Personal Hygiene Checklist Form
Are COVID-19 updates posted on staff bulletin boards? Or was it achieved through internal communication?
Yes
No
Have supervisors been informed of the risks associated with COVID-19?
Yes
No
Have employees been educated on how to prevent the spread of infection?
Yes
No
Are your employees aware of COVID-19 symptoms?
Yes
No
Have you reviewed the cleaning guidelines to ensure that high-risk, high-contact areas and contact points are disinfected regularly?
Yes
No
Have you followed the CDC guideline for cleaning and disinfecting hard surfaces?
Yes
No
Have you followed the CDC guideline for cleaning soft surfaces?
Yes
No
Have items been washed according to CDC guidelines?
Yes
No
Do employees follow the CDC's handwashing recommendation?
Yes
No
Do staff wear disposable gloves and aprons for all tasks in the clean-up process, including handling garbage?
Yes
No
Do staff take normal preventive measures while at work, including cleaning hands and avoiding touching eyes, nose, or mouth?
Yes
No
Is hand sanitizer available for staff?
Yes
No
Any other comments or issues to report?
Name
First Name
Last Name
Signature
Date
-
Month
-
Day
Year
Date
Submit
Should be Empty: