Template

COVID-19 Temperature Check Template with Symptoms

10+

Use this COVID-19 temperature check template to screen employees before entry. Capture name, time, site and temperature readings, assess predefined ranges, and review a checklist of common symptoms such as cough, loss of taste or smell, and shortness of breath. Record outcomes, add notes and signatures, and decide when to send employees home to minimize infection risk. This resource is for guidance only; confirm suitability for your workplace and jurisdiction.

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Digitize any process, procedure or policy

Eliminate mistakes made by paper-based processes

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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

SafetyCulture

Mitti (by SafetyCulture) is the operations system for every site, shift and standard. Trusted by over 80,000 organisations, Mitti brings your people, operational data and workflows into one operating picture. From the frontline to the boardroom, it gives everyone a clear understanding of what's happening, highlights what needs attention and recommends what to do next. Every inspection completed, issue raised and action taken becomes intelligence your teams can use to improve every day.

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Staff, Therapist and Contractor COVID Health Inspection

This COVID-19 health inspection checklist helps organizations screen staff, therapists, and contractors before entry. Capture name, time in, and assessor details, then record temperature and check for common COVID-19 symptoms such as high temperature, persistent cough, and loss of smell or taste. Use it to support infection control procedures and maintain a safe workplace, noting that templates are examples and not a substitute for professional advice.

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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.

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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.

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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.

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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 SafetyCulture

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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 SafetyCulture

2,000+

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COVID-19 Temperature Check Template with Symptoms

About author

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