Template

Staff, Therapist and Contractor COVID Health Inspection

by One Blackfriars, from the Community

10+

This COVID-19 health inspection checklist helps organizations screen staff, therapists, and contractors before entry. Capture name, time in, and assessor details, then record temperature and check for common COVID-19 symptoms such as high temperature, persistent cough, and loss of smell or taste. Use it to support infection control procedures and maintain a safe workplace, noting that templates are examples and not a substitute for professional advice.

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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

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 Temperature Check Template with Symptoms
Use this COVID-19 temperature check template to screen employees before entry. Capture name, time, site and temperature readings, assess predefined ranges, and review a checklist of common symptoms such as cough, loss of taste or smell, and shortness of breath. Record outcomes, add notes and signatures, and decide when to send employees home to minimize infection risk. This resource is for guidance only; confirm suitability for your workplace and jurisdiction.
by SafetyCulture
Downloads: 10+
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Template
COVID-19 Employee Pre-Site Self Assessment
This COVID-19 employee pre-site self assessment helps screen staff before attending a worksite. It asks about close contact with COVID-19 cases, medical direction to self-quarantine, recent symptoms such as fever, cough, shortness of breath, sore throat, muscle aches, or loss of taste or smell, and overall wellness. Clear guidance advises employees who answer Yes to stay home, notify their line manager per the handbook, and book a test if symptoms are COVID-19 related. The form captures date and signature for recordkeeping.
by Philip Davison, from the Community
Downloads: 60+
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Template
COVID-19 Sign-in Sheet Template
This COVID-19 sign-in sheet template supports daily health screening and controlled entry for employees and visitors. It captures time of entry, purpose, contact number, and signature while confirming no recent symptoms such as cough, breathing difficulty, fever, chills, muscle pain, headache, sore throat, or loss of taste or smell. Designed for mobile use to reduce shared paperwork, it helps organizations standardize building entry checks and maintain records. Adapt the template to your local guidance and workplace policies before deploying.
by SafetyCulture
Downloads: 300+
Get
Template
COVID-19 Occupant Health Checklist
This COVID-19 occupant health checklist helps contractors and field teams screen household or building occupants before a site visit. It prompts for recent travel and exposure, common COVID-19 symptoms, and confirms whether the environment is safe for workers to enter. The form can capture a phone number and signature for contact tracing, aligns with public health guidance, and references compliance with privacy regulations such as Canada’s PIPA. Use it as part of a construction or service provider health and safety program to standardize screening and reduce transmission risk.
by emre Dagseven, from the Community
Downloads: 0
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COVID-19 Temperature Check Template with Symptoms

Use this COVID-19 temperature check template to screen employees before entry. Capture name, time, site and temperature readings, assess predefined ranges, and review a checklist of common symptoms such as cough, loss of taste or smell, and shortness of breath. Record outcomes, add notes and signatures, and decide when to send employees home to minimize infection risk. This resource is for guidance only; confirm suitability for your workplace and jurisdiction.

by SafetyCulture

10+

Get

Template

COVID-19 Employee Pre-Site Self Assessment

This COVID-19 employee pre-site self assessment helps screen staff before attending a worksite. It asks about close contact with COVID-19 cases, medical direction to self-quarantine, recent symptoms such as fever, cough, shortness of breath, sore throat, muscle aches, or loss of taste or smell, and overall wellness. Clear guidance advises employees who answer Yes to stay home, notify their line manager per the handbook, and book a test if symptoms are COVID-19 related. The form captures date and signature for recordkeeping.

by Philip Davison, from the Community

60+

Get

Template

COVID-19 Sign-in Sheet Template

This COVID-19 sign-in sheet template supports daily health screening and controlled entry for employees and visitors. It captures time of entry, purpose, contact number, and signature while confirming no recent symptoms such as cough, breathing difficulty, fever, chills, muscle pain, headache, sore throat, or loss of taste or smell. Designed for mobile use to reduce shared paperwork, it helps organizations standardize building entry checks and maintain records. Adapt the template to your local guidance and workplace policies before deploying.

by SafetyCulture

300+

Get

Template

COVID-19 Occupant Health Checklist

This COVID-19 occupant health checklist helps contractors and field teams screen household or building occupants before a site visit. It prompts for recent travel and exposure, common COVID-19 symptoms, and confirms whether the environment is safe for workers to enter. The form can capture a phone number and signature for contact tracing, aligns with public health guidance, and references compliance with privacy regulations such as Canada’s PIPA. Use it as part of a construction or service provider health and safety program to standardize screening and reduce transmission risk.

by emre Dagseven, from the Community

Get

Staff, Therapist and Contractor COVID Health Inspection

About author

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