Donning PPE

Performed Hand Hygiene

Fastened gown at neck and waist

Applied mask appropriately

Donned eye protection

Applied gloves to cover cuffs of gown

Doffing PPE

Used proper glove in glove technique for removal

Performed Hand Hygiene

Removed gown using appropriate rolling technique (took care to not have outside of gown touch clothing)

Performed Hand Hygiene

Removed face shield or goggles without touching face

Remove mask

Performed Hand Hygiene

Don fresh mask and sanitized eye protection

Observation

Took care to not touch unprotected areas of the body or clothing

Did not adjust mask or clothing after donning PPE

Performed hand hygiene completing vigorous rubbing and allowing time to dry or washed hand with warm soap and water for min 20 seconds

Disposed of or sanitized reusable PPE items appropriately

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.