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 ...