HCW Type

Isolation Type


Proper signage

Gloves available

Gowns available

Masks available

Bleach wipes available for Contact PLUS

All supplies available


Compliant with gloves

Compliant with gowns

Compliant with mask

Compliant with all PPE

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.