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.

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.

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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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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 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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COVID-19 Temperature Check Template with Symptoms

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