Tap AAC

Hand washing visual sequence: free printable steps

A hand washing visual sequence shows each step of washing hands as a picture, in order: water on, wet hands, soap, scrub, rinse, water off, dry hands. Taped up by the sink, it lets a child follow the steps without being told each one. This free PDF has the eight steps as a big sign, a board of times to wash hands, and two small strips to cut out and tape above the sink.

Download the free PDF US Letter, 2 pages, 551 KB

Printing on A4 paper? Download the A4 PDF (2 pages, 550 KB). Or pick one page shape for every page:

Portrait (tall page, 2 pages): US Letter PDF (552 KB) · A4 PDF (550 KB)

Landscape (wide page, 2 pages): US Letter PDF (552 KB) · A4 PDF (551 KB)

Printable hand washing visual sequence: eight numbered pictures with arrows between them: water on, wet hands, soap, scrub, rinse, water off, dry hands and clean hands.
Page 1: eight steps, printed sideways, to hang by the sink.

Edit this board in the free board maker: change the words and pictures, then print.

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Who it’s for

Children who are learning to wash their hands on their own, and anyone who loses track of a string of spoken instructions: “Turn the tap on. Now soap. Rub, rub, rub…” The pictures stay up after the words are gone. It works at home, at a classroom sink, at daycare and in group homes.

How to use a hand washing sequence

  1. Hang it where the washing happens. At the child’s eye level, beside the sink or on the mirror, not across the room.
  2. Do it together first. Stand beside the child, point to each picture, and say one or two words: “Water on.” “Soap.”
  3. Count while you scrub. The CDC advises scrubbing for at least 20 seconds, and suggests humming “Happy Birthday” twice to time it. Counting to 20 out loud works too.
  4. Point instead of talking. Once the steps are familiar, point to the next picture instead of saying it.
  5. Step back a little each week. Stay close, but help less, until a glance at the strip is all it takes.

If one step keeps getting skipped

Most children skip the same step every time: the soap, the scrubbing, or turning the water off. Put your finger on that picture just before they get to it, and notice it when it happens: “Soap! Nice.” Wet hands and rinse use the same picture, because at the sink they look the same; the numbers tell them apart.

Page 2: six pictures for when to wash hands (before I eat, after the toilet, after I sneeze, after outside, after pets and after messy play) and two small strips of the eight steps to cut out.
Page 2: when to wash, and two strips to cut out for the sink.

When to wash

Page 2 shows six times to wash: before eating, after the toilet, after a sneeze, after playing outside, after touching pets and after messy play. Point to the right one on the way to the sink: “After the toilet. Wash hands.” It answers “Why now?” before anyone has to ask.

What it can look like

Back from the park, Omar heads straight for the snacks. His mom points to after outside on the board by the door, then to the bathroom. At the sink, Omar looks up at the strip: water on, wet hands, soap. His mom hums while he scrubs. He gets to clean hands, holds them up to show her, and gets his snack.

What’s on the PDF

The steps

When to wash

Printing tips

These boards and guides are general information, not therapy or medical advice, and they don’t replace a speech therapist. A speech therapist who knows the person can help choose the right words, pictures and layout. The boards are free to print and share; please don’t sell them (terms of use). Questions about the boards? Email support@lmnoplabs.fun.