Ref.No: VSAFB-FSTL-02 , Rev.

No : 00
Monitoring Personal Hygiene Record

No Re-
Examination
Status
(Yes /No)
Action
Tobacco/ Hygiene
Hand Wash Infections Smoking Status Action needed
Sanitize/ No Jewellery / Disease /Chewing upon on
Date Employee Area Of Cleaned Covered Hair / Skin examination noncompliance
Name Work Trimmed Clean outer infection (Yes/No
Nails / No garments/ /Allergy
open Wounds Protective if any
and
wash,
clothing
necessary)
Ref.No: VSAFB-FSTL-02 , Rev.No : 00
 Ref.No: VSAFB-FSTL-02 , Rev .No : 00

Monitoring Personal Hygiene Record

No Re-
Examination
Status
(Yes /No)
Action
Tobacco/ Hygiene
Hand Wash Infections Smoking Status Action needed
Sanitize/ No Jewellery / Disease /Chewing upon on
Date Employee Area Of Cleaned Covered Hair / Skin examination noncompliance
Name Work Trimmed Clean outer infection (Yes/No
Nails / No garments/ /Allergy
open Wounds Protective if any
and
wash,
clothing
necessary)
Ref.No: VSAFB-FSTL-02 , Rev .No : 00
 Ref.No: VSAFB-FSTL-02 , Rev .No : 00

Monitoring Personal Hygiene Record

No Re-
Examinatio
n
Status
(Yes /No)
Action
Tobacco/ Hygiene
Hand Wash Infections Smoking Status Action needed
Sanitize/ No Jewellery / Disease /Chewing upon on
Date Employee Area Of Cleaned Covered Hair / Skin examination noncomplianc
Name Work Trimmed Clean outer infection (Yes/No e
Nails / No garments/ /Allergy
open Wounds Protective if any
and
wash,
clothing
necessary)
Ref.No: VSAFB-FSTL-02 , Rev .No : 00