Mask Interaction 1

Staff Type

Was the Mask Worn Properly

Was Education Done?

Was Education Done?

Was Education Done?

Was the Mask Worn During The Entire Interaction

Mask Interaction 2

Staff Type

Was the Mask Worn Properly

Was Education Done?

Was Education Done?

Was Education Done?

Was the Mask Worn During The Entire Interaction

Mask Interaction 3

Staff Type

Was the Mask Worn Properly

Was Education Done?

Was Education Done?

Was Education Done?

Was the Mask Worn During The Entire Interaction

Mask Interaction 4

Staff Type

Was the Mask Worn Properly

Was Education Done?

Was Education Done?

Was Education Done?

Was the Mask Worn During The Entire Interaction

Mask Interaction 5

Staff Type

Was the Mask Worn Properly

Was Education Done?

Was Education Done?

Was Education Done?

Was the Mask Worn During The Entire Interaction

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.