Template

COVID-19 Daily Health Screening Checklist

90+

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.

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.

Template

COVID-19: Screening Checklist for Visitors and Employees

Use this COVID-19 screening checklist to triage visitors and employees before entry to healthcare and assisted living facilities. Based on CMS and CDC guidance, it covers symptom questions (fever, sore throat, cough, shortness of breath), temperature checks for staff, exposure screening, and entry restrictions. It reinforces hand hygiene, masking for compassionate visits, and limiting movement to designated areas. Intended as a general template to support infection control; not a substitute for medical advice, diagnosis, or treatment.

by Zhang Pingan, from the Community

60+

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Template

COVID-19 Screening Checklist for Visitors and Staff

This COVID-19 screening checklist helps healthcare and assisted living facilities assess visitors and employees for symptoms and exposure before entry. It follows CMS and CDC guidance for restricting non-essential personnel and includes prompts for hand hygiene, symptom checks (fever, sore throat, cough, shortness of breath), temperature screening for employees, exposure history, and entry restrictions. It also reminds permitted visitors to wear a facemask and limit movement within the facility. The checklist is informational and not a substitute for medical advice, diagnosis, or treatment.

by Sheila Layo, from the Community

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COVID-19 Prevention Screening Checklist

This COVID-19 prevention screening checklist helps teams record key details during entry screening, including name, date, temperature, and symptom checks for cough, sore throat, and shortness of breath. It supports clear go home decisions when any symptoms are present and promotes consistent infection control across worksites. Created as a starting point only, confirm suitability for your site and local requirements.

by cody taylor, from the Community

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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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COVID-19 Employee Temperature Screening Checklist

Template

COVID-19 Employee Temperature Screening Checklist

This COVID-19 employee temperature screening checklist helps facility and security teams screen workers at entry points. Record temperatures, check for fever, cough, or shortness of breath, and determine access based on results. Includes guidance for when thermometers are unavailable, reminders on hand hygiene and distancing, and steps to restrict entry and notify supervisors if symptoms or fever are present. Intended to reduce workplace transmission risk and provide a consistent screening process. Not a substitute for medical advice or treatment.

by Mitti

2,000+

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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 Daily Health Screening Checklist

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