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Daily Hand Hygiene Checklist

DAILY HAND HYGIENE CHECKLIST

Area/Department: Number: Date:

Shift 1 2 3 Comments
Time
Staff initial
SINK
Clean

Surface not Damaged

Water Drain Works Properly

Faucets Work Properly

SOAP DISPENSER
Full

Clean

Label Present

Fill Date Present

PAPER TOWELS
Present

Clean Dispenser

Copyright © IFC 2020. All rights reserved. 1


Daily Hand Hygiene Checklist

HANDWASH INSTRUCTIONS
Present

Copyright © IFC 2020. All rights reserved. 2

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