SMYL Hand washing

• student name

• Workplace

• Conducted on

  Date

• Assessor name

• Location
  Address

Version control

• Wets hands with running water

  Yes

  No

  N/A

• Uses liquid soap and spreads over hands

  Yes

  No

  N/A

• Rubs hands vigorously

  Yes

  No

  N/A

• Washes the palms and backs of hands

  Yes

  No

  N/A

• Washes in between fingers and under finger nails

  Yes

  No

  N/A

• Washes around wrists

  Yes

  No

  N/A

• Rinses hands thoroughly to remove all suds

  Yes

  No

  N/A

• Turns off the tap using a paper towel

  Yes

  No

  N/A

• Pats dry hands with a new paper towel

  Yes

  No

  N/A

• Comments

• Student signature

  Sign

• Assessor signature

  Sign