HIGH RISK HYGIENE ZONE

ENTRY DECLARATION FORM

PRODUCTIO DATE: Document Code:

N AREA TIME:

You are to please read and ensure proper understanding of the above hygiene requirements before entering this High Hygiene
Zone. You are advised to use glass holder if you have to use eye glasses.

Are you suffering or have recently suffered from Diarrhoea, Cholera, cough, catarrh or any other communicable diseases in the
last three days or you live with person(s) that have any of such ailments? If Yes, Please give details.

You are advised to be guided by one of our staff to the Production Area.
Your signature confirms that you understand the hygiene rules read on the wall and all the information given above is correct.

You are Welcome

Name Telephone no:

Address Signature

Note: The information provided above is for Food Safety Management System ONLY and will be treated as Confidential.

For Official Use

Approval status: Approved/Not Approved Departmental Manager’s Sign….

……………………………………………………………………………………………………………………………………….

HIGH RISK HYGIENE ZONE

ENTRY DECLARATION FORM

PRODUCTIO DATE: Document No:

N AREA TIME:

You are to please read and ensure proper understanding of the above hygiene requirements before entering this High Hygiene
Zone. You are advised to use glass holder if you have to use eye glasses.

Are you suffering or have recently suffered from Diarrhoea, Cholera, cough, catarrh or any other communicable diseases in the
last three days or you live with person(s) that have any of such ailments? If Yes, Please give details.

You are advised to be guided by one of our staff to the Production Area.
Your signature confirms that you understand the hygiene rules read on the wall and all the information given above is correct.

You are Welcome

Name Telephone no:

Address Signature

Note: The information provided above is for Food Safety Management System ONLY and will be treated as Confidential.

For Official Use

Approval status: Approved/Not Approved Departmental Manager’s Sign….