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.
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