Template

BOS COVID-19 Report

by Eric Genet, from the Community

30+

This BOS COVID-19 exposure report template helps teams document possible onsite exposure events. Capture who is affected, symptoms observed, temperatures, testing status and results, exposure details and dates, and whether quarantine or CDC-recommended measures are in place. Log proximity to the individual, add notes, and provide contact details for follow-up. Assign an action to a supervisor for incident tracking. Submitted information is handled confidentially to support timely response and to help stop the spread.

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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
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Use this COVID-19 self-declaration checklist to assess staff, contractors, and visitors for potential exposure and symptoms prior to entering a site or appointment. Record personal details, travel history or contact exposure, symptom checks, and temperature readings. Reinforce hygiene, PPE use, and social distancing practices to reduce transmission risk. Ideal for workplaces seeking a simple, consistent screening process during outbreaks.
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by emre Dagseven, from the Community
Downloads: 0
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COVID-19 Risk Assessment Template

Use this CDC-aligned COVID-19 Risk Assessment template to identify potential exposure, rate risk (high, medium, low, or none), and define control measures to reduce transmission. Record site details, document observed risks, assign actions, and capture comments and signatures for accountability. The checklist references CDC risk categories and management recommendations, helping teams standardize assessments, support contact tracing, and improve workplace infection control. Ideal for health services and any organization managing COVID-19 exposure risks.

by Krishna Khadka2050, from the Community

40+

Get

Template

COVID 19 Job Site Hazard Assessment

This COVID 19 job site hazard identification and assessment template helps supervisors and safety teams evaluate exposure risks, screen workers for symptoms, verify PPE availability and use, confirm social distancing and hygiene measures, control non essential visitors, and document actions taken. Standardize daily checks across construction and field operations, capture notes, and align with current CDC recommendations and company policies.

by Jennifer Smith, from the Community

40+

Get

Template

COVID-19 Self-Declaration Form

Use this COVID-19 self-declaration checklist to assess staff, contractors, and visitors for potential exposure and symptoms prior to entering a site or appointment. Record personal details, travel history or contact exposure, symptom checks, and temperature readings. Reinforce hygiene, PPE use, and social distancing practices to reduce transmission risk. Ideal for workplaces seeking a simple, consistent screening process during outbreaks.

by M Gibbs, from the Community

100+

Get

Template

COVID-19 Occupant Health Checklist

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.

by emre Dagseven, from the Community

Get

BOS COVID-19 Report

About author

You might also like

COVID-19 Risk Assessment Template

COVID 19 Job Site Hazard Assessment

COVID-19 Self-Declaration Form

COVID-19 Occupant Health Checklist

You might also like

COVID-19 Risk Assessment Template

COVID 19 Job Site Hazard Assessment

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COVID-19 Occupant Health Checklist