Water X Industries Ltd. Personal Hygiene Log Certification #SAN1681115

• 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 including proper shoes.

  Yes

  No

  N/A

• Hair restraints worn (caps, hair nets, etc.).

  Yes

  No

  N/A

• Fingernails trimmed and kept clean.

  Yes

  No

  N/A

• Jewelry is restricted.

  Yes

  No

  N/A

• Open sores, cuts, or bandages completely covered (Glove Use Policy adhered to)?

  Yes

  No

  N/A

• Eating, drinking or chewing gum restricted to designated areas.

  Yes

  No

  N/A

• Staff take appropriate action when coughing or sneezing.

  Yes

  No

  N/A

• Sanitizing solution available for all staff and in each mobile unit.

  Yes

  No

  N/A

• Employee Name & Signature.

  Sign

• Supervisor Name & Signature.

  Sign