoscan
Pulse Oximeter
Faucet/tap handles and Sinks
Kitchen surfaces
Washroom
Telephones
Office surfaces
Heatdish
Spa Chair
Lift massage bed
Countertops
Medical equipment (eg TDP Lamps, Electroacupuncture, Cupping, GuaSha tools, etc.)
Change: Blankets, sheets
Must fill
Methods of disinfecting
70% Alcohol
Lysol (wiper)
Sterilized water for mopping
Others
Must fill
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