COVID-19 Screening Checklist
Hello KJUHSD staff. Following the directive from Fresno County Health Department we are asking all employees entering KJUHSD facilities to complete the following screening questionnaire.
Screening should be done at the beginning of each day.
Remember to do the following:
*Wash your hands with soap and water or alcohol-based sanitizer before you start work and frequently throughout the day
*Practice social distancing, sit and/or stand at least 6 ft from other people, do not shake hands or hug people, and do not share food or drinks
*Sanitize your work area before you leave
*Contact your supervisor and leave work immediately if you start to feel feverish or have respiratory symptoms
1. Do you have a fever?
2. Do you have any of the following respiratory symptoms that are not related to allergies or previous health conditions?
Cough ( Productive or Dry)
None of the above
3. Have you had any close contact (spent longer than 15 minutes within 6 feet) with someone who is suspected or known to have COVIS-19?
Yes - Go home immediately and self-isolate for 14 days if asymptomatic
Based on your responses to questions 1-3, you may receive a call/message from an Admin. Please continue to practice social distancing. Feel free to provide any comments below. Stay Safe!
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This form was created inside of Kingsburg Joint Union High School District.