COVID19 Screening



COVID19 info sheet:

WORKPLACE SCREENING

Name:
Employee Number:
Branch:
  • 1. Does the employee have acute respiratory illness with sudden onset of a least ONE of the following: cough, sore throat, shortness of breath, or fever (>=38C or history of fever) AND
  • 2. In the 14 days prior to onset of symptoms, met at least ONE of the following criteria;

    • a. Were in close contact:
      • with a confirmed or,
      • probable case, of COVID-19, (i.e. you are a primary contact) OR transmission of COVID-19, OR
    • b. Had a history of travel to areas with presumed ongoing community transmission of COVID-19, OR
  • 3. Has the employee been in close contact with a person who has symptoms of COVID-19, who has been tested, but results are not available yet (i.e. you are a possible primary contact), OR
  • 4. Has the employee been in contact with a primary contact (i.e. you are the secondary contact).

  • Please add required fields