Template

COVID-19 Return to Work Record

by Beth Reed, from the Community

200+

Use this COVID-19 Return to Work Record to document employee details, absence history, and a safe return-to-work induction. Capture symptom checks, confirm PPE issued, brief staff on updated COVID-19 safety measures, and complete manager sign-off for HR compliance. This customizable template supports organizations in standardizing their return-to-work process, maintaining records for audits, and promoting a safe, compliant workplace during reopening and ongoing operations.

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 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+
Get
Template
Return to Work COVID-19 Health Declaration
This return to work COVID-19 health declaration helps organizations screen employees and contractors before reentry to the workplace. The form captures recent symptoms, diagnosis, close contacts, travel history, and at risk factors, and directs workers to contact supervisors or HR when needed. It outlines self isolation and restricted movement guidance, identifies high risk groups, and includes sign off to confirm accurate information for a safer return.
by Declan Dixon, from the Community
Downloads: 40+
Get
Template
Returning to Work in an Office during COVID-19
This checklist supports a safe return to office environments during COVID-19, aligned with Aviva Loss Prevention Standards. It guides planning and risk assessment, creation and communication of safe systems of work, displaying COVID-19 secure notices, and outbreak planning. It covers assessing who should return to work, social distancing measures, managing visitors and contractors, enhanced cleaning and waste disposal, hand hygiene, PPE assessments and training, workforce management and shift records, transfer zones for shared items, procedures for working away from the normal workplace including company vehicles, and ongoing communication and training for employees. Use as a starting point and seek professional advice for your specific workplace and jurisdiction.
by SafetyCulture
Downloads: 20+
Get
Template
Return to Work Survey Template
Assess employee confidence and safety as teams return to the workplace. This return to work survey covers well-being, perceived safety, screening and prevention measures, PPE availability, social distancing, hygiene access, and communication effectiveness. Capture recommendations from staff, confirm understanding of COVID-19 protocols, and track sentiment over time. Customize the questions, share digitally, and review responses to guide reopening plans and ongoing workplace health and safety improvements.
by SafetyCulture
Downloads: 0
Get

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

Return to Work COVID-19 Health Declaration

This return to work COVID-19 health declaration helps organizations screen employees and contractors before reentry to the workplace. The form captures recent symptoms, diagnosis, close contacts, travel history, and at risk factors, and directs workers to contact supervisors or HR when needed. It outlines self isolation and restricted movement guidance, identifies high risk groups, and includes sign off to confirm accurate information for a safer return.

by Declan Dixon, from the Community

40+

Get

Returning to Work in an Office during COVID-19

Template

Returning to Work in an Office during COVID-19

This checklist supports a safe return to office environments during COVID-19, aligned with Aviva Loss Prevention Standards. It guides planning and risk assessment, creation and communication of safe systems of work, displaying COVID-19 secure notices, and outbreak planning. It covers assessing who should return to work, social distancing measures, managing visitors and contractors, enhanced cleaning and waste disposal, hand hygiene, PPE assessments and training, workforce management and shift records, transfer zones for shared items, procedures for working away from the normal workplace including company vehicles, and ongoing communication and training for employees. Use as a starting point and seek professional advice for your specific workplace and jurisdiction.

by SafetyCulture

20+

Get

Template

Return to Work Survey Template

Assess employee confidence and safety as teams return to the workplace. This return to work survey covers well-being, perceived safety, screening and prevention measures, PPE availability, social distancing, hygiene access, and communication effectiveness. Capture recommendations from staff, confirm understanding of COVID-19 protocols, and track sentiment over time. Customize the questions, share digitally, and review responses to guide reopening plans and ongoing workplace health and safety improvements.

by SafetyCulture

Get

COVID-19 Return to Work Record

About author

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COVID-19 Return to Work Sign-In Form

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COVID-19 Return to Work Sign-In Form

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