Template

Covid 19 Visitor Questionnaire

by Rian O'Flaherty, from the Community

20+

Use this Covid 19 Visitor Questionnaire to screen visitors before they enter your workplace. Capture names, contact details, visit purpose, recent travel, symptoms, and close contact history to identify risk and decide on access. Reinforce on site hygiene and self isolation guidance to protect staff and customers. This template is a general example and should be reviewed against your local policies and regulations.

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 Jobsite Visitor Questionnaire
This COVID-19 jobsite visitor questionnaire helps screen visitors before entering a worksite. It captures project and visitor details, date, reason for visit, health and safety officer, and location. The form asks about confirmed COVID-19 diagnosis, recent symptoms such as fever, cough, shortness of breath, sore throat, muscle aches, and loss of taste or smell, and recent exposure to confirmed or symptomatic cases, including recent travel exposure. It concludes with sign-offs from the health and safety officer and the visitor to document acknowledgement. Use this template to standardize screening and support safer site access control.
by SafetyCulture
Downloads: 80+
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Template
COVID-19 Return to Work Sign-In Form
This return to work sign-in form helps organizations screen staff before re-entry to the workplace. It records employee and manager details, asks about COVID-19 symptoms, recent diagnosis, close contact and medical advice to self-isolate, and captures additional notes. Employees provide a signature to confirm declarations. Use as a guidance template and adapt to your policies and local regulations.
by SafetyCulture
Downloads: 20+
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Template
Visitor Questionnaire FRM061v23
Use this visitor questionnaire to screen and register workplace visitors for safety and compliance in food and hospitality environments. The form captures visitor identity, company, visit purpose, date and time, and host. It includes health screening questions for recent illness, flu-like symptoms, gastrointestinal issues, recent travel, and contact with communicable diseases. It also requires agreement to site hygiene rules, including allergen restrictions, medication authorization, mobile phone and recording device declarations, and cleanliness of contractor tools. Collect acknowledgments and signatures to maintain GMP and food safety standards.
by Angela Neary, from the Community
Downloads: 0
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Template
COVID-19 Visitor Log by Mitti
This COVID-19 Visitor Log by Mitti helps businesses maintain accurate records for contact tracing and compliance. The template captures visitor name, contact details, check-in and check-out times, purpose of visit, primary location used, screening questions for COVID-19 symptoms and exposure, and recorded temperature. Use it with SafetyCulture to create and export reports, maintain electronic or hard copy records for at least 28 days, and support safe entry management across venues. Ideal for staff, customers, and contractors staying over 15 minutes.
by Megan Duckworth, from the Community
Downloads: 10+
Get

COVID-19 Jobsite Visitor Questionnaire

This COVID-19 jobsite visitor questionnaire helps screen visitors before entering a worksite. It captures project and visitor details, date, reason for visit, health and safety officer, and location. The form asks about confirmed COVID-19 diagnosis, recent symptoms such as fever, cough, shortness of breath, sore throat, muscle aches, and loss of taste or smell, and recent exposure to confirmed or symptomatic cases, including recent travel exposure. It concludes with sign-offs from the health and safety officer and the visitor to document acknowledgement. Use this template to standardize screening and support safer site access control.

by SafetyCulture

80+

Get

Template

COVID-19 Return to Work Sign-In Form

This return to work sign-in form helps organizations screen staff before re-entry to the workplace. It records employee and manager details, asks about COVID-19 symptoms, recent diagnosis, close contact and medical advice to self-isolate, and captures additional notes. Employees provide a signature to confirm declarations. Use as a guidance template and adapt to your policies and local regulations.

by SafetyCulture

20+

Get

Template

Visitor Questionnaire FRM061v23

Use this visitor questionnaire to screen and register workplace visitors for safety and compliance in food and hospitality environments. The form captures visitor identity, company, visit purpose, date and time, and host. It includes health screening questions for recent illness, flu-like symptoms, gastrointestinal issues, recent travel, and contact with communicable diseases. It also requires agreement to site hygiene rules, including allergen restrictions, medication authorization, mobile phone and recording device declarations, and cleanliness of contractor tools. Collect acknowledgments and signatures to maintain GMP and food safety standards.

by Angela Neary, from the Community

Get

Template

COVID-19 Visitor Log by Mitti

This COVID-19 Visitor Log by Mitti helps businesses maintain accurate records for contact tracing and compliance. The template captures visitor name, contact details, check-in and check-out times, purpose of visit, primary location used, screening questions for COVID-19 symptoms and exposure, and recorded temperature. Use it with SafetyCulture to create and export reports, maintain electronic or hard copy records for at least 28 days, and support safe entry management across venues. Ideal for staff, customers, and contractors staying over 15 minutes.

by Megan Duckworth, from the Community

10+

Get

Covid 19 Visitor Questionnaire

About author

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COVID-19 Jobsite Visitor Questionnaire

COVID-19 Return to Work Sign-In Form

Visitor Questionnaire FRM061v23

COVID-19 Visitor Log by Mitti

You might also like

COVID-19 Jobsite Visitor Questionnaire

COVID-19 Return to Work Sign-In Form

Visitor Questionnaire FRM061v23

COVID-19 Visitor Log by Mitti