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Employee Temperature Log Sheet Template

Building and facility security teams can use this template to check the temperature of employees entering a building. The purpose of this checklist for temperature testing of workers is to control the potential spread of COVID-19 in the workplace by screening for signs of respiratory illness with fever in people who are about to enter the building. It should be noted that this screening checklist contains only basic information. It is not intended to replace medical advice, diagnosis or treatment.

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Employee Temperature Log Sheet Template

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If a person is sent home, they must inform their supervisor and/or the Human Resources Department that they have been sent home and are responsible for follow-up with their family doctor if necessary.

Screening

1. Did you wash your hands or use hand disinfectants containing alcohol when entering the building?
2. Do you suffer from any of the following respiratory symptoms?
If NO to all, proceed to remaining questions
If NO to all, proceed to remaining questions
3. Temperature of the employees
If you do not have a thermometer to measure the temperature, continue with step 3B.
3A. Does the employee have a fever (temperature 100,4 Fahrenheit or higher)?
3B. Ask the employee the following:
Have you worked in facilities with confirmed COVID-19 cases?
4. Allow access to the building and remind the individual:
4A. Wash your hands or use alcohol-based hand disinfectants during all your time in the building.
4B. During your time in the building, do not shake hands, touch or hug others.

Completion

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