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Job Aid

Example of a Staff Sickness Record Form

Purpose: Use this job aid as an example of the type of information to record in relation to staff sickness.

Company name: _____________________________________________________________

Store/site information: ______________________________________________________

Staff sickness record
Date Staff name Date of illness Action taken Excluded: yes/no Date returned Medical clearance: yes/no Comments Manager's signature
                                                                                                                                                                                                                                                                                                                                                                                                                    
                                                                                                                                                                                                                                                                                                                                                                                                                    
                                                                                                                                                                                                                                                                                                                                                                                                                    

Course: Professional Food Manager: Managing Food Safety and Training
Topic: Employee Health