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Hand Hygiene Audit Request Form

A hand-hygiene audit template — washrooms, dispensers and problem points captured, so a site’s hand-hygiene provision is assessed and brought up to standard.

Description

Good hand hygiene depends on soap and sanitizer actually being available, working and well placed — and it slips without anyone noticing until an outbreak or an inspection. This form requests a hand-hygiene audit, so an employer or facilities manager can have their provision assessed and any gaps put right. It captures what an audit needs to look at: the number of washrooms and hand-wash points, the current soap and sanitizer dispensers, any entrance or kitchen sanitizer stations, known problem spots, and what’s driving the audit — an inspection, an outbreak, or routine best practice. The auditor checks coverage, dispenser condition and placement, and reports what to improve. Offer it to offices, schools, healthcare and hospitality clients who take hygiene seriously. Free, brandable, and it turns a vague worry about hand hygiene into a documented assessment and a plan.

Form fields

Everything the Hand Hygiene Audit Request Form above collects — 10 fields across 2 pages, so you can see exactly what it captures before you make it your own.

Request a Hand-Hygiene Audit

  • Site postcode

    Short Answer Icon
    Short Answer
  • Type of premises

    Dropdown Icon
    Dropdown
  • Number of washrooms / hand-wash points

    Number Icon
    Number
  • Current provision

    Multi-Select Icon
    Multi-Select
  • What's prompting the audit?

    Single-Select Icon
    Single-Select
  • Known problem areas

    Long Answer Icon
    Long Answer

Your details

  • Your name

    Name Icon
    Name
  • Business / site name

    Short Answer Icon
    Short Answer
  • Contact number

    Telephone Icon
    Telephone
  • Email address

    Email Icon
    Email
Use Template Arrow Right Icon

Template FAQs

Common questions about the Hand Hygiene Audit Request Form — what it captures, when to use it, and how to make it your own.

What does a hand-hygiene audit check?

Whether soap, sanitizer and drying are available and working at every hand-wash point, how well dispensers are placed and maintained, and where coverage is missing — entrances, kitchens, high-traffic washrooms. You get a report with clear recommendations.

Who needs a hand-hygiene audit?

Any workplace where hygiene matters — offices, schools, nurseries, care settings, food premises and hospitality. It’s useful ahead of an inspection, after a bug has gone round, or just as part of taking staff and visitor health seriously.

Will you fix what the audit finds?

We can — once the audit identifies gaps, we quote the dispensers, consumables or extra stations to put them right. You’re free to act on the report yourself, but we’re set up to supply and install what’s recommended.

Does this help with inspections?

A documented audit and the actions taken from it demonstrate due diligence on hygiene, which supports inspections and your internal records. It shows you’ve assessed provision rather than assumed it’s fine.

How long does an audit take?

It depends on the number of washrooms and hand-wash points, but most sites are a single visit. We’ll confirm when we book, and the report follows shortly after.

Is the request free?

Yes — free with a Fun Forms account, fully customizable, and it embeds on your site or shares as a link.