Resident Name

Resident Apartment Number

Has resident completed a COVID PARQ and Disclaimer 24 hours before?

Is the resident's temperature above 37c on temperature gun? (gun is lower than normal thermometer)

Does the resident have any symptoms of COVID 19? (high temperature, persistent cough, fever, chills, shortness of breath, loss of smell or taste)

Has the resident been in contact with anyone with confirmed or unconfirmed symptoms of COVID -19?

If yes, have they completed self-isolation?

Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.