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"CRUCIFORM"®
Priority Cleaning System

PRODUCT DESCRIPTION

The “Cruciform”® Priority Cleaning System card has a number of pages, as follows:

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PRIORITY 1

This starts the cleaning/disinfection process and must be completed first. Mostly tick boxes but has sections for cause of infection, infestation or contamination, names of cleaning/disinfection operatives and person giving authority to start process and ensure that preparatory issues are dealt with.

 
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PRIORITY 2

This page follows the priority 1 page and continues the cleaning/disinfection process, with emphasis on removing gross contamination and infectedX objects.

 
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PRIORITY 3

This page follows the priority 2 page and continues the process with emphasis on cleaning, then disinfection of all objects and surfaces in the room/space.

 
 

White Page

This page ensures that all foregoing processes have been satisfactorily completed and that all administrative issues have been dealt with and forms handed over.

 
 

Certificate of Decontamination

This page must be signed by the contractor’s representative before handing it over as a link to the completed record of cleaning / disinfection which will be securely stored by the contracting organisation. Once completed its handed over to custodian/owner or representative as a numbered record, which can be referred to in the future if required. It has the unique identification number.

 
 

Contents of Kit Page


This page identifies all contents of cleaning/disinfection kit, the address of the space/room cleaned and contains the same unique identification number as on the Certificate of Decontamination.

The system also has three separate but linked forms.

 
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Risk Assessment Sheet

This two-part form enables all risks present before the cleaning/disinfection starts to be identified and agreed. Unique reference number on “Cruciform”® card is filled in on this sheet to provide a link.

 
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Listing Sheet

This two-part form enables all items Damaged and Left, Bagged for Cleaning, Bagged for Disposal, Personal Possessions handed over, Contaminated and Disposed of and Items Returned to Contractor to be identified and agreed. Unique reference number on “Cruciform”® card is filled in on this sheet to provide a link.

 
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Hazardous Waste Transfer Note

This two-part form ensures that cleaning contractor and Licensed Waste Disposal Company have an agreed record of all items/bags taken away for appropriate disposal. Unique reference number on “Cruciform”® card is filled in on this note to provide a link.

The above linked forms/sheets/certificate ensure that a complete, auditable and verifiable record is produced for each contamination case. This protects all concerned and ensures that any litigation or other legal claim made can be adequately defended.