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Infection control guide

Infection control and cleaning standards for Melbourne clinics.

What the RACGP Standards, the RACGP infection prevention and control guidelines, the NSQPCH Standards and the Therapeutic Goods Administration ask of a clinic's cleaning, in plain words, with the source for each point. Written for practice managers getting ready for a survey, and for anyone choosing a cleaning contractor.

Quick takeaways

The pointWhat it means for a clinicSource
Show it, do not just say itIndicator GP5.1F reads "Our practice is visibly clean", and the practice must "be able to demonstrate that the practice is regularly cleaned". A clean room on the day is not a record.RACGP Standards 5th ed, GP5.1
A schedule needs five thingsWho cleans, which surfaces, how often, by what method, with which products and equipment.RACGP IPC guidelines, scheduled cleaning
Frequently touched surfaces at least dailyA contractor's weekly or twice-weekly visits are the scheduled clean. The daily touchpoint wipe-down belongs to the practice team, and the schedule should show both.RACGP IPC guidelines, frequency
Hospital grade means the ARTG says soA hospital grade disinfectant with specific claims must be listed in the Australian Register of Therapeutic Goods. "TGA approved" is not a permitted phrase.TGA
Contract cleaners follow your policyThe practice's cleaning policy goes into the cleaning contract, and the practice audits against it.RACGP IPC guidelines, contract cleaners
Keep the logA cleaning log or contractor checklist is the evidence the Standards name for both GP4.1 and GP5.1.RACGP Standards 5th ed
Safety data sheets on siteEvery hazardous chemical brought into the practice needs a current SDS in the practice's hazardous chemicals register.WorkSafe Victoria; RACGP IPC guidelines

Why clinic cleaning is different from office cleaning

An office is cleaned to look clean. A clinic is cleaned to a written policy. The RACGP Standards require the practice's infection control policy to cover cleaning in both clinical and non-clinical areas, and the practice has to be able to show a surveyor that the policy is being followed. That changes what the cleaner does, what they use, and what they leave behind.

  • Clinical touchpoints get a disinfectant step, not just a detergent wipe. The RACGP guidelines call for a disinfectant, in addition to or combined with detergent, where there is a higher risk of contamination, and for a two-step clean (detergent, then disinfectant) when a combined product is not used.
  • The disinfectant has to be the right product. The guidelines prefer disinfectants bought in single-use, pre-diluted containers, to reduce dilution error and contamination, and hospital grade disinfectants that make specific claims must be listed in the ARTG.
  • Some things are never touched by the cleaner: medical devices, the vaccine fridge, medicine storage, sharps and clinical waste, and blood or body fluid spills, which the practice's own spill kit procedure covers.
  • Hand hygiene stations are refilled only with the product the practice supplies. The guidelines restrict clinical hand rub to products approved for healthcare settings, so a consumer sanitiser must never go into a clinic's dispensers.
  • No brooms, and a dedicated vacuum. The guidelines say brooms must not be used in any healthcare area, and that a contract cleaner should use a vacuum that is kept only for that practice and stays on site.
  • Everything is recorded. The guidelines describe a cleaning record in which completed rounds are signed, and say contract cleaners can be required to complete a checklist of tasks.

The standards that apply

RACGP Standards for general practices, 5th edition

Two criteria carry the cleaning requirements. Criterion GP4.1, infection prevention and control, requires a written, practice-specific infection control policy (GP4.1B), and the Standards say that policy must contain environmental cleaning of clinical and non-clinical areas. The evidence the Standards list for GP4.1D and GP4.1E includes maintaining a cleaning policy and maintaining a cleaning log. Criterion GP5.1, practice facilities, carries indicator GP5.1F, "Our practice is visibly clean": the practice must be able to demonstrate that it is regularly cleaned, and the evidence named is a written and signed agreement with commercial cleaners and a cleaning log.

The Standards also say what a contract should contain. If a practice engages commercial cleaners, it should have them sign a written contract that outlines a schedule, suitable products to be used, and the areas to be cleaned, and could have the cleaners record their work in a log. That sentence is the whole shape of a good cleaning contract.

RACGP Standards, 6th edition

The 6th edition was published in August 2026 and carries the same requirements under new codes. Criterion CG9 keeps environmental cleaning inside the infection control policy, and criterion CG10.A asks for a cleaning policy aligned with the RACGP infection prevention and control guidelines or another relevant Australian standard, identifying responsibilities, work health and safety issues, and procedures for scheduled cleaning, unscheduled cleaning and monitoring. Transition timing is set by the Australian Commission on Safety and Quality in Health Care; surveys run against the 5th edition until then.

RACGP infection prevention and control guidelines, section 9

This is where the detail lives. Practices must have a current cleaning policy identifying responsibilities, work health and safety issues, and procedures for routine scheduled cleaning, unscheduled cleaning and monitoring. Practices must have a cleaning schedule that sets out who cleans, which surfaces, how often, by what method, and with which products and equipment. Frequently touched surfaces are cleaned at least daily. Where cleaning is outsourced, the practice documents the cleaning delivery procedures, includes its cleaning policy in the contract, and audits adherence. Staff responsible for cleaning, including contract cleaners, must be trained for the task and must adhere to the practice's policy. The guidelines were last revised in June 2026.

