Berkeley Lab COVID-19 Symptom Check
This form must be completed by all Berkeley Lab badge holders each week prior to accessing any LBNL site.
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The current CDC COVID-19 Community Level is:
In Alameda County the community level is Low.
UPDATE 01/20/23:  The CDC Community Level in Alameda County shifted from MEDIUM to LOW. The following changes are now in effect at all Lab sites:
Non-business guests may once again visit Lab sites.
Please submit all requests for business and non-business guests, vendors, ride shares, and staff pick-up and drop-off drivers in advance in the Lab’s Site Access Management System.
Physical distancing and avoiding crowds is voluntary.
The following safety measures still apply:
1. Face covers are required when in B26 Health Services. They remain voluntary in the following situations:
  • In all other indoor Lab locations.
  • On Lab shuttles.
  • When sharing government vehicles.
Face covers are not required outdoors. Review the Lab’s Face Covering Guidance for more information about face covers. 
2. Weekly COVID testing is optional for all. If you have had exposure (close contact) to someone with COVID, testing is required after Day 5.
Note: Day 0 is the day of your last exposure to someone with COVID-19.
Effective January 5, 2023, a new negative COVID-19 testing requirement will be in effect for anyone entering the United States from China, Hong Kong, or Macau, even if transiting through other airports. More information is in this CDC press release.
IMPORTANT: Do NOT come to any Lab site or interact with others on official business if you tested positive for COVID-19 or have any symptoms. This helps prevent the spread of cold, flu, COVID-19, and other respiratory illnesses. According to the CDC, you cannot easily distinguish between symptoms of the flu or COVID-19. Contact Health Services at 510-486-6266 and follow their guidance for returning to the Lab.
** This benefits us all by helping to ensure that we can stay as healthy as possible during this winter season. **
REMINDER: If you have been exposed to someone with COVID or who tested positive you do NOT need to quarantine or call Health Services, as long as you are asymptomatic. You must wear a mask for 10 full days when around others indoors, get tested after Day 5 following the exposure, and follow these CDC guidelines for exposure.
Note: Day 0 is the day of your last exposure to someone with COVID-19.
The Lab's COVID website — covid.lbl.gov — shows the current Community Level and a matrix showing all of the COVID requirements at-a-glance.
More information on the CDC Community Levels can be found at: https://www.cdc.gov/coronavirus/2019-ncov/science/community-levels.html.
The LBNL COVID Protocols contain the latest COVID information that you need to know to work at a Lab site. They have links for additional protocols for LBNL travelers, Visitors, Subcontractors and Vendors, and those hosting in-person meetings. Find links to all the Protocols at https://go.lbl.gov/COVID-protocols.
LBNL requires that you complete this weekly symptom check form and that you self-monitor for these symptoms each day before you enter any LBNL site.
Review the symptoms below:
1.   Fever (greater than or equal to 100 degrees F)* or chills
2.   New or unexplained cough
3.   New or unexplained shortness of breath or difficulty breathing
4.   Fatigue that is unusual or more severe than normal
5.   New or unexplained muscle or body aches
6.   Headache
7.   New or unexplained loss of taste or smell
8.   Sore throat
9.   Congestion or runny nose
10. Nausea, vomiting, or diarrhea

*Taking your temperature is recommended as the best way to determine fever, but is not required.
Review symptoms as compared to your usual health status. Pay particular attention to symptoms that may be new or unexplained. For example, symptoms you may regularly have due to seasonal allergies should not be considered. DO NOT COME TO THE LAB or interact with others on official business if you have symptoms or have tested positive for COVID-19.
Employee/Badge ID Number (Six Digits) *
Remember that at any CDC level, do NOT come to any Lab site or interact with others on official business if you tested positive for COVID-19 or have symptoms. This helps prevent the spread of cold, flu, COVID-19, and other respiratory illnesses. According to the CDC, you cannot easily distinguish between symptoms of the flu or COVID-19. Contact Health Services at 510-486-6266 and follow guidance for returning to the Lab.
Please review the following certification statements:
1. I am symptom free and will self-monitor for symptoms each day this week before I enter any LBNL site.
Note: This is with respect to your usual health status. Refer to list of symptoms above if needed.
2. If I experience any of these symptoms during the week while at an LBNL site, I understand that I must immediately leave the site and contact Health Services at 510-486-6266 for additional guidance.
Note: You must wear a face covering as soon as you notice symptoms.
3. I have not tested positive for COVID-19 in the past five (5) days.
Do NOT submit this form and do NOT enter any LBNL site if you cannot certify to the above statements.
Please complete the certification. *
Required
**NOTE** If you have been ill or tested positive you MAY NOT use a negative COVID test result to make your own decision to come onsite. You MUST contact Health Services at 510-486-6266 to receive appropriate guidance before coming onsite as each individual situation may be different.
More information about the symptom check process, including how this information is used and protected, is available at go.lbl.gov/symptom-faq.
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