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Ok so we can all agree that washing hands in hospitals and restaurants is important, and that apparently these signs are for employees... This type of sign, with these instructions, is well beyond the simple "employees must wash hands" sign you may see in a bathroom, or the giant STOP sign I see at say.. Wendys that says "STOP wash hands if passing this line" in which there is a line taped/painted to the floor and a sink is there too. It is the amount of detail put into it. It looks similar to the instruction cards you would see for how to help someone who is choking, or what to do if your airplane has crashed into the ocean. Specific scenarios that are not common knowledge and those instructional cards can be used in a pinch. Beyond the fact that we would expect any business would have informed their employees that they must wash their hands, as a course of job training, or that such information would be in their employee handbook. Part of a sign like this is the same issue you often run across, a company treating their employees like children. Then there is the other side of the coin. As I go into a business bathroom, and see the sign saying that employees must wash hands, indicates to me that if that sign were not there, the employees would not be doing that.

@jaclaz & @Mcinwwl: you're looking at it from the serious POV, which all of us in this thread actually do understand. It seems only @Tripredacus got my point, which is "a textual warning saying something like 'wash your danm mitts, yo!' ought to have the same effect and obviate the nedd for a 10-step illustrated instruction chart to the same sense." If using toothpicks preclude detailed instructions, then washing hands shouldn't need 'em either... or can you really discern a difference?