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
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
Site this covers
Short Answer
Staff vetting (name, DBS level, IPC trained) (staff name, dbs level & date, ipc trained?)
Table
Training held
Multi-Select
Vaccinations / health checks (if required)
Long Answer
Confirmed by
Name
Name
Position
Short Answer
Email address

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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.
No credit card
Unlimited forms
Unlimited results







