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.

6 Questions

6Screens

3 mins to complete

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