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COVID-19 Symptom Self Check

  1. Do NOT go to your workspace and notify your supervisor
  2. Go home
  3. Review the Employee COVID-19 Symptom Procedure

Directions: Read and answer the following screenings questions

You may proceed to your workspace

Have a great day!

If you answered NO to any of the above questions:

If you answered YES to any of the above questions:

  • Fever 100℉ or higher
  • Chills
  • Cough
  • Shortness of breath or difficulty breathing
  • Fatigue
  • Muscle or body aches
  • Headache

  • New loss of taste or smell
  • Sore throat
  • Congestion or runny nose
  • Nausea or vomiting
  • Diarrhea

1. Have you experienced any of the following symptoms, that are NOT typical for you, in the last 14 days*?

* Note: These are symptoms that are NOT typical for you. For example if you experience seasonal allergies that result in a runny nose and you are experiencing seasonal allergies, this is typical for you

2. Have you been exposed to anyone who has tested positive for COVID-19 in the last 2 weeks?

No

No

Yes

Yes

Rev. 8/4/21

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Employee Symptom Self Check

Station Supplies

  • Thermometer (non-contact)*
  • Thermometer instruction cards
  • Symptom self check display
  • Hand sanitizer
  • Disinfectant spray
  • Paper towels
  • Table

* At the end of each use, spray a paper towel with disinfectant spray and wipe the HANDLE of the thermometer.

Rev. 4/13/21

Employee Symptom Self Check

Station Supplies

  • Thermometer (non-contact)*
  • Thermometer instruction cards
  • Symptom self check display
  • Hand sanitizer
  • Disinfectant spray
  • Paper towels
  • Table

* At the end of each use, spray a paper towel with disinfectant spray and wipe the HANDLE of the thermometer.

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Welcome to your COVID-19

Symptom Check Station

Per Public Health Order, ALL employees must be screened for COVID-19 Symptoms EACH DAY before beginning work.

Please follow the steps on the

COVID-19 Symptoms Self Check

Rev. 4/13/21