Template

COVID-19 Jobsite Visitor Questionnaire

90+

This COVID-19 jobsite visitor questionnaire helps screen visitors before entering a worksite. It captures project and visitor details, date, reason for visit, health and safety officer, and location. The form asks about confirmed COVID-19 diagnosis, recent symptoms such as fever, cough, shortness of breath, sore throat, muscle aches, and loss of taste or smell, and recent exposure to confirmed or symptomatic cases, including recent travel exposure. It concludes with sign-offs from the health and safety officer and the visitor to document acknowledgement. Use this template to standardize screening and support safer site access control.

With Mitti 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 Mitti 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

Mitti

Mitti (by SafetyCulture) is the operations system for every site, shift and standard. Trusted by 80,000 organizations in 190 countries, Mitti publishes free checklists, SOP templates, audit checklists and toolbox talk topics that turn paper processes into a digital audit trail. Download one, put it to work on your next inspection or shift, and see why teams keep coming back for more.

COVID 19 Employee Screening Questionnaire

Template

COVID 19 Employee Screening Questionnaire

Use this COVID-19 employee screening questionnaire to assess staff before work. Capture project details, employee name, date, location, temperature results, and PPE status. Ask about recent exposure, self-quarantine orders, and key symptoms such as fever, cough, shortness of breath, sore throat, muscle aches, or loss of taste or smell. Includes guidance on next steps if any answer is yes and space for Health and Safety Officer and employee signatures. Intended as a starting template; seek professional advice for your workplace.

by Mitti

200+

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Template

COVID-19 Employee Pre-Site Self Assessment

This COVID-19 employee pre-site self assessment helps screen staff before attending a worksite. It asks about close contact with COVID-19 cases, medical direction to self-quarantine, recent symptoms such as fever, cough, shortness of breath, sore throat, muscle aches, or loss of taste or smell, and overall wellness. Clear guidance advises employees who answer Yes to stay home, notify their line manager per the handbook, and book a test if symptoms are COVID-19 related. The form captures date and signature for recordkeeping.

by Philip Davison, from the Community

60+

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Template

COVID-19 Symptoms Checklist

Use this COVID-19 symptoms checklist to screen students, staff, and families before entering school or work. The form lists common symptoms such as fever, cough, shortness of breath, chills, fatigue, muscle aches, headache, loss of taste or smell, sore throat, congestion, nausea, vomiting, and diarrhea, and includes exposure and quarantine questions. Follow the guidance to stay home, contact the school, or seek medical care when necessary.

by Lucid Film, from the Community

30+

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Template

Covid 19 Visitor Questionnaire

Use this Covid 19 Visitor Questionnaire to screen visitors before they enter your workplace. Capture names, contact details, visit purpose, recent travel, symptoms, and close contact history to identify risk and decide on access. Reinforce on site hygiene and self isolation guidance to protect staff and customers. This template is a general example and should be reviewed against your local policies and regulations.

by Rian O'Flaherty, from the Community

20+

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COVID-19 Daily Health Screening Checklist

Template

COVID-19 Daily Health Screening Checklist

This daily COVID-19 screening checklist helps organizations assess employees, visitors, and clients before entry. It covers exposure questions, symptom checks for fever, cough, shortness of breath, sore throat, and muscle aches, and guidance on activating protocols, exclusion recommendations, and medical follow-up. The template reinforces infection control practices including distancing, face coverings, hand hygiene, and surface cleaning. For guidance only; verify requirements for your workplace and jurisdiction.

by Mitti

90+

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Template

COVID-19 Sign-in Sheet Template

This COVID-19 sign-in sheet template supports daily health screening and controlled entry for employees and visitors. It captures time of entry, purpose, contact number, and signature while confirming no recent symptoms such as cough, breathing difficulty, fever, chills, muscle pain, headache, sore throat, or loss of taste or smell. Designed for mobile use to reduce shared paperwork, it helps organizations standardize building entry checks and maintain records. Adapt the template to your local guidance and workplace policies before deploying.

by Mitti

300+

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COVID-19 Jobsite Visitor Questionnaire

About author

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