Title Page

  • Conducted by

  • Date & Time

  • Site & Entrance

Covid Temperature Check

    Employee Temperature
  • Employee Name

  • Employee Temperature
  • Warning: Over normal temperature

  • Temperature less than slight fever?
  • Employee has a fever. Send home immediately.

  • Has employee experienced any of the following symptoms?

  • If employee has experienced at least 1 of the above symptoms, send home immediately.

  • Has employee experienced any of the following symptoms?

  • If employee has experienced more than 1 of the above symptoms, send home immediately

After Covid Temperature Check

  • Date & Time Covid Temperature Check Ended

  • Signature of Person Who Conducted Covid Temperature Check

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.