handler (State ‘Nil’ when Symptom description Reported by Date of Symptoms Declared by there are no ill (Diarrhea/ Vomiting/ Fever/ Time staff left (Name, return to cleared (Name, Date Time food handlers) Stomach pain/ Nausea) premises Signature) work (Yes/No) Signature) Name of Employee: Employee ID: Job Title: Date of Employment:
Date Time handler (State ‘Nil’ when there are no ill food handlers) Symptom description (Diarrhea/ Vomiting/ Fever/ Stomach pain/ Nausea) Time staff left premises Reported by (Name, Signature) Date of return to work Symptoms cleared (Yes/No) Declared by (Name, Signature) Name of Employee: Employee ID: Job Title: Date of Employment:
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