NSQPCH Standards, for clinics that are not general practices

Specialist, allied health and other primary care services accredited under the National Safety and Quality Primary and Community Healthcare Standards meet the same idea through Action 3.09: processes to maintain a clean, safe and hygienic environment that respond to environmental risks, require cleaning and disinfection using products listed on the Australian Register of Therapeutic Goods consistent with the manufacturers' instructions and recommended frequencies, and provide access to training on cleaning processes. The evidence examples are a documented cleaning process, a cleaning schedule, evidence that cleaning has been completed, training records, and evidence that the products used are ARTG listed.

The Therapeutic Goods Administration

Disinfectants are regulated by the TGA. A hospital grade disinfectant that makes specific claims, such as against a named virus, must be listed in the ARTG, and only a product whose ARTG entry or label says hospital grade may be called hospital grade. The TGA prohibits the phrases "TGA approved", "TGA registered" and "TGA endorsed" in advertising; the permitted form is "listed in the ARTG" together with the ARTG number. A listed disinfectant may only be promoted for the purposes on its ARTG entry, so a claim of residual protection, for example, can only be made for the organism and period the entry states.

Work health and safety, waste and pest treatment

WorkSafe Victoria requires an up-to-date safety data sheet for every hazardous chemical used or stored on the premises, kept in a hazardous chemicals register the practice maintains. EPA Victoria's clinical waste duties mean clinical, cytotoxic and sharps waste stays with the practice's licensed clinical waste contractor. And in Victoria, carrying on a business of controlling or repelling pests requires a pest control licence under the Public Health and Wellbeing Act 2008; a clinic that wants a professional pest treatment should use a licensed pest control operator.

High-risk zones, and how they are cleaned

ZoneWhat mattersWho and when
Reception and waitingThe counter, the entry door and handles, every chair, the reception glass, and children's play equipment where it is provided. The busiest touchpoints in the building.Practice team daily; contractor every visit
Consulting roomsSink, taps, dispensers, desk, seating, door handles and light switches, the couch between patients, the IT. Under the desk and under the bed, where dust and dropped items collect.Couch and handles by the practice between patients; contractor every visit, deep clean at the end of the week
Treatment roomHard smooth flooring mopped with disinfectant, every bench, handle and cupboard front wiped, bin lids and foot pedals disinfected, the bed frame and mattress cover decontaminated on a set cycle. Medical devices, the vaccine fridge and medicine storage are excluded.Contractor every visit; bed decontamination fortnightly
BathroomsToilets, basins and taps cleaned then disinfected, floors mopped with disinfectant, paper, soap and hand towel restocked, sanitary units wiped externally.Contractor every visit
KitchenDishes, benches and tabletops, floor mopped, bins emptied and re-lined.Contractor every visit

Our room-by-room schedule sets this out surface by surface, with the product and the frequency, in the form the guidelines describe.

Products and protocols

  • Cleaning and disinfecting are two different steps. Cleaning removes soil with detergent; disinfecting reduces microorganisms with a disinfectant. Where a combined cleaner-disinfectant is not used, the surface is cleaned first and disinfected second.
  • Contact time is on the label. A disinfectant works only if it stays wet on the surface for the time the manufacturer states. Wiping it dry straight away undoes the step.
  • Hospital grade is a regulated term. On clinical touchpoints we use Viraclean (Whiteley), a hospital grade disinfectant listed in the ARTG, AUST L 69000, whose entry describes it as effective against a broad range of bacteria including MRSA and VRE and against hepatitis B, herpes simplex, influenza and coronaviruses including SARS-CoV-2. Fortnightly on high-touch points, and as an after-hours ULV fog inside the first fortnight, we use Forcefield 4in1 + Protector, a hospital grade disinfectant listed in the ARTG, ARTG 421991, whose entry states 30 days effective residual activity against SARS-CoV-2 after a single application. Both are hard surface disinfectants and are not used on medical devices.
  • Not everything is a disinfectant. A carpet sanitiser is an exempt product with a general "kills germs" claim, not an ARTG-listed hospital grade disinfectant, and should not be described as the disinfection step. Disinfectant wipes are for high-touch points and seating, not for general surfaces.
  • The paperwork travels with the products. A product list with ARTG numbers and a current safety data sheet for each chemical go into the practice's hazardous chemicals register.

What a surveyor asks to see

From the AGPAL interview criteria and survey-day practice, cleaning is examined through indicator GP4.1D in every interview stream, and through the walk-through for GP5.1F. The surveyor walks the practice looking at visible cleanliness, then asks for the documents.

  • The infection control policy, naming who is responsible for cleaning. The practice's.
  • The cleaning schedule: areas, surfaces, frequency, method, product and person. We supply it.
  • A completed cleaning log or contractor checklist. We keep it at the clinic, signed at every visit.
  • The signed cleaning agreement, with schedule, products and areas, incorporating the practice's policy. We supply it.
  • The product list and safety data sheets on the hazardous chemicals register. We supply the list and the sheets; the register is the practice's.
  • Staff, including cleaners, who can say who is responsible for cleaning and what they do. A scenario question to expect: "There is blood on the floor of room 2, what do you do?" The answer is the practice's spill kit procedure, not the contract cleaner.

