Hand Hygiene Observation
Designation of person completing hand hygiene

Name of person being audited

Did they perform hand hygiene? (If no, please provide the reason: hands full, frequent entry/exit, dispenser empty, improper glove use, or other

What method?

Did they spend 15-20 seconds washing their hands?
For alcohol based hand rub (ABHR) did they rub their hands together vigorously ensuring contact with all surfaces of hands and let dry?

Hand Hygiene Moment

Do fingernails meet Hand Hygiene Policy? ( No artificial nails, no overlays, no chipped fingernail polish, nails 1/4 inch or less in length?)

Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.