Template

COVID-19 Symptoms Checklist

by Lucid Film, from the Community

30+

Use this COVID-19 symptoms checklist to screen students, staff, and families before entering school or work. The form lists common symptoms such as fever, cough, shortness of breath, chills, fatigue, muscle aches, headache, loss of taste or smell, sore throat, congestion, nausea, vomiting, and diarrhea, and includes exposure and quarantine questions. Follow the guidance to stay home, contact the school, or seek medical care when necessary.

With SafetyCulture you can

Digitize any process, procedure or policy

Eliminate mistakes made by paper-based processes

Create and share professional reports instantly

Confirm accountability and compliance with a digital log

With SafetyCulture you can

Digitize any process, procedure or policy

Eliminate mistakes made by paper-based processes

Create and share professional reports instantly

Confirm accountability and compliance with a digital log

About author

Community

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.

Template
COVID-19 Employee Pre-Site Self Assessment
This COVID-19 employee pre-site self assessment helps screen staff before attending a worksite. It asks about close contact with COVID-19 cases, medical direction to self-quarantine, recent symptoms such as fever, cough, shortness of breath, sore throat, muscle aches, or loss of taste or smell, and overall wellness. Clear guidance advises employees who answer Yes to stay home, notify their line manager per the handbook, and book a test if symptoms are COVID-19 related. The form captures date and signature for recordkeeping.
by Philip Davison, from the Community
Downloads: 60+
Get
Template
COVID-19 Employee Screening Questionnaire
Use this COVID-19 employee screening questionnaire to assess staff before work. Capture project details, employee name, date, location, temperature results, and PPE status. Ask about recent exposure, self-quarantine orders, and key symptoms such as fever, cough, shortness of breath, sore throat, muscle aches, or loss of taste or smell. Includes guidance on next steps if any answer is yes and space for Health and Safety Officer and employee signatures. Intended as a starting template; seek professional advice for your workplace.
by SafetyCulture
Downloads: 200+
Get
Template
COVID-19 Sign-in Sheet Template
This COVID-19 sign-in sheet template supports daily health screening and controlled entry for employees and visitors. It captures time of entry, purpose, contact number, and signature while confirming no recent symptoms such as cough, breathing difficulty, fever, chills, muscle pain, headache, sore throat, or loss of taste or smell. Designed for mobile use to reduce shared paperwork, it helps organizations standardize building entry checks and maintain records. Adapt the template to your local guidance and workplace policies before deploying.
by SafetyCulture
Downloads: 300+
Get
Template
COVID-19 Temperature Check Template with Symptoms
Use this COVID-19 temperature check template to screen employees before entry. Capture name, time, site and temperature readings, assess predefined ranges, and review a checklist of common symptoms such as cough, loss of taste or smell, and shortness of breath. Record outcomes, add notes and signatures, and decide when to send employees home to minimize infection risk. This resource is for guidance only; confirm suitability for your workplace and jurisdiction.
by SafetyCulture
Downloads: 10+
Get

COVID-19 Employee Pre-Site Self Assessment

This COVID-19 employee pre-site self assessment helps screen staff before attending a worksite. It asks about close contact with COVID-19 cases, medical direction to self-quarantine, recent symptoms such as fever, cough, shortness of breath, sore throat, muscle aches, or loss of taste or smell, and overall wellness. Clear guidance advises employees who answer Yes to stay home, notify their line manager per the handbook, and book a test if symptoms are COVID-19 related. The form captures date and signature for recordkeeping.

by Philip Davison, from the Community

60+

Get

COVID-19 Employee Screening Questionnaire

Template

COVID-19 Employee Screening Questionnaire

Use this COVID-19 employee screening questionnaire to assess staff before work. Capture project details, employee name, date, location, temperature results, and PPE status. Ask about recent exposure, self-quarantine orders, and key symptoms such as fever, cough, shortness of breath, sore throat, muscle aches, or loss of taste or smell. Includes guidance on next steps if any answer is yes and space for Health and Safety Officer and employee signatures. Intended as a starting template; seek professional advice for your workplace.

by SafetyCulture

200+

Get

Template

COVID-19 Sign-in Sheet Template

This COVID-19 sign-in sheet template supports daily health screening and controlled entry for employees and visitors. It captures time of entry, purpose, contact number, and signature while confirming no recent symptoms such as cough, breathing difficulty, fever, chills, muscle pain, headache, sore throat, or loss of taste or smell. Designed for mobile use to reduce shared paperwork, it helps organizations standardize building entry checks and maintain records. Adapt the template to your local guidance and workplace policies before deploying.

by SafetyCulture

300+

Get

Template

COVID-19 Temperature Check Template with Symptoms

Use this COVID-19 temperature check template to screen employees before entry. Capture name, time, site and temperature readings, assess predefined ranges, and review a checklist of common symptoms such as cough, loss of taste or smell, and shortness of breath. Record outcomes, add notes and signatures, and decide when to send employees home to minimize infection risk. This resource is for guidance only; confirm suitability for your workplace and jurisdiction.

by SafetyCulture

10+

Get

COVID-19 Symptoms Checklist

About author

You might also like

COVID-19 Employee Pre-Site Self Assessment

COVID-19 Employee Screening Questionnaire

COVID-19 Sign-in Sheet Template

COVID-19 Temperature Check Template with Symptoms

You might also like

COVID-19 Employee Pre-Site Self Assessment

COVID-19 Employee Screening Questionnaire

COVID-19 Sign-in Sheet Template

COVID-19 Temperature Check Template with Symptoms