When Can a Sick Employee Return to Work? The MN Food Manager’s Guide to Illness Reporting

Sick employees illness reporting
Sick employees illness reporting
Are you prepared?

In February, it feels like everyone in Minnesota is coming down with something. Whether it’s the common cold or the dreaded “stomach flu” (Norovirus), managing a sick crew is one of the toughest parts of being a kitchen leader.

But here is the reality: Poor personal hygiene and working while sick are the #1 causes of foodborne illness outbreaks in restaurants.

As a Minnesota Food Professional, you don’t just have a duty to keep your customers safe—you have a legal obligation under the Minnesota Food Code to exclude sick staff. Here is exactly how to handle illness in your kitchen and when it is safe to let your team back on the line.

The 24-Hour Rule: Vomiting and Diarrhea

In Minnesota, the rule is clear and non-negotiable. It requires immediate exclusion from the establishment if an employee vomits or has diarrhea.

When can they return?

They must be symptom free for at least 24 hours before returning to the kitchen.

  • Jeff’s Pro Tip: If an employee stops vomiting at 8:00 AM on Tuesday, they cannot work the breakfast shift on Wednesday. They aren’t eligible to return until 8:00 AM on Wednesday at the earliest.

The "Big 6" Pathogens and Mandatory Notification

While the 24-hour rule covers general stomach bugs, six specific pathogens require you to call the health department. These are highly contagious and can cause massive outbreaks even in small amounts.

The Big 6 are:

  1. Norovirus
  2. Salmonella (Nontyphoidal)
  3. Salmonella Typhi
  4. Shigella
  5. Hepatitis A
  6. Shiga toxin-producing E. coli (STEC)

Notify the Minnesota Department of Health (MDH) or your local health department upon diagnosing an employee with any of these conditions. In these cases, the 24-hour rule often doesn’t apply. Instead, the MDH will work with you to determine a safe return date.

Other Symptoms to Watch For

Not every illness requires sending someone home, but many require restricting their duties:

  • Jaundice (yellowing of skin/eyes): This is a major red flag for Hepatitis A. Exclude the employee and notify the MDH immediately.

  • Kitchen staff with a sore throat and fever must not handle food. If you serve a “Highly Susceptible Population” (like a nursing home or school), you must exclude them from the building entirely.

  • Infected Wounds: A staff member with a cut containing pus or an infection must cover it with an impermeable bandage and a single-use glove.

Why the CFPM Credential Matters

If you’re managing a busy kitchen, I know the pressure to “just get through the shift” is real. But an uncertified manager might not recognize the difference between a common cold and a reportable illness.

That’s where the Certified Food Protection Manager (CFPM) comes in. Our training ensures that you and your shift leads:

  • Maintain a proper Employee Illness Log (required by MN law).

  • Understand the difference between Excluding and Restricting staff.

  • Know exactly how to report an outbreak to the 1-877-FOOD-ILL hotline.

Is Your Kitchen Protected?

Don’t wait for a health inspector to find a sick employee on your line. Get the training you need to lead a safe, compliant kitchen.

illness reporting in MN
Do you know the rules?

Training Path

Best For

Benefit

In-Person

“Get it done in one shot.”

Live Q&A with Jeff to discuss your specific kitchen’s illness policy.

Online

“Learn on your timeline.”

Flexible modules you can complete between shifts.

Register for an upcoming CFPM course at SafeFoodTraining.com

A Lesson in Norovirus Control for Certified Food Protection Managers

Staying Home when Sick

The norovirus made the news in a big way in the month of September thanks to a massive outbreak at Georgetown University. While the investigation into the outbreak has yet to locate the initial source, norovirus outbreaks often begin in food service, so certified food protection managers take notice that this outbreak has sickened nearly 150 people and take precautions to prevent a similar incident from happening at their food business or facility.

A Lesson in Norovirus Control for Certified Food Protection Managers
Image credit:: belchonock via 123rf

Certified Food Protection Managers And Norovirus Defense in High-Volume Facilities

Many norovirus cases fall under the radar when only a few individuals are sickened, but the case at Georgetown University shows what can happen in when the pathogen infects a large population. Officially, there is no link to food service in this Norovirus case, but certified food protection managers at university cafeterias, local school, hospitals and other facilities that serve a large amount of people every day have a great impact on preventing an outbreak such as this from even getting started. By taking a few simple precautions norovirus outbreaks can be stopped before they even begin by:

These three very easy steps will greatly reduce the risk of spreading the norovirus whether you serve thousands of guests a day or under 10. In fact, these three tools not only prevent the spread of the norovirus, but can help stop many other common illness that begin in food service from spreading.

Have you taken the time to review these basic food safety techniques with your staff to reduce the chances of spreading the norovirus?