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COVID-19: Screening Checklist for Visitors and Employees

by Zhang Pingan, from the Community

Downloads: 60+
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Use this COVID-19 screening checklist to triage visitors and employees before entry to healthcare and assisted living facilities. Based on CMS and CDC guidance, it covers symptom questions (fever, sore throat, cough, shortness of breath), temperature checks for staff, exposure screening, and entry restrictions. It reinforces hand hygiene, masking for compassionate visits, and limiting movement to designated areas. Intended as a general template to support infection control; not a substitute for medical advice, diagnosis, or treatment.

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Digitize any process, procedure or policy
Eliminate mistakes made by paper-based processes
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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

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.

COVID-19: Screening Checklist for Visitors and Employees | Free Template