Kansas Reopening: Employee Health Screening Form

Help protect your workplace during reopening with this Kansas employee health screening checklist. Employees record temperature and assess symptoms such as fever, cough, shortness of breath, chills, runny nose, sore throat, nausea or vomiting, diarrhea, and loss of taste or smell before and after each shift. Guidance includes a no-go temperature threshold of 100.4 F and monitoring when 99.2-99.9 F. Capture location, date, and signatures to support compliance and reporting. For guidance only—seek professional advice for your jurisdiction.