STEC Risk Assessment Proforma Case name HPZ No: Date Clinical Picture Date of onset, symptoms (bloody diarrhoea), Date symptoms ceased or ongoing Key 1 CASE CONTACT (Risk (Risk Group) 2 Doubtful A. Doubtful hygiene hygiene 3 Children 5yrs and B. Children 5yrs under and 4 Food handler C. Food handler Direct patient D. Direct patient contact contact 5 Employer / school General hygiene / nursery standards, awareness etc. Hygiene Standards / Considerations Hygiene facilities Activities in home attending – separation of bathroom/WC If Child nappies Result of EH – / toilet trained assessment (where undertaken) Decision Rational for decision / who involved in decision Assessor name Signature Date
STEC Risk Assessment Proforma Case name HPZ No: Date Clinical Picture Date of onset, symptoms (bloody diarrhoea), Date symptoms ceased or ongoing Key CASE (Risk Doubtful hygiene Children 5yrs and under Food handler Direct patient contact CONTACT (Risk Group) A. Doubtful hygiene B. Children 5yrs and C. Food handler D. Direct patient contact 1 2 3 4 5 Employer / school / nursery General hygiene standards, awareness etc. Hygiene Standards / Considerations Hygiene facilities in home – separation of bathroom/WC Activities attending If Child – nappies / toilet trained Result of EH assessment (where undertaken) Decision Rational for decision / who involved in decision Assessor name Signature Date
STEC_Risk_Assessment_Proforma.docx