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Form · PTR-FRM-005 · Version 1.0 · Approved by the ASF Expert Committee
Supports: System S6 (Patient transfers and referrals), criterion S6.36
Purpose
Records the cleaning and disinfection of the vehicle between patients.
How to complete
- Clean and disinfect after each patient, not only at the end of the shift.
- Tick each item as it is done.
- Sign at the end of the cleaning.
Checks
| Check | Entry |
|---|---|
| Stretcher and surfaces cleaned | Yes |
| Handles and touch points disinfected | Yes |
| Floor and bench cleaned | Yes |
| Used linen and waste removed | Yes |
| Cleaned by and time | Yes |
Evidence
| Reference | Note |
|---|---|
| E-009 | ASF Expert Committee consensus. |
| E-006 | ASF Policy Framework v1.2. Adapted. |
| E-009 | ASF Expert Committee consensus. |
Change history
| Version | Date | What changed | Approval |
|---|---|---|---|
| 1.0 | the date of approval | First version | set Expert Committee approval |
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References
- Accréditation Sans Frontières (2026). ASF Policy Framework v1.2. (E-006)
- Accréditation Sans Frontières (2026). ASF Expert Committee consensus on Standard 1. (E-009)
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