Template

COVID-19 Vaccine Screening Checklist

10+

This COVID-19 vaccine screening checklist, adapted from the CDC Prevaccination Checklist for COVID-19 Vaccines, helps clinicians determine if a person should receive a vaccine dose today. It guides assessment of current illness, prior COVID-19 vaccination, allergic reactions to PEG or polysorbate, reactions to previous doses, recent vaccinations, prior COVID-19 infection and antibody therapy, bleeding disorders or anticoagulant use, immunocompromising conditions or therapies, pregnancy and breastfeeding, and the presence of dermal fillers. Use it to document responses and identify contraindications or precautions before vaccination.

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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

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SafetyCulture

Free 1,000+ Workplace Checklists & Templates created by the SafetyCulture team.

Template
COVID-19 Vaccine Checklist
This COVID-19 vaccine checklist helps patients and providers pre-screen for vaccination eligibility. It covers allergies to vaccine ingredients, previous severe reactions, current health status such as fever, bleeding disorders, immunocompromised conditions or medications, and pregnancy or plans to become pregnant. It also records whether another COVID-19 vaccine was received and which one. Based on FDA Fact Sheets, this tool supports safe, informed vaccination decisions and efficient clinic intake.
by SafetyCulture
Downloads: 20+
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Template
COVID-19 Compliance Observation Report for Sites
This daily inspection template helps monitor COVID-19 compliance on active construction sites during restrictions. Record project and contractor details, review COVID Safe Plans, presence of a COVID Marshal, vaccination registers, and SWMS. Check masks, social distancing, shared tools, QR codes, crib rooms, headcount, and trades on site. Add observations, photos, and note any actions or escalation required.
by Charlie Cassar, from the Community
Downloads: 70+
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Template
COVID-19 Compliance Audit
Use this COVID-19 compliance audit to evaluate workplace readiness and adherence to health protocols. The checklist covers site setup and recordkeeping, entrance postings, response plans, worker and visitor registers with contact details, temperature screening, sanitation and handwashing facilities, adequate waste bins, correct PPE use, and social distancing practices. Ideal for construction and other onsite operations seeking to standardize COVID-19 safety checks and document audit certification.
by Cindy Kyle, from the Community
Downloads: 200+
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Template
COVID-19 Site-Specific Risk Assessment Checklist
This COVID-19 site-specific risk assessment template helps construction teams complete a quick daily check before work begins. It covers symptom screening, social distancing, PPE requirements, hygiene and cleaning practices, signage placement, and ventilation in enclosed spaces like welfare units and vehicles. Use it to confirm controls are in place, remind crews to clean tools and surfaces, and ensure the public is kept at a safe distance. Designed for on-site supervisors and teams to promote consistent, safe operations during COVID-19.
by Ben Cronin, from the Community
Downloads: 40+
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COVID-19 Vaccine Checklist

This COVID-19 vaccine checklist helps patients and providers pre-screen for vaccination eligibility. It covers allergies to vaccine ingredients, previous severe reactions, current health status such as fever, bleeding disorders, immunocompromised conditions or medications, and pregnancy or plans to become pregnant. It also records whether another COVID-19 vaccine was received and which one. Based on FDA Fact Sheets, this tool supports safe, informed vaccination decisions and efficient clinic intake.

by SafetyCulture

20+

Get

Template

COVID-19 Compliance Observation Report for Sites

This daily inspection template helps monitor COVID-19 compliance on active construction sites during restrictions. Record project and contractor details, review COVID Safe Plans, presence of a COVID Marshal, vaccination registers, and SWMS. Check masks, social distancing, shared tools, QR codes, crib rooms, headcount, and trades on site. Add observations, photos, and note any actions or escalation required.

by Charlie Cassar, from the Community

70+

Get

Template

COVID-19 Compliance Audit

Use this COVID-19 compliance audit to evaluate workplace readiness and adherence to health protocols. The checklist covers site setup and recordkeeping, entrance postings, response plans, worker and visitor registers with contact details, temperature screening, sanitation and handwashing facilities, adequate waste bins, correct PPE use, and social distancing practices. Ideal for construction and other onsite operations seeking to standardize COVID-19 safety checks and document audit certification.

by Cindy Kyle, from the Community

200+

Get

Template

COVID-19 Site-Specific Risk Assessment Checklist

This COVID-19 site-specific risk assessment template helps construction teams complete a quick daily check before work begins. It covers symptom screening, social distancing, PPE requirements, hygiene and cleaning practices, signage placement, and ventilation in enclosed spaces like welfare units and vehicles. Use it to confirm controls are in place, remind crews to clean tools and surfaces, and ensure the public is kept at a safe distance. Designed for on-site supervisors and teams to promote consistent, safe operations during COVID-19.

by Ben Cronin, from the Community

40+

Get

COVID-19 Vaccine Screening Checklist

About author

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COVID-19 Vaccine Checklist

COVID-19 Compliance Observation Report for Sites

COVID-19 Compliance Audit

COVID-19 Site-Specific Risk Assessment Checklist

You might also like

COVID-19 Vaccine Checklist

COVID-19 Compliance Observation Report for Sites

COVID-19 Compliance Audit

COVID-19 Site-Specific Risk Assessment Checklist