Housekeeping Staff Policy Acknowledgment Form
Please review and acknowledge your understanding of workplace policies and responsibilities.
Full Name
*
First Name
Last Name
Staff ID Number
*
Department
*
Please Select
Housekeeping
Laundry
Public Areas
Other
Supervisor Name
Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Which of the following is NOT a responsibility of housekeeping staff?
*
Maintaining cleanliness of assigned areas
Reporting maintenance issues
Handling guest check-in procedures
Following safety protocols
How often should you report safety hazards you observe?
*
Immediately
At the end of your shift
Once a week
Only if someone else notices
Submit Acknowledgment
Should be Empty: