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Free checklist template in response to the COVID-19 pandemic to ensure staff that are required to work and can't practice social distancing are protecting themselves and limiting exposure while complying with all company sanitation guidelines. COVID-19 spreads easily through contact and droplet contamination. Help flatten the curve by running daily company health checks using this template.

Checklist Sections

16 Questions
Main Section 16 Questions
short_text Template Instructions
question_answer Have you travelled on a plane in the past 14 days?
question_answer Have you come in close contact with someone that’s travelled in the past 14 days?
question_answer Do you have any flu like symptoms?
question_answer Have you received training in COVID19 preparedness procedures?
question_answer Are hand-washing guidelines displayed in every bathroom at work?
question_answer Are you washing your hands frequently?
question_answer Is hand sanitizer available at every workstation?
question_answer Are high-touch areas being sanitized frequently?
question_answer Are social distancing measures being enforced, on-site?
question_answer Are you practicing social distancing outside of work?
question_answer Has COVID19 information been placed in staff areas and on notice boards?
question_answer Has the Ministry of Health been consulted on COVID19 procedures for your business?
question_answer Have you received the contact info for your local public health authority?
question_answer Have you received COVID-19 self-assessment resources?
question_answer Has your employer released any internal plans or preparedness measures to mitigate the risk of exposure to COVID-19?