Sanitation & Hygiene Assessment Tool
for Homeless Shelters, Day Centers, Villages, and Encampments
Purpose of Assessment: To ensure the health and safety of clients, staff, and volunteers, and to determine if
additional support is needed to meet minimum sanitation and hygiene standards.
Instructions: Submit copy of completed form to Public Health via marta.lema@kingcounty.gov. Be sure to place a
copy of this assessment form in your files. Check  that your facility meets these standards. If not applicable mark
NA.
Supplies and Equipment
Standard
 or NA
Liquid hand soap and single-use paper towels are stocked at all hand washing sinks/stations.
Disinfectant labeled for control of Norovirus and/or Hepatitis A.
Hand sanitizer provided at entrance(s) and common areas.
Hot and cold running water is always available when the facility is in operation. Hot water is maintained at
a minimum of 100°F. If sensor or pedal-operated sinks are used (i.e., temperature is automatically set),
temperature does not exceed 120°F.
First aid kit(s) provided – size and/or amount of supplies appropriate for number of clients being served.
Sharps container(s) provided and maintained.
Appropriate personal protective equipment (PPE) provided for staff, volunteers, and residents responsible
for cleaning and maintenance of facility (e.g. gloves, dust mask, protective clothing, eye protection, etc.)
Protocols and Procedures
 or NA
Standard
Sanitation and hygiene training provided during onboarding process for new staff and volunteers (e.g.,
require new members to review Public Health – Seattle & King County’s Sanitation and Hygiene Guidance
document).
Master cleaning schedule developed, and cleaning instructions posted or provided for cleaning and
sanitation of kitchen, restrooms, showers, and common areas. Including instructions for how to mix and
use disinfectant and sanitizer solutions.
Signage encouraging good hygiene and sanitation posted in restrooms and/or communal areas.
Protocols developed specifically for handling and disposal of infectious waste (e.g., diapers, wound
dressing, soiled bedding, sharps, animal waste, etc.).
Bedding laundered at minimum once a week, per client. Dryer in laundry facility capable of reaching
165°F.

Facility Name: _______________________________________________
Street Address: __________________________________ City: ____________________ Zip: ____________
Program Staff Completing this form: _______________________________________________________
Staff Signature: _____________________________________________

Public Health – Seattle & King County

Date: _____________________