Terminal & Barrier Clean Request Form

When there’s been an infectious case — a norovirus outbreak, a C. diff patient, a confirmed infection in a care room — the space needs a terminal clean to break the chain before it’s used again. This form requests a terminal or barrier clean, so an affected area is decontaminated fast and correctly. It captures what a terminal clean needs: the area affected, the pathogen or situation if known, the urgency, and whether fogging or a specific disinfectant protocol is required. Terminal cleaning goes beyond a deep clean — a full top-to-bottom decontamination of surfaces, touch points and often the air, with the right virucidal or sporicidal products for the organism involved. Put it on your “infection outbreak” page for care homes, clinics and settings. Free, brandable, and it turns an outbreak into a fast, correct decontamination that gets the space safely back in use.