Hygiene Log Stapleton Sausage Company Certification #NRM2331121

• Stapleton Sausage Company #103 3950 191 Street Surrey, BC V3Z 0Y6
  Address

• Enter Employee Name

• Enter Date & Time

  Date

EMPLOYEE HYGIENE

• Proper Hand Washing Observed

  Yes

  No

  N/A

• Staff only wash hands in handwash sink

  Yes

  No

  N/A

• Employees wear appropriate uniform <br>including proper shoes

  Yes

  No

  N/A

• Hair restraints worn

  Yes

  No

  N/A

• Fingernails trimmed

  Yes

  No

  N/A

• Jewelry is restricted

  Yes

  No

  N/A

• Glove use policy followed

  Yes

  No

  N/A

• Open sores, cuts, or bandages <br>completely covered while handling food

  Yes

  No

  N/A

• Eating, drinking or Chewing gum <br>prohibited in food prep areas

  Yes

  No

  N/A

• Staff take appropriate action <br>when coughing or sneezing

  Yes

  No

  N/A

FACILITIES

• Hand wash stations available & stocked<br>with anti-microbial hand soap, hand sanitizer<br>and single-use towels?

  Yes

  No

  N/A

• Hand Washing signage displayed

  Yes

  No

  N/A

• Sanitizing solution available in critical areas

  Yes

  No

  N/A

• Employee Signature

  Sign

• Supervisor Name & Signature

  Sign