A health care worker at a Michigan hospital received a small (2cm) burn to her hand after an electrostatic discharge (ESD) ignited alcohol-based hand rub (ABHR). Improving hand hygiene compliance, including the use of alcohol-based hand rubs, is a major quality and safety initiative in health care. Communication with staff should continue to focus on the importance of compliance, and organizations should remind ABHR users to allow the alcohol to adequately dissipate before contact with any potential source of ESD.