National Guidelines for Clean Hospitals Housekeeping Guidelines Government Of India Part 3

National Guidelines for Clean Hospitals| Housekeeping Guidelines Government Of India, Part 3

Roles and Responsibilities of Sanitation Officer

  • Provide formal and on-the-job
  • Assume an active role in the overall management responsibility for a healthcare organization through participation and service in the committee
  • Sanitation Officer should formulate, implement, coordinate and control comprehensive environmental sanitation programs under the guidance of Sr. Sanitation Officer/ Hospital
  • Respond to the numerous components of the healthcare environment and have the administrative authority to use discretion in effecting needed change for the benefit of patients, staff and other people.
  • Organize, supervise, and coordinate the work of housekeeping personnel on a day-to-day basis.
  • Ensure excellence in housekeeping sanitation, safety, comfort, and aesthetics for patients, staff and
  • Draw up duty rosters for sanitation
  • Assure proper communication within the department by conducting regular meeting with all the parties.
  • Hire new employees, warn employees when policies are violated, and discharge employees when necessary. 
  • Counsel employees on various duties and on work-related
  • Motivate his/her staff and keep their morale
  • Establish standard operating procedures (SOP) for cleaning under the guidance of Hospital Administrators and maintain them, and to initiate new procedures to increase the efficiency of sanitation staff and product use.
  • Ensure the provision of proper uniforms for the sanitation staff.
  • Ensure observance of hygiene and safety precautions.
  • Offer suggestions to the human resource department concerning selection recruitment, replacement, duty alterations, up gradation, and so on.
  • Organize and supervise the on-the-job and off-the-job training and off-the-job training of staff.
  • Liaise between the engineering maintenance and other departments in the healthcare organization.
  • Inspect and approve all supply requisitions for the sanitation services/ department, and to maintain par stock, inventory control, and cost-control procedures for all materials.
  • Check the feedback reports and the registers maintained by both in-house staff and outsourced
  • Maintain a time logbook for all employees within the department.
  • Provide a budget to the management, and undertake budget control and forecasting

Roles and Responsibilities of Sanitary Inspector

  • He/she is sanitation in charge of the assigned
  • To supervise and guide sanitary supervisors in their work.
  • To report to the Sanitation Officer, regarding the administrative constraints faced by Sanitary Attendants of the wards.
  • To take surprise round of ward/OT etc. for cleanliness of toilet
  • Any other responsibility assigned by the Sanitation Officer or Hospital Administration

Roles and Responsibilities of Sanitary Supervisor

  • To supervise the work of Sanitary Attendants
  • To provide replacement of Sanitary Attendants if regular Sanitary Attendant is on leave.
  • To ensure the cleanliness and proper sanitation of the area under his/her supervision.

Roles and Responsibilities of Sanitary Attendant

  • He/she is responsible for keeping the area neat and clean, assigned to him/her.
  • He/she will promptly give spotlessly clean urinals and bedpan as and when required by patients.
  • He/she will assist the nursing staff in the collection of urine and stools specimens.
  • He/she will assist in the cleaning and disinfection of soiled linen, mattresses, articles.
  • Any other task assigned by the nursing staff, the sanitary inspector and other higher officials

Roles and responsibilities of the plumber

  • He will be on the rolls of the agency to which sanitation services are to be provided.
  • He will do routine minor repairs of sanitary fittings for ensuring effective sanitation and hygiene level in healthcare
  • He will promptly attend to calls received from patient care areas, administrative and other areas.
  • He will not carry out any major repair work and report such issues to the engineering department through his/her superior.
  • Any other task assigned by the Sanitation Department.



Adequately staffed sanitation department is one of the most important factors that govern the success of environmental cleaning in a healthcare organization. Staffing levels must be appropriate to each department of the healthcare organization, with the ability to increase staffing in the event of any exigency.

General staffing levels may be calculated by adding the average time taken for a worker to complete individual tasks. Average cleaning time is the normal time required for a qualified worker, working at a comfortable pace, to complete an operation when following a prescribed method. Education and training are important factors in determining average cleaning time; a new worker will not work at the same pace and as efficiently as an experienced worker. Written procedures and checklists for cleaning will assist in standardizing cleaning and disinfection times and will ensure that items are not missed during the cleaning.

Each health care organization should be encouraged to perform their own time  management studies to determine appropriate staffing levels for cleaning and supervisory staff, taking into consideration the following factors:(1)

  • Building factors
    • Age of the facility – older buildings are harder to clean
    • Design of the facility – e.g., amount of walking required to complete a task
    • Size of the facility
    • Climate
    • Season
    • Exposure of facility to outside dust and soil, e.g., construction site
    • Type of floors and walls
  • Occupancy factors
    • Occupancy rate and volume of cases
    • Patient mix and type of care in the area (e.g., acute care, long-term care, clinic) vs. No care in the area (e.g. public area)
    • The frequency of cleaning required in an area (e.g. once daily vs. after each case)
    • Square meters to be cleaned in patient care areas
    • Square meters to be cleaned in non-patient care areas
    • Admissions/discharges/transfers by unit/area – more rapid turnover require a shorter turnaround time for rooms and equipment and more frequent discharge/ transfer cleaning.
  • Equipment factors
  • Training factors
  • Infection control factors
  • Presence of outbreaks

As general rules of thumb it is proposed that for calculating human resource requirement for sanitation services for a hospital, district level and above, the following parameters can be used:


  1. The total requirement of sanitary attendants for a hospital – One Sanitary Attendant for two hospital beds (It takes into account the total manpower requirement of entire hospital premises for all three shifts including personnel for reliever duty and leave reserve).
  2. One Sanitary Supervisor for 12 -15 Sanitary Attendants
  3. One Sanitary Inspector for 5 – 7 Sanitary Supervisors
  4. One Sanitary Officer for 5 – 7 Sanitary Inspectors
  5. One Senior Sanitation Officer and Officer Incharge for a Healthcare Organisation
  6. One plumber should be physically available at all times depending upon the size of the healthcare


However, the following manpower requirement is recommended according to the type of patient care area:

  • Wards: Minimum 1 sanitary attendant per ward in each shift for a ward size of up to 30 beds, if more than 30 beds then one additional sanitary attendant may be provided in the morning
  • Operation Theatre: One sanitary attendant for two operation theaters for each
  • Intensive Care Unit: One sanitary attendant for up to six ICU beds in each shift and thereafter additional for every six beds in the morning shift. However, in the evening and night shift allocation can be halved.
  • OPD: In OPDs one dedicated sanitary attendant should be posted for each public toilet considering the number of footfalls and for other areas separate allocation should be
  • Wherever two sanitary attendants are posted effort should be made to post a female sanitary attendant when other being male.
  • There should be a dedicated cleaning gang of 4 to 8 sanitary attendants depending upon the size of the healthcare organization which will be utilized for intensive cleaning and washing of patient care areas and other areas.
  • Dedicated sanitary attendants may be posted for cleaning of toilets in patient care areas so as to ensure the highest level of hygiene and cleanliness.

To be Continued

0/5 (0 Reviews)

1 thought on “National Guidelines for Clean Hospitals| Housekeeping Guidelines Government Of India, Part 3”

Scroll to Top