COVID-19 Symptom Checklist_Staff
Symptom Checklist to be completed daily prior to working on site.
Please take your temperature at home and record it below
If you answer yes to any question or have a temperature of 100.4 or greater your next step is to call your supervisor.
In most circumstances after this call, the procedure will be to self-isolate at home and contact your physician for direction.
Please record your name and today's date, then respond to questions 3 through 12 answering the symptom screening questions:
In the past 24 hours have you ...