Health Examination Checklist for Obtaining a Food HandlerCertificate

Health Examination Checklist:

Answer the following questions honestly. If you answer “Yes” to any of the questions, you may be required toprovide a medical clearance from a healthcare provider before receiving your Food Handler Certificate.

• Current Symptoms: Do you currently have any of the following symptoms?
  • Fever (temperature of 100°F or 37.8°C or higher)
  • Vomiting
  • Diarrhea
  • Jaundice (yellowing of the skin or eyes)
  • Sore throat with fever
  • Cough with fever
  • Skin lesions containing pus (e.g.,boils, infected cuts, or open sores) on the hands or exposed areas
• Recent Illnesses: Have you experienced any of the above symptoms within the last 24-48 hours?
• Known Illnesses /Conditions: Have you been diagnosed with, or do you suspect you have, any of the following conditions?
  • Hepatitis A
  • Salmonellosis
  • Shigellosis
  • Norovirus
  • Other potentially foodborne illnesses
• Contact with Infected Individuals: Have you been in close contact with someone diagnosed with, or suspected of having, a reportable foodborne illness (e.g., Hepatitis A, Salmonella, Shigella)?
• Exposure to Contaminated Food: Have you consumed or handled food that you suspect may be contaminated?
• Travel History: Have you recently traveled to an area known for outbreaks of foodborne illness? (Check with your local health department for travel advisories.)
• Hand Hygiene: Are you confident in your ability to practice proper handwashing techniques as outlined in food safety guidelines? (e.g., washing hands with soap and water for at least 20 seconds, especially after using the restroom, and before handling food)
• Wound Management: Do you know how to properly cover and protect wounds (cuts, scrapes, burns) on your hands or other exposed areas to prevent contamination?