An optometry cleaning log records the surfaces that touch a patient's face and the instruments that touch the eye itself — chin and forehead rests, tonometer tips, trial frames and the frames patients try on. Generate a free printable optometry clinic cleaning log in 30 seconds: add your practice name and area, then print it or save as a PDF.
Takes 30 seconds. Print one per exam lane or per area, initial after each clean, and keep the completed sheets on file.
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Fill in the form on the left and click Generate & Print.
Optometry has something almost no other outpatient setting has: instruments that touch the surface of the eye, and a shop floor full of items customers put on their faces.
An applanation prism contacts the tear film and corneal surface directly. Reprocessing it is not surface disinfection — it follows the tip manufacturer's specified method, and adenovirus and other ocular pathogens are the reason the method is specific rather than general. Log it separately from everything else in the lane.
The chin cup and forehead band on the slit lamp, autorefractor, visual field analyser and OCT take direct facial contact from every single patient, all day. They are the highest-frequency skin-contact surface in the practice and the easiest to rush between back-to-back appointments.
Customers try on frames, put them back, and the next customer tries the same pair. Trial frames and diagnostic lens sets go on faces too. A written routine for returning stock and for trial frames after use is what turns "we wipe them" into something you can point at.
The College of Optometrists sets out a public component — waiting room, corridors, offices — cleaned with detergent, and a clinical component — exam rooms, procedure rooms, bathrooms, diagnostic and treatment areas — cleaned with detergent and then disinfected with a hospital-grade disinfectant. Marking which zone a line belongs to is the quickest way to stop the disinfectant step being skipped where it is actually required.
Trial lens handling, insertion and removal training, and the teaching mirror all involve direct contact with the eye and with fingers that have just been in an eye. Hand hygiene and surface cleaning in that specific area deserve their own line rather than being folded into the general clean.
Want the cleaning and the records handled for you? Our optometry office cleaning service covers exam lanes, pre-test, the dispensary and washrooms with DIN-registered products at the correct contact time, and leaves a signed log after every visit. No lock-in contract.
See the optometry cleaning service |Get a free quote →Yes. This page generates a free, printable optometry cleaning log you can customize with your practice name and the exam lane or area, then print or save as a PDF. Print one per lane, initial after each clean, and keep the completed sheets on file. Just enter your email to unlock the sheet.
For each clean: the date and time, the lane or item, the task, who did it, the product and its Health Canada DIN, the contact time observed, and initials. Keep tonometer tips on their own line rather than folded into the lane clean — they are the one item in the practice that contacts the eye surface, and their reprocessing follows the manufacturer's method rather than a general surface disinfectant.
Physically clean, then disinfect with a Health Canada DIN-registered product left wet for the contact time on its label, between every patient, on every instrument the patient leans into — slit lamp, autorefractor, visual field analyser, OCT, keratometer. Check the instrument manufacturer's guidance before choosing a product, because some disinfectants damage the plastics and coatings on optical equipment. Paper chin-rest tissues reduce soiling but do not replace disinfection of the cup and the forehead band.
Follow the tip manufacturer's instructions for use, which specify the method and any soak time. Reusable applanation prisms contact the tear film and cornea, so they are reprocessed rather than surface-wiped, and single-use disposable tips remove the question entirely. This template records that the step was done, by whom and when — it does not tell you which method to use. Confirm that against your device documentation and current ophthalmic guidance.
The College publishes an Infection Prevention and Control Resources page for registrants, and it sets out a two-component model drawn from Public Health Ontario's Infection Prevention and Control for Clinical Office Practice. The public component — waiting rooms, offices, corridors and service areas — is cleaned with a detergent. The clinical component — examination rooms, procedure rooms, bathrooms, and diagnostic and treatment areas — is cleaned with a detergent and then disinfected with a hospital-grade disinfectant. High-touch surfaces may need more frequent cleaning, and the College states plainly that surfaces must be cleaned of visible soil before being disinfected, because organic material can inactivate a disinfectant. That split is worth marking on your log, because it tells you which areas need a disinfectant step and which do not. The College also names the Occupational Health and Safety Act among the legislation behind IPAC practice, and offers a practice advisor for further support.
For part of it, and the split should be written down. Instruments that contact the eye, and reprocessing generally, stay with clinical staff. A contractor takes the exam lanes, pre-test area, dispensary, frame displays, reception, washrooms and floors, documented with product, DIN and contact time after every visit. Zusashi provides optometry office cleaning across the GTA on exactly that basis.
Records and checklists for other Ontario facilities:
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