Title Page

  • Conducted on

  • Prepared by

  • Department

  • Before entering, did the associate perform hand hygiene

  • Associate Name/department

  • Upon exiting, did the associate perform hand hygiene?

  • Associate Name/department

  • Before entering, did the associate perform hand hygiene

  • Associate Name/department

  • Upon exiting, did the associate perform hand hygiene?

  • Associate Name/department

  • Before entering, did the associate perform hand hygiene

  • Associate Name/department

  • Upon exiting, did the associate perform hand hygiene?

  • Associate Name/department

  • Before entering, did the associate perform hand hygiene

  • Associate Name/department

  • Upon exiting, did the associate perform hand hygiene?

  • Associate Name/department

  • Before entering, did the associate perform hand hygiene

  • Associate Name/department

  • Upon exiting, did the associate perform hand hygiene?

  • Associate Name/department

  • Before entering, did the associate perform hand hygiene

  • Associate Name/department

  • Upon exiting, did the associate perform hand hygiene?

  • Associate Name/department

  • Before entering, did the associate perform hand hygiene

  • Associate Name/department

  • Upon exiting, did the associate perform hand hygiene?

  • Associate Name/department

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.