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  • Conducted on

  • Prepared by

  • 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?

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.