close
lumiform
Lumiform Mobile audits & inspections
Get App Get App

Hand Hygiene Compliance Checklist

Use this hand hygiene compliance checklist to internally evaluate the hand hygiene techniques of healthcare workers. This checklist can be used to easily monitor performance quality and provide feedback with photo evidence.

Downloaded 22 times

Rated 5/5 stars on Capterra

Say goodbye to paper checklists!

Lumiform enables you to conduct digital inspections via app easier than ever before
  • Cut inspection time by 50%
  • Uncover more issues and solve them 4x faster
  • Select from over 5,000 expert-proofed templates

Digitalize this paper form now

Register for free on lumiformapp.com and conduct inspections via our mobile app

  • Cut inspection time by 50%
  • Uncover more issues and solve them 4x faster
  • Select from over 4000 expert-proofed templates
Rated 5/5 stars on Capterra

Hand Hygiene Compliance Checklist

Inspection

Hand Hygiene Compliance

The World Health Organization guidelines for Hand Hygiene Technique
Name of Healthcare Worker
Select healthcare worker category.
Please specify.

Hand Hygiene Technique

Identify the moment.
Which hand hygiene technique did the healthcare worker perform?
Hand Hygiene Technique with Alcohol-Based Formulation (20-30 seconds)
Is the healthcare worker not wearing a stoned ring?
Are the nails of the healthcare worker short and clean?
Did the healthcare worker perform correct hand hygiene technique?
Hand Hygiene Technique with Soap and Water (40-60 seconds)
Is the healthcare worker not wearing a stoned ring?
Are the nails of the healthcare worker short and clean?
Is the healthcare worker not wearing a wristwatch?
Is the clothing of the healthcare worker 'bare below the elbows'?
Did the healthcare worker perform correct hand hygiene technique?

Completion

Overall Recommendations
Full Name and Signature of Auditor
Share this template:

Promoting Health and Safety: The Importance of a Hand Hygiene Compliance Checklist


A hand hygiene compliance checklist is a crucial tool in ensuring optimal health and safety standards in various settings, from healthcare facilities to food service establishments. This checklist outlines specific guidelines and procedures that individuals must follow to maintain proper hand hygiene practices. It covers essential elements such as handwashing techniques, use of hand sanitizers, glove usage, and compliance with hand hygiene protocols.


By utilizing a hand hygiene compliance checklist, organizations can reinforce the importance of hand hygiene, minimize the risk of infections, and promote a safe environment for staff and customers alike. Regular monitoring and adherence to this checklist help identify areas of improvement, provide training opportunities, and maintain a high level of hygiene compliance. With a robust hand hygiene compliance checklist in place, organizations can prioritize health and safety, reducing the spread of germs and safeguarding the well-being of everyone involved.


Similar templates