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Clinical Cleaning Staff DBS & Training Confirmation Form

A staff assurance template — DBS, IPC training and vaccinations confirmed, so a healthcare client has evidence the cleaning team is vetted and trained.

Description

Before cleaners work in a clinical or care setting, the client needs assurance they’re vetted and trained — it’s a safeguarding and infection-control requirement, and inspectors ask for the evidence. This form confirms clinical cleaning staff DBS and training, so a healthcare client has documented proof the team meeting their patients and residents is properly checked. It captures the assurances a clinical client needs: each cleaner’s DBS check and level, their infection-prevention-and-control training, waste-handling and spill training, PPE competence, and any vaccinations or health checks required for the setting. Confirmed and held on file, it’s the evidence that supports the client’s safeguarding and CQC records. Use it when onboarding a cleaning team to a healthcare or care contract. Free, brandable, and it turns a compliance requirement into documented staff assurance.

Form fields

Everything the Clinical Cleaning Staff DBS & Training Confirmation Form above collects — 8 fields across 2 pages, so you can see exactly what it captures before you make it your own.

Confirm Staff DBS & Training

  • Cleaning provider / company

    Short Answer Icon
    Short Answer
  • Site this covers

    Short Answer Icon
    Short Answer
  • Staff vetting (name, DBS level, IPC trained) (staff name, dbs level & date, ipc trained?)

    Table Icon
    Table
  • Training held

    Multi-Select Icon
    Multi-Select
  • Vaccinations / health checks (if required)

    Long Answer Icon
    Long Answer

Confirmed by

  • Name

    Name Icon
    Name
  • Position

    Short Answer Icon
    Short Answer
  • Email address

    Email Icon
    Email
Use Template Arrow Right Icon

Template FAQs

Common questions about the Clinical Cleaning Staff DBS & Training Confirmation Form — what it captures, when to use it, and how to make it your own.

Why confirm DBS and training?

Because clinical and care settings require cleaners to be vetted and trained for safeguarding and infection control, and CQC expects the evidence on file. This form documents it so the client has proof the team is properly checked.

What DBS level is needed?

It depends on the setting — enhanced DBS checks are usual where cleaners work around children or vulnerable adults in regulated activity. The form captures each cleaner’s check and level so the right standard is evidenced.

What training does it confirm?

Infection prevention and control, clinical and hazardous waste handling, blood and bodily-fluid spill management, and correct PPE use — the core competencies for cleaning a healthcare environment safely. The form records them per staff member.

Does it cover vaccinations?

It can — some settings require certain vaccinations or health checks for staff working around vulnerable people. The form lets you capture these where your setting needs them.

Who keeps the record?

The client (practice, home or clinic) keeps it on file as part of their safeguarding and IPC evidence, and the cleaning provider holds a copy. It’s the documented assurance both sides and an inspector can rely on.

Is the form free?

Yes — free with a Fun Forms account, fully customizable, and it embeds on your site or shares as a link.