This COVID-19 occupant health checklist helps contractors and field teams screen household or building occupants before a site visit. It prompts for recent travel and exposure, common COVID-19 symptoms, and confirms whether the environment is safe for workers to enter. The form can capture a phone number and signature for contact tracing, aligns with public health guidance, and references compliance with privacy regulations such as Canada’s PIPA. Use it as part of a construction or service provider health and safety program to standardize screening and reduce transmission risk.
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This community page makes available free workplace checklists and templates created by other users within the SafetyCulture community. SafetyCulture has re-published this content and where possible, has credited the original author. SafetyCulture has not verified the accuracy, reliability or suitability of any community content. You agree that your use of any of this content is in accordance with SafetyCulture’s Terms and Conditions.
