Template

COVID-19 Risk Assessment for Vulnerable Individuals

by Colin Ross, from the Community

200+

Use this COVID-19 risk assessment to evaluate vulnerability and exposure for individuals with underlying conditions. The checklist covers personal health and hygiene, recent contacts, household isolation, travel history, age and pregnancy risk factors, and chronic or immune-compromising conditions. Following Public Health England guidance, it helps identify at-risk staff, recommend self-isolation or social distancing, and record advice with sign-off. Apply this template to standardize assessments and support safe, compliant workplace decisions.

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 Checklist for Individuals and Families CDC
Use this CDC checklist to help individuals and families plan and prepare for COVID-19. Create a household action plan, list emergency contacts, set up a room for isolation, and support those at higher risk. Practice hand hygiene, cleaning, and social distancing. Learn warning signs that require medical attention and steps for caring for a sick household member. The guide also covers school and work changes and tips to support emotional health.
by SafetyCulture
Downloads: 3,000+
Get
Template
COVID-19 Workplace Exposure Risk Assessment Tool
This CDC-based COVID-19 risk assessment tool helps determine whether transmission likely occurred at work or in the community. It guides interviewers through occupational details, schedules, shifts, transportation, close contacts, PPE usage, and facility controls, as well as community exposures and household risk factors. Use it to document job roles, departments, mask use, respirators, and training provided, then evaluate contact locations and timelines. The tool supports consistent, thorough assessments to inform workplace safety decisions and protect high-risk individuals at home.
by SafetyCulture
Downloads: 40+
Get
Template
COVID-19 Risk Assessment Template
Use this CDC-aligned COVID-19 Risk Assessment template to identify potential exposure, rate risk (high, medium, low, or none), and define control measures to reduce transmission. Record site details, document observed risks, assign actions, and capture comments and signatures for accountability. The checklist references CDC risk categories and management recommendations, helping teams standardize assessments, support contact tracing, and improve workplace infection control. Ideal for health services and any organization managing COVID-19 exposure risks.
by Krishna Khadka2050, from the Community
Downloads: 40+
Get
Template
Community Living Welland-Pelham COVID Risk Assessment
This COVID risk assessment helps support staff and individuals evaluate whether attending an event or activity is appropriate and safe. The checklist prompts discussion on event details and risk factors, including group size, duration, indoor or outdoor setting, transportation, ability to maintain distancing, vaccination status, and household exposure risks. It also considers pre existing medical conditions, mental and physical health benefits, PPE and mask compliance, access to hand hygiene, and the venue’s COVID protocols. Use it to make informed, person centered decisions.
by Madeleine Haynes, from the Community
Downloads: 10+
Get

COVID-19 Checklist for Individuals and Families CDC

Use this CDC checklist to help individuals and families plan and prepare for COVID-19. Create a household action plan, list emergency contacts, set up a room for isolation, and support those at higher risk. Practice hand hygiene, cleaning, and social distancing. Learn warning signs that require medical attention and steps for caring for a sick household member. The guide also covers school and work changes and tips to support emotional health.

by SafetyCulture

3,000+

Get

Template

COVID-19 Workplace Exposure Risk Assessment Tool

This CDC-based COVID-19 risk assessment tool helps determine whether transmission likely occurred at work or in the community. It guides interviewers through occupational details, schedules, shifts, transportation, close contacts, PPE usage, and facility controls, as well as community exposures and household risk factors. Use it to document job roles, departments, mask use, respirators, and training provided, then evaluate contact locations and timelines. The tool supports consistent, thorough assessments to inform workplace safety decisions and protect high-risk individuals at home.

by SafetyCulture

40+

Get

Template

COVID-19 Risk Assessment Template

Use this CDC-aligned COVID-19 Risk Assessment template to identify potential exposure, rate risk (high, medium, low, or none), and define control measures to reduce transmission. Record site details, document observed risks, assign actions, and capture comments and signatures for accountability. The checklist references CDC risk categories and management recommendations, helping teams standardize assessments, support contact tracing, and improve workplace infection control. Ideal for health services and any organization managing COVID-19 exposure risks.

by Krishna Khadka2050, from the Community

40+

Get

Template

Community Living Welland-Pelham COVID Risk Assessment

This COVID risk assessment helps support staff and individuals evaluate whether attending an event or activity is appropriate and safe. The checklist prompts discussion on event details and risk factors, including group size, duration, indoor or outdoor setting, transportation, ability to maintain distancing, vaccination status, and household exposure risks. It also considers pre existing medical conditions, mental and physical health benefits, PPE and mask compliance, access to hand hygiene, and the venue’s COVID protocols. Use it to make informed, person centered decisions.

by Madeleine Haynes, from the Community

10+

Get

COVID-19 Risk Assessment for Vulnerable Individuals

About author

You might also like

COVID-19 Checklist for Individuals and Families CDC

COVID-19 Workplace Exposure Risk Assessment Tool

COVID-19 Risk Assessment Template

Community Living Welland-Pelham COVID Risk Assessment

You might also like

COVID-19 Checklist for Individuals and Families CDC

COVID-19 Workplace Exposure Risk Assessment Tool

COVID-19 Risk Assessment Template

Community Living Welland-Pelham COVID Risk Assessment