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COVID-19 Screening Checklist for Employees, Visitors and Technicians

Run a safety assessment on Technicians with the COVID-19 Screening Checklist before they enter your office premises or any worksite.

List of COVID-19 Screening Checklist Questions

The following questions are included in this COVID-19 Screening Checklist Template. 

  • Full name of the individual
  • Has the individual washed their hands or used antiseptic?
  • Has the individual washed their hands or used antiseptic?
  • Does the individual have any of the following symptoms? Check all that apply.
  • Is this person an employee?
  • Please check their temperature and enter the result.
  • Has the individual been in contact with someone that was infected, suspected, or diagnosed with COVID-19?

Create and send this COVID-19 Screening Checklist with Zonka Feedback

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