Choosing a cleaning contractor: what to ask for

  • A written schedule with the five elements: who, which surfaces, how often, what method, which products.
  • A cleaning log or checklist that stays at your clinic and is signed at every visit.
  • A contract that incorporates your cleaning policy, minimum frequencies, methods and products.
  • A product list with ARTG numbers for every disinfectant, and a safety data sheet for every chemical.
  • A clear line on who does the daily touchpoint cleaning between the contractor's visits.
  • A clear line on what the contractor will not touch: sharps and clinical waste, the vaccine fridge, medicine storage, spills.
  • An after-hours access protocol: keys, alarm codes, a key register, and return in writing at the end.
  • A dedicated vacuum that stays on site.
  • Evidence that cleaners are inducted on hand hygiene, PPE, standard precautions and your schedule.
  • Public liability insurance and police checks. Neither is an accreditation requirement, but a practice is entitled to ask for both.

Common gaps

  • No written schedule, or a schedule with surfaces but no products and no frequencies.
  • A log that was started and not kept up. A surveyor reads the last three months, not the first page.
  • Products described as "TGA approved", or a contractor citing instrument reprocessing or laundry standards (AS/NZS 4187, AS/NZS 4815, AS/NZS 4146) as if they governed room cleaning. They do not.
  • The contractor's visit treated as the whole cleaning program, with no daily touchpoint cleaning assigned to anyone.
  • Cleaners with access to medicine storage. Victorian guidance on Schedule 4 and Schedule 8 poisons is that cleaning and maintenance staff must not have access to storage.
  • No safety data sheets on site for the products the cleaner brings in.
  • A consumer hand sanitiser topped into a clinical hand rub dispenser.

Questions practices ask

Does the RACGP approve cleaning companies?

No. There is no RACGP standard for cleaners and no endorsement pathway for a cleaning service. The Standards describe what the practice must be able to show: a signed agreement with a schedule, products and areas, a cleaning log, and a practice that is visibly and demonstrably clean. Any cleaner who calls themselves "RACGP approved" or "RACGP standardised" is claiming something that does not exist.

Is hospital grade the same as "TGA approved"?

No. Hospital grade is a regulated description that applies only to a disinfectant whose ARTG entry or label says so. The TGA does not "approve" disinfectants and prohibits that phrase in advertising. Ask for the ARTG number, which is the only form of listing statement the TGA permits.

How often must a clinic be cleaned?

The RACGP guidelines set the floor for frequently touched surfaces at least daily, with more during an outbreak, and leave the rest to the practice's risk assessment and schedule. In practice that means the practice team wipes touchpoints daily and between patients, and a contractor does the scheduled maintenance cleaning on set days, with the weekly treatment room pass, the fortnightly deep sanitise, the monthly surface test and the quarterly tasks on the same calendar.

Do we need a cleaning log?

The Standards list it as evidence rather than as a must, but it is the evidence they name for both GP4.1 and GP5.1, and the guidelines describe a cleaning record and a contractor checklist as the way to monitor the schedule. It is the simplest way to show a surveyor that the practice is regularly cleaned.

What changes under the 6th edition?

The codes. CG9 keeps environmental cleaning inside the infection control policy and CG10.A asks for a cleaning policy aligned with the RACGP infection prevention and control guidelines, naming responsibilities, work health and safety, scheduled and unscheduled cleaning, and monitoring. A schedule, a log and a contract written for the 5th edition already meet it.

References

  • RACGP, Standards for general practices, 5th edition: Criterion GP4.1 Infection prevention and control; Criterion GP5.1 Practice facilities. racgp.org.au
  • RACGP, Infection prevention and control guidelines, section 9, Cleaning, laundry and waste management (revised June 2026). racgp.org.au
  • RACGP, Standards for general practices, 6th edition, hub and transition information. racgp.org.au
  • Australian Commission on Safety and Quality in Health Care, National Safety and Quality Primary and Community Healthcare Standards, Action 3.09. safetyandquality.gov.au
  • Therapeutic Goods Administration, disinfectants and sterilants, and the rule that "TGA approved" must not be used in advertising. tga.gov.au
  • ARTG public summaries: Viraclean, AUST L 69000; Forcefield 4in1 + Protector, ARTG 421991. tga.gov.au/resources/artg/69000, tga.gov.au/resources/artg/421991
  • WorkSafe Victoria, safety data sheets and the hazardous chemicals register. worksafe.vic.gov.au
  • Department of Health, Victoria, pest control licensing under the Public Health and Wellbeing Act 2008. health.vic.gov.au
  • EPA Victoria, managing clinical and related waste. epa.vic.gov.au

Sanitise Services is an independent cleaning business, not affiliated with, endorsed by or accredited by the RACGP, AGPAL, QPA, QIP or the Australian Commission on Safety and Quality in Health Care. Quotations above are short extracts from the published Standards and guidelines; read the originals before relying on them.